- Center For Health Information And Analysis (Boston, MA)
- …in a dynamic, mission-driven environment. + Champion Data Integrity: Participate in quality assurance (QA) and documentation processes to ensure that reported ... development of data-driven policies that aim to improve the quality and equity of care, while keeping costs affordable...in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …enrollment, provider management, UM/PA, care management, and data warehouses. Data Analysis & Quality Assurance . Perform data profiling and mapping for clinical ... **Senior Business System Analyst - Healthcare** **Category:** Business Analysis (functional and technical) **Main location:** United States, Massachusetts, Canton… more
- Prime Therapeutics (Boston, MA)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for… more
- Humana (Boston, MA)
- …+ Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance , and compliance + Determine root causes driving issues ... health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer...closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the… more
- Point32Health (MA)
- …is compliant with the regulatory requirements set-forth by NCQA (National Committee for Quality Assurance ), DOI (Dept of Insurance), CMS, DOL and any state ... leading not-for-profit health and well-being organization dedicated to delivering high- quality , affordable healthcare. Serving nearly 2 million members, Point32Health… more
- Humana (Boston, MA)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- Highmark Health (Boston, MA)
- …coding principles are incorporated into policy criteria. + **Policy Publication & Quality Assurance :** Manage the full publication process for assigned policies. ... Conduct peer reviews of other policies as part of the quality assurance process to ensure accuracy, clarity, and consistency. + **Consultative & Expert Role:**… more
- Public Consulting Group (Boston, MA)
- …effectiveness. **Duties and Responsibilities** + Provides leadership, management, and direction to the Quality Assurance Analyst team. + Leads and manages ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more