Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEBoston, MARemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Claims Analyst Pharmacy Revenue Cycle GTT, LLCClaims Analyst Pharmacy Revenue CycleBoston, MAUnder the direction of the Revenue Cycle Supervisor Pharmacy, the Revenue Cycle Claims Analyst is responsible through extensive telephone and written correspondence, will pursue insurance companies for payment or underpayment of services rendered. Improving performance requires fine-tuned workflows, training, dedicated resources, collaboration across multiple departments, and routine updates to core systems.
MMIS Business Analyst The Computer Merchant, LtdMMIS Business AnalystQuincy, MA$60–$65 / hourContractorThe Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeMAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Business Analyst - Commercial Claims Payment SME Macpower Digital Assets Edge Private LimitedBusiness Analyst - Commercial Claims Payment SMEWaltham, MA$64 / hourProcess Mapping & Solution Definition Analyze current state payment workflows and define optimized target state solutions. Claims Payment Lifecycle Knowledge Bring expertise in insurance claims payment processing, payment channels, disbursements, payee information platforms, and master data management .
Stop Loss Claims Resolution Consultant Sun Life Financial IncStop Loss Claims Resolution ConsultantWellesley Hills, MA$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. 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.
Senior Claims Consultant/Director (00553) PMA Consultants LLCSenior Claims Consultant/Director (00553)Braintree, MADirects and reviews both 1) the development of a claim on behalf of a claimant and 2) reviews and analyzes claims submitted by a claimant, on highly complex claims involving delay, disruption, acceleration, loss of productivity, cumulative impact, differing site conditions, and termination issues. The Senior Construction Claims Analyst serves as a senior advisor to client stakeholders, legal counsel, and project leadership teams on matters involving delay, disruption, acceleration, change order entitlement, productivity impacts, cost recovery, and contract risk.
Senior Claims Consultant/Director (00553) PMA Consultants CareersSenior Claims Consultant/Director (00553)Braintree, MADirects and reviews both 1) the development of a claim on behalf of a claimant and 2) reviews and analyzes claims submitted by a claimant, on highly complex claims involving delay, disruption, acceleration, loss of productivity, cumulative impact, differing site conditions, and termination issues. The Senior Construction Claims Analyst serves as a senior advisor to client stakeholders, legal counsel, and project leadership teams on matters involving delay, disruption, acceleration, change order entitlement, productivity impacts, cost recovery, and contract risk.
Expert Claims Review Business Analyst Zelis Healthcare, Inc.Expert Claims Review Business AnalystMA$71,000–$90,250 / yearPosition Overview: The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile or Kanban context that deliver valued business outcomes and informed decisions for Zelis' key stakeholders. This person will act as liaison among Business Owners and/or Solutions Owners (i.e., Product Owner) to gather, analyze, document, communicate and validate business and system requirements and business methodologies.
SIU Claims Director Plymouth Rock Management Company of New JerseySIU Claims DirectorBoston, MA$137,000–$200,000 / yearReporting to the Vice President of Claims, the Director of Special Investigative Unit (SIU) provides strategic leadership for Plymouth Rock's enterprise fraud program across the Personal Lines Property & Casualty Claims organization. Provide oversight of fraud investigations involving Auto Physical Damage, Homeowners, Casualty, PIP, Appraisal, provider fraud, organized fraud rings, staged accidents, and Major Case initiatives.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterMA$47,500–$69,800 / yearThrough 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. National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.
Senior Analyst Claim Reporting and Special Services Qureos IncSenior Analyst Claim Reporting and Special ServicesWoonsocket$46,988–$112,200 / yearPosition 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.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial CorpManaging Director Strategic Claims Oversight - Healthcare SeverityBoston, MA$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
Senior Product Owner, Claims Technology Berkshire Hathaway Specialty Insurance CoSenior Product Owner, Claims TechnologyBoston, MAThe ideal candidate brings deep Property & Casualty insurance expertise, strong product ownership and business analysis experience, and a proven track record supporting large-scale claims digital transformation initiatives in a fast-paced, collaborative environment. Preferred experience with claims platforms such as Guidewire ClaimCenter, Duck Creek Claims, Majesco Claims, or similar solutions, as well as claims digitization, workflow automation, cloud technologies, and legacy modernization programs.
NewClinical Claim Review RN UnitedHealth Group IncClinical Claim Review RNBoston, MARemote$29–$52 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Program Integrity Clinical Compliance Auditor will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment.
Healthcare Claim Data Analytics Professional (4 days in office) IQVIAHealthcare Claim Data Analytics Professional (4 days in office)Burlington, MassachusettsAt 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. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.
Healthcare Claim Data Analytics Professional (4 days in office) IQVIA Holdings IncHealthcare Claim Data Analytics Professional (4 days in office)Burlington, MA$56,100–$140,300 / yearAt 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. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.
Senior Data Quality Analyst IQVIASenior Data Quality AnalystBurlington, MassachusettsIn this highly visible role, you will partner with Engineering, Product, Data Operations, Client Support, and offshore teams to validate data, investigate and resolve quality issues, strengthen governance practices, and drive continuous improvement across the data lifecycle. As a Senior Data Quality Analyst at Cedar Gate Technologies, an IQVIA business, you will play a critical role in ensuring the accuracy, integrity, and reliability of healthcare data that powers our industry-leading analytics platform.
IBR Senior Analyst Zelis Healthcare, Inc.IBR Senior AnalystMA$79,000–$99,750 / yearThis is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.
DRG Ops Analyst Zelis Healthcare, Inc.DRG Ops AnalystBoston, MA$54,000–$68,400 / yearWhat 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.
NewSenior IT Business Analyst – Disciplined Contract Management (DCM) ManulifeSenior IT Business Analyst – Disciplined Contract Management (DCM)Boston, MassachusettsThe 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.
NewSenior IT Business Analyst - Disciplined Contract Management (Dcm) ManulifeSenior IT Business Analyst - Disciplined Contract Management (Dcm)Boston, MA$107,450–$199,550 / yearThe 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.
Senior IT Business Analyst - Disciplined Contract Management (DCM) Manulife Financial CorpSenior IT Business Analyst - Disciplined Contract Management (DCM)Boston, MA$107,450–$199,550 / yearThe 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.
2027 Bachelor''s/Master''s graduates Cyber & Forensic Technology Consulting Analyst/Associate CRA International Inc2027 Bachelor''s/Master''s graduates Cyber & Forensic Technology Consulting Analyst/AssociateBoston, MA$92,500–$100,000 / yearBachelor's or Master's degree candidates graduating December 2026/Summer 2027 with an academic focus in Cybersecurity, Computer Science and Engineering, Digital Forensics, Management Information Systems, Security Information Systems, or related field; Strong understanding of computer operating systems, software, and hardware; Ability to conduct detailed forensic investigations and analyses of computers, networks, mobile devices, and removable media; Experience with conducting digital forensic analyses using commercial and open-source forensic tools, including file system forensics, memory analysis, and network analysis; Experience with conducting static/dynamic malware analyses in a lab environment and threat hunting in a live environment; Strong understanding of proper evidence handling procedures and chain-of-custody; Experience with drafting technical and investigative reports and communicating technical findings; High-level familiarity with legal concepts related to intellectual property; Experience with utilizing automation tools and scripts to expedite analyses; Understanding of incident handling procedures, including preparation, identification, containment, eradication, and recovery-to-protect enterprise environments. Practices seeking to hire candidates with this profile include (hiring locations listed): Forensic Services/Cybersecurity & Digital Forensics (Boston, Chicago, Dallas, New York, Washington DC).
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteMARemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. 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).
Senior Data Quality Analyst IQVIA Holdings IncSenior Data Quality AnalystBurlington, MA$56,100–$140,300 / yearIn this highly visible role, you will partner with Engineering, Product, Data Operations, Client Support, and offshore teams to validate data, investigate and resolve quality issues, strengthen governance practices, and drive continuous improvement across the data lifecycle. As a Senior Data Quality Analyst at Cedar Gate Technologies, an IQVIA business, you will play a critical role in ensuring the accuracy, integrity, and reliability of healthcare data that powers our industry-leading analytics platform.
Insurance Senior Analyst Aon CorporationInsurance Senior AnalystBoston, Massachusetts$70,000–$90,000 / yearPosting Description: Outsourced to Aon’s client in Boston, Massachusetts, the Insurance Senior Analyst reports to the client’s Senior Director of Insurance & Risk Management and supports property and casualty insurance programs through underwriting data management, policy analysis, claims administration, and stakeholder communications. Demonstrated Core Capabilities - Candidates must show proven abilities in key responsibilities, such as managing insurance data, preparing reports, supporting budget development, and communicating about insurance policies.
Revenue Cycle Applications Analyst Lawrence General HospitalRevenue Cycle Applications AnalystLawrence, MAWe 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.
ServiceNow Business Analyst LTIMindtree LtdServiceNow Business AnalystBoston, MA$80,000–$115,000 / yearProduce context models process models specifications diagrams and charts to communicate with customers and guide developers andor the project team develop and conduct peer reviews of business requirements to confirm accurate interpretation of requirements. Together with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it.
Benefits Analyst Rocket SoftwareBenefits AnalystBoston, MARemote$73,000–$90,000 / yearThe analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. The Benefits Analyst supports the administration, and analysis of U.S. and global benefit programs to enhance the employee experience and align with the company’s total rewards philosophy.
Actuarial Analyst CareerscapeActuarial AnalystBoston, MA$72,000–$92,000 / yearFull timeThis role works closely with senior actuaries to analyze policy data, build rating models, and prepare regulatory filings across multiple lines of business. This is a hands-on analytical role with regular exposure to underwriting, finance, and product teams, offering a clear path toward becoming a credentialed actuary.
Advanced Analytics Analyst II Blue Cross and Blue Shield of Massachusetts IncAdvanced Analytics Analyst IIBoston, MA$77,000–$96,030 / yearHowever, 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.
Sr. Underwriting Strategy Analyst - Remote Opportunity GuideOne Insurance CoSr. Underwriting Strategy Analyst - Remote OpportunityBoston, MARemote$81,000–$130,000 / yearGet to Know GuideOne: At GuideOne, we believe that our people are our greatest asset, and we foster a sense of collaboration among our team members so they can learn from and inspire one another to deliver excellence in risk solutions and services to our customers. The Senior Underwriting Strategy Analyst supports the Director of Underwriting Strategy in driving portfolio performance, optimizing underwriting, and advancing strategic initiatives across the underwriting lifecycle.
Clinical Analyst Appeals (Remote) Lahey Hospital and Medical CenterClinical Analyst Appeals (Remote)MARemote$93,142–$124,800 / yearThe 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. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Health Care Research Analyst Commonwealth of MassachusettsHealth Care Research AnalystBoston, MAAbout the Role: The basic purpose of this position is to conduct research in topics relevant to the Health Care Access Bureau's oversight of health insurance utilization, costs and rating, with special emphasis on the small group and individual market health plans; to analyze data and information needed for the oversight of affordable health plans, including coverage for young adults; and to develop information to disseminate to consumers about health insurance coverage and access to affordable health products. '',''Research Analyst I'',''Research Analyst I'',''United States-Massachusetts-Boston - 1 Federal St'',''United States-Massachusetts-Boston - 1 Federal St'',''Administrative Services'',''Administrative Services'',''Division of Insurance'',''Division of Insurance'',''Full-time'',''Full-time'',''Day'',''Day'',''Jun 24, 2026, 12:07:29 PM'',''Jun 24, 2026, 12:07:29 PM'',''1'',''1'',''89,679.72'',''62,782.98'',''89,679.72'',''Yearly'',''Michael
Revenue Cycle Applications Analyst Merrimack HealthRevenue Cycle Applications AnalystLawrence, MAWe 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. Hands-on experience working with EHR/RCM data and transactions, including HL7/charges, claim formats (837/835/271), remittance/ERA, and supporting data used for billing and reimbursement.
Medical Program Auditor/ Analyst UMass Chan Medical SchoolMedical Program Auditor/ AnalystWestborough, MA4-6 years of related experience in the healthcare industry, business, with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience. Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs.
Senior FP&A Analyst Cambridge Mobile TelematicsSenior FP&A AnalystCambridge, MA$97,300–$121,700 / yearOperating within the Corporate Finance function and reporting to the Senior Manager of FP&A, the FP&A analyst is a key member of CMT's Financial Planning & Analysis team, providing financial direction and strategic insight including identification of key value drivers and business KPIs. The person in this role will also be responsible for collaborating with functional leads to define and analyze key operational and financial metrics that contribute to the success of the overarching company level goals, with a focus on influencing business strategy and operational decision making.
Senior Fp&A Analyst Cambridge Mobile TelematicsSenior Fp&A AnalystCambridge, MA$97,300–$121,700 / yearOperating within the Corporate Finance function and reporting to the Senior Manager of FP&A, the FP&A analyst is a key member of CMT's Financial Planning & Analysis team, providing financial direction and strategic insight including identification of key value drivers and business KPIs. The person in this role will also be responsible for collaborating with functional leads to define and analyze key operational and financial metrics that contribute to the success of the overarching company level goals, with a focus on influencing business strategy and operational decision making.
Financial Systems Analyst (Hybrid) Onebeacon Professional Insurance IncFinancial Systems Analyst (Hybrid)Canton, MA$93,000–$108,000 / yearSome of the Financial Systems Analyst responsibilities include, but are not limited to: Assists with chart field maintenance and workflow configuration across ERP systems and modules; performs reconciliations to ensure alignment of values across source systems, ERP platforms, and reporting tools. This position partners with Finance and IT teams to resolve moderately complex issues, recommend process improvements, and support documentation, testing, and small project initiatives that drive system enhancements and effective change management.
Risk Analyst - Catastrophe Modeling (Hybrid) Onebeacon Professional Insurance IncRisk Analyst - Catastrophe Modeling (Hybrid)Boston, MA$90,000–$162,000 / yearSome of the Risk Analyst responsibilities include but are not limited to: Analyzes company insured location exposure data in catastrophe models which simulate extreme natural and man-made events to calculate expected losses at various perspectives and probability intervals. The Risk Analyst collects, manipulates, and analyzes moderately complex exposure data for use in catastrophe modeling and exposure examination to support risk management, underwriting, reinsurance, and actuarial objectives.
Associate Operations Business Analyst - Producer Management (Hybrid) Intact InsuranceAssociate Operations Business Analyst - Producer Management (Hybrid)Canton, MA$75,000–$87,000 / yearAs an Associate Operations Business Analyst, you will utilize your knowledge of systems and processes to provide instructions, second-tier support, knowledge-based systems maintenance, business specification development, and acceptance testing. As a member of this team, you will provide analytical support through the development of reports and workflows, and system support through the administration of Intact's Producer Management system, our in-house application used to manage broker data and compliance.
Financial Systems Analyst (Hybrid) Intact InsuranceFinancial Systems Analyst (Hybrid)Canton, MA$93,000–$108,000 / yearSome of the Financial Systems Analyst responsibilities include, but are not limited to: Assists with chart field maintenance and workflow configuration across ERP systems and modules; performs reconciliations to ensure alignment of values across source systems, ERP platforms, and reporting tools. This position partners with Finance and IT teams to resolve moderately complex issues, recommend process improvements, and support documentation, testing, and small project initiatives that drive system enhancements and effective change management.
Senior Health Data Analyst - Compass Veeva Systems IncSenior Health Data Analyst - CompassBoston, MA$80,000–$125,000 / yearAdditionally, you will define and track key quality metrics via interactive dashboards, contributing to technical documentation and validation reports to ensure our reference data remains accurate, scalable, and seamlessly integrated across all Veeva products. Drive TRL Governance: Maintain and expand the Terminology Reference Library (TRL), managing core reference datasets across prescription and medical claims (including drug information, ICD-10 codes, procedure/lab codes, and payer/plan data).
IS Application Analyst - Epic Resolute Hospital Billing South Shore Health Systems IncIS Application Analyst - Epic Resolute Hospital BillingWeymouth, MARemote$59,609.13–$140,410.66 / yearReporting to the Access & Revenue IS Manager, the successful candidate will develop workflows, system configurations, change documentation, and train staff on Epic Epic Resolute Hospital Billing application functionality. South Shore Hospital, Southeastern Massachusetts''s leading provider of emergency, acute, and outpatient care, is seeking an experienced Epic Resolute Hospital Billing Analyst to join our IS team.
Senior Analyst, Value Based Care Mass General BrighamSenior Analyst, Value Based CareSomerville, MassachusettsJoin Mass General Brigham’s Population Health Services Organization Analytics team and help turn complex healthcare data into insights that improve outcomes, inform strategy, and support value-based care programs. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Temporary Application Analyst Baker Tilly Advisory Group, LPTemporary Application AnalystBoston, MassachusettsBaker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.
LEAD EPIC ANALYST, PROFESSIONAL BILLING Boston Children's HospitalLEAD EPIC ANALYST, PROFESSIONAL BILLINGBoston, MAThe Lead Analyst for the Professional Billing IT team is responsible for the advanced design, building/configuring, testing, and support of the Epic Professional Billing application. Gold Star Implementation: Champion the implementation of Gold Star and Staying Current functionalities to maintain system performance and improve operational efficiency.
Lead Actuarial Analyst, MA Risk Adjustment Strive Health, LLCLead Actuarial Analyst, MA Risk AdjustmentBoston, MA$99,000–$124,000 / yearWe offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials. You will play a critical role in evaluating financial performance, uncovering areas of opportunity, and use your 3+ actuarial exam progress to help translate complex data into actionable strategies.
Government Programs Actuarial Analyst II Mass General BrighamGovernment Programs Actuarial Analyst IISomerville, Massachusetts$63,648–$90,750.40 / yearEssential Functions -Lead monthly reserving process (IBNR and other actuarial accruals) and communication of financial results and variances to the budget to senior leadership.-Support quarterly forecasting of Medicare and D-SNP for Premium Deficiency Reserve calculation, Budget, and Forecast, including analysis of trends, assumptions, and key drivers-Contribute to the development and successful completion of Medicare and D-SNP Bid, including data preparation, pricing support, and documentation-Support regulatory and financial reporting requirements, including annual external audits, DOI audits, and various recurring Medicare and D-SNP filings-Develop and enhance actuarial analyses and reporting, including pricing studies, dashboards, and presentations that provide insights into financial performance, risk factors, and profitability.-Monitor and evaluate emerging risks to financial performance, including claims trends and changes in regulations.-Collaborate with leadership and cross-functional teams to apply actuarial concepts, deliver high-quality work, and ensure accountability to deadlines and commitments.-Perform other duties as assigned with or without accommodation. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.