- Wolters Kluwer (Waltham, MA)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… 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 ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Evolent (Boston, MA)
- …reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between ... **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience… more
- LogixHealth (Bedford, MA)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... 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… more
- Evolent (Boston, MA)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. What We Need This position will support the Business Continuity/Disaster Recovery and ... to ensure a resilient organization well equipped to recover from a business disruption. Responsibilities include hands on managing of the procurement and renewal… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Chief Health Information Officer. Given access to an extraordinary range of healthcare data (including medical and pharmacy claims , enrollment, EMR, scheduling, ... (ED&A) team at Dana-Farber is seeking a Senior Clinical Operations Analyst to spearhead high-impact analytics initiatives to inform strategic decision makers… more
- Prime Therapeutics (Boston, MA)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
- Sumitomo Pharma (Boston, MA)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- State of Massachusetts (Quincy, MA)
- …level to executive level employees. . Academic or professional experience in Business , HealthCare , or Finance preferred. *_About MASSHEALTH:_* To improve the ... is seeking qualified applicants for the position of Community Health Center Program Analyst . The Community Health Center Program Analyst will be responsible for… more
- Prime Therapeutics (Boston, MA)
- …complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… 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 within ... 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)
- …their health and enhance their lives. * * * * The Financial Analyst Healthcare Economics provides analytical, project management and database support. Gathers, ... Atrius Health is a nonprofit healthcare leader delivering a system of connected care...projects and studies for use in the development of business strategies and tactics. Builds financial models to support… more
- CVS Health (Cumberland, RI)
- …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
- Prime Therapeutics (Boston, MA)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Harvard University (Cambridge, MA)
- …I Department Office Location:USA - MA - Boston Business Title:Statistical Analyst /ProgrammerSub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) ... pregnancy-related conditions, or any other characteristic protected by law.Job Summary: The Healthcare Quality and Outcomes Lab (HqO) at the Harvard TH Chan School… more
- Point32Health (Canton, MA)
- …and complex information into key insights. The individual will work effectively across business areas and often lead collaborative projects. They will need to follow ... complex business processes, consider options when problems arise, and identify...Human Services (RI and MA), CMS and APCD (All-Payer Claims Database) submissions to state agencies. + Monitor ongoing… more
- Manulife (Boston, MA)
- John Hancock is redefining our Long-Term Care business to help our customers age in place and receive the care that they need. This team focuses on providing access ... care providers to our customers when they need it. The LTC Preferred Provider Analyst will be focused on supporting the execution of our long-term care preferred… more
- Tufts Medicine (Boston, MA)
- …or clerical) role or a role that focuses on support of daily business activities (eg, technical, clinical, non-clinical) operating in a "hands on" environment. The ... on billing issues. 11. Regularly works Coding Denial WQs to correct and resubmit claims on a timely basis. 12. Troubleshoots charges that reject. Flags and e-mails… more
- Prime Therapeutics (Boston, MA)
- …consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... passion and drives every decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data… more