- 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
- 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
- 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
- Intermountain Health (Boston, MA)
- **Job Description:** The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance ... sets that are used for risk adjustment analytical and reporting needs. The Analyst should leverage industry...Warehouse integrity issues. . Reconciles Data Warehouse data with CMS, HHS and Medicaid response… more
- Prime Therapeutics (Boston, MA)
- …and maintain financial and complex actuarial models + Lead, perform, and review data analyses, reporting , and projections + Lead, perform, and review complex ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial ...for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in… 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
- Vitra Health (Braintree, MA)
- …recommend changes + Answer billing related questions by researching and interpreting data + Maintain appropriate documentation and reporting per regulatory ... is our team's health, happiness, and success. Senior Revenue Cycle Analyst Job Description Classification: Exempt Reports to: Revenue Cycle Manager Department:… 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
- Public Partnerships LLC (Boston, MA)
- …Architect Expert Microsoft Certified: Azure DevOps Engineer Expert Microsoft Certified: Data Analyst Associate Microsoft Certified: Azure Administrator Associate ... design reviews, development, testing, UAT, delivery and support. + Understand client reporting and data analysis requirements holistically from both current and… 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