Top Tech Jobs & Startup Jobs in Boston, MA

Analyzes healthcare claims, provider, reimbursement, and financial data to support out-of-network dispute negotiations, arbitration, QPA accuracy, and IDR performance. Builds SQL-based reports, dashboards, data processes, metrics, and financial views; validates data quality; integrates internal and external sources; identifies trends and risks; and presents actionable recommendations to leadership and cross-functional stakeholders.

Analyze, clean, and validate complex healthcare data; develop statistical, machine learning, and AI models; implement agentic workflows, RAG solutions, and model fine-tuning; deploy and monitor models in production; collaborate with technical and business teams; conduct research; and document and communicate findings.

Supports health plan finance through monthly close, budgeting, forecasting, regulatory reporting, financial modeling, variance analysis, and ad hoc leadership reporting. Evaluates financial information, investigates discrepancies, develops finance policies and procedures, and recommends actions related to investments, operations, product development, and regulatory initiatives. Collaborates with technical and non-technical stakeholders and manages multiple deadlines.

Manage claims program governance, policies, workflows, controls, budgets and vendor practices. Drive portfolio/initiative change, create requirement/test/training documentation, track metrics, coordinate governance meetings, and recommend program enhancements to improve adoption and value realization.

Manage MMISR program activities including configuration, testing, workflows, governance, vendor practices, budgets, performance tracking, and stakeholder coordination. Produce requirements, test plans, training materials, and recurring reports while driving process improvements and adoption of program guardrails.

Provide legal support on corporate governance, entity management, intercompany agreements, regulatory audit responses, and oversee the corporate paralegal team. Partner with compliance, tax, and business stakeholders to improve governance processes and legal operations across subsidiaries.

Own and prioritize product backlog and vision, translate business needs into user stories, partner with engineering and stakeholders, ensure regulatory compliance, monitor product performance, and manage the full product lifecycle.

Manage program governance, policies, workflows, budgets, controls, and vendor practices. Support portfolio and change management, create requirements and test plans, track metrics, coordinate governance meetings, and drive adoption of program best practices.

Deliver classroom and virtual instructor-led training, onboard and upskill employees, coach facilitators, prepare learning environments and materials, monitor engagement, escalate performance issues, and collaborate with stakeholders to improve course content and outcomes.

Lead a configuration/product team delivering and maintaining enterprise configuration and claims solutions. Own product vision, backlog, and delivery; partner with stakeholders, engineering, QA, compliance, and health plans to ensure scalable, compliant solutions and operational efficiency.