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293 Results for

Claims Analyst Jobs in Boston, MA

Claims - Health & Dental

Posting End Date: .

Boston, MA18 days ago
  • $142,000–$263,000 Per Year

p>Hi Marley participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information, please review the documents under "E-Verify Poster" here:https://e-verify.uscis.gov/web/OnlineResources.aspx. At Hi Marley, our culture is built on three core values that every employee embodies:

  • Max Courage – We encourage our team, our customers, and their customers to dream big, try new ideas, and maximize impact by measuring risk.

MA28 days ago
  • $101,000–$151,500 Per Year

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. You will be accountable for all aspects of the Stop Loss Quality Program, ensuring superior customer service for internal and external clients while overseeing functional training programs within Stop Loss Operations.

Allstate Insurance Company logo

MA17 days ago
  • $47,500–$61,600 Per Year

Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking.

Allstate Insurance Company logo

MA16 days ago
  • $50,000–$74,350 Per Year

Analytical Thinking, Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, De-Escalation, General Liability Insurance, Insurance Administration, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Liability Insurance, Negotiation, Problem Resolution. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

CVS Health Corp logo

MA8 days ago
  • $46,988–$112,200 Per Year

p>Position Summary:

We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims.

The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.

Boston, MA30+ days ago
  • $142,000–$263,000 Per Year

li>Leverage your deep expertise in the end-to-end property claims journey-spanning FNOL, emergency services and mitigation partners, independent adjusters, contents and packout coordination, repair coordination, temporary housing, payment, and beyond-to identify where improved communication, process automation, and technology integration can reimagine the experience for policyholders and carriers.

Hi Marley participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information, please review the documents under "E-Verify Poster" here: https://e-verify.uscis.gov/web/OnlineResources.aspx.

MA8 days ago
  • $91,000–$143,000 Per Year

li>Builds rapport and always promotes teamwork by maintaining a professional and positive attitude, working to maintain open and professional lines of communication with all end users and colleagues, and utilizing key change management principles.

Our Industry Solutions team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization.

Liberty Mutual Holding Company Inc logo

Boston, MA23 days ago

Lead Analytical Projects: Own moderately complex, end-to-end analytical projects independently, partnering with Claims Process, Data Office, Product, and other key partners to develop rigorous solutions and see initiatives through to measurable impact. Drive Financial Insight: Design and conduct moderate-to-high complexity analyses evaluating the financial performance of claims operations, process changes, and newly adopted tools or vendor partnerships across the full claim lifecycle.

MA30+ days ago

Our cloud-native Aria platform delivers payer administrative and care-continuum functions as Transaction-as-a-Service (TaaS), combining configurable payer workflows, robotic process automation, machine learning, and agentic AI to execute high-volume transactions consistently while human teams focus on exceptions, member and provider outcomes, and product innovation.

Job Responsibilities (including but not limited to):

  • Work closely with the Chief Product Officer and cross-functional partners to build pricing and reimbursement constructs-fee schedules, contracted rates, capitation (PMPM, % of Premium, CMS-MMR), DOFR, risk pool, bundled payments, and episode-based payments.

MA30+ days ago
  • $125,000–$233,000 Per Year

li>Frequently communicate key client and Family Office matters/concerns, team updates, market developments and claims trends with PCS field leadership teams (Zone Leaders and Zone Client Advisor Leaders) as well as MMA regions.

  • Directs and interfaces with PCS Operations and EPIC Transformation teams to design and implement contemporary claims technologies, including claims 'use cases' for Risk Services and Solutions data platform.

    • Boston, MA23 days ago
    • $229,047–$343,571 Per Year

    This role combines deep epidemiologic expertise with executive presence, leading teams to deliver innovative real world evidence that advises critical business decisions throughout the product lifecycle, with an emphasis on applications in Clinical Development, Regulatory, and Safety. In addition, our positions offer a short-term incentive bonus opportunity; eligibility to participate in our equity-based long-term incentive program (salaried roles), to receive a retirement contribution (hourly roles), and commission payment eligibility (sales roles).

    IQVIA logo

    Burlington, Massachusetts30+ days ago

    p>At Cedar Gate Technologies, an IQVIA business, the Senior Data Analytics Analyst will collaborate closely with Data Managers to analyze complex healthcare data, design scalable data solutions, and support the integration of client data into the Cedar Gate Analytics Platform.

  • Troubleshoot and resolve client technical issues related to healthcare claims, EMR data, and ancillary data sources; provide timely ad hoc support during scheduled and unscheduled client interactions.

    • Burlington, MA30+ days ago

    p>Position Summary At Cedar Gate Technologies, an IQVIA business, the Senior Data Analytics Analyst will collaborate closely with Data Managers to analyze complex healthcare data, design scalable data solutions, and support the integration of client data into the Cedar Gate Analytics Platform. Minimum 3 years of experience (5+ years is preferred) in data centric roles with increasing levels of responsibility is required At least 2 years of experience working with healthcare claims systems, EMR data, or related healthcare datasets is required.

    Manchester, New Hampshire30+ days ago
    Remote

    This is a hands-on role offering strong exposure to Treasury, Claims, and Finance, with the opportunity to build experience across cash management, financial controls, claims funding, and insurance-specific operational processes. As part of our growing US Treasury function, we are seeking a Treasury Operations Analyst to support day-to-day cash operations and claims-related financial processes within a specialty insurance and reinsurance environment.

    Brockton, MA15 days ago

    Our extensive range of products, from office supplies and ergonomic furniture to top-notch cleaning supplies and delicious food service items, ensures that you have everything you need for seamless operations. Additionally, you'll support insurance renewals, manage certificates of insurance, oversee vendor credentialing, handle Ohio and Washington Workers' Compensation filings, reconcile premiums and invoices, and review insurance contract compliance.

    Boston, MA30+ days ago
    • $54,000–$68,400 Per Year

    p>What you'll do:

    • Managing the screening and distribution processes of Expert Claim Review Claims supporting the end-to-end workflow audit for Zelis Prepay and Post-pay Programs.

    • Accountable for the deployment of resources for the management of daily claims screening, distribution, and referral processes, including ECR and ECR-EDI, DRG Validation and DRG Outlier pricing.

    Marlborough, MA28 days ago
    • $96,300–$112,000 Per Year

    Epic Charge Router or Claims certificationEducationBachelor's Degree Bachelor's degree in Healthcare, Business, or Information Systems or the equivalent work experience (Required)LanguagesEnglish (Required)Work RequirementsTravel Required55550Quest Diagnostics honors our service members and encourages veterans to apply. The Analyst II collaborates with stakeholders to implement functional changes, optimize workflows, and deliver reliable solutions that support clean claims, timely reimbursement, and a positive end-user experience for billing staff, providers, and patients.

    Boston, MA21 days ago
    • $107,450–$199,550 Per Year

    The DCM portfolio focuses on operational risk reduction, regulatory adherence, straight-through processing (STP) expansion, and digital claims modernization across platforms including Salesforce, core claims processing and policy administration systems, legacy rules/benefits engines, digital self-service portals, and supporting data/automation capabilities.

  • Support solution design by partnering with technology teams to identify data mappings, upstream/downstream impacts, integrations, and process changes across Salesforce, core claims processing and policy administration platforms, legacy rules/benefits engines, digital self‑service channels, and automation/data platforms.

    • NTT DATA logo
    New!

    Canton, MA2 days ago
    • $65–$75 Per Hour

    Job Description: An HRP Configuration Analyst is responsible for configuring, maintaining, and validating provider, contract, and claims-related setup within the HRP system to ensure accurate downstream processing, including claims, enrollment, provider directories, member notifications, and reporting. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

    CSAA Insurance Group logo

    MA25 days ago
    Remote
    • $110,700–$123,000 Per Year

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  • Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).

    • Boston, MA30 days ago
    • $73,350–$122,250 Per Year

    The LTC Preferred Provider Analyst will be focused on supporting the execution of our long-term care provider network strategy and providing key analysis to help us drive value through actionable insights and reporting. Act as business unit liaison with other business units including Information Systems, Human Centered Design, Marketing, Advanced Analytics/AI, etc. in regard to provider data, reporting and network analysis.

    Marlborough, MA10 days ago

    The Analyst III works collaboratively with leadership and cross functional teams to maintain billing integrity, reduce manual work, and enhance the end-user experience for billing staff, providers and patients by improving workflow efficiency and overall usability. This role independently manages complex configuration assignments, analyzes billing requirements, develops system solutions, improves workflows that support clean claims, timely payments, and overall billing efficiency.

    MA21 days ago
    • $65,000–$110,000 Per Year

    We bring a combination of broad-based expertise with specialized knowledge of specific risks, allowing us to provide independent, objective advice in the three primary areas of risk: healthcare, life and annuity, and property and casualty.

  • If interested in the ICG, feel free to check out our ICG job simulation here, Oliver Wyman Integrated Consulting Group - Forage, for an immersive experience designed to introduce you to the high-impact work of the strategy, risk, and transformation work we do.*.

    • Lawrence, MA30+ days ago

    We are seeking an Applications Analyst with experience supporting healthcare financial systems, preferably within the Meditech environment, to partner with Patient Financial Services and Health Information Management teams to optimize workflows and improve system performance. EDUCATION AND RELATED EXPERIENCE: Required: 23 years of experience as a Systems Analyst, Revenue Cycle Applications Analyst, or Project Lead supporting patient accounting/billing, claims, and reimbursement workflows.

    Lawrence, MA30+ days ago

    We are seeking an Applications Analyst with experience supporting healthcare financial systems, preferably within the Meditech environment, to partner with Patient Financial Services and Health Information Management teams to optimize workflows and improve system performance. EDUCATION AND RELATED EXPERIENCE: Required: 23 years of experience as a Systems Analyst, Revenue Cycle Applications Analyst, or Project Lead supporting patient accounting/billing, claims, and reimbursement workflows.

    Charlestown, MA30+ days ago
    Remote
    • $93,142–$124,800 Per Year

    The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and outpatient hospital setting, to ensure that Beth Israel Lahey Health (BILH) is in compliance with all applicable federal and state laws and regulations as they pertain to coding, billing, and documentation. Default Fewer transfers Less walking Avoid Tolls Highways Ferries G Google Maps Apple Maps Waze Apple Maps doesnt support Bike mode; well open Driving.

    Boston, MA30+ days ago

    This role focuses on maximizing value from existing technology investments by providing continuous configuration, adoption enablement, and business partnership beyond initial project delivery. Under the direction of Technical Operations Manager, the Technical Applications Analyst is responsible for the ongoing ownership, enablement, and optimization of core enterprise business platforms.

    Canton, MA21 days ago
    • $88,942.17–$133,413.25 Per Year

    p>The ideal candidate demonstrates strong analytical and critical‑thinking skills, with the ability to independently analyze large and complex datasets, assess data quality, identify trends and root causes, and translate findings into clear insights for leadership.

    Collaboration and Stakeholder Management:

    • Collaborate closely within the Risk Adjustment department and with cross‑functional partners including Claims, Member Operations, Information Technology, and Provider Information to ensure data submission processes and enhancements are effectively implemented and maintained.

    Boston, MA30+ days ago
    • $77,000–$96,030 Per Year

    However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

    Position Summary:

    As a Advanced Analytics Analyst II working in the Analytics Hub within the finance department, you will serve as an analytics lead for our business units and partner closely with our technical teams to deliver effective data analytic solutions.

    Cambridge, MA30+ days ago
    • $65,000–$85,000 Per Year

    Specific responsibilities of this position include manage various datasets, estimate statistical models, report formats and other analysis considerations, determine and write statistical considerations and algorithms for protocol documents according to study design and appropriate statistical methods, manage and maintain documentation of files and analyses. The person must follow proper procedures for working with confidential data in compliance with institutional and regulatory guidelines, including staying current with training requirements related to human subject's research and data security.

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