• Sr . Analyst , National

    CVS Health (Woonsocket, RI)
    …day. **Position Summary** The Corporate Medicaid Compliance team is looking for a Sr . Analyst to support the Medicaid Business Compliance Office (BCO) ... will have a successful background in supporting cross-functional projects. The Sr . Analyst will support compliance oversight of market-specific implementations… more
    CVS Health (10/10/25)
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  • Sr . AI Business Analyst - Remote

    Prime Therapeutics (Providence, RI)
    …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . AI Business Analyst - Remote **Job Description** **Are you a Business ... grow your career in the IT AI space.** The Sr . IT Business Systems Analyst (BSA) is...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr more
    Prime Therapeutics (10/01/25)
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  • Sr . Compliance Analyst - Remote

    Prime Therapeutics (Providence, RI)
    …and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists ... related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board… more
    Prime Therapeutics (08/14/25)
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  • ACA/Medicare Risk Adjustment Analyst

    Baylor Scott & White Health (Providence, RI)
    + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... independently and with cross functional groups.Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred.Experience with healthcare encounters,… more
    Baylor Scott & White Health (10/03/25)
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  • Medicare/ Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims auditing ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
    Commonwealth Care Alliance (08/26/25)
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  • Medicare/ Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and ... of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert on Medicaid more
    Commonwealth Care Alliance (08/31/25)
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  • Technical Business Analyst

    Insight Global (Woonsocket, RI)
    Job Description Insight Global's healthcare client is hiring a Senior Technical Business Analyst with a strong ability to bridge business needs and technical ... sectors. This role involves working closely with business stakeholders and Medicaid partners to gather, analyze, and translate complex business requirements into… more
    Insight Global (10/08/25)
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