- The MITRE Corporation (Bedford, MA)
- …choose MITRE-and make a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop ... working comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses,… 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 ... and report outcome results on edits implemented. + Utilize data to examine large claims data...Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... - $70,000.00/yr. **What you'll do:** + Ability to pull data from multiple databases, analyze, compile and create reports....reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build… more
- Norstella (Boston, MA)
- Data Analyst , Healthcare & Life Sciences...use cases by querying and analyzing a wide range of healthcare data sources, including claims , lab ... at this time. **Job Description** We are seeking a Data Analyst with strong SQL experience to...Query and analyze large volumes of healthcare data from diverse sources, including claims , lab… more
- WellSense (Boston, MA)
- Business Encounter Data Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... no matter their circumstances. **Job Summary:** The Business Encounter Data Analyst is responsible for compiling and...encounter data requirements in detail to ensure claims data is complete, accurate, and timely.… more
- Evolent Health (Boston, MA)
- …- **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of ... associated with Commercial, Medicare, and Medicaid lines of business. Healthcare claims : specifically, differences between institutional vs professional… more
- The Cigna Group (Newton, MA)
- …to the Senior Manager of Clinical & Customer Data Science, the data scientist will analyze healthcare claims , clinical outcomes, customer enrollment ... **Summary** The Data Scientist Lead Analyst will contribute...forecast business metrics. **Responsibilities** + Extract and analyze large healthcare claims using SAS, SQL, R, Python,… more
- LogixHealth (Bedford, MA)
- …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 ... cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and bring your expertise to… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in ... for a comprehensive claim accuracy program. The individual will optimize pre/post claims auditing and claim recovery programs that will drive incremental value year… more
- Prime Therapeutics (Boston, MA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Baylor Scott & White Health (Boston, MA)
- …Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting gaps, risk gaps, or ... **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst )...Medicaid, MCO, TPA business requirements preferred. + Experience with healthcare encounters, enrollment and pharmacy data preferred.… more
- Norstella (Boston, MA)
- …with and querying large databases + Experience working with healthcare databases (eg, claims , EMR, lab data ) + Strong proficiency in SQL and one high-level ... Analyst to join our team and support our data -driven initiatives. The ideal candidate will have a strong...Life Sciences industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes &… more
- Children's Hospital Boston (Boston, MA)
- …and coordinating the pursuit of the recovery of net revenue, rebilling of claims and/or settlement opportunities. This Financial Analyst II for Payor Contracting ... 76063BRJob Posting Title:Financial Analyst II for Payor Contracting (Remote)Department:Finance Case Mix...process of routine retrospective auditing of payments. Responsible for data mining and performing managed care contract analyses for… more
- Atrius Health (Chelmsford, MA)
- …including Medicare program, writing complex clinical medical necessity appeals, analysis of claims data and billing related issues to effectively reduce errors ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected...denial, and AR management support. Gathers, compiles and organizes claims and denial data . Researches clinical and… more
- Prime Therapeutics (Boston, MA)
- …in addressing these issues. **Job Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data . + ... developing efficient and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and… more
- Prime Therapeutics (Boston, MA)
- …these issues. **Job Description** + Job DescriptionPerforms exploratory data analysis and data mining of healthcare claims and authorizations data . ... developing efficient and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and… more
- LogixHealth (Bedford, MA)
- …On-Site in Bedford, MA This Role: As an integral member of the Electronic Data Interchange (EDI) team, the Revenue Cycle Analyst at LogixHealth, you will ... information systems and the quality and integrity of the data that is shared with other business partners ....and daily processing of motor vehicle and workers compensation claims + Assist in managing the setup, implementation, maintenance… more
- Elevance Health (Boston, MA)
- **Provider Contract/Cost of Care 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
- Elevance Health (Woburn, MA)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr** is responsible for providing technical and consultative support relative… more
- CVS Health (Wellesley, MA)
- …Qualifications** + Prior experience in healthcare analytics, risk adjustment, HEDIS, claims /EHR and other care management data . + Experience with data ... **Position Summary** We are seeking a highly skilled and motivated Senior Analyst , Informatics to join our expanding IFP risk adjustment analytics team. In… more