- Humana (Boston, MA)
- …thinking capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a critical role in… more
- Humana (Boston, MA)
- …and help us put health first** Humana's Marketing Organization is looking for a Senior Product Marketer that has prior experience focused on Medicare, ... Medicaid and/or DSNP Members around Health and Well-being initiatives...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Boston, MA)
- …us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... just may be the role for you! As the Senior Product Owner, you will support Humana's...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- CenterWell (Boston, MA)
- **Become a part of our caring community and help us put health first** The senior product manager will play critical role in defining and executing Integrated ... models, patient 360 and AI based solutions that enhances omni channel patient experiences. The Senior Product Manager Leads all phases of the product life… more
- HealthEdge Software Inc (Boston, MA)
- **Overview** **Position** **Overview:** As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create… more
- WellSense (Boston, MA)
- Senior Manager of Clinical UM - BH 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...join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health… more
- Deloitte (Boston, MA)
- …Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and ... health plan/ insurance company experience + 1 years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- Humana (Boston, MA)
- …this position will play a pivotal role in advancing the team's analytical product portfolio and delivering technical enhancements to core products for Stars. Main ... analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries'… more
- Humana (Boston, MA)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... Medicare organizations. The ** Senior Business Intelligence Engineer** : + Develops and maintains...interactive reports using Power BI, Qlik, Tableau and/or similar product + Intermediate skills in Power Apps and Power… more
- Point32Health (Canton, MA)
- …and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives ... and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to...health status risk adjustment. + Knowledge of Medicare and Medicaid reimbursement is a plus + Must have the… more
- Humana (Boston, MA)
- …Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database Administrator is a key player in managing and maintaining both ... team. + Interact with internal customers including Developers, Data Engineers, Product Owners, etc., providing consultation on database changes, best practices, and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …us transform healthcare? Bring your true colors to blue. The Role Reporting to Senior Vice-President of Government Programs, the VP Product is responsible for ... and initiatives to meet corporate goals. The VP leads product strategy, product development, annual bid process,...Insurance (DOI), and the Centers for Medicare and Medicaid Services (CMS) + Ensure timely submission of fully… more
- Point32Health (Canton, MA)
- …experience + 8-10 years of progressive business experience + 3 - 5 years Medicaid product utilization management experience required + Medicaid compliance ... key departmental functions related to the compliance programs for Medicaid products. Major responsibilities include compliance program development, implementation… 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 ... not limited to: Medicare national (Centers for Medicare & Medicaid Services [CMS]), Medicaid (state and managed),...political insights are obtained and utilized when formulating the product market access strategies, and to develop core value… more
- CVS Health (Boston, MA)
- …to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. ... (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/ Medicaid ) programs and individual client requested coverage determinations or… more
- Humana (Boston, MA)
- …delivery experience and technical expertise across multiple platforms and will have senior level leadership experience in a complex corporate environment. They will ... technology strategy and execution for the rationalization of the Insurance IT portfolio of systems. + Partner closely with... IT portfolio of systems. + Partner closely with product owners and product managers, strategy teams,… more
- CVS Health (Cumberland, RI)
- …leadership related to Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The primary goal of this team is to provide accurate, relevant ... controlling medical costs and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor performance to Medical… more
- Commonwealth Care Alliance (Boston, MA)
- …of applicable federal and state regulations not limited to: Health Insurance Portability and Accountability Act ("HIPAA"), Health Information Technology for Economic ... owned and related entities including, but not limited to, CCA's insurance entities, clinical assets, provider practices, health care facilities, Accountable Care… more
- Humana (Boston, MA)
- …opportunity to shape the future of our technology landscape. Reporting to senior leadership, you will build architecture and designs to develop innovative solutions ... and enhance customer experiences. **Primary Responsibilities:** + **Collaborate with Product Managers and Product Owners:** Understand business...related field + 8 or more experience as a senior developer or architecture in large IT projects +… more
- Humana (Boston, MA)
- …Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on ... volume production release. Performs various engineering tests to verify and validate product designs. Supports product evaluation and qualification on leading… more