Top 52 Claims analyst Jobs in Marlborough, Ma

Revenue Cycle Analyst - Primary Care
HealthDrive —Framingham, MA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Primary Care
- Profit sharing
- Health insurance
Claims Analyst - REMOTE
Ryder System —Boston, MA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Clinical Analyst Appeals (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $93,142 - $124,800 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Claims Correspondence Analyst
Berkley —Marlborough, MA
- $50,000 - $60,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Profit sharing
- Paid parental leave
Coding Compliance Analyst
Optum —Worcester, MA
- $23.89 - $42.69 an hour
- 8 hour shift
- Remote
- Pass drug screening
- Mid-level
- High school diploma or GED
- AD&D insurance
- Employee stock purchase plan
Actuarial Analyst - Insurance
WAHVE —Boston, MA
- $40 - $75 an hour
- Part-time
- Remote
- SQL
- Analysis skills
- Bachelor's degree
- 401(k) 4% Match
- 401(k) matching
3d
Business System Analyst â Interoperability
CGI Group, Inc. —Canton, MA
- $80,600 - $172,400 a year
- 7 years
- Oracle
- HIPAA
- Paid parental leave
- Paid holidays
Business System Analyst â Digital health
CGI Group, Inc. —Canton, MA
- $80,600 - $172,400 a year
- 7 years
- Writing skills
- HIPAA
- Paid parental leave
- Paid holidays
Senior Business Intelligence Analyst
Dana-Farber Cancer Institute —Boston, MA
- $99,900 - $115,100 a year
- Full-time
- Hybrid work
- Customer service
- Writing skills
- Office
Sr. QA Analyst
Verisk —Woburn, MA
- Full-time
- Hybrid work
- 18 years or older
- Azure
- Computer Science
- Health insurance
- Paid time off
Business Analyst I, Hospital Billing
UMass Memorial Health —Worcester, MA
- $56,243.20 - $101,254.40 a year
- 8 hour shift
- Remote
- Research
- Mid-level
- 3 years
3d
Insurance Recovery Analyst
The CCS Companies —Norwood, MA
- $24 - $28 an hour
- Full-time
- Microsoft Word
- HIPAA
- Mid-level
Quick Apply
6d
Product Analyst
Rxadvance Corporation —Southborough, MA
- $55,000 - $90,000 a year
- Full-time
- Engineering
- Research
- Office
Quick Apply
Associate Analyst, Case Research
Financial Recovery Technologies LLC —Medford, MA
- $50,000 - $55,000 a year
- Full-time
- Mid-level
- Office
- SQL
- Free parking
- AD&D insurance
Quick Apply
10d
Medical Economics Senior Analyst
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $79,560.00 - $115,720.80 a year
- Full-time
- Remote
- 5 years
- Mid-level
- SQL
- Health insurance
- Opportunities for advancement
Quick Apply
Clinical Data Analyst
CliniWorks —Cambridge, MA
- Email
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Senior Business Analyst - Meritain Health
CVS Health —Boston, MA
- $46,988 - $122,400 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
2d
Analyst, Risk & Insurance
WS Development —Chestnut Hill, MA
- $80,000 - $100,000 a year
- Full-time
- Writing skills
- Data analysis skills
- Mid-level
Quick Apply
5d
Total Rewards Analyst
Appcast —Newton, MA
- $64,500 - $108,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Finance
Quick Apply
Network Management Analyst
CVS Health —Boston, MA
- $43,888 - $102,081 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
2d

I want to receive the latest job alert for claims analyst in marlborough, ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims analyst jobs near marlborough, ma

Revenue Cycle Analyst - Primary Care

HealthDrive -
Framingham, MA

Apply Now

Job Details

Full-time
$80,000 - $90,000 a year

Benefits

Profit sharing
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Employee discount
Referral program

Qualifications

Vendor relationship building
Data-driven problem-solving

Full Job Description

Overview:

About HealthDrive

HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.

About You

You are no stranger to healthcare and consider yourself a revenue cycle expert! You are ready to step back from the daily revenue cycle operations and look at the bigger picture, helping to identify trending issues and collaborating with outsourced vendors.

About the Role

HealthDrive is seeking full-time Revenue Cycle Analyst to join our team! As the Revenue Cycle Analyst, you will play an essential role in analyzing, driving and improving revenue cycle operations for Primary Care by coordinating with outsourced Revenue Cycle Management (RCM) vendor(s) to ensure timely follow-up and resolution of unpaid, incorrectly paid, and denied medical claims.

This role focuses on monitoring and evaluating vendor performance, supporting issue resolution, and ensuring compliance with established processes and payer requirements. It plays a key role in achieving revenue cycle performance objectives, including cash collections, denial management, bad debt reduction, and days sales outstanding.

The salary range for this position is $80,000 - $90,000 per year.

This role is in person at our Framingham, MA office. There is potential for 1-2 work-from-home days per week after the training period. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building!

What's in It for You

PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses.

Responsibilities:

Data Analysis and Insights

Analyze trends in denials, AR aging, and reimbursement to identify root causes and recommend corrective actions.
Develop and maintain regular reporting on key revenue cycle KPIs (DSO, denial rates, cash collections).

Vendor Liaison

Evaluate RCM vendor performance against SLAs and KPIs and escalate gaps with recommended actions.
Partner with RCM vendor to implement process improvements and track outcomes.
Collaborate with the RCM vendor to clarify payer requirements, claim documentation needs, and resolution strategies.
Support communication between internal departments and the RCM vendor to resolve data, eligibility, or documentation issues impacting claims.

Problem Solving and Root Cause Analysis

Conduct root cause analysis on recurring issues (denials, underpayments, delays) and propose solutions.
Identify upstream operational issues impacting billing (documentation, eligibility, coding).

Process Improvement

Identify opportunities to improve workflows, reporting, and vendor processes.
Support or lead small-scale process improvement initiatives.

Qualifications:

Skills & Specifications:

Strong analytical skills with ability to interpret complex data sets and translate into actionable insights.
Experience working with revenue cycle KPIs and performance metrics.
Ability to identify trends and identify opportunities to improve them.
Strong organizational and follow-up skills with attention to detail.
Effective problem-solving skills and ability to follow established workflows and escalation pathways.
Strong written and verbal communication skills, including professional interaction with external vendors and internal stakeholders.
Ability to manage multiple priorities in a deadline-driven environment.
Working knowledge of healthcare billing, accounts receivable, denial resolution, and payer processes.
Proficiency in Microsoft Office applications (Excel, Outlook, and Word).
Ability to work independently while contributing to a collaborative, cross-functional environment.

Education & Qualifications:

Associate’s Degree or equivalent combination of education and relevant work experience.
2–4 years of experience in healthcare revenue cycle, billing, accounts receivable, or vendor-supported RCM operations preferred.
Working knowledge of Medicare, Medicaid, and third-party payer requirements and claims workflows.
Experience working with or supporting an outsourced RCM vendor helpful.
Experience in a multi-specialty physician practice or post-acute care setting preferred.

#INDHDCORPREC

Apply Now

Refine Your Search

claims analyst jobs in marlborough, ma

Revenue Cycle Analyst - Primary Care

Claims Analyst - REMOTE

Clinical Analyst Appeals (Remote)

Claims Correspondence Analyst

Coding Compliance Analyst

Actuarial Analyst - Insurance

Business System Analyst â Interoperability

Business System Analyst â Digital health

Senior Business Intelligence Analyst

Sr. QA Analyst

Business Analyst I, Hospital Billing

Insurance Recovery Analyst

Product Analyst

Associate Analyst, Case Research

Medical Economics Senior Analyst

Clinical Data Analyst

Senior Business Analyst - Meritain Health

Analyst, Risk & Insurance

Total Rewards Analyst

Network Management Analyst

I want to receive the latest job alert for claims analyst in marlborough, ma

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected