- 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
- Guardian Life (Boston, MA)
- Individuals within the ** Business Analyst IV** role identify business intelligence, reporting, and data analysis needs for the Dental and Disability ... problems. + Provide design support for the development of business intelligence solutions for Dental and Disability Claims...training/certification or equivalent work experience. + 5+ years of Business Analyst / Business Intelligence… 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
- Beth Israel Lahey Health (Charlestown, MA)
- …needs of the department. **Minimum Qualifications:** Education . Associates Degree preferably in the business , healthcare or finance field . In the absence of an ... in people's lives.** Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling… 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
- 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
- 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
- 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
- Evolent (Boston, MA)
- …Experience You'll Need (Required):** + Bachelor's Degree + 2+ years' experience in healthcare , Operations, IT business analyst , and/or product management + ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...+ Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration,… more
- Prime Therapeutics (Boston, MA)
- …Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and ... operations efforts by providing data, reporting and business intelligence services. This role is responsible for acting...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or… 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
- Intermountain Health (Boston, MA)
- …- starting at $31.78/hr) Bachelor's degree in an information technology, clinical, or healthcare (clinical or business ) related field. Degree must be obtained ... **Job Description:** Application System Technical Analyst is responsible for providing analysis, design, configuration,...- Bachelor's degree in an information technology, clinical, or healthcare (clinical or business ) related field. Degree… more
- HealthEdge Software Inc (Boston, MA)
- …root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... towards success. **What You Bring:** + Bachelor's degree in Healthcare Administration, Business , Finance, Computer Science, or...degree. + Minimum of 3 years of experience in healthcare payment integrity, content & policy, contracts, claims… 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
- 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