- Humana (Boston, MA)
- …who can 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** :...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Boston, MA)
- …community and help us put health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its ... Fund team. Humana is seeking an individual for the Senior Business Intelligence Data Analyst...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- WellSense (Boston, MA)
- Senior Contract Manager 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...our members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible for the development, implementation… more
- Humana (Boston, MA)
- …of technology strategies, and provide mentorship across the Enterprise The Senior Enterprise Architect translates business needs into technical systems ... to multiple levels of audiences of stakeholders - ie senior executives in business and IT, architects,...prep such as feature engineering. + Knowledge of Artificial Intelligence concepts and applications such as natural language processing,… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and ... in Puerto Rico and ensures compliance with regulatory requirements. The Senior Compliance Professional works assignments involving moderately complex to complex… more
- HealthEdge Software Inc (Boston, MA)
- …upstream, and all aspects of claims operations are centralized for comprehensive business intelligence . The complete suite of solutions fromHealthEdgedelivers a ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Vice President, Internal Audit & Enterprise Risk Management (Remote) will lead the company's Internal Audit Program ... built, implemented, operationalized, led, and administered in a strategic, business -minded and -enabling, consultative, and collaborative manner that supports and… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director, Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk ... CMS, federal, and state requirements in a manner that continually supports the business and operational areas. **What You'll Be Doing:** + Strategically leads the… more
- Commonwealth Care Alliance (Boston, MA)
- …and security policies and procedures, and oversees that the relevant business , operational and functional areas have relevant privacy-related or -required policies ... data breaches, standard privacy and security investigations, and general ongoing CCA business and operations. + In partnership with Information Security and Legal,… more
- Humana (Boston, MA)
- …attitude. This person will be able to develop and monitor thoughtful business intelligence , analytical frameworks, and ongoing reporting to evaluate the ... seeking a Financial Analytics Lead. This individual will work across the business , and will be highly involved in reporting, planning, underwriting, strategic… more
- LogixHealth (Bedford, MA)
- …complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states. Since our ... all operational aspects of provider enrollments working closely with Directors, Senior Managers, and network representatives + Coordinate the full cycle Provider… more
- Humana (Boston, MA)
- …development best practices and patterns. * Collaborate with data scientists, analysts, business units, and IT teams to ensure data solutions meet organizational ... needs. * Develops solutions that leverage artificial intelligence , machine learning, and big-data techniques to cleanse, organize, and transform data into insights… more