- 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
- 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
- Humana (Boston, MA)
- …for this role will be expected to build relationships with suppliers, senior business stakeholders, and will work cross-functionally to proactively identify value ... alignment needed to implement solutions. + Leads sourcing events and vendor contract negotiations. + Gathers and interprets relevant data to assess vendor spend,… more
- Mathematica (Boston, MA)
- …for successful delivery of large technology and data client projects with total contract value up to $50M; and leading large teams comprising of employees and ... some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other agencies. Most...or third-party recruiters. Please do not contact technical or senior staff at Mathematica or share unsolicited resumes. All… 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