Medical Claims Jobs in Massachusetts
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Search Results - Medical Claims Jobs in Massachusetts
UnitedHealth Group-Springfield (MA)-
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...
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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...
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SCAN Health Plan-Pittsfield (MA)-
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...
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Community Care Cooperative-Boston-
to understand, analyze, document, and explain business processes and the data that underlie themExperience working with Electronic Health Records, medical claims, and other health care dataFlexible and adaptable to change in a fast-paced environmentDemonstrated...
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UnitedHealth Group-Boston-appcast.io-
on a global scale. Join us to start Caring. Connecting. Growing together.
Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role...
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Alkermes-Waltham (MA)-
with a proven track record in successfully achieving goalsProactive communication styleDirect experience working with medical claims, EMR, -omics, patent, and other life-science oriented data modalities is a plusExcellent verbal and written communication skills...
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Sedgwick-Worcester-
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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Community Care Cooperative-Boston-
that underly themExperience working with Electronic Health Records, medical claims, and other health care dataDemonstrate competent and effective job performance skills as evidenced by the volume, skill, and technical knowledge of work performed, neatness...
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Community Care Cooperative-Boston-
basis with other IT analystsOther duties as assignedRequired Skills:Ability to understand, analyze, document, and explain business processes and the data that underly themExperience working with Electronic Health Records, medical claims, and other...
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Community Care Cooperative-Boston-
as assignedRequired Skills:Ability to understand, analyze, document, and explain business processes and the data that underly themExperience working with Electronic Health Records, medical claims, and other health care dataDemonstrate competent and effective job...
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