- Abt Global Inc. (Cambridge, MA)
- …and meaningful work? Now's your chance. **The Opportunity** Abt Global seeks an experienced Medicaid researcher ( Senior Associate) to play a leadership role ... on CMS-funded projects (including associated teams and budgets) to research Medicaid program and policy refinements, evaluate...and to work effectively in a team environment. + Senior Associate Level: Master's degree + 13 years of… more
- Mathematica (Boston, MA)
- …* 10/+ years of experience (Principal Researcher ) or 15/+ years of experience ( Senior Fellow) in health policy or health research , with a substantial portion ... seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join...senior state health official or comparable role in Medicaid program design and implementation at a public or… more
- Highmark Health (Boston, MA)
- …Computer/Information Science, Mathematics/Statistics, Economics, Industrial Engineering or Operations Research , or related field + Prior education within ... years of relevant, progressive experience in Industrial Engineering or Operations Research , or related field (exempted experience requirements effective August 2016)… more
- Sumitomo Pharma (Boston, MA)
- …assets, and in-house advanced technology capabilities, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For ... a dynamic, highly motivated, and experienced individual for the position of ** Senior Corporate Account Director, Government Accounts** to join our Payor Account… more
- Humana (Boston, MA)
- …**Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... of the company's total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the… more
- Humana (Boston, MA)
- …factors. For our Dental and Vision insurance products in Puerto Rico, the Senior Compliance Professional shall: + Research regulatory compliance issues and make ... caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare...Dental and Vision compliance issues in Puerto Rico * Research , understand and apply federal and state laws, regulations,… more
- Public Consulting Group (Boston, MA)
- …allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for ... effectively facilitate client discussions. + Effectively communicate with clients at senior leadership levels. + Identify and elicit requirements from key… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Senior Provider Reimbursement Professional performs research , analysis, documentation, and ... programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional work assignments involve moderately complex to… more
- Point32Health (Canton, MA)
- …key departmental functions related to the compliance programs for Medicaid products. Major responsibilities include compliance program development, implementation ... administration of activities, projects and personnel necessary to ensure compliance with Medicaid laws and regulations governing federal and state contracts for … more
- Humana (Boston, MA)
- …Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... of the company's total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …WONDER platform. Analyses will be conducted on the Centers for Medicare & Medicaid Services Virtual Research Data Center. Specific responsibilities of this ... This person must be able to work independently, as well as collaboratively with senior researchers and other research team members. The job is ideal for… more
- Humana (Boston, MA)
- …people with complex health and social needs. They will work with senior executives to develop and drive segment or enterprise-wide functional strategies. They ... more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an...talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet… more
- Mathematica (Boston, MA)
- …part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and machine ... analytics involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data...sources such as EHRs and HIEs, to effectively answer research questions about health care policy. * Incorporate client… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Senior Agency Management Professional provides support for handling and analyzing data that pertains ... to the compliance and commissions of Humana external producers. The Senior Agency Management Professional work assignments involve moderately complex to complex… more
- Prime Therapeutics (Boston, MA)
- …and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of ... a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the Request For Proposal… more
- Humana (Boston, MA)
- …as Dual Eligibles, Veterans, and other needs-based segments. The Medicare and Medicaid organization, Humana's largest, comprises over 80% of the company's total ... majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly...Consultant, you will deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and… more
- LogixHealth (Bedford, MA)
- …all operational aspects of provider enrollments working closely with Directors, Senior Managers, and network representatives + Coordinate the full cycle Provider ... engage in addressing special projects as they arise, conducting preliminary research and follow-up and tracking/monitoring to facilitate ongoing reporting of project… more
- Cardinal Health (Boston, MA)
- …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... information. + Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership. **_Qualifications_** + 1-3 years of… more
- Tufts Medicine (Tyngsboro, MA)
- …action for resolution. + Reviews, evaluates and processes all appeals through research and resubmission to appropriate third party of complete and accurate ... and rework, and report outstanding operational issues to management for further research and resolution. + Performs other similar and related duties as required… more
- State of Massachusetts (Boston, MA)
- …Registered Nurse. The CQO is accountable to lead, support and guide the Senior Leadership team in matters related to regulatory requirements, quality, and patient ... The Joint Commission on Accreditation of Healthcare Organizations (TJC), Centers for Medicaid and Medicare Services (CMS), Department of Public Health (DPH), and… more