- 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
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- Evolent (Boston, MA)
- …Business, Economics, Engineering, Physical/Life Sciences, or a related field (preferred).** ** 1 + years of professional experience in claims -based healthcare ... positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to… 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
- 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
- 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
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description** + Performs exploratory data analysis and data ... mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of… 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
- Prime Therapeutics (Boston, MA)
- …new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... solution design; develop strategic partnerships with various levels of leadership and analyst teams within the organization + Support enterprise adoption of Tableau… 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