- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Sanofi Group (Cambridge, MA)
- …Cambridge OR Bridgewater **_About the job_** We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, ... dynamic resources allocation and efficiencies. Silos that existed between business units as well as duplicative and overlapping resources...may be considered. + Experience working as a media analyst at a marketing agency, media company, or related… 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 ... as the weekly Training session held with all Reimbursement Analyst - LH-Bedford and LH-India + Work with LH-India...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Baylor Scott & White Health (Boston, MA)
- …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...a variety of sources, including electronic health records, and claims data + **25%** : Provide observations and recommendations… more