Claims Data Analyst Salary at Mapfre Life Insurance Co BETA

Overview: About us: Fallon Health is a company that cares. We prioritize our membersalwaysmaking sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nations top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programsincluding Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly) in the region. Learn more a

Duties and Responsibilities: Serve as a resource in facilitating the gathering of business requirements and required test cases for configuration changes Work with key project stakeholders to formulate and communicate business requirements and scope of project Work with project stakeholders to translate their requirements into specifications technical staff can understand and also translate questions that technical staff has into a format the stakeholders can understand Perform all configuration changes within applicable software test environments Responsible for configuration, interface and application testing Develop and execute test cases and documentation to support configuration changes/updates/additions Work with stakeholders to validate test case results Coordinating and documenting for all configuration activity for change control and auditing Responsible for coordination of production turnover of all configuration work upon business owner sign off Serve as subject matter exper

Overview: GENERAL SUMMARY OF POSITION: Under the general direction of the Senior Associate or designee, the Associate II will assist in the development of contracts with state agencies; both in and out of state. The Associate II will assist in the development of TPL program initiatives working to provide programmatic expertise to support Senior Managers in aligning business practices with operational requirements and deliverables. This position will continue to advance and provide functional support to project areas including Premium Assistance quality assurance initiatives, JIRA development and deployment for TPL unit support, operational oversight for the Massachusetts Insurance Connection (MIC) program, development of program and training guides, and presentation of internal and external trainings. The position will collaborate with HCFS Senior Management Teams to provide expertise and support in understanding the complexity of Medicaid programs, Medicaid eligibility, and the alignm

The Worlds Largest Search Engine is Seeking a **People Analyst IV** in **Boston** ! This position works with the care team to develop quality measures, operationalize technical specifications, and create reports and dashboards tailored to the care teams needs. **Role Title** : Practice Clinical Quality Data Analyst **Duration** : 6 months, with possible 6-month extension **Work Location** : Hybrid (Boston, MA) **Work Schedule** : Normal business hours in the time zone they are based in (~9-5) **Pay** : $79.75-$106.48 **Project Overview** : This role supports OMS, LLC and Onduo PC by developing quality reporting and dashboarding to support the care delivery team. **Top 3 Daily Responsibilities** : + Extract data from various sources, including electronic health records (EHRs), claims databases, and other clinical systems, and develop the data pipeline to efficiently use the data for quality metrics. + Utilize statistical software and data visualization tools to analyze clinical quality

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Medicaid Claim Editing Content Management team supports ad hoc project management and MPPS claim editing initiatives, including ClaimsXten and Cotiviti activities for QNXT. Plus claim analytics and coding reviews for the Medicaid health plans. In addition, the team oversees o

Aquent has an EXCITING opportunity for an Experience Designer! This position is 100% Remote. Candidates MUST be able to work Eastern Time Zone Hours. In order to be considered for this role, you must: Be authorized to work in the United States and not require sponsorship of any kind Be able to showcase your work and UX Design process thru individual samples or an online portfolio Project Overview: This role focuses on a healthcare member platform, both website and native app, that enables users to manage their health-related tasks. The platform allows members to: View claims and benefits Order prescriptions (with embedded e-commerce functionality) Locate healthcare providers Estimate healthcare costs User Base: The platform serves a broad range of users, including: Medicare members Commercial members Marketplace users Due to the complex nature of healthcare plans, users have diverse and often varied needs. Key Challenges: Highly Regulated Environment: Navigating a highly regulated spac