- Cognizant (Boston, MA)
- …our fast-changing world. Together, we're improving everyday life. **Job Title** **:** ** FACETS Configuration Analyst ** **Location** **:** **Remote** **Job ... strategies and project updates. **Required Experience** : . Experienced in FACETS configuration , focusing on benefits and provider pricing. . Hands-on… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more
- Cognizant (Boston, MA)
- …Translate high-level business requirements into functional specifications for the Configuration and IT organization and lead changes to such specifications ... (with senior business analyst oversight through peer reviews); Develop an informed knowledge...healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience transforming complex technical… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... coding and reimbursement edits and necessary coding configuration requirements for Optum CES and Zelis edits. This...Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities… more