• Sr . Financial Analyst

    CVS Health (Woonsocket, RI)
    …solutions to make health care more personal, convenient and affordable. **Position Summary** The Sr . Financial Analyst is a member of the Pharmacy Benefit ... in helping to establish a new department supporting member-facing financial operations activities for Medicare Part D...the Medicare Prescription Payment Program (M3P). The Sr . Analyst will provide subject matter expertise… more
    CVS Health (01/09/25)
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  • Healthcare Medical Claims Coding Sr

    Commonwealth Care Alliance (Boston, MA)
    …. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims auditing ... 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
    Commonwealth Care Alliance (11/26/24)
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  • Sr . Data Analyst , Risk Adjustment

    Point32Health (Canton, MA)
    …or auditing firm. + Understanding of claims systems, provider information, Medicaid/ Medicare , and/or experience working with large data sets preferred. **SKILL ... of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit… more
    Point32Health (01/03/25)
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  • Medicare Business Support Analyst

    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 ... NextGen Production Support team and will serve as the Analyst for Train 6 processing. Train 6 processing includes...for Train 6 processing. Train 6 processing includes the financial and analytical data flows for membership, premium, medical… more
    Insight Global (01/07/25)
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  • Senior Actuarial Analyst

    Point32Health (Canton, MA)
    …. **Job Summary** Senior Actuarial Analyst will support the financial Forecasting and Pricing needs for Medicare Supplement Products as well as ... the Forecasting and Reporting for Medicare Part D. This role will work closely with...various business partners outside of Actuarial in the annual financial planning cycle. A thorough understanding of the health… more
    Point32Health (01/03/25)
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  • Senior Business Intelligence Data…

    Humana (Boston, MA)
    …with data, and can effectively communicate findings, you should strongly consider the Senior Business Intelligence Data Analyst opportunity. Humana is seeking an ... internal and external partners, ensuring deadlines are met and financial transactions are executed with high accuracy. If you...individual for the Senior Business Intelligence Data Analyst to provide… more
    Humana (01/07/25)
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  • Senior TBM Analyst

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** As a Senior Technology Business Management Analyst (aka Senior Business Intelligence Engineer), ... using Apptio. You'll collaborate with cross-functional teams, gather, and analyze financial and technology data, and ensure efficient data governance. This role… more
    Humana (11/19/24)
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  • Clinical Research Financial Analyst

    Dana-Farber Cancer Institute (Brookline, MA)
    Under direct supervision of the Senior Clinical Research Financial Analyst , the Clinical Research Financial Analyst I (CRFA-I) is responsible for ... problems and refers more complex issues to higher-level staff. In the absence of a Senior Clinical Research Financial Analyst this position is under direct… more
    Dana-Farber Cancer Institute (10/22/24)
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  • Community Health Center Program Analyst

    State of Massachusetts (Quincy, MA)
    …is seeking qualified applicants for the position of Community Health Center Program Analyst . The Community Health Center Program Analyst will be responsible for ... identify analytical requirements, locate data sources, and create presentations to inform senior management. . Assist with ad-hoc special projects aimed at improving… more
    State of Massachusetts (12/13/24)
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  • Strategy Analyst (Commercial Health)…

    Mathematica (Boston, MA)
    …100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company's ... growth and financial strength. You will also be part of an...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
    Mathematica (01/08/25)
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