- 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
- CVS Health (Woonsocket, RI)
- …all with heart, each and every day. **Position Summary** As a Healthcare Compliance Senior Analyst , you will ensure contractual and regulatory compliance as it ... communications distributed by PBMs, processors, health plans, state Medicaid and Medicare , relative to prescription and/or medical claim processing + Serve as… more
- Prime Therapeutics (Providence, RI)
- …our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst - REMOTE **Job Description** The Actuarial Analyst is responsible for ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). **Responsibilities** + Build, support, and maintain financial … more