- Mathematica (Boston, MA)
- …of Medicaid , payment and financing at the state or federal level * Senior Researcher candidates should have 10/+ years of experience working in health policy ... teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and...anticipated base salary of $100,000 - $130,000 annually. The Senior Researcher position offers an anticipated base… more
- CVS Health (Boston, MA)
- …make health care more personal, convenient and affordable. **Position Summary** The Medicaid senior manager, network management: * Negotiates, executes, conducts ... in contract management systems per Aetna's established policies. . * Conducts research , analysis and/or audits to identify issues and propose solutions to protect… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Senior Agency Management Professional analyzes transactions posted to the general ledger, 1099 ... updates for accruals, prepaid, and adjusting updates or entries. The Senior Agency Management Professional work assignments involve moderately complex to complex… 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
- Abt Global Inc. (Cambridge, MA)
- …and meaningful work? Now's your chance. **The Opportunity** Abt Global seeks a Senior Analyst / PhD Economist to support our portfolio of domestic health work ... within Abt's Research , Monitoring, & Evaluation Capability team. As a member...government agencies, such as the Centers for Medicare & Medicaid Services, Centers for Disease Control and Prevention, and… 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
- Center For Health Information And Analysis (Boston, MA)
- …be a driving force in health policy impact! CHIA is seeking a Senior Health Policy Analyst to provide hands-on contributions in the development and implementation ... policy within the Provider Finance Pricing team. As a Senior Health Policy Analyst at CHIA, you will have...health care providers by state agencies, including the Commonwealth's Medicaid program (MassHealth). + Innovate and Improve: Bring your… more
- Humana (Boston, MA)
- …put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist certified to ... just may be the role for you! As the Senior Product Owner, you will support Humana's marketing journeys,...of any delivery risks or issues + Identify and research potential pre and post production issues and assist… 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 ... as provide training and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to negotiations and provider… 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
- State of Massachusetts (Boston, MA)
- Reporting to the Medicaid Director, the Chief of Staff (COS) is a strategic advisor to the Medicaid Director and member of the MassHealth Executive Team. The COS ... advises the Medicaid Director and MassHealth Executive Team on strategic policy,...and maintain communications with key project team members, including senior managers and staff, and EOHHS agency managers; conduct… more
- CVS Health (Boston, MA)
- …-In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These ... -In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These… 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 ... knowledge. + Develop an evidence-based plan, informed by market research and advisory boards to identify core customer needs,...not limited to: Medicare national (Centers for Medicare & Medicaid Services [CMS]), Medicaid (state and managed),… 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
- Humana (Boston, MA)
- …and cross-platform strategy in an Agile development environment. As the Senior Product Designer, you will: + Develop industry-leading, high-value digital experiences ... objectives, audience(s), roadmap, features, design trends and best practices, research , metrics, VOC and other measures, competitive landscape, and full… 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
- 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 ... and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor...datasets Ability To: * Lead team members in proactive analysis/ research around utilization and unit cost medical costs drivers… more
- Olympus Corporation of the Americas (Westborough, MA)
- …region value-based market strategies integrating reimbursement, health economics, outcomes research and market access solutions across product stages and lifecycles. ... closely with other functional areas to effectively develop RFPs, select research partners, execute contracts, plan budgets, develop analytical plans, oversee data… more
- State of Massachusetts (Boston, MA)
- …is led by the Director of Program Integrity, who reports to the Deputy Medicaid Director, and consists of 10 internal staff members and dozens of contractors ($50M ... other state and federal entities such as the Centers for Medicare and Medicaid Services, State Auditor's Office, and Office of Inspector General. The position… more
- Elevance Health (Hingham, MA)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health and Human Services).… more