- Cardinal Health (Boston, MA)
- …slide decks, emails etc. + Follow all Specialty Network requirements of the Clinical Analyst , management , and HR Handbook rules + Assist VP of Customer ... + Manage the details and overall workflow for the Clinical Analyst to onboard new practices including...Practice (2 years of experience in a supervisory or management role in a GI Office Practice) preferred +… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed ... insurance and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying … more
- Prime Therapeutics (Boston, MA)
- …flows and desk top procedures for designated functional area + May support clinical rules maintenance (GPI lists, other lists) and/or client invoicing for ... drives every decision we make. **Job Posting Title** Program Analyst PTCB/CPhT Certified - Remote **Job Description** The Program...support to one or more of Prime's functional areas: Clinical Program Management , Utilization Management … more
- Commonwealth Care Alliance (Boston, MA)
- …Integrity and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim outcome ... Working under the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery... and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a strategic… more
- Hologic (Marlborough, MA)
- Senior Salesforce Solution Analyst San Diego, CA, United States Marlborough, MA, United States Our PURPOSE-to enable healthier lives everywhere, every day-is driven ... to bring The Science of Sure(R) to life through product quality, clinical differentiation, customer relationships and our team's talent and engagement. Our Purpose… more
- Commonwealth Care Alliance (Boston, MA)
- …Integrity and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim outcome ... Us:** **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst … more
- Atrius Health (Chelmsford, MA)
- …country. *SUMMARY* Under general direction provides analytical, denial, and AR management support. Gathers, compiles and organizes claims and denial data. Researches ... clinical and payer informational material for clinical ...Minimum of 3-5 years of experience in medical billing/denial management or claim data analysis required. o Plus if… more
- Highmark Health (Boston, MA)
- …investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and ... new areas. + Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop and implement… more
- Commonwealth Care Alliance (Boston, MA)
- …contributor role. Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Medical/BH Reimbursement Policy Manager will have overall ... document those requirements sufficiently to ensure accurate implementation of payment rules within the Plan's claims adjudication system, including the claim editing… more
- Highmark Health (Boston, MA)
- …matrixed relationships with various internal and external stakeholders (stakeholder management & relationship building) + Support internal process improvement ... worked as either a project manager or lead research analyst for a minimum of 2 years. Work on...on visual, written, and verbal presentation skills + Project management and working according to standard processes and timelines… more