- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and ... issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter...+ Experience with core claims platforms such as Facets, QNXT , or Amisys. **Desired Experience (nice to have):** +… more
- Fallon Health (Worcester, MA)
- …membership report from Business Objects and manipulates per process and sends to Senior Accounting Analyst , designated long term care facilities, and NaviCare ... documentation system as well as Fallon Health's core system QNXT + In coordination with the Administrative Assistant, manages...in Outlook and communicates such to interdepartmental teams via QNXT Call Tracking + Receives requests for ACO member… more