- Healthfirst (MA)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- Commonwealth Care Alliance (Boston, MA)
- …the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other PI partners,… more
- Intermountain Health (Boston, MA)
- **Job Description:** As a Business Systems Analyst , you will work closely with the business areas to identify and understand their needs and requirements. The major ... to major projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in support of… more
- HealthEdge Software Inc (Boston, MA)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits… 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
- Children's Hospital Boston (Boston, MA)
- …per Week:40 Job Posting Category:Information TechnologyJob Posting Description: This IT Epic Analyst II - Professional Billing and Claims will be responsible ... modifications). + Following departmental protocol, independently performs moderately complex configuration to address business needs. Modifies rules which are often… more
- Children's Hospital Boston (Boston, MA)
- 77503BRJob Posting Title:IT EPIC ANALYST II - Hospital BillingDepartment:Information Services-ApplicationsAutoReqId:77503BRStatus:Full-TimeStandard Hours per Week:40 ... Job Posting Category:Information TechnologyJob Posting Description: This Hospital Billing IT Epic Analyst II will be responsible for: + Serves as a team resource… more