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Coding AnalystBoston, MA
Clinical Edit\Payment Policy ManagerBoston, MA
Payment Policy ManagerBoston, MA

About Business Integration

You have choices when it comes to the work you do. Our organization offers the opportunity to actually make a difference for the people and the communities around you. When you join us with a job in Business Integration, you’ll be a part of an organizational culture committed to providing customer-focused service and caring, high quality, culturally competent health care to the diverse communities we serve. The Business Integration group works on the cutting edge of change, ensuring our claims system can support new business initiatives. And the work you’ll do as part of this team will be rewarded with competitive compensation and a full range of benefits designed to provide you with healthy lifestyle choices. Here, you’ll have the resources and support to improve the lives of people and your community. You will also be able to enjoy the work-life balance you deserve, and do the work that inspires you. Learn more about Business Integration jobs with us today!

Recent Job Openings

Coding Analyst - Boston, MA
Description: Job Description Job Summary: The Coding Analyst is a key team member of the Business Integration/Benefits Administration team. He/She will provide business support to all departments in the proper use, code compliance, policy development efforts (medical/clinical, reimbursement and benefit policies) and processing guidelines of insurance industry-standard coding, including CPT/HCPCS codes. The Coding Specialist is respons...
Reference Code: 2012644
Clinical Edit\Payment Policy Manager - Boston, MA
Description: Job Description Job Summary: Working as a liaison between Operations and the Chief Medical Officer (or delegate), this position will assure all current and new clinical edits (CEs), and related changes to the Plan’s adjudication system are clinically sound and in accordance with BMCHP business requirements, Industry Standards and BMCHP Medical Policy. The individual will be responsible for gathering and writing fin...
Reference Code: 2012621
Payment Policy Manager - Boston, MA
Description: Job Description The Payment Policy Manager is responsible for managing cross-departmental implementation of changes to payment and billing policies as necessary due to regulatory changes, contractual changes, or as a result of claims data findings. The Payment Policy Manager will collaborate with internal departments to define requirements and to document those requirements sufficiently to ensure accurate implementation o...
Reference Code: 2012525
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