- Mathematica (Boston, MA)
- …* Assisting with quantitative analyses using Medicaid enrollment, claims/encounter, financial and program data to support program monitoring, improvement, or ... owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in...to the collection and interpretation of quantitative and/or qualitative data , including analysis of Medicaid administrative … more
- WellSense (Boston, MA)
- Internal Controls/ Operational Financial Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... matter their circumstances. **Job Summary:** The Internal Controls/ Operational Financial Analyst 's role is to work with...organization as it relates to core process flows. The Analyst will dissect enrollment, claim and other data… more
- Prime Therapeutics (Boston, MA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data Analyst ... new products + May be responsible for Centers for Medicaid /Medicare Services reporting and analysis, including the management of...working with large sets of pharmacy, claims, medical, and/or financial data + Previous experience in a… 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 ... applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for...and report outcome results on edits implemented. + Utilize data to examine large claims data sets… more
- Public Consulting Group (Boston, MA)
- …queue of data management tasks with prompt delivery and clear communication. ** Data Analysis and Validation** + Conduct financial analysis of cost reports ... degree is required Experience + 7-10 years professional experience within a healthcare, financial or data environment + Advanced knowledge of Excel + Knowledge… more
- Humana (Boston, MA)
- …health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is ... and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in complex projects that are… more
- Humana (Boston, MA)
- …concise insights with business partners + Works with Regional Leadership by distilling financial and non- financial data into concise presentable information ... market data , connecting operational effectiveness and member experience to financial outcomes. Humana is seeking to fill a Senior Market Finance Professional… more
- Public Consulting Group (Boston, MA)
- …specific timeline and budget while working at a detailed level. + Strong analytical and financial data analysis skills. + Attention to detail and ability to work ... to succeed. Services: + Teaching + Learning Solutions + Data Systems + IT Solutions + Financial ...service delivery for state behavioral health authorities. + Conducts financial analysis for Medicaid rate studies and… more
- Mathematica (Cambridge, MA)
- Position Description: Mathematica applies expertise at the intersection of data , methods, policy, and practice to improve well-being around the world. We collaborate ... owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in...our Health Business Unit. As a *Business Development Strategy* * Analyst *,** you will be part of the strategy and… more
- Public Consulting Group (Boston, MA)
- …activities and report to team lead regarding results. + Produces reports on collected data within mandated time frames. + Conduct financial analysis of cost ... + Participate in the decision-making process and in goal-setting for the overall team. ** Data Management** + Lead, assess, and transform Excel data to be… more
- Public Partnerships LLC (Boston, MA)
- …Architect Expert Microsoft Certified: Azure DevOps Engineer Expert Microsoft Certified: Data Analyst Associate Microsoft Certified: Azure Administrator Associate ... Our role as the nation's largest and most experienced Financial Management Service provider is to assist those eligible... Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own… more
- Highmark Health (Boston, MA)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate… more
- Public Consulting Group (Boston, MA)
- …client relationships. + Strong quantitative skills and ability to analyze and interpret financial data . + Ability to research, analyze and interpret policy, ... HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal… more
- Humana (Boston, MA)
- …help us put health first** We are looking for an EMR interface analyst to support seamless integration and interoperability between various systems as PCO migrates ... large IT projects + Experience with leading and conducting Data Extractio Migration, Data conversion and archiving...flexible packages to give our employees a sense of financial security-both today and in the future, including: +… more