- HealthEdge Software Inc (Boston, MA)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary ... The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well...the industry narrative, providing a more holistic approach to payment integrity that focuses on comprehensive reimbursement,… more
- Molina Healthcare (Boston, MA)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- Norstella (Boston, MA)
- Life Science Consulting Senior Analyst Company: Dedham Group Location: Remote, United States Date Posted: Sep 6, 2024 Employment Type: Full Time Job ID: R-410 ... connect the dots from pipeline to patient. **About the Senior Analyst :** The Senior ...forefront of our minds in everything we do. **02: Integrity , Truth, Reality** We make promises that we can… more
- EDB (Boston, MA)
- …information, visit www.enterprisedb.com We are seeking a highly skilled and motivated ** Senior Financial Analyst ** to join our Financial Planning and Analysis ... Prepare and present monthly and quarterly financial packages for senior leadership and stakeholders. + Conduct variance analysis, identifying...of our culture and are key to our company's integrity . EDB does not seek or accept unsolicited resumes… more
- Healthfirst (MA)
- …Experience with claims editing software such as ClaimsXten, Cotiviti, Optum + Payment Integrity experience prepay and/or post-pay + Certified Professional Coder ... in administering products and benefits. + Responsible for the quality and integrity of claims configuration change requests through the use of production validation… more
- Spaulding Rehabilitation (Cambridge, MA)
- …reports; Lead CDI provides metrics no less than quarterly. * Assists the Senior Financial Analyst or other colleague, in developing, maintaining and updating ... Lead Clinical Documentation Integrity Specialist - ( 3314932 ) **Description** **Job...with HIM coding staff, physicians and finance to reduce payment denials, and improve medical necessity documentation. * Acts… more
- Humana (Boston, MA)
- …The Fusion Center (FC) Manager focuses and prioritizes work of the FC analyst team, supervises interaction between Humana Safety & Security (HSS) workstreams. The ... risk and make recommendations on policy, process to system owners and senior stakeholders. + Supports the development of risk and intelligence products aimed… more