• Medicare Technical Business

    Insight Global (Woonsocket, RI)
    …Bach degree or equivalent 2-4 years or more years of Technical Business Analyst experience Medicare or Health Insurance experience: claims, member ... Job Description Insight Global is seeking a Technical Business Analyst to support a large health insurance client of ours. Work with business partners… more
    Insight Global (07/22/25)
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  • Senior Medicare Markets Pricing Consultant…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …analytical work related to Medicare and senior products. + Provide effective technical and non- technical business advice and support to internal and ... to work collaboratively with both technical and non- technical staff including Underwriting, Medicare Product Development,...Participate on ad hoc projects as needed to support business goals and corporate initiatives. + Drives projects to… more
    Blue Cross Blue Shield of Massachusetts (07/30/25)
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  • Medicare Risk Adjustment Actuarial…

    Elevance Health (Woburn, MA)
    ​ ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...complex projects related to risk adjustment analytics in the Medicare Advantage line of business . **How You… more
    Elevance Health (07/18/25)
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  • IT Business Systems Analyst

    Prime Therapeutics (Boston, MA)
    …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...stakeholders to elicit, define, and document the requirements and technical solutions for changes to Prime's specialty application. **Responsibilities**… more
    Prime Therapeutics (07/11/25)
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  • Sr Analyst , Specialty Performance…

    Evolent (Boston, MA)
    …a Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving ... stakeholders to solve problems; ability to translate between business needs and technical nuances - Required...care and programs - Preferred + Working knowledge of Medicare claims, episode and condition groupers, case/episode and risk… more
    Evolent (05/22/25)
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  • Sr Analyst , Scope Management

    Evolent (Boston, MA)
    …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is...achieved through collaboration across the clinical, operations, product and technical teams. **What You Will Be Doing:** This position… more
    Evolent (07/18/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Boston, MA)
    …Compliance & Audit Committee (FCA) meeting materials. + Act as a liaison between technical and non- technical staff, communicating business requirements in a ... passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance… more
    Prime Therapeutics (07/25/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …and forecasting projects and studies for use in the development of business strategies and tactics. Builds financial models to support operational initiatives and ... . Develop and deploy subject matter expertise in public payer ACO models ( Medicare and Medicaid) and create analyses to assess ACO performance and inform… more
    Atrius Health (06/04/25)
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