- Insight Global (Woonsocket, RI)
- Job Description Insight Global is seeking Business Support Analyst to join a large health insurance client of ours. This team member will be responsible for ... position will be part of the broader NextGen Production Support team and will serve as the Analyst...premium, medical claims, pharmacy claims, and providers for both Medicare and IFP lines of business . This… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for… more
- Humana (Providence, RI)
- …Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its expansion of value-based programs, working ... at Humana is looking for an experienced individual in Business Intelligence that will be working with large volume...Synapse Analytics, and other various analytical tools + Provides support for payments to value-based specialists + Aids in… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Senior Actuarial Analyst will support the financial Forecasting and Pricing needs ... annual reporting. This role will also work with various business partners outside of Actuarial in the annual financial...implementing, and presenting findings. Projects are focused on the Medicare Preferred population and support the goal… more
- Point32Health (Canton, MA)
- …support the operations and analysis of risk adjustment strategy across Point32Health business lines. The Data Analyst will assist in managing vendor ... analyses across business divisions, product lines and provider groups + Support the program management team in reviewing data to determine operational impacts… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs...to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst (Regulatory Intelligence and Assessment) - Remote **Job Description** The Senior ... Compliance Analyst assists in the implementation of Prime's compliance programs...organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory… more
- Humana (Boston, MA)
- …our caring community and help us put health first** As a Senior Technology Business Management Analyst (aka Senior Business Intelligence Engineer), you will ... Your primary responsibility will be to configure and maintain the Technology Business Management (TBM) cost and data model using Apptio. You'll collaborate with… more
- Mathematica (Providence, RI)
- … sales leadership with planning travel, conference logistics, and prospecting. * Support the development and maintenance of business development materials (for ... wide-ranging areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development. Mathematica… more
- Highmark Health (Providence, RI)
- …carriers), topics (ex. technology, virtual health, industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid). The work can ... various subjects within the health insurance industry. The work will support strategic initiatives and priorities for product development and implementation and/or… more
- Point32Health (Canton, MA)
- …as a liaison between A&G, Care Management, and Independent Review Organization (IRO) + Support A&G Analyst in timely completion of Appeals and Grievances + ... timeframes and regulations, gathering information on behalf of the A&G Analyst with external vendors, coordinating the request for medical records, tracking… more