- East Boston Neighborhood Health Center (Revere, MA)
- …Management All Locations: 300 Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst , under the direction of the Manager of PACE Claims ... overall claims adjudication and insurance validation process. This includes: Claims Department: * Maintaining up-to-date knowledge of fee schedules for both… more
- Highmark Health (Boston, MA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- WelbeHealth (Boston, MA)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or...policies and procedures. **Essential Job Duties:** + Review processed claims for accuracy prior to payment while maintaining acceptable… more
- Highmark Health (Boston, MA)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
- Dana-Farber Cancer Institute (Boston, MA)
- …. In partnership with Business Strategy, the Senior Business Intelligence Analyst builds claims -based analytical models, integrates clinical and operational ... and process improvement. Ongoing projects encompass market analyses from claims , referral tracking, and performance measurement for strategic initiatives, all… more
- Center For Health Information And Analysis (Boston, MA)
- …be a driving force in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within the dynamic Strategy and Research ... team. The Research Analyst will work closely with the research team and...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- **Senior Business System Analyst - Healthcare** **Category:** Business Analysis (functional and technical) **Main location:** United States, Massachusetts, Canton ... -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** The Business Systems Analyst (BSA) will play a key role in driving… more
- Prime Therapeutics (Boston, MA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Eliassen Group (Boston, MA)
- **Property & Casualty Business Systems Analyst Contract** **Boston, MA** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Reference ID:** ... Onsite | 4 days a week in Boston, MA The Senior Business Analyst is responsible for establishing and maintaining standards for systems analysis, requirements… more
- Rocket Software (Boston, MA)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… more
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