financial claims examiner ii Jobs in boston, ma

1 - 20 of 233 Jobs

Epic Professional Billing Claims Analyst IIIJob Title - Epic Professional Billing Claims Analyst III

Community Care Cooperative (C3)Company Name - Community Care Cooperative (C3)

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Boston, Massachusetts, USA

Full-time

Title: Epic Professional Billing Claims Analyst Reports to: Manager of Professional Billing and Claims Classification: Individual Contributor Location: Boston (Hybrid) Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization fou

Enterprise Architect - P&C @ Boston, MA (hybrid); candidate should be either local or relocate from day-1Job Title - Enterprise Architect - P&C @ Boston, MA (hybrid); candidate should be either local or relocate from day-1

Vbeyond CorporationCompany Name - Vbeyond Corporation

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Boston, Massachusetts, USA

Full-time

Enterprise Architect - P&C Boston, MA (hybrid); candidate should be either local or relocate from day-1 Full Time Requirements: Education: Bachelor's degree in computer science, Engineering, or a related field. Advanced degrees (e.g., MBA, MSc) are a plus. Experience: 15+ years in technology and architecture roles, with at least 5 years in a senior leadership position. Proven experience in designing and implementing enterprise-scale systems and Insurance PAS or Claims systems Strong backgrou

Epic Resolute PB Claims AnalystJob Title - Epic Resolute PB Claims Analyst

Talent GroupsCompany Name - Talent Groups

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Remote

Full-time

Position: Epic Resolute PB Claims Analyst Location: Remote Job Type: Direct Hire Job Description:The Professional Billing Claims Analyst position will be housed under a subsidiary organization. To implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by client in conducting daily operations under the direction of the Manager of Professional Billing and Claims.Responsibilities: Maintaining current clinical, f

Guidewire UAT- Orange County CA but 100% remoteJob Title - Guidewire UAT- Orange County CA but 100% remote

Tech RakersCompany Name - Tech Rakers

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Remote

Third Party, Contract

Job Title: Guidewire UAT Location: Orange County CA but 100% remote Duration: 18 months (Extensions) Top Skills' Details Bachelor s degree in Accounting/Finance preferred or relevant technical field. Progressive and relevant systems/applications, and/or accounting experience. At least 2 years of prior accounting systems testing experience. Prior insurance accounting or similar field is a plus. Prior experience with Guidewire or Tableau is a plus. Detail-oriented and appreciation for work accurac

Application Analyst Epic Resolute Professional Billing, Claims & RemittanceJob Title - Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.Company Name - Tranzeal, Inc.

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Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan

Technical Business Analyst (Claims/HRP)- W2Job Title - Technical Business Analyst (Claims/HRP)- W2

PamTen IncCompany Name - PamTen Inc

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Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re

Data Analyst - Cloud (Remote)Job Title - Data Analyst - Cloud (Remote)

S2TechCompany Name - S2Tech

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Remote

Full-time

Data Analyst - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputatio

Senior Data AnalystJob Title - Senior Data Analyst

PARAKEET WORLD SOLUTIONS LLCCompany Name - PARAKEET WORLD SOLUTIONS LLC

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Remote

Full-time

Job Title : Senior Data Analyst Location: Fort Worth, TX (100% Onsite)Type: Full-Time (W2 only)Duration: 5 Months This is a FTE req from an existing client, which is in software consulting company. They would hire the candidate on their payroll to work on the clients We are seeking an experienced Senior Data Analyst to join our client s Enterprise Data team. The ideal candidate will have 8+ years of hands-on experience, with a deep understanding of the P&C insurance domain, strong data modellin

Finance Manager (Remote in US)Job Title - Finance Manager (Remote in US)

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Remote or Columbus, Ohio, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a dynamic Finance Manager to serve as a financial leader in building and implementing a high-performing financia

Product Owner - Policy Administration Platform, WorksiteJob Title - Product Owner - Policy Administration Platform, Worksite

MassMutualCompany Name - MassMutual

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Boston, Massachusetts, USA

Full-time

Product Owner, Business Process Strategy, Full-Time/Hybrid, Boston, New York, Springfield The Opportunity As a Product Owner on our Worksite Team, you'll be responsible for executing against and helping to shape the product roadmap for a group benefits policy administration platform supporting an ongoing portfolio of voluntary benefit products. You will be expected to navigate multiple concurrent projects from a high level and able to also quickly dive into the weeds with teams as needed to ad

Data Analyst - Corporate Technology Data Engineering & AnalyticsJob Title - Data Analyst - Corporate Technology Data Engineering & Analytics

Mass Mutual Financial GroupCompany Name - Mass Mutual Financial Group

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Remote or Boston, Massachusetts, USA

Full-time

The Opportunity Join our dynamic team as a Data Analyst - Corporate Technology Data Engineering & Analytics, where you'll play a pivotal role in driving the execution of our data strategy. This role is crucial in driving digital transformation and operational efficiency across financial systems that support Actuarial, FP&A, Reinsurance, Treasury, Accounting and Tax functions and requires a balance of technical expertise, business acumen, and leadership capabilities. You will work cross-function

Staff Engineering Specialist - Emerging Hazards and TechnologiesJob Title - Staff Engineering Specialist - Emerging Hazards and Technologies

FMCompany Name - FM

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Norfolk, Massachusetts, USA

Full-time

FM is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk management skills and support services; tailored risk transfer capabilities; and superior financial strength. To do so, we rely on a dynamic, culturally

Associate Director, DUPIXENT Payer Analytics and Insights Lead - USJob Title - Associate Director, DUPIXENT Payer Analytics and Insights Lead - US

SanofiCompany Name - Sanofi

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Cambridge, Massachusetts, USA

Full-time

Job Title: Associate Director, DUPIXENT Payer Analytics and Insights Lead - US Location: Cambridge, MA About the Job Associate Director, Dupixent Payer Analytics and Insights Lead will be a key contributor to Sanofi's growing flagship brand Dupixent. This position will be responsible for supporting the establishment of an integrated DUPIXENT payer analytics strategy, platform, and process to support macro and account-level new indication launch strategy planning, performance assessment, pull

Data Science EngineerJob Title - Data Science Engineer

Takeda pharmaceuticalCompany Name - Takeda pharmaceutical

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Lexington, Massachusetts, USA

Full-time

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use. I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description Pursuant to Section 20 C.F.R. 656.10, you are hereby notified that an application for Alien Employment Certification will be filed by

Senior Network Pricing Analyst - Hybrid in Las Vegas, NVJob Title - Senior Network Pricing Analyst - Hybrid in Las Vegas, NV

UnitedHealth GroupCompany Name - UnitedHealth Group

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Remote or Las Vegas, Nevada, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Why work for the leading organization in health care to help improve the lives of millions? You'll fin

PBM Strategy and Implementation ConsultantJob Title - PBM Strategy and Implementation Consultant

TalTeamCompany Name - TalTeam

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Remote

Contract

This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and PBM transition, including managing execution activities, aligning stakeholders, contract management, vendor relationship management, and driving business readiness. Project Leadership & Accountability Manage business execution team, ensuring alignment of team efforts with goals, o

Senior Analyst, Medical Economics - REMOTEJob Title - Senior Analyst, Medical Economics - REMOTE

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Caldwell, Idaho, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to