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Epic Systems Analyst Iii
1 week ago
Atrius Health Newton, United States**Epic Systems Analyst III - Cadence Scheduling** · **SUMMARY**Position will focus on Cadence, Referrals with MyChart patient portal experience a plus. · **GENERAL DUTIES AND **RESPONSIBILITIES** · - (Describe _all_ the responsibilities of the job here, including the essential fu ...
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IAM Security Systems Analyst
17 hours ago
Bright Horizons Children's Centers Newton, United StatesThe IAM Information Security Analyst is responsible for the access administration and access management for Bright Horizons' Infrastructure and Applications. This person will conduct assessments and identify information security risks to the enterprise associated with employees w ...
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IAM Security Systems Analyst
1 day ago
Bright Horizons Newton, United StatesThe IAM Information Security Analyst is responsible for the access administration and access management for Bright Horizons' Infrastructure and Applications. This person will conduct assessments and identify information security risks to the enterprise associated with employees w ...
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Revenue Operations
3 weeks ago
TechTarget Newton, United States**Revenue Operations & AR Analyst** · **TechTarget (Nasdaq: TTGT)** is the global leader in purchase intent-driven marketing and sales services that deliver business impact for enterprise technology companies. With high-quality editorial content across more than 150 highly target ...
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Board Certified Behavior Analyst
1 week ago
Key Autism Services Newton, United States**Full Time In-Home Opportunities in the West Boston Region (25 billables/wk).** · **$80,000- $85,000 plus bonus potential** · **BCBA Full-Time Offers**: · - Competitive salary, commensurate with experience and education · - Excellent Health insurance, flexible Dental, and Vision ...
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Campaign Solutions Associate
4 days ago
TechTarget Newton, United States**Campaign Solutions Associate** · **TechTarget (Nasdaq: TTGT)** is the global leader in purchase intent-driven marketing and sales services that deliver business impact for enterprise technology companies. With high-quality editorial content across more than 150 highly targeted ...
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Accounts Recievable Analyst
3 weeks ago
Creative Financial Staffing Newton, United StatesCreative Financial Staffing has partnered with a rapidly growing company that was founded in Boston in 2010. They are seeking a Accounts Receivable Analyst to join their growing team. · Highlights of the Accounts Receivable Analyst Opportunity: · Cell phone, health & wellness, ...
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Analyst
3 weeks ago
Caliper Newton, United StatesNow is the time to join · Caliper .If you thrive on being challenged and using your expertise toimagine, innovate and explore, then Caliper Corporation in · Newton · MA · , is the place for you Here, the best and brightestexperts in · transportation planning , · traffic sim ...
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Entry-Level Research Data Analyst
3 weeks ago
PSMJ Resources, Inc. Newton, United StatesJob Summary: · For nearly 50 years, PSMJ Resources, Inc. has been recognized as the leading publishing, executive education, and advisory group devoted completely to improving the business performance of architecture, engineering, and construction (A/E/C) organizations worldwide. ...
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Budget Analyst
2 weeks ago
Boston College Newton, United States**Boston College Introduction** · Founded in 1863, Boston College is a Jesuit, Catholic university located six miles from downtown Boston with an enrollment of 9,484 full-time undergraduates and 5,250 graduate and professional students. · Ranked 35 among national universities, ...
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Assistant Electrical Engineer- Power
6 days ago
Burns & McDonnell Newton, United States**Description** · The Assistant Electrical Engineer (or Power & Utilities Analyst) will assist our clients by helping execute a variety of engineering and power system studies, to bring together the technical and economic knowledge needed to develop strategic roadmaps. Our goal ...
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Assistant Electrical Engineer- Power
1 week ago
Burns & McDonnell Newton, United States**Description** · The Assistant Electrical Engineer (or Power & Utilities Analyst) will assist our clients by helping execute a variety of engineering and power system studies, to bring together the technical and economic knowledge needed to develop strategic roadmaps. Our goal ...
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Senior Commissions Analyst
3 weeks ago
Larrastaff Newton, United StatesThe Commissions Analyst is responsible for calculating, analyzing and reporting variable sales compensation for our sales and sales adjacent teams. The Commissions Analyst supports the Sales, Finance, and Accounting teams in structuring, delivering and analyzing all compensation ...
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Analyst - Life Sciences / Healthcare
3 weeks ago
Graticule, Inc. Newton, United StatesWe are looking for an experienced Business Analyst to join our team and help us to design, manage, and deliver our Real-World Data client projects. · In this role, the Business Analyst will be responsible for supporting projects by engaging with client stakeholders, documenting ...
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Payroll Analyst
3 weeks ago
Bright Horizons Newton, United States**What you will be doing:** · The purpose of the Payroll Analyst is to assist management with all processes with payroll tax, tax deposits, payroll tax returns, tax compliance and W-2 reporting. In addition the Payroll Analyst manages all aspects of audit reporting, compliance, ...
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Lead Quality Engineer
1 week ago
Bright Horizons Newton, United StatesBright Horizons is a leading education and care company, trusted by families and employers around the world for high-quality child care and early education, back-up care, and workplace education. We partner with some of the world's best companies to provide services that help emp ...
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Financial Analyst
5 days ago
Spindrift Newton, United StatesThe Financial Analyst will be a pivotal member of the Financial Planning & Analysis team; providing analytical support to drive action and superior business performance in a fast-paced role. This role will primarily operate in a business analyst function helping understand the dr ...
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InfoSec Analyst
3 weeks ago
Bright Horizons Children's Centers Newton, United StatesWhat you will be doing: · Information Security Systems Analyst is responsible for the security aspects of design, construction, test, and implementation for Infrastructure, support, and application development projects. The candidate will conduct assessments and identify informa ...
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InfoSec Analyst
2 weeks ago
Bright Horizons Newton, United StatesWhat you will be doing: · Information Security Systems Analyst is responsible for the security aspects of design, construction, test, and implementation for Infrastructure, support, and application development projects. The candidate will conduct assessments and identify informat ...
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Analyst
1 week ago
Caliper Newton, United StatesNow is the time to join · Caliper .If you thrive on being challenged and using your expertise toimagine, innovate and explore, then Caliper Corporation in · Newton · MA · , is the place for you Here, the best and brightestexperts in · transportation planning , · traffic sim ...
Business System Analyst - Newton, United States - NAM Info Inc
Description
Job Description
Perform analysis of medical payment rates and fee schedules.
Ensure fee schedules are loaded according to the provider contract, including audit of implemented.
Contracts.
Responsible for the identification, correction, and root cause analysis of fee schedule load and reimbursement problems.
Act as a subject matter expert on all reimbursement related questions, ensure the impact on fee schedules and reimbursement methodologies are implemented appropriately.
Serves as subject matter expert with all contract implementation for fee schedule, rate reimbursement matters, and payment methodologies.
Analyzes negotiated contracts to ensure that interaction with the core systems is aligned with negotiated intent.
Participate in rate testing with all impacted teams within the Plan.
Minimum Qualifications
Bachelor's degree in business, Finance, Economics, Information Systems or equivalent required.
Minimum 5 years of relevant experience, preferably in a health care environment.
Strong familiarity with health plan claims/provider billing systems and interdependent applications
Experience in data and auditing functions
Experience in developing and improving business process.
Knowledge of CMS, State Medicaid, and third-party fee schedules, as well as industry wide payment methodologies, and claims edit policies.
Excellent understanding of contracts, especially in a provider and payer relationship.
Ability to multi-task and perform in a fast-paced environment.
Ability to translate business process requirements into a production environment.
Proficiency in computer applications skills including Excel, Word, PowerBI, PowerPoint etc.
Knowledge of SQL/SAS, required.