- The MITRE Corporation (Bedford, MA)
- …choose MITRE-and make a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop ... working comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses,… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... and report outcome results on edits implemented. + Utilize data to examine large claims data...Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Elevance Health (Manchester, NH)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model (remote and office). The ideal ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... - $70,000.00/yr. **What you'll do:** + Ability to pull data from multiple databases, analyze, compile and create reports....reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build… more
- Tufts Medicine (Burlington, MA)
- …certifications within a reasonable timeline. 3. Four (4) years of healthcare business analyst /IT experience. **Preferred Qualifications:** 1. Master's degree ... or related technical field. 2. Six (6) years of healthcare business analyst /IT experience. 3. Experience with...and workflows. 14. Promotes and champions a technology enabled, data -driven operations across the health system; aims to establish… more
- Norstella (Boston, MA)
- Data Analyst , Healthcare & Life Sciences...use cases by querying and analyzing a wide range of healthcare data sources, including claims , lab ... at this time. **Job Description** We are seeking a Data Analyst with strong SQL experience to...Query and analyze large volumes of healthcare data from diverse sources, including claims , lab… more
- WellSense (Boston, MA)
- Business Encounter Data Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... no matter their circumstances. **Job Summary:** The Business Encounter Data Analyst is responsible for compiling and...encounter data requirements in detail to ensure claims data is complete, accurate, and timely.… more
- LogixHealth (Bedford, MA)
- …On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide ... cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and bring your expertise to… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in ... 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …5+ years of experience in systems or business analysis + Experience with healthcare industry, software development, data , and systems + Extensive experience with ... Ready to help us transform healthcare ? Bring your true colors to blue. Senior...cost systems, data , claims processing, and benefits, including external… more
- Baylor Scott & White Health (Boston, MA)
- …Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting gaps, risk gaps, or ... **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst )...Medicaid, MCO, TPA business requirements preferred. + Experience with healthcare encounters, enrollment and pharmacy data preferred.… more
- Norstella (Boston, MA)
- …with and querying large databases + Experience working with healthcare databases (eg, claims , EMR, lab data ) + Strong proficiency in SQL and one high-level ... Analyst to join our team and support our data -driven initiatives. The ideal candidate will have a strong...Life Sciences industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes &… more
- Atrius Health (Chelmsford, MA)
- …including Medicare program, writing complex clinical medical necessity appeals, analysis of claims data and billing related issues to effectively reduce errors ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected...denial, and AR management support. Gathers, compiles and organizes claims and denial data . Researches clinical and… more
- Prime Therapeutics (Boston, MA)
- …in addressing these issues. **Job Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data . + ... developing efficient and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and… more
- Elevance Health (Woburn, MA)
- **Provider Contract/Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 miles/1 ... Analytics and Optimization team** is looking for a senior analyst who will lead medical cost trend deep dives...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- LogixHealth (Bedford, MA)
- …On-Site in Bedford, MA This Role: As an integral member of the Electronic Data Interchange (EDI) team, the Revenue Cycle Analyst at LogixHealth, you will ... information systems and the quality and integrity of the data that is shared with other business partners ....and daily processing of motor vehicle and workers compensation claims + Assist in managing the setup, implementation, maintenance… more
- Elevance Health (Woburn, MA)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr** is responsible for providing technical and consultative support relative… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Audit and Documentation Analyst at LogixHealth, you will ensure that the EDI Team is regularly performing audits of ... offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- CVS Health (Wellesley, MA)
- …team is looking for an Informatics clinical consultant who is skilled at utilizing healthcare claims data to identify outliers. The ideal candidate ... retrieves, organizes, and performs analysis on healthcare data and also works with the...or payment integrity. This position requires extensive knowledge of healthcare claims and will work on identifying… more
- Evolent Health (Boston, MA)
- …datasets and Evolent Data Warehouse tables, including medical, pharmacy and ancillary claims data , membership data , clinical operational data (UM ... solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role will be serving as a strategic advisor...& CM), or other healthcare data - **Required.** + Familiarity with Power BI or BI… more