- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Documentation Management & Reporting Business Analyst - Louisiana Medicaid **Job Description ... analysis. Supports departmental management team by providing trending and performance data . Supports special projects. Maintains and monitors reporting queues… more
- Mathematica (Boston, MA)
- …analytic thinking to the collection and interpretation of quantitative and/or qualitative data , including analysis of Medicaid administrative data , managed ... Medicaid policy and practice * Assisting with quantitative analyses using Medicaid enrollment, claims/encounter, financial and program data to support program… more
- Highmark Health (Boston, MA)
- …This job works closely with customers and design teams in prioritizing data and information requirements. The incumbent provides analysis in the development and ... support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates… more
- Harvard University (Cambridge, MA)
- Details Title Research Associate/ Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description ... We seek a Research Data Analyst in the Department of Oral...Medicaid , and private insurance plans), and national survey data , is strongly preferred. . Familiarity with cloud computing… more
- CAI (Boston, MA)
- …(FFP). **Job Description** We are looking for a **Financial/ Data Analyst ** to ensure timely federal financial reporting and documentation requirements ... **Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As the Financial/ Data Analyst , you will be responsible for ensuring timely federal… more
- WellSense (Boston, MA)
- …internal controls of the organization as it relates to core process flows. The Analyst will dissect enrollment, claim and other data and work with operational ... and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...other Finance teams to create and refine workflows. The Analyst should have advanced data mining skills… more
- Evolent Health (Boston, MA)
- …for better health outcomes and a more connected care journey. We are hiring for an Analyst to join our Clinical Rules Management Team. The Analyst will play a ... management systems. The ideal candidate will have a strong understanding of healthcare data and systems, with the ability to analyze and interpret complex clinical… more
- Commonwealth Care Alliance (Boston, MA)
- …of oversight activities for CCA's First Tier, Downstream, Related Entities (FDR) and Medicaid Material Subcontractors (MS), also known as the FDR MS Program. This ... other critical information. + Analyzes FDR MS entity activities, including monitoring data for risk identification and mitigation + Interviews FDR MS business owners… more
- Public Consulting Group (Boston, MA)
- …to Claims Developer regarding specific tasks on claims. + Provides monthly reporting statistics. + Ensures adherence to claim timeliness and accuracy performance ... reports, process improvement meetings and meetings related to collection of required data . + Assists with quality control projects, including case reviews to ensure… more
- Prime Therapeutics (Boston, MA)
- …lines of business (Medicare Part D, Employer, Government, Coupons, Managed Medicaid , Migrations, etc.) to ensure benefit plans are programmed appropriately and ... in the project management, programming, testing and documentation aspects of the analyst responsibilities to drive the highest level of performance and meet or… 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