- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors and address… more
- Beacon Mobility (Chelmsford, MA)
- …at 200+ locations from New England to New Mexico. Reporting to the Director of Claims , the Region Claims Analyst provides oversight and controls to reporting ... management skills while delivering analytical support to operations, safety and claims leadership. Support to locations will require compliance with applicable… more
- Highmark Health (Boston, MA)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... 011250 CCA- Claims Hiring for One Year Term **_This position...**Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and… more
- MAPFRE Insurance (Webster, MA)
- …of analytics, technology, and business strategy? Join us as a Business Intelligence Analyst ( Claims ) and help shape the future of data-driven decision-making!** ... Business Intelligence Analyst II (Senior Level Considered) Date: Nov 7,...Citizen or Green Card holder + Must have Insuance Claims experience **What You'll Do** + Build and maintain… more
- Dana-Farber Cancer Institute (Boston, MA)
- …. In partnership with Business Strategy, the Senior Business Intelligence Analyst builds claims -based analytical models, integrates clinical and operational ... and process improvement. Ongoing projects encompass market analyses from claims , referral tracking, and performance measurement for strategic initiatives, all… more
- Center For Health Information And Analysis (Boston, MA)
- …be a driving force in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within the dynamic Strategy and Research ... team. The Research Analyst will work closely with the research team and...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- **Senior Business System Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Massachusetts, Canton **Position ... -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** The Business Systems Analyst (BSA) will play a key role in driving… more
- Public Consulting Group (Boston, MA)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Prime Therapeutics (Boston, MA)
- …build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data using… more
- Rocket Software (Boston, MA)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… more
- Zurich NA (Boston, MA)
- TPA Operations Sr. Performance Analyst 125087 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims... Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred… more
- Humana (Boston, MA)
- …first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to achieve success on the ... seeking an individual for the Senior Business Intelligence Data Analyst to provide support for pharmacy programs, working heavily...data ie. Provider, Insurance, etc. + Experience with pharmacy claims data + Advanced knowledge of Excel (ex. Pivot… more
- Cognizant (Boston, MA)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- Evolent (Boston, MA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Harvard University (Cambridge, MA)
- Details Title Research Associate/Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description We ... are seeking a research Data Analyst in the Department of Oral Health Policy and...Code of Conduct + Analyze electronic health records, administrative claims , and national survey data Basic Qualifications + Bachelor's… more
- MAPFRE Insurance (Webster, MA)
- Business Development Analyst Date: Nov 10, 2025 Location: Webster, MA, US Company: MAPFRE **Business Development Analyst ** **Location: Webster MA | Full-Time | ... growth? Join our dynamic team as a Business Development Analyst , where you will play a pivotal role in...environment. **Bonus points for:** + Experience in insurance, underwriting, claims , or actuarial domains. + Strategic planning and market… more
- MAPFRE Insurance (Webster, MA)
- Sr. Business Development Analyst Date: Nov 6, 2025 Location: Webster, MA, US Company: MAPFRE **Senior Business Development Analyst ** **Location: Webster MA | ... Join our dynamic team as a Senior Business Development Analyst , where you will play a pivotal role in...environment. **Bonus points for:** . Experience in insurance, underwriting, claims , or actuarial domains. . Strategic planning and market… more
- Humana (Boston, MA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Cognizant (Boston, MA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
