- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury Claim ... Analyst is responsible for supporting the claim payment process,...providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and… more
- Tufts Medicine (Burlington, MA)
- …within a reasonable timeline. 3. Four (4) years of healthcare business analyst /IT experience. **Preferred Qualifications:** 1 . Master's degree in Computer ... thinking, experience, knowledge, or understanding. **Job Description** **Minimum Qualifications:** 1 . Bachelor's degree in Computer Science, Information Systems, or… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Shift:** Day (United States of America) **Job Description:** The Senior Financial Analyst reports directly to the Executive Director of Contracting Finance. This ... in-depth business knowledge with specialized technical and analytical skills. The analyst will be responsible for managing analyses from the conceptualization phase… more
- Guardian Life (Boston, MA)
- …regulatory compliance support and monitoring of the Guardian Group Benefits Product, Claims and State Filing areas, with significant and specialized focus on support ... Leave (PFML), State Mandated Disability, Group Disability, Supplemental Health products and claims + State Filing for these products/services + Marketing + Client… more
- Prime Therapeutics (Boston, MA)
- …drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst **Job Description Summary** Design, document, develop and roll out financial, ... Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data Analyst provides information, ... as PMPM, generic utilization) + Experience working with large sets of pharmacy, claims , medical, and/or financial data + Previous experience in a client facing or… 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 The ... Dental Medicine ( HSDM ) seeks a research associate/data analyst to join our research team and provide quantitative...duties and responsibilities include but are not limited to: 1 . Work as part of a research team on… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Develops and maintains corporate reimbursement policies, and works collaboratively with the Claims Coding Analyst to ensure consistency with the Plan's ... Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Medical/BH Reimbursement Policy Manager will have overall responsibility for… more
- State of Massachusetts (Everett, MA)
- …payment activities performed by the FNP Financial Management Specialist and Analyst . Duties include approving spending plan allocations, contracts, ensuring payments ... with FNP supervisors and staff on inter-sectional work including claims for reimbursement process, fiscal action, and FNP contract...of program results), of which (B) at least one ( 1 ) year must have been in a project management,… more
- Prime Therapeutics (Boston, MA)
- …Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create ... analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + 3 years of experience using… more