- Highmark Health (Boston, MA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- WelbeHealth (Boston, MA)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... highly preferred + Demonstrated skills within Microsoft Office Applications, including Excel ** Benefits of Working at WelbeHealth:** Apply your claims expertise… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Management All Locations: 300 Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst , under the direction of the Manager of PACE Claims ... apply for positions. To learn more about working at NeighborHealth and our benefits , please visit out our Careers Page (http://careers.ebnhc.org) . Time Type: Full… more
- Highmark Health (Boston, MA)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- HUB International (Wilmington, MA)
- Join our team as a **Senior Benefit Analyst ** , where you will play a crucial role in supporting Account Executives and Advisors with quoting, reporting, and ... a broad array of property, casualty, risk management, life and health, employee benefits , investment and wealth management products and services. Becoming a part of… 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)
- …initiatives. . Working knowledge of healthcare payer systems and processes ( benefits , claims , enrollment, provider data, UM/PA). . Experience writing ... **Senior Business System Analyst - Healthcare** **Category:** Business Analysis (functional and technical) **Main location:** United States, Massachusetts, Canton… more
- Prime Therapeutics (Boston, MA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Point32Health (Canton, MA)
- …of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases… more
- Guardian Life (Boston, MA)
- As the **Product Filing Analyst ** you will be responsible for drafting, filing and securing regulatory approval of new group and retail insurance contracts, as well ... contract language can have on administration, marketing, sales, underwriting, pricing, claims and, ultimately, financial performance. + BS in Business Administration… more
- Eliassen Group (Boston, MA)
- **Property & Casualty Business Systems Analyst Contract** **Boston, MA** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Reference ID:** ... days a week in Boston, MA The Senior Business Analyst is responsible for establishing and maintaining standards for...basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision … more
- WTW (Boston, MA)
- …to the language. **Other:** Keep abreast of laws and regulations impacting employee benefits , claims procedures, and notice requirements by using our legal ... are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance ...also eligible for an annual short-term incentive bonus. **Company Benefits ** WTW provides a competitive benefit package… more
- Amazon (Boston, MA)
- Description As a Business Analyst II on the Amazon One Medical Clinical Programs team, you will be the data insights engine that powers both new program launches and ... * Lead complex analysis efforts using healthcare data (EMR, claims , clinical quality) to inform strategic decisions and program...actionable terms Basic Qualifications - 5+ years of business analyst , data analyst or similar role experience… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Point32Health (Canton, MA)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases… more
- Baylor Scott & White Health (Boston, MA)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- Cognizant (Boston, MA)
- **Reimbursement Technical Analyst ** **Location: Remote** **Employment Type: Full-Time** **Job ID: 00066154621** **About the role** As a Reimbursement Technical ... Analyst Associate, you will make an impact by ensuring...analysts and other operational stakeholders to maintain and improve claims reimbursement systems. **In this role, you will:** +… more
- Elevance Health (Woburn, MA)
- **Proposal Development Analyst Sr** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... an accommodation is granted as required by law._ The **Proposal Development Analyst Sr** is responsible for providing technical and consultative support related to… more
- Humana (Boston, MA)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… 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