• Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Senior Managed Care Analyst * **Location:** *Newton MA ... and enriches their lives. Atrius Health is part of Optum , a health services company focused on building the...projects and studies for use in the development of business strategies and tactics. Builds financial models to support… more
    Atrius Health (06/04/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Boston, MA)
    …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
    Humana (07/29/25)
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  • Medicare/Medicaid Claims Editing Specialist

    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 ... and clinical coding and reimbursement edits and necessary coding configuration requirements for Optum CES and Zelis edits. This role will ensure that the applicable… more
    Commonwealth Care Alliance (05/28/25)
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