Medical Claims Jobs in Worcester
Search jobs in
1 - 10 of 10
Search Results - Medical Claims Jobs in Worcester
UnitedHealth Group-Worcester
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...
Read more
CVS Health-Boston, 41 mi from Worcester
medical claim reviews for waste and error, ensuring coding accuracy and compliance with CPT/HCPCS, ICD-10, and modifiers. You will audit medical records, discuss cases with Medical Directors, and support provider education across a CVS Health network.The...
Read more
SCAN Health Plan-Worcester
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...
Read more
Community Care Cooperative-Boston, 41 mi from Worcester
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...
Read more
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...
Read more
Alkermes-Waltham (MA), 32 mi from Worcester
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...
Read more
UnitedHealth Group-Boston, 41 mi from Worcester
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...
Read more
appcast.io -
Community Care Cooperative-Boston, 41 mi from Worcester
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...
Read more
Community Care Cooperative-Boston, 41 mi from Worcester
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...
Read more
Community Care Cooperative-Boston, 41 mi from Worcester
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...
Read more
Companies now hiring in Worcester:
Medical Claims jobs in Worcester – Similar offers:
Medical Claims jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Medical Claims, Worcester
It's free, and you can cancel email updates at any time