- Humana (Boston, MA)
- …Based Services , Medicaid and Medicare integration, D-SNPs, and Self-Directed Services . The Capture Lead , Medicaid Clinical & Population Health ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Lead , Medicaid Provider Services Implementation, for new market ... implementation, operations, contract compliance, and federal contract application submissions. The Lead , Medicaid Provider Services Implementation role… more
- Public Consulting Group (Boston, MA)
- …more, visit www.publicconsultinggroup.com . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid ... + Identify new and emerging opportunities in growth industries related to Medicaid . _Leadership_ + Provide leadership, guidance, and mentorship to junior… more
- Public Consulting Group (Boston, MA)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services...Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience… more
- Humana (Boston, MA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …Optimization** : + Lead initiatives to streamline processes related to Medicaid services , reducing administrative burden, and enhancing service delivery. ... health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Mathematica (Boston, MA)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... managed care capitation rates, and state approaches to provider payment).** * Responsibilities: * * Participate actively and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... , requested level of care, or requested site of service should be authorized, with all work occurring within...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Elevance Health (Woburn, MA)
- …project coordination in a high-volume managed care operation (claims, customer service , enrollment and billing); or any combination of education and experience, ... which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**...working with government business plans such as Medicare or Medicaid strongly preferred. + Ability to analyze workflows, processes,… more
- WellSense (Boston, MA)
- …Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their ... liaison between Well Sense Health Plan ("Plan") and key provider organizations, taking the lead and promoting...and events + Ensures quality and compliance with state Medicaid regulations and NCQA requirements + Other responsibilities as… more
- Point32Health (Canton, MA)
- …a proactive self-starter with independent initiative and strong skills to strategically lead the behavioral health provider account management team. The ... enjoy the important work we do every day in service to our members, partners, colleagues and communities. To...you will be doing:** + Strategically manage and successfully lead Enterprise Behavioral Health Provider Account Management… more
- Point32Health (Canton, MA)
- …Director, Network & Provider Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of ... enjoy the important work we do every day in service to our members, partners, colleagues and communities. To...requests. This individual will manage staff as well as provide training and mentoring to all members of the… more
- Center For Health Information And Analysis (Boston, MA)
- …policy impact! CHIA is seeking a Senior Health Policy Analyst to provide hands-on contributions in the development and implementation of data-driven pricing policy ... within the Provider Finance Pricing team. As a Senior Health Policy...Data into Action: Conduct analyses of health care costs, service utilization, and other data sources that support the… more
- Humana (Boston, MA)
- …and service offerings. Assesses the compatibility and integration of products/ services proposed as standards in order to ensure an integrated architecture across ... provider PaaS and SaaS offerings (eg Azure Kubernetes Service , Application Service Environment, etc.) Data Center...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …strategies, architecture, systems solutions and roadmaps for various enterprise and cloud provider environments. The Lead Architect provides strategic advice and ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Boston, MA)
- …of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly engage with ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Boston, MA)
- …and help us put health first** CenterWell's Value-Based Organization is an integrated homecare service provider focused on meeting the needs of Health Plans by ... deals with health plans and other risk-bearing groups to provide home health, DME, and home infusion services...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …processes, such as claims processing, policy administration, and customer service operations. + **Technical Leadership:** Provide expert guidance ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** Humana is seeking a Lead Solutions Architect to join our team that is...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more