- Evolent (Boston, MA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Highmark Health (Boston, MA)
- …Correlates Revenue/Expense to volumes and prepares reports to assist financial management in assessing financial performance. (20%) + Evaluates, updates, and ... have a financial impact to WPAHS. Makes recommendations to Decision Support Management for financial and performance improvement. (20%) + Performs all other duties… more
- Beth Israel Lahey Health (Charlestown, MA)
- …cycle and modality-specific billing processes and/or workflows. The Revenue Integrity Analyst is responsible for educating providers, clinical colleagues, and ... taking a job, you're making a difference in people's lives.** A Revenue Integrity Analyst serves as a primary point of contact for Service Line Directors, Managers,… more
- State of Massachusetts (Boston, MA)
- …Business administration, business management , public administration, public management , clinical administration or clinical management of which (B) ... Program focuses on the replacement of the Commonwealth's Financial Management and General Ledger solution and is currently underway....group of staff. The BEST Program HR Generalist Business Analyst will report to the BEST HCM Lead and… more
- State of Massachusetts (Boston, MA)
- …Business administration, business management , public administration, public management , clinical administration or clinical management of which (B) ... 1 of the Program focuses on the replacement of the Commonwealth's Financial Management and General Ledger solution and is currently underway. Phase 2 focuses on… more
- Intermountain Health (Boston, MA)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Intermountain Health (Boston, MA)
- **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules, ... and mentor teammates, provide education and guidance to revenue cycle and clinical teams, and assists with testing and validation. Supports and collaborates with… more
- Intermountain Health (Boston, MA)
- …support for management level leadership of a system/regional business or clinical area. + Meet regularly with leadership to provide work updates, set project ... of data analytics at Intermountain Health. As a Data Analyst -Technical-Staff, you will be part of a team that...part of a team that contributes to strategic initiatives, clinical standards, and operational goals through data insights. Reporting… more
- Highmark Health (Boston, MA)
- …investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and ... new areas. + Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop, and implement… more
- Deloitte (Boston, MA)
- …work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on ... the same as per engagement requirements + Perform Problem Management activities such as Root cause analysis of Incidents...working with Microsoft Officetools + Work Experience/Direct Knowledge of clinical area or business area to be supported +… more
- Children's Hospital Boston (Boston, MA)
- 80517BRJob Posting Title:IT EPIC ANALYST II (Hybrid)Department:Information Services- Clinical ApplicationsAutoReqId:80517BRStatus:Full-TimeStandard Hours per ... capabilities. + Performs moderately complex Epic build tasks-such as modifying rules , creating templates, and applying custom logic-while adhering to established… more
- Intermountain Health (Boston, MA)
- …investigations and reports of suspected noncompliance. This role oversees the management and development of the Compliance report database. It also develops ... of the Conflict of Interest database **Skills** + Data Management + Data Analysis + Data Visualization + Communication...May have the same physical requirements as those of clinical or patient care jobs, when the leader takes… more
- Intermountain Health (Boston, MA)
- …site teams, external business partners/vendors, compliance, legal counsel, health information management , and designated areas in the response process. 5. Assists ... and guidance to service line leadership, providers, and front line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and… more
- Cardinal Health (Boston, MA)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more
- Commonwealth Care Alliance (Boston, MA)
- …Integrity and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim outcome ... Term **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst … more
- Wolters Kluwer (Waltham, MA)
- …partners to define needs and deliver innovative solutions that support Clinical Effectiveness transformation initiatives. As a Business Transformation Architect, you ... processes and process flows, information and information flows, and business rules + Identify and leverage appropriate technology and applications to quantifiably… more