Medical Claims Jobs in Boston
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Search Results - Medical Claims Jobs in Boston
UnitedHealth Group-Boston
years of Python, SQL or R experience; experience with Snowflake or Databricks
• 2+ years of CMS Payment Model Implementations
• 2+ years of working with medical claims and enrollment data in large data warehouses (e.g., Integrated Data Repository...
Contact Government Services, LLC-Boston
Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages...
SCAN Health Plan-Boston
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
CVS Health-Boston
Overview
As a Certified Coding Analyst, you will perform medical claim reviews to identify waste and errors and ensure CPT/HCPCS, ICD-10, and modifiers are applied correctly. You will audit medical records, discuss cases with Medical Directors...
CVS Health-Boston
Overview
As a Certified Coding Analyst at CVS Health, you ensure medical claim coding accuracy and compliance across CPT/HCPCS, ICD-10, and modifiers. You audit medical records for waste and error, and discuss complex cases with Medical Directors...
Sedgwick-Boston
Overview
In this role you perform clinical evaluations on disability claims, guiding medical review and ensuring documentation supports claim decisions. You act as a clinical resource to claims examiners and collaborate with providers to validate...
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