- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will provide ... routine and ad hoc analytics to drive impactful material, recommendations, and data driven decision making to support overall payment integrity and claim operations… more
- Lyric (Boston, MA)
- …leveraging advanced coding, analytic reporting , and predictive modeling, the Clinical Data Analyst - Staff uncovers actionable insights that drive innovation ... not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal...experts, payment professionals, and business operations leaders to develop reporting and analyze large-scale healthcare claims and… more
- Center For Health Information And Analysis (Boston, MA)
- …to work with an extensive range of health care enrollment, spending, quality, and claims data . You will be at the forefront of executing analyses, utilizing ... share content expertise, and provide technical oversight within our dynamic Health Informatics and Reporting team. As a Health Policy Analyst at CHIA, you will… more
- Beth Israel Lahey Health (Charlestown, MA)
- …department, hospital and system operational and financial information systems, public health and claims data . * Independently identifies data needs and ... Relations (CBCR) Department at Beth Israel Lahey Health, the Business Analyst (" Analyst ") provides critical analytic and data support to the entire team. The… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Job Description **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject...& Abilities (must have):** + Proficiency with Excel and reporting tools for data analysis. + Understanding… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …invoice reconciliation QA audits for BCBSMA's payment integrity programs. + Audit vendor claims data and invoices against plan enterprise warehouse claims ... Bring your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy,...and excel + Proficiency in working with and analyzing claims data + Strong written and verbal… more
- CVS Health (Wellesley, MA)
- …assignments + Experience in documenting IT requirements and summarization + Experience with administrative claims data such as pharmacy or medical claims + ... to support and meet on going business needs. Provide comprehensive reporting and key performance metrics for reconciliation, revenue cycle, and adjudication/… more
- Highmark Health (Boston, MA)
- …for PCPs, specialists, facilities, post-acute providers, and ancillary providers. + Interprets raw claims , provider, quality, and member data to build data ... technical workflows, develop and submit technical business requirements and validate data generated by recurring analytic engine processes. Performs data … more
- Evolent (Boston, MA)
- …insights and compelling narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization ... the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity… more
- Point32Health (Canton, MA)
- …knowledge of CPT, HCPCS, ICD10-CM diagnosis and procedure codes to assist in claims data analysis related to policies and recovery identification. + Coordinates ... colleagues and communities. **Job Summary** The Sr Provider Audit Analyst is responsible for review of claims ...of assigned individual audits as well as the accompanying data mining, analytics, and summary reporting . +… more