Claims Analyst Salary at Pequod Associates Inc BETA

The Boston-based Home Product team is seeking a self-motivated and creative Senior Actuarial Analyst. This is a unique hybrid role where the analyst will work under a credentialed product manager to leverage their analytical skills to help solve practical business problems. Here is what you will do: Utilize core actuarial skillsets including ratemaking, reserving, CAT management and reinsurance while being embedded in the Product team Analyze complex internal and external data to understand drivers of trends and profitability Build predictive models of moderate complexity to improve pricing sophistication and roll out underwriting initiatives Provide support for state filings for rate and other new initiatives, including building and supporting the rate indications Communicate effectively with external regulators in writing and verbally, to support business outcomes Perform business analyses to identify, test, and inform critical business decisions Collaborate with IT, Claims, and Actu

The Business Analytics Co-op will be vital in assisting the Business Analytics team with harnessing data to optimize business results. The co-op will perform analysis of claims, underwriting and financial data and take part in projects that provide intelligence to all business functions. The role will help to identify and fix data quality issues. This role provides the opportunity to learn advanced analytics skills, data quality assurance, and project management skills. Essential Duties & Responsibilities Respond to requests for data to assist the Coverys enterprise in its mission to grow the business and improve decision-making through actionable business intelligence. Work in project management role for projects with members from Business Analytics and other departments and offices. Manage Claims Analysis requests. Understand, query and analyze claims data, create slides for presentation of data, review and validate work and respond to questions on the data. Partner with Analysts to

This IT Epic Analyst II - Professional Billing and Claims will be responsible for: * Serves as a team resource in (Professional Billing) with a deepening knowledge of assigned operations, the related Epic application and relationships with other Epic products. Begins to specialize in a particular area of a broad process (e.g., an area of the revenue cycle, inpatient, ambulatory). Work typically requires an understanding of context and relationships between operations and Epic related systems in addition to understanding the basis for current configurations (i.e., historical decisions) in order to resolve moderately complex problems. Solutions typically involve changes to data, rules, and templates and often have large downstream implications. * Engages end-users in operations to understand business needs (process, data and/or reporting) and the context for the current state. Clarifies and finalizes the scope of the request with the end-user/client. Conducts technology and operations an

Job Posting Description Boston Children's Hospital's recently completed a major enterprise EHR system initiative (Project Mosaic) that will further strengthen the care we provide patients and families. Project Mosaic was a 18-month implementation of a new unified EHR platform consolidating two systems into Epic. This is the first of several initiatives including integration with affiliated organizations and early and frequent adoption of technology. The IT Epic Manager for Professional Billing will lead an established team through project stabilization and manage a hybrid remote team as a highly engaged work unit. The ideal candidate has experience with remote workforces, meeting goals, managing multiple priorities, delegation of duties, and building personal and team accountability. They will create a high level of trust with customers and within the team by holding ourselves and others to the highest values of respect, inclusivity and diversity, teamwork, and kindness. *** This posit

Mass General Brigham is seeking a Registered Nurse (RN) Case Management for a nursing job in Boston, Massachusetts. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing 40 hours per week Shift: 8 hours Employment Type: Staff At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. When determining base pay, we take a comprehensive approach that considers your skills, relevant experience, education, certifications, and other critical factors. The pay information provided offers an estimate based on the minimum job qualifications, but it does not encompass all the elements that contribute to your total compensation package. QUALIFICATIONS Qualifications - Graduate of an approved school of nursing with current registration in Massachusetts. Bachelor of Science Degree in Nursing is required for newly licensed nurses and external candidates. - 1+ years of acute care experience require

Job Description Job Description Location: Remote Employee Type: Exempt Required Degree: 4 Year Degree Manage Others: No Minimum Experience: 5 Years Full Description: The Application Analyst IV position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC) to implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by CTC in conducting daily operations under the direction of the Director of Clinical Applications. Responsibilities: Maintain current clinical, financial, and administrative applications, implementing new clinical, financial, and administrative Epic applications Assist in the assessment of workflow processes and assisting in process re-engineering to achieve efficiencies in departmental operations Assist users in developing reports and analyses, troubleshooting, and resolution of application issues Work with the IT Education staff to assist in train

Job Description Job Description Location: Remote Employee Type: Exempt Required Degree: 4 Year Degree Manage Others: No Minimum Experience: 5 Years Full Description: The Professional Billing Application Analyst III position will be housed under a new subsidiary organization of C3, Community Technology Cooperative, LLC (CTC). To implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by CTC in conducting daily operations under the direction of the Director of Applications. Responsibilities: Maintaining current clinical, financial, and administrative applications, implementing new clinical, financial, and administrative applications Assisting in the assessment of workflow processes and assisting in process re-engineering to achieve efficiencies in departmental operations Assisting users in developing reports and analyses, troubleshooting, and resolution of application issues Working with the IT Education

Interview : Video Visa : USC, GC, GC EAD, H4, L2 Description : A leading P&C insurance provider needs a skilled and experienced Business Analyst to establish and maintain standards for systems analysis, requirements gathering, and vendor management, analyze new business system development, and improve existing business processes. This is a hybrid opportunity; qualified applicants must reside within reasonable commuting distance of Boston and be willing and able to work onsite 4 days per week. Responsibilities of the Senior Business Analyst: Perform workflow analysis, create workflow diagrams, and suggest improvements to processes Establish and maintain methods and standards for broad range of operational and enterprise applications Understand current state and desired future state of various systems Perform and prepare impact analysis documentation Be involved in all aspects of the project lifecycle Requirements of the Senior Business Analyst: Bachelor's degree in computer science, bus