- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Tufts Medicine (Burlington, MA)
- …obtain certifications within a reasonable timeline. 3. Four (4) years of healthcare business analyst /IT experience. **Preferred Qualifications:** 1. Master's ... Information Systems, or related technical field. 2. Six (6) years of healthcare business analyst /IT experience. 3. Experience with software development and… more
- Cecelia Health (Boston, MA)
- …welcome the challenge of answering vexing questions. What You'll Do: The Senior Healthcare Analyst will work remotely and is responsible for supporting Cecelia ... discipline. Master's degree preferred. + 5 plus years of direct experience in healthcare business analysis. + In-depth knowledge of analyzing various types of… more
- LogixHealth (Bedford, MA)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide… more
- State of Massachusetts (Quincy, MA)
- …an IT Business /Systems Analyst role, preferably with a focus on Pharmacy/ Healthcare claims processing, is required. Five (5) plus years of experience is ... to ensure alignment with business objectives. *Certifications:* . Relevant Business /Systems Analyst certifications are desired but not required. *_Pre-Offer… more
- State of Massachusetts (Boston, MA)
- … role presentsa great careeropportunity to join the Group Insurance Commission's Healthcare Analytics team. The Analyst will provide analytical support and ... on projects that will draw upon the GIC's health claims data warehouse, containing 10 years of GIC's historical...agencies. Within the context of the GIC's goals, the Analyst will be expected to survey the data set… more
- Evolent (Boston, MA)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that… more
- US Tech Solutions (Quincy, MA)
- **Position Overview:** + Seeking to hire a Business Analyst to join our collaborative Medicaid Management Information System (MMIS) team. The Business ... given to candidates with Medicaid systems experience well as claims and business knowledge. The BA must...**Education and Certifications:** + Bachelor's degree or higher in Business , IT or Healthcare administration with minimum… more
- CVS Health (Wellesley, MA)
- …effective solutions related to the adjudication and processing of pharmacy and medical claims and newly expanded healthcare services. Create and ensure custom ... unit, as needed. + Development of billing/vendor solutions that enable business growth/new healthcare services, working cross-functionally to prioritize,… more
- State of Massachusetts (Boston, MA)
- …and external parties to review and clarify policies and standards for member, provider, claims , and payment data. * Advise business users on data quality best ... business process workflows and data flow. * Experience analyzing and manipulating healthcare data such as enrollment, provider, and claims data. * Experience… more
- Evolent (Boston, MA)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Center For Health Information And Analysis (Boston, MA)
- …a driving force in health policy impact! We seek a Senior Health Policy Analyst to lead projects, share content expertise, and provide technical oversight within our ... Informatics and Reporting team. As a Senior Health Policy Analyst at CHIA, you will have the opportunity to:...and quality data, including our newly enhanced Massachusetts All-Payer Claims Database. You will be at the forefront of… more
- Elevance Health (Woburn, MA)
- …a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst ( Business Analyst III)** will be responsible for serving ... **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** Alternate...as the liaison between the business and IT in translating complex business … more
- Humana (Boston, MA)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Atrius Health (Newton, MA)
- …their health and enhance their lives. * * * * The Financial Analyst Healthcare Economics provides analytical, project management and database support. Gathers, ... Atrius Health is a nonprofit healthcare leader delivering a system of connected care...projects and studies for use in the development of business strategies and tactics. Builds financial models to support… more
- CVS Health (Boston, MA)
- …**QNXT is REQUIRED** **Excel is REQUIRED** - May lead or act as a business technical expert with the planning, development and validation of master or detail test ... and support tasks for existing systems. - Leads or acts as a business technical expert in the design of new applications or enhancements including integration… more
- The Cigna Group (Newton, MA)
- …+ **Bachelor's degree strongly preferred in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered ... RI and ME._** **_Preferred office location: Newton, MA_** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and… more
- Point32Health (Canton, MA)
- …and complex information into key insights. The individual will work effectively across business areas and often lead collaborative projects. They will need to follow ... complex business processes, consider options when problems arise, and identify...Human Services (RI and MA), CMS and APCD (All-Payer Claims Database) submissions to state agencies. + Monitor ongoing… more
- Evolent (Boston, MA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...a health plan, consulting firm, hospital system or other healthcare -related experience-Preferred. + 1-5 years of experience using SQL… more
- LogixHealth (Bedford, MA)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... Location: Hybrid This Role: As a Senior Accounts Payable Analyst at LogixHealth, you will combine your deep understanding...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more