Analyst, Claims - Revere, MA

The Claims Analyst under the direction of the Manager of PACE Claims is responsible for overall claims adjudication insurance validation process.This includes auditing adjudicated claims ensuring payments made in accordance with their contracts analyzing claims data for trends re ...

We are seeking multiple Claims Business Analysts with strong healthcare data expertise to support analysis integration and validation of claims and wellness data.In this role you will work closely with carriers vendors and internal technical teams to define requirements support d ...

We are seeking multiple Claims Business Analysts with strong healthcare data expertise to support the analysis, integration and validation of claims and wellness data. · Analyze medical dental pharmacy vision and wellbeing claims data to identify trends discrepancies and processi ...

Job summary · Process pending unclaimed property claims that are received by the Division. · ...

The Office of the Massachusetts State Treasurer and Receiver General is seeking a Claims Analyst I to process pending unclaimed property claims. · The successful candidate will provide independent initial approval for all valid claims in a timely fashion, research the status of p ...

We are seeking a Technical Business Analyst with Claims experience to interface with Client Business Users and team members, develop Business and Functional requirements. · ...

This role involves extracting knowledge and insights from data to investigate business/operational problems using various techniques. Key responsibilities include collecting and analyzing Medicare Advantage claims data to ensure timeliness accuracy compliance; reviewing tracking ...

Responsible for extracting knowledge and insights from data in order to investigate business/operational problems through a range of data preparation, modeling, analysis, and/or visualization techniques. · This role is responsible for collecting monitoring and analyzing Medicare ...

Join our IT team as a Healthcare Claims Analyst and bridge clinical concepts with technical expertise to deliver accurate demographic eligibility and claims data for vulnerable populations. ...

The Claims and Credentialing Analyst will be a pivotal role in analyzing and coordinating all activities of the Provider Data team by evaluating and refining processes,,conducting comprehensive data analysis,,and ensuring compliance with all applicable State,CMS(contractual guide ...

We're looking for a Healthcare Claims Analytics Analyst to join our IT team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. · Data collection and preprocessing of complex healthcare datasets. · Analyze incoming data from hea ...

+The Professional Billing Claims Analyst III position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC). To implement, maintain support and maximize the use of clinical financial and administrative portions of the software applicati ...

The Professional Billing Claims Analyst III position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC). To implement, maintain, · support, · and maximize the use of clinical, · financial, · and administrative portions of the softwar ...

Epic PB/PB Claims Install Analyst residing on the Epic Install Billing Teams. · 5–15 years of Epic PB build or PB Claims experience · Certifications Required: Epic Resolute Professional Billing Administration and Epic Resolute Claims · ...

We are looking for a Healthcare Claims Analytics Analyst to join our IT team.Bridge clinical concepts with technical expertise to transform complex datasets into actionable insights. · Data collection, preprocessing and exploratory analysis of healthcare dataAnalyze incoming data ...

This position manages complex claims with special emphasis on high dollar and litigated claims. Ensures compliance with state laws and company policies along with mentoring assigned Analysts regarding basic claims standards and department policies. · Provides professional, techni ...

This role focuses on the design, development and implementation of IT solutions to meet organizational needs through new and existing applications. · Designs, develops, implements and updates internal IT applications in accordance with specifications and business needs. · Designs ...

This role focuses on the design, development and implementation of information technology (IT) solutions in order to meet the organization's needs through new and existing applications, systems architecture, network systems and applications infrastructure and the management of th ...

Responsible for overseeing a team of claims reviewers to ensure accurate and timely healthcare claims processing. · Supervise and manage a team of claims reviewers to ensure accurate and timely healthcare claims processing. · Oversee claims review and analysis to ensure complianc ...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · This position is responsible for leading, coordinating, and supporting the implementation and support of the BILH Electronic Health Record (EHR). · ...