Role: Business Analyst Claims

Contract role

Location: Boston, MA, Onsite





Job Description

We are seeking an experienced Business Analyst with deep expertise in EDI and healthcare claims to support a large-scale implementation initiative. This role will focus on the implementation and optimization of 837 and proprietary claims files, ensuring accurate ingestion and processing across systems. This is a hands-on role requiring someone who can quickly step in, assess current challenges, perform root cause analysis, and drive improvements to existing claims data and processes.

Key Responsibilities: Lead the implementation of EDI 837 and proprietary claims files for multiple health plans Analyze existing claims data, identify issues, and perform root cause analysis to resolve ingestion errors Recommend and implement changes to ensur...