- Prime Therapeutics (Boston, MA)
- …Posting Title** Claims Technical Analyst , Sr . **Job Description** The Senior Claims Technical Analyst is responsible for serving as the ... analysis. This role is also responsible for providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process… more
- Elevance Health (Woburn, MA)
- …PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr ** is responsible for providing technical and consultative support relative ... **Proposal Develop Analyst Sr - Commercial Proposals** **Team**...activities and responses with other operating areas such as Claims , Underwriting, Sales, and Specialty companies assuring their actions… more
- CGI Technologies and Solutions, Inc. (Boston, MA)
- **Guidewire Sr . Business Analyst (ClaimCenter)** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** United States, ... Guidewire ClaimCenter. Your future duties and responsibilities: As a senior BA, you will: * Working with the client's...* Work with client SME to elicit business and technical requirements * Conduct and facilitate workshops / JAD… more
- Prime Therapeutics (Boston, MA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and ... quality bar. Collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery. Develop deep… more
- Prime Therapeutics (Boston, MA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and ... quality bar. Collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery. Develop deep… more
- The MITRE Corporation (Bedford, MA)
- …a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in quality improvement, ... comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses, interpret and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) **Job Description:** The Senior Financial Analyst reports directly to the Executive Director of ... Contracts and relationships. It also requires in-depth business knowledge with specialized technical and analytical skills. The analyst will be responsible for… more
- Evolent Health (Boston, MA)
- …a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience using Microsoft… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, ... Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Highmark Health (Boston, MA)
- …test plans and execute them. + Act as subject matter expert/ technical liaison. Recommend process efficiencies, strategies for improvement, and/or solutions to ... 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 -… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr . Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the ... for a comprehensive claim accuracy program. The individual will optimize pre/post claims auditing and claim recovery programs that will drive incremental value year… more
- AIG (Boston, MA)
- Join us as a Claims Analyst IV to take on...external stakeholders in your role as our Financial Lines technical claims expert and thought leader. + ... world-class claims function. Make your mark in Claims As a Claim Analyst IV, you...track record of following up effectively on recommendations from technical claims audits and continuous file handling… more
- Point32Health (Canton, MA)
- … Claims Disbursements, Provider Collections and Corporate Accounting Operations. The Analyst ensures timely and accurate completion of claims validation and ... Under the direction of the Supervisor, Finance Operations, The Finance Operations Analyst is responsible for the execution of multiple complex operational processes… more
- 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, ... STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist will analyze healthcare claims… more
- Bank of America (Boston, MA)
- … senior management LOB Job Description: As a Client Protection Fraud Strategy Analyst , you will capitalize on your technical abilities and strategic thinking ... Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst...▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪… 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 ... Key responsibilities include applying knowledge of multiple business and technical -related topics and independently driving strategic improvements, large-scale projects,… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- South Middlesex Opportunity Council (Framingham, MA)
- …manage, develop and evaluate the Accounts Receivable staff and Division Analyst team by providing timely mentoring, training and performance management. Complete ... Maintain relationships with insurance agents and underwriters with regard to premiums, claims and other insurance matters. + Assist Human Resources by overseeing… more