91 Healthcare Professionals jobs in Lexington

**Job Type:** Regular
**Time Type:** Full time
**Work Shift:** Day (United States of America)
**FLSA Status:** Exempt
**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.**
Under the general supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality analyses that answer questions about the most pressing healthcare needs and is comfortable utilizing various data modelling approaches to forecast future network's performance. Interprets and provides recommendations on quality and cost utilization trends by identifying key drivers of performance. Is capable of writing appropriate drill down queries (SQL based queries) to identify opportunities for improvement. Assures, by data testing, the quality and accuracy of BILHPN's claims and EMR data. Responsible for developing reports for upper-level management and preparing monthly reporting packages. Compiles medical, pharmacy and EHR related information via the use of computer-based applications which are then used to understand the current trends and drivers in the health care system and to make well-informed decisions about performance improvements of the plan and care management of the patients. Participates in setting definitions and efficient ways to analyze various healthcare concepts and promotes defining data related efficiencies. Handles the data with confidentiality especially around PHI and sensitive information.
This position is responsible for a full range of activities which ensure the analytical effectiveness and excellence of the BILHPN team.
**Job Description:**
**Essential Duties & Responsibilities including but not limited to:**
+ Understands the medical and pharmacy claims adjudication circle terminology, healthcare quality and EHR terminology and general healthcare related concepts.
+ On regular basis, from analytical perspective, tests healthcare concepts in BILHPN's data warehouse to assure accuracy and integrity of data.
+ Collaborates with other analysts and contributes/leads the process to define appropriate mappings for healthcare terminologies to be displayed in the data warehouse.
+ Understands and utilizes back-end entry to data warehouse, knows SQL and apprehends complexities of data architecture.
+ Designs and performs complex analyses for variety of stakeholders within BILHPN and network using either the super pivots, running own SQL queries to drill through data or other computer-based applications.
+ Translates analytical findings into easy-to-follow recommendations and summaries.
+ Performs own quality checks on performed analyses and utilizes internal benchmarks to verify the results. Documents performed processes and assures the correct documentation exists in the reporting documentation repository.
+ Collaborates with the Medical Director(s) and business associates (e.g., healthcare plan, PBM, consultants) to define the best approaches to find areas for improvement and trend mitigations.
+ Serves as analytical resource and internal consultant for organization's multidisciplinary quality and utilization improvement initiatives.
+ Upon discussions with other stakeholders, provides actionable data and models the impacts of various opportunities (such as cost savings opportunities) for BILHPN's population.
+ Assists in reporting package preparation for the Local Care Units' Leadership and Board of Directors.
+ Collaborates with others to identify, understand and promote opportunities to analyze data more efficiently and accurately, and improve data integrity.
+ Uses visualization tools to display data for key customers.
+ Works independently and can handle multiple projects simultaneously with little supervision.
**Organizational Requirements:**
+ Maintain strict adherence to the Beth Israel Lahey Health Performance Network (BILHPN) Confidentiality policy.
+ Incorporate BILHPN Standards of Behavior and Guiding Principles into daily activities.Comply with all BILHPN Policies.
+ Comply with behavioral expectations of the department and BILHPN.
+ Maintain courteous and effective interactions with colleagues and patients.
+ Demonstrate an understanding of the job description, performance expectations, and competency assessment.
+ Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
+ Participate in departmental and/or interdepartmental quality improvement activities.
+ Participate in and successfully completes Mandatory Education
+ Perform all other duties as needed or directed to meet the needs of the department.
**Minimum Qualifications:**
Education:
+ Requires a minimum of a Bachelors' degree. Prior experience from the payers or other provider system a plus.
+ A master's degree in directly related program may be considered in lieu of some of the required work experience.
**Licensure, Certification & Registration** **:**
+ None
**Experience** **:**
+ A minimum of 3-5 years of healthcare work experience is necessary either through a prior Health System or a Payer experience. Knowledge of programming language (e.g. SQL) is required, experience of Epic/Healthy Planet, data visualization tool of Power BI or Tableau is a plus
**Skills, Knowledge & Abilities** **:**
+ Strong written and verbal communication skills, project management skills, computer skills, and database skills.
+ Strong problem-solving abilities and analytical skills to ensure end-user needs are met.Possesses good organizational skills and the ability to multitask and prioritize daily assignments to ensure smooth workflow.
+ Advanced Excel Skills demonstrated ability in using query tools and relational data bases such as SQL.
+ Data visualization Skills demonstrated ability in using Power BI or Tableau.
+ Knowledge of claims-based health care data, including medical terminology and standard coding systems (ICD9, ICD10, CPT, MS-DRG, etc.), HEDIS.
**As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.**
**More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.**
**Equal Opportunity** **Employer/Veterans/Disabled**

Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures. Job Responsibilities:Patient Experience. Engages patients by greeting them and of Healthcare, Pharmacist, Health, Service, Patient, Pharmacy

Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures. Job Responsibilities:Patient Experience. Engages patients by greeting them and of Healthcare, Pharmacist, Health, Service, Patient, Pharmacy

Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures. Job Responsibilities:Patient Experience. Engages patients by greeting them and of Healthcare, Pharmacist, Health, Service, Patient, Pharmacy

Job Title : Salesforce Engineer-Healthcare

Location : Mexico

Duration : Long Term

About you:

• Design, develop, and implement Salesforce applications
• Experience in Salesforce CRM app development with strong expertise in Sales Cloud, Health Cloud and Experience cloud at an enterprise level of complexity.
• Expert understanding of Salesforce security model and best practices
• Experience with Lightning Components, Design System, APEX Classes, SOQL, SOSL, Triggers, Aura, and Flow.
• Experience with SFDX, environment management, release management, code versioning, deployment methodologies, and CI/CD tools.
• Experience with Salesforce API and Web Services (REST/SOAP/Bulk)
• Work closely with stakeholders to gather requirements and design solutions
• Troubleshooting and resolving complex technical issues
• Conducting code reviews and unit testing
• Mentoring and training junior developers

Qualifications

• Bachelor's degree in computer science or a related field
• 5+ years of experience in Salesforce development
• Strong understanding of Salesforce best practices and Object-oriented programming
• Experience with a variety of Salesforce development tools and technologies
• Excellent problem-solving and analytical skills
• Ability to work independently and as part of a team

Desired Qualifications

• 8+ years of experience in Salesforce development
• Experience with Salesforce Tableau CRM (Einstein Analytics) and Vlocity product suit implementation experience (Industry cloud) is desired
• Healthcare, especially Health insurance (Payor) business domain knowledge is an immense value add.
• Experience with Managed package and unlocked package development

At Zelis, we Get Stuff Done. So, let's get to it!

A Little About Us

Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.

A Little About You

You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.

Position Overview

The Healthcare Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, Medicaid, and commercial reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to both internal and external stakeholders.

What you'll do:

• Analyze and interpret healthcare claim data to support/recommend decision-making processes.

• Analyze and interact with data in SQL tables.

• Utilize Excel for data manipulation, analysis, and reporting.

• Understand claim payment methodologies such as Medicare, Medicaid, and Commercial Reimbursement.

• Create visualizations and dashboards to present data findings (Tableau experience is a plus).

• The ability to multi-task and work on multiple assignments will be required.

• This individual must also demonstrate clear and concise communication both verbally and in writing. Including sales, client facing teams and clients

• Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests

• Maintains awareness of and ensure adherence to ZELIS standards regarding privacy.

• Keep abreast of issues to identify enhancements and process improvement opportunities

What you'll bring to Zelis:

• 2+ years of experience in healthcare data analysis.

• 1+ years in claim reimbursement methodologies (Medicare, Medicaid, Commercial)

• Experience with Tableau is a bonus but not required.

• Excellent communication and collaboration abilities.

• Consistently demonstrate ability to act and react swiftly to continuous challenges and changes

• Excellent follow through, attention to detail, and time management skills

• Ability to manage projects simultaneously and achieve goals

• Strong initiative, self-directed and self-motivation

• Strong organization and project / process management skills

• Excellent analytical skills with data and analytics related solutions

• Ability to think and act strategically, and as well as execute tactically with bias toward action

• Demonstrated leadership ability with cross-functional teams, knows how to get things done both through formal channels and the informal network

• Financial modeling and strong analytic skills

• Strong excel skills required

• Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills

• Creative problem-solving skills, leveraging insights and input from other parts of an organization

• Proficient in SQL (Select, Joins, CTE, Sub Queries)

• Proficiency other Microsoft Office products - Outlook, Word, Excel, PowerPoint, SharePoint, Teams

• Strong analytical skills

Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.

Location and Workplace Flexibility

We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.

Base Salary Range

$59,000.00 - $79,000.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.

Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.

Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email

Disclaimer

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

**Job Description:**
**Job Summary:**
Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures.
**Job Responsibilities:**
Patient Experience
+ Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
+ Models and shares patient service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
+ Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Operations
+ Provides clinical services to patients, such as immunizations or MTM interventions, ensuring compliance with regulatory guidelines, company policies and procedures.
+ Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Training & Personal Development
+ Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations to provide such clinical services.
+ Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
+ Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
**About Walgreens**
Founded in 1901, Walgreens ( ) has a storied heritage of caring for communities for generations, and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni-channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities
**Job ID:** BR
**Title:** Healthcare Services Pharmacist
**Company Indicator:** Walgreens
**Employment Type:** Multi-Location Pharmacist
**Job Function:** Retail
**Full Store Address:** 653 WORCESTER RD,STE 3,FRAMINGHAM,MA, -S
**Full District Office Address:** 653 WORCESTER RD,STE 3,FRAMINGHAM,MA, -S
**External Basic Qualifications:**
+ BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
+ Current pharmacist licensure in the states within the district.
+ Certified Immunizer or willing to become an immunizer within 90 days of hire.
**Preferred Qualifications:** The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits ( . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
We will consider employment of qualified applicants with arrest and conviction records.
**Shift:**
**Store:** 02861-FRAMINGHAM MA
**Salary Range:** Healthcare Services Pharmacist $52.70-$57.95

**Job Description:**
**Job Summary:**
Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures.
**Job Responsibilities:**
Patient Experience
+ Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
+ Models and shares patient service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
+ Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Operations
+ Provides clinical services to patients, such as immunizations or MTM interventions, ensuring compliance with regulatory guidelines, company policies and procedures.
+ Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Training & Personal Development
+ Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations to provide such clinical services.
+ Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
+ Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
**About Walgreens**
Founded in 1901, Walgreens ( ) has a storied heritage of caring for communities for generations, and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni-channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities
**Job ID:** BR
**Title:** Healthcare Services Pharmacist
**Company Indicator:** Walgreens
**Employment Type:** Multi-Location Pharmacist
**Job Function:** Retail
**Full Store Address:** 54 PLAIN ST,LOWELL,MA, -S
**Full District Office Address:** 54 PLAIN ST,LOWELL,MA, -S
**External Basic Qualifications:**
+ BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
+ Current pharmacist licensure in the states within the district.
+ Certified Immunizer or willing to become an immunizer within 90 days of hire.
**Preferred Qualifications:** The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits ( . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
We will consider employment of qualified applicants with arrest and conviction records.
**Shift:**
**Store:** 06739-LOWELL MA
**Salary Range:** Healthcare Services Pharmacist $52.70-$57.95

**Job Description:**
**Job Summary:**
Provides clinical services to patients, such as immunizations or MTM interventions, ensuring the compliance with regulatory guidelines, company policies and procedures.
**Job Responsibilities:**
Patient Experience
+ Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.
+ Models and shares patient service best practices with all team members to deliver a distinctive and joyful experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
+ Connects with patients by anticipating needs and proactively offering services. Supports efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g., patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreens pharmacy role from transactional to interpersonal.
Operations
+ Provides clinical services to patients, such as immunizations or MTM interventions, ensuring compliance with regulatory guidelines, company policies and procedures.
+ Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.
Training & Personal Development
+ Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations to provide such clinical services.
+ Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance.
+ Obtains necessary certifications, education credits and training, including learning modules, as required by the Company.
**About Walgreens**
Founded in 1901, Walgreens ( ) has a storied heritage of caring for communities for generations, and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni-channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities
**Job ID:** BR
**Title:** Healthcare Services Pharmacist
**Company Indicator:** Walgreens
**Employment Type:** Multi-Location Pharmacist
**Job Function:** Retail
**Full Store Address:** 148 W CENTRAL ST,NATICK,MA, -S
**Full District Office Address:** 148 W CENTRAL ST,NATICK,MA, -S
**External Basic Qualifications:**
+ BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
+ Current pharmacist licensure in the states within the district.
+ Certified Immunizer or willing to become an immunizer within 90 days of hire.
**Preferred Qualifications:** The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits ( . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
We will consider employment of qualified applicants with arrest and conviction records.
**Shift:**
**Store:** 01851-NATICK MA
**Salary Range:** Healthcare Services Pharmacist $52.70-$57.95