- The Cigna Group (Newton, MA)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... strategic insights, and collaboration with our internal partners. The Data Scientist Lead analyst will interface across multiple business areas, including, but… more
- HomeSafe Alliance (Boston, MA)
- **Title:** Lead IT Business Process Analyst (Deltek/Costpoint) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 ... better than the last. **_About the Role:_** As the Lead IT Business process analyst , you will...Create Custom tables and views for non-native functionality (ie, Claims ) and develop custom logic in Costpoint + Integrate… more
- Windstream Communications (Boston, MA)
- …involves managing Third-Party Auto and General Liability Physical Damage and Bodily Injury Claims . The analyst will assist in internal investigations and support ... of infinite possibilities! ** ** The Risk Management Liability Analyst will act as a crucial liaison between Windstream...Casualty claims handling as an adjuster or claims Team Lead or Supervisor experience. +… more
- Evolent Health (Boston, MA)
- …+ 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable ... Care Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design Life Cycle (SDLC) + Experience with EDI X12 structure and syntax rules; chiefly with 834 files + Superior root cause analysis… more
- Evolent Health (Boston, MA)
- …culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst , you will have the opportunity to shape the technical aspects and design of ... Doing:** Evolent Health is looking for a Senior Product Analyst to be a key member of the Product...teams, product, and engineer through forums (bringing all POs, Lead engineers, and stakeholder into a consistent forum to… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs...in the implementation of Prime's compliance programs and may lead some initiatives within their designated areas and partners… more
- Atrius Health (Newton, MA)
- …and managers in a range of departments and locations. May function as a lead financial analyst , providing advice and training to lower-level analysts. Typically ... . Analyzes and audits complex financial, budgetary, or medical claims information to determine present and future financial performance...flow. Identifies and resolves data gaps. . May play lead role with lower level or less experienced analysts.… 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
- Elevance Health (Boston, MA)
- **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Children's Hospital Boston (Boston, MA)
- …Title:Professional Billing IT EPIC Principal Analyst (Hybrid)Department:Information Services-ApplicationsAutoReqId:77504BRStatus:Full-TimeStandard Hours per Week:40 ... Category:Information TechnologyJob Posting Description:The Professional Billing IT EPIC Principal Analyst will be responsible for: + Serving as the department… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... and update appropriate stakeholders of changes or new requirements + Take the lead on any new business issues and opportunities generated by Government and/or… more
- Elevance Health (Woburn, MA)
- **Business Analyst II** **Location** : This position is part of our Hybrid Workforce Model and requires a minimum of 1 - 2 days/week in office. **Must reside within ... 50 miles/1 hr commute of a relevant PulsePoint location** . The **Business Analyst ll** is responsible for translating basic business needs into application software… more
- Elevance Health (Woburn, MA)
- **Actuarial Analyst III** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... onsite will be discussed as part of the hiring process. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Elevance Health (Woburn, MA)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting… more
- Bank of America (Boston, MA)
- Workforce Strategy & Business Intelligence Analyst IV Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Newark, Delaware; New York, New ... with business narrative. The Workforce Strategy & Business Intelligence candidate will lead efforts to design & execute end-to-end Fraud financial reporting and… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... to execute on strategies to solve complex and open-ended business problems. + Lead prototyping of potential solutions. + Perform implementation reviews. + Lead … 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 ... management, profit drivers and the organization's financial value statement + Lead the development of financial analytic pricing methodologies, models, reports and… more