- Sumitomo Pharma (Boston, MA)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- WellSense (Boston, MA)
- Senior Contract Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...our members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible… more
- LogixHealth (Bedford, MA)
- …verifying ownership structure and then report the structure to the respective state Medicaid and Medicare + Identify any outliers that clients may have in their ... level applications for new clients onboarding, including but not limited to, Medicare, Medicaid and BCBS + If a client resides in multiple states enrollment will… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety ... Manager is responsible for designing and executing quality measurement...on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into… more
- Mathematica (Cambridge, MA)
- …work alongside our subject matter experts, drafting cost proposals, reviewing draft contract , and other documents for technical accuracy and completeness. You will ... HCLS, including serving on proposal teams as a proposal manager . You will also work closely with Mathematica's corporate...terms to minimize risk to all parties prior to contract execution. Our ideal candidate thrives working in collaborative… more
- Highmark Health (Boston, MA)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters… more