- Elevance Health (Hingham, MA)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...contractual issues and resolve discrepancies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... payment. The Senior Pharmacy Claims Professional work assignments involve...and compliance and monitored regularly. Begin to influence department's strategy . Makes decisions on moderately complex to complex issues,… more
- Humana (Boston, MA)
- …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in resolving ... lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers...and building new processes. + Begins to influence department's strategy . + Makes decisions on moderately complex to complex… more
- Humana (Boston, MA)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... deliver a perfect member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective and efficient execution… more
- Deloitte (Boston, MA)
- …interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients ... organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice,… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior IT Portfolio Management Professional collaborates with the business portfolio team to ... align the IT portfolio and demand. The Senior IT Portfolio Management Professional work assignments...organizes and prioritizes projects and programs based on IT Strategy , strategic roadmap, available and prioritized budgets, changes schedules… more
- Humana (Boston, MA)
- …our caring community and help us put health first** Humana is seeking a Senior Enterprise Architect who is smart, curious and loves the challenge of solving problems ... across the organization at multiple levels. **Join Our Trailblazing Team as a Senior Enterprise Architect** At Humana, we're not just building systems; we're shaping… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately… more
- Elevance Health (Hingham, MA)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Takeda Pharmaceuticals (Boston, MA)
- …solutions that ensure patient access to Takeda therapies. As a key member of the Senior US Oncology Leadership team, the Head of US Oncology Patient Value and Access ... and competitive access landscape to inform the business unit's strategy and mid-range planning. identify, develop, prioritize and execute...segments in the US, including but not limited to: Medicare national (Centers for Medicare & Medicaid… more
- Elevance Health (Woburn, MA)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... - CAHPS/STARS** is responsible for high-priority analytical projects for the Medicare CAHPS Organization by leading the planning, direction, and management of… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Vice President, Internal Audit & Enterprise Risk Management (Remote) will lead the company's Internal Audit Program ... collaborative manner that supports and facilitates the organizational objectives, strategy , and business success while simultaneously safeguarding and adhering to… more
- Humana (Boston, MA)
- …us put health first** The Associate VP, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, ... VP, Technology Solutions works across business and IT to define effective strategy for executing and delivering critical initiatives. The Associate VP, Technology… more
- Elevance Health (Hingham, MA)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...National Government Services (NGS) and sits on the NGS Senior Leadership Team, reporting directing to the federal business'… more
- Elevance Health (Woburn, MA)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- Commonwealth Care Alliance (Boston, MA)
- …requirements, and standards. The CPO oversees and manages the strategy , planning, implementation, oversight, auditing, monitoring, and ongoing operation of ... by the relevant functional areas, collaborates and coordinates with relevant senior management, operational areas, CCA's Facilities team, the CISO, IT managers,… more
- CenterWell (Boston, MA)
- …- Primary Care is responsible for winning back and re-engaging Medicare eligible patients through telephonic conversations. Proactively anticipates patients' needs ... with prospects and former patients. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.… more
- Point32Health (Canton, MA)
- …and division specific goals. She/he will do so in an engaged and professional manner within and through a matrixed business environment. The Director will ... The Director ensures initiatives are on schedule and within budget, and guides strategy , policies, and protocols in accordance with organizational strategy . The… more
- Humana (Boston, MA)
- …and unstructured data to insights at enterprise scale. * Architects and builds data lake strategy to house data in consistent framework and data model to be used for ... * Strong analytical and strategic thinking skills, with the ability to influence senior leaders across EIP. * Proven track record of successful collaboration in a… more