- 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
- Beacon Mobility (Chelmsford, MA)
- …at 200+ locations from New England to New Mexico. Reporting to the Director of Claims , the Region Claims Analyst provides oversight and controls to reporting ... management skills while delivering analytical support to operations, safety and claims leadership. Support to locations will require compliance with applicable… 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
- MAPFRE Insurance (Webster, MA)
- …of analytics, technology, and business strategy? Join us as a Business Intelligence Analyst ( Claims ) and help shape the future of data-driven decision-making!** ... Business Intelligence Analyst II (Senior Level Considered) Date: Nov 7,...Citizen or Green Card holder + Must have Insuance Claims experience **What You'll Do** + Build and maintain… 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
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... 011250 CCA- Claims Hiring for One Year Term **_This position...**Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and… more
- Zurich NA (Boston, MA)
- TPA Operations Sr. Performance Analyst 125087 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims... Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred… 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