Claims Analyst Jobs in Boston, MA

Lead the charge in conducting medical record reviews and applying clinical judgment to ensure accurate claim payment decisions while supporting fraud investigations and compliance efforts...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Manage complex surety claims while providing legal support to underwriting and business leadership. Leverage strong claims experience and legal judgment to drive optimal outcomes in a fast-paced remot...

Unlock the potential of implementation science as a Senior Program Analyst, driving quality improvement and program evaluation initiatives. Manage processes, databases, and reporting to enhance projec...

Elevate your career by leading a dynamic team in commercial transportation claims. Drive operational effectiveness through technology and analytics while balancing management and hands-on responsibili...

Lead the charge in shaping actuarial strategies for Health Solutions, driving profitable growth through innovative insights and operational excellence while mentoring a high-performing team in a hybri...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Empower quality assurance by overseeing clinical audits, ensuring accuracy and consistency. Collaborate with auditors to enhance performance, mentor teams, and drive process improvements in a remote e...

Unlock potential by leading strategic government programs, managing P&L, and driving operational excellence. Oversee contract delivery, mentor staff, and foster client relationships to ensure growth a...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Unlock your potential by leading business and functional requirements for Medicaid financial management. Collaborate with diverse teams to enhance payment operations and ensure compliance while drivin...

Join a team that's transforming healthcare through data-driven insights. As a Senior Medical Economics Analyst, you'll lead analytics initiatives, mentor a team, and collaborate with leaders to enhanc...

Empower your career by coordinating Epic optimization initiatives, managing requests, and facilitating collaboration across teams. Drive project success through effective communication and oversight...

Serve as the primary client liaison, driving satisfaction and retention while fostering partnerships and implementing effective client strategies for healthcare products. Collaborate cross-functionall...

Join a team that's dedicated to resolving complex property claims through investigation, negotiation, and technology. You'll manage a diverse caseload while ensuring compliance and providing empatheti...

Join a team that's dedicated to enhancing healthcare through precise coding. Leverage your expertise in outpatient coding and medical terminology while enjoying a fully remote role with flexible hours...

Unlock potential by leveraging your claims expertise to analyze and resolve complex workers' compensation claims, ensuring timely adjudication and exceptional client service in a dynamic, supportive e...

Champion the management of complex liability claims, ensuring thorough investigations, negotiations, and settlements. Collaborate with internal and external stakeholders to maintain high standards of...

Drive analytical excellence by auditing freight contracts and invoices, ensuring compliance and accuracy. Collaborate with teams to enhance audit processes and mentor junior analysts, contributing to...

Advance our business strategy by leading the analysis and implementation of technology solutions. Collaborate with vendors and stakeholders to streamline processes, derive insights, and drive efficien...

Transform your career by leading claims advocacy efforts, managing complex coverage issues, and providing expert guidance to brokers and clients. Collaborate with teams to ensure positive outcomes and...

Transform client operations by delivering innovative business systems solutions. Collaborate with stakeholders to integrate technology and processes, ensuring timely service and continuous improvement...

Drive the contract-to-cash process by ensuring accurate contract execution, timely invoicing, and compliance with revenue recognition standards while collaborating across teams to maintain financial i...

Analyze clinical claims to ensure accurate coding, adherence to guidelines, and document findings in a fast-paced environment. Collaborate with stakeholders to resolve claims, maintain compliance, and...

Drive excellence in Federal Workers Compensation claims by leading a dedicated team, implementing best practices, and fostering a culture of professional growth to achieve operational goals and enhanc...