Clinical Appeals Analyst — Impactful Denials & Compliance
Beth-Israel-Lahey-Health
Beth Israel Lahey Health is looking for a Clinical Analyst in Boston, MA, to join their team focused on managing clinical appeals and audits. This position includes oversight of compliance with billing and documentation laws and educating staff on best practices. Qualified candidates should have an associate degree, at least two years in auditing, and a keen understanding of coding systems like ICD-10 and CPT. A supportive, collaborative environment awaits those eager to make a difference in patient care. #J-18808-Ljbffr Beth-Israel-Lahey-Health
$93.14k - $124.8k
Beth Israel Lahey Health is seeking a Clinical Analyst in Boston to manage clinical appeals for services. This role involves overseeing compliance with coding, billing, and documentation... .... The Clinical Analyst will analyze denial trends, conduct audits, and offer recommendations...Suggested- ...Job Title: Business Analyst - Clinical Platform Location: Remote Type: Contract -4-6 months... ..., MA. We specialize in delivering impactful digital solutions, from custom software... ...solutions that align with healthcare compliance and patient care goals. Key Responsibilities...SuggestedContract workRemote work
$79.56k - $115.72k
...experts, researchers, and systems analysts to advance our mission. As a... ...advanced second level clinical documentation reviews for inpatient... ...of risk-adjusted reporting impacting the O/E for multiple MGB... ...commitment to accuracy and compliance Excellent written and...SuggestedRemote workShift work- ...The Business Analyst, Pricing and Underwriting ,... ...Underwriting, Finance, Clinical, and Account Management... ...custom reports, assess the impact of client-driven... ...: Managing pricing appeals, coordinating with Maxor... ...to meet audit and compliance requirements. Execute...SuggestedFull timeTemporary workWork at officeRemote workWork from home
- Work closely with Clinical, Medical Affairs, and Regulatory affairs groups to understand... ...communicate status and outcomes. Ensure compliance with industry processes and regulations.... ...of 5 years of experience as a business analyst or similar type role in Pharmaceutical Industry...Suggested
- Newfire Global Partners is looking for a Clinical Data Analyst in Boston, MA to drive clinical data insights and support product development. In this role, you will develop dashboards, define clinical KPIs, and collaborate across teams to ensure clinical data integrity....Remote job
- ...operations, and ensure regulatory compliance. Role Summary We are seeking... ...experienced Epic Integration Analyst with deep expertise in Epic... ..., and data exchange across clinical, financial, and operational Epic... ...(claims, remittance, denial management) and Epic Cheers CRM...
- ...center partners. Job Summary: The Analyst I, Ambulatory Clinical position will be housed under a... ...areas, and representatives from other impacted areas, to analyze computer system... ...systems support preferred ** In compliance with Control practices per Mass.gov...Flexible hours
$51k - $78k
RPMGlobal is seeking an HCI Analyst in Boston to support affordable housing programs through project analysis, reporting, and compliance review. The analyst will engage in reviewing subsidy requests and household eligibility, alongside compliance for monitoring and project...- MassMutual is seeking an Investment Operations Analyst based in Boston to support a range of alternative investment offerings. The role involves resolving client onboarding issues, conducting compliance reviews, and participating in various projects. The ideal candidate...
$185k
...now looking for a Senior Healthcare Data Analyst to help customers unlock the full value of... ..., trust, and operationalize complex clinical and claims data at scale. What's on... ...interpreted and trusted at scale High-impact role within a mission-driven healthcare technology...Remote work- ...organization, the Manager, Strategic Pharmacy Analyst (SPA), will manage a team of diverse and... ...of excel for all reporting, new product impacts on pharmacy utilization, and developing... ...for our comprehensive financial and clinical modeling. In coordination with small...Contract workTemporary workLocal areaRemote work
$90k - $120k
...$120,000.00/yr As a Business Analyst - Healthcare, you will play a... ...solution we deliver aligns with compliance standards, improves... ...where the work you do directly impacts the accessibility, affordability... ...across technical, business, and clinical stakeholders, ensuring every...Full timeRemote workFlexible hours$39.5 - $53 per hour
Cooley LLP is seeking a Conflicts Analyst to join its Business Intake and Conflicts Team in Boston, MA. This position involves analyzing... ...conflict requests, conducting legal research, and ensuring compliance with ethical standards. The ideal candidate will have over 2...$118.65k - $143.78k
...provide post-go-live support. Partner with QA/Validation to support compliance (e.g., 21 CFR Part 11, GxP/CLIA). Coordinate with Research/IT/... ..., Bioengineering) or related field. 3+ years as Business Analyst/Product BA in life-sciences R&D. 3+ years configuring/...Flexible hours- ...Citizen or GC Permanent Resident) General Summary The Clinical Business System Analyst is responsible for business process analysis and the... ..., functions and stakeholders in better understanding the impact of data quality and data integrity to their processes....Permanent employmentContract workWork at officeVisa sponsorship
$95k - $245k
...Senior Supply Chain Business Analyst is the liaison between the technical... .... Union ranges will be in compliance with the collective... ...renowned R&D innovation company appeals to you, apply now .Draper is... ...value of inclusivity and its impact on a high-performance culture...Full timeLocal area- Tufts Medicine is seeking a skilled data analyst with a Master’s degree and 3+ years of experience in healthcare data... ...to improving health by bridging research and clinical practice. Your work will directly impact data infrastructures that enhance patient care and discovery...
$74.5k - $89.3k
A leading cancer research institute in Boston is seeking an enthusiastic Business Analyst to support the information system needs of the research community. The role involves managing data requests, collaborating with study teams, and providing customer support. Candidates...- Overview The Patient Safety and Clinical Risk Specialist will champion the organization-wide patient safety program. This role directs... ...results for internal and external customers. It also supports compliance with patient safety-related regulatory standards and delivers...Work experience placementLocal areaMonday to Friday
- Job Description Summary The Patient Safety and Clinical Risk Specialist will champion the organization-wide patient safety program. This... ...include quality, safety, process improvements and regulatory compliance. Job Description ESSENTIAL FUNCTIONS 1 - Use clinical...Work experience placementLocal area
- ...Health Consulting Analyst Mercer's 2,500+ US Health consultants deliver disciplined,... ...analytics, financial management, marketing, compliance and communication. Our client focus,... ...for me? Be challenged to deliver impactful solutions for major organizations and have...Permanent employmentWork at officeFlexible hours
$95k - $151k
...Horizons is seeking a dynamic Senior HRIS Analyst to join our team and play a key role in... ..., pay rule execution, accrual plans, compliance with labor regulations, and seamless integration... ...coordinate the functional and technical impacts of UKG configuration decisions to...Full timeTemporary workLocal areaRemote workWork from homeWork visa- ...Teradata, organizations can provide agents with full context for impact when it matters. Our solution lets businesses connect and... ...delivers real business value with AI. What You'll Do As a Compliance Analyst, you will play an important role in supporting Teradata's...Permanent employmentRemote workFlexible hours
- ...Senior IT Epic Analyst - Ambulatory Clinical Applications Serves as a senior Epic analyst within the Ambulatory Clinical Applications team, with a significant focus on Epic Willow Ambulatory and Inventory, while also supporting EpicCare Ambulatory and related ambulatory...Flexible hours
- ...Impact Investing Mandate The Impact Investing mandate is focused on generating meaningful social impact in three key areas: boosting social mobility, expanding access to essential services, and enhancing resiliency, revitalization, and adaptation. LMI has earmarked...Work experience placement
$95k - $105k
...the organization’s Artificial Intelligence (AI) governance and compliance program. Works closely with Information Security, Legal, Risk... ...fairness, explainability, third-party/vendor risk, and regulatory impacts) and follow up on remediation actions. Support evidence...Work experience placementRemote workWork from home- A leading staffing group in Boston is seeking an experienced Compensation Analyst to significantly impact compensation strategy. In this high-visibility role, you will independently manage compensation cycles and collaborate closely with HR leadership and stakeholders....
$125k - $130k
...involves working within cross-functional teams, presenting findings to clients, and applying advanced analytical techniques to deliver impactful solutions. The ideal candidate holds a degree in a relevant scientific field, has 1+ years of experience in pharmaceutical R&D,...$70k - $90k
...Boston, Massachusetts, the Insurance Senior Analyst reports to the client’s Senior Director... ...effective insurance coverage Clinical trial Support the clinical trial insurance... ...management and personnel. Claims and Compliance Oversight Responsibilities include managing...Full timeContract workTemporary workPart timeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Appeals Analyst — Impactful Denials & Compliance. Be the first to apply!



