Top Tech Jobs & Startup Jobs in Boston, MA

Lead the evolution of claims payment accuracy by optimizing strategic configurations, managing a small team, and implementing automated solutions to enhance operational efficiency in healthcare plans.

The Senior Strategic Configuration Analyst will validate and test configuration logic for Medicare Advantage claims, ensuring payment accuracy and compliance with CMS regulations. Responsibilities include designing test plans, analyzing defects, managing testing environments, and supporting AI-enabled testing frameworks.

The Senior Claims Researcher audits claims accuracy, conducts root cause analysis, compiles reports, and collaborates with internal teams to ensure correct payment processing.

The role involves developing and executing network development and provider contracting strategies, addressing provider concerns, and collaborating with teams to drive performance in Medicare Advantage and value-based initiatives.

The Senior Product Manager will oversee customer integrations, ensuring data quality and facilitating technical partnerships with enterprise clients in healthcare settings. Responsibilities include building scalable integration infrastructure and leveraging AI for operational efficiency.

The Senior Data Analyst will manage data flows for CMS submissions, resolve errors, enhance reporting dashboards, and support risk adjustment initiatives.

The Cloud Infrastructure Engineer will design, build, maintain infrastructure systems, automate processes, manage Kubernetes clusters, and enhance operational stability, collaborating across teams.

Responsible for HEDIS measure performance, medical record abstraction, gap identification, and driving improvement initiatives, ensuring optimal healthcare outcomes.

The Operations Associate for Payment Integrity handles claim processing, reconciliations, and audits, ensuring accuracy and financial integrity in healthcare claims.

As a Senior Software Engineer, you will develop efficient systems to enhance healthcare delivery and collaborate with various teams to innovate features for patient care tools.