- 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 ... This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for… more
- Point32Health (Canton, MA)
- …or auditing firm. + Understanding of claims systems, provider information, Medicaid/ Medicare , and/or experience working with large data sets preferred. **SKILL ... of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit… more
- Point32Health (Canton, MA)
- …. **Job Summary** Senior Actuarial Analyst will support the financial Forecasting and Pricing needs for Medicare Supplement Products as well as ... the Forecasting and Reporting for Medicare Part D. This role will work closely with...various business partners outside of Actuarial in the annual financial planning cycle. A thorough understanding of the health… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Under direct supervision of the Senior Clinical Research Financial Analyst , the Clinical Research Financial Analyst I (CRFA-I) is responsible for ... problems and refers more complex issues to higher-level staff. In the absence of a Senior Clinical Research Financial Analyst this position is under direct… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a ... and government clinical appeals and audit processes. The Clinical Analyst will perform high level clinical appeal for services...to denial initiatives. Provides support for projects in which senior managers are involved. . Assist in the tracking… more
- Mathematica (Boston, MA)
- …100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company's ... growth and financial strength. You will also be part of an...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more