- Public Consulting Group (Boston, MA)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Beth Israel Lahey Health (Charlestown, MA)
- …making a difference in people's lives.** **Job Description:** The Senior Financial Analyst reports directly to the Executive Director of Contracting Finance. This ... in-depth business knowledge with specialized technical and analytical skills. The analyst will be responsible for managing analyses from the conceptualization phase… more
- Elevance Health (Woburn, MA)
- **Provider Contract/CofC Analyst Sr.** **Location:** This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. The **Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Atrius Health (Newton, MA)
- …health and enhance their lives. * * * * The Financial Analyst Healthcare Economics provides analytical, project management and database support. Gathers, compiles, ... . | Supports on-going analyses of financial, budgetary, or medical claims data, through forecasting, statistical analyses, trending, regression analyses, risk… 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 ... Category:Information TechnologyJob Posting Description: This Hospital Billing IT Epic Analyst II will be responsible for: + Serves as...+ High School Diploma / GED, Bachelor's required. + 1 year of experience directly involved in Epic application… more
- Bank of America (Boston, MA)
- Account Takeover and Device Policy Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, ... fraud risk and create mitigation strategies. As a Client Protection Fraud Policy Analyst , you will capitalize on your Fraud knowledge strategic thinking to solve… more
- Elevance Health (Manchester, NH)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
- Harvard University (Cambridge, MA)
- …- MA - Boston Business Title:Statistical Analyst /ProgrammerSub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) :056Time Status:Full-time Union:00 ... are preferred: + Master's degree in Statistics/Biostatistics preferred, with 1 -3 years working experience + Advanced skills/experience in statistical programming… more
- Tufts Medicine (Boston, MA)
- …on the technical side are appropriately applied. **Job Description** **Minimum Qualifications:** 1 . High school diploma or equivalent 2. Three (3) years of ... for local travel to remote hospital sites **Preferred Qualifications:** 1 . Bachelor's Degree **Duties and Responsibilities:** The duties and responsibilities… more
- MAPFRE Insurance (Webster, MA)
- …success of our high-performing teams. + For Customers: In addition to being Massachusetts' # 1 home and auto insurer, we provide unmatched peace of mind to our ... Society) principles. Additionally, the Manager, Actuarial must monitor the Actuarial Analyst and Actuary positions activities to ensure the timely and accurate… more
- Prime Therapeutics (Boston, MA)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (Boston, MA)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Prime Therapeutics (Boston, MA)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more