- Humana (Boston, MA)
- …with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Professional , you will deconstruct issues and ... benefits organizations in the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid...total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Consumer Segment Strategy team focuses on growth across Humana's businesses by tailoring our offerings, ... populations such as Dual Eligibles, Veterans, and other needs-based segments. The Medicare and Medicaid organization, Humana's largest, comprises over 80% of the… more
- Humana (Boston, MA)
- …and help us put health first** Humana Healthy Horizons (HHH) in Indiana a Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... partnering with contracting teams to ensure compliance with state requirements. The Senior Data and Reporting Professional integrates data from multiple sources… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ... develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Budgeting Professional compiles and reviews the budgets for corporate departments, ... actual performance, previous expenditures, and estimated expenses and income. The Senior Budgeting Professional work assignments involve moderately complex to… more
- Humana (Boston, MA)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member & patient experiences and health outcomes? Are you ... IT Professional obsessed with a business-centric outlook? At the Humana...member/patient experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective… more
- Mathematica (Boston, MA)
- …our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance Mathematica is seeking a Senior Data Platform Engineer to join the Health ... the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed...Building for Public Health Analysts in the Overdose Response Strategy , where the team designed, developed, and secured a… more
- Deloitte (Boston, MA)
- …interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients ... Human Capital practice. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** For this Senior Data Scientist role, we're looking for someone with data science and machine learning ... assist in bringing new data science solutions to the enterprise. The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and technology… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Senior Product Owner will review documentation and provide feedback on quality and accuracy related to the product portfolio ... the technology that provides best practice and direct IT strategy in support of the overall business strategy...opportunities to attain operational efficiencies and growth opportunities. The Senior PO will lead a portfolio of projects and… more
- Takeda Pharmaceuticals (Boston, MA)
- …and sustainable access across geographies/indications. + Contribute the payer evidence strategy (by payer archetype) across assets and its incorporation into the ... + Understanding of the global payer environment and some knowledge of US Medicare , commercial and Federal payers; along with an understanding of ex-US payer… more
- Humana (Boston, MA)
- …and availability of critical systems and services. The SRE Lead Technology Leadership Professional leads the technical and process strategy for Ops Excellence ... Apigee, and Gemfire), Clinical, Provider, Pharmacy, Corporate and Security. Drives the strategy for and leads major tower initiatives such as Cloud Transformation… more
- Humana (Boston, MA)
- …first** Humana's Primary Care Organization (PCO) is seeking a Product Marketing Professional 2 to join the Patient Engagement & Retention Marketing team working ... in the US. is committed to providing personalized, high-quality senior care and is seeking driven team members who...patient care, wellbeing, and longevity. As the Product Marketing Professional , you will assist in the execution of patient… 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 ... collaborative manner that supports and facilitates the organizational objectives, strategy , and business success while simultaneously safeguarding and adhering to… more
- CenterWell (Boston, MA)
- …to a Conviva/CenterWell market location(s) + Experience working in a value-based care, senior care, and/or Medicare managed care **Workstyle** This is a remote ... clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations,… more
- Commonwealth Care Alliance (Boston, MA)
- …to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid- Medicare Plan withhold measures, quality performance ... + Collaborate with business stakeholders from population health, network strategy , quality analytics, clinical informatics, clinical, pharmacy, member experience,… more
- Humana (Boston, MA)
- …and help us put health first** Humana is seeking an experienced management professional to lead the Pharmacy Stars team. In this role, the selected candidate ... will be responsible for the strategy , opportunity evaluation, planning oversight, coordinating the development and monitoring outcomes. This position will work and… more
- Commonwealth Care Alliance (Boston, MA)
- …strategic planning, goal planning, budget planning and management, performance review, professional development, and all other senior -level managerial functions ... Yes **What You'll Be Doing:** + Leads, oversees, and develops vision, strategy , activities, and protocols for enterprise Quality & Controls Assurance Program,… more
- Humana (Boston, MA)
- …matters of significance Could lead multiple managers or highly specialized professional associates. **Use your skills to make an impact** **Required Qualifications** ... health care operations, project/program management, implementation and/or consulting, corporate strategy , acquisition experience - and ability to "flex" between what… more
- State of Massachusetts (Boston, MA)
- …as well as 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 requires a combination of skills in policy, operations, strategy , business/program areas, analytics and technical expertise. The Deputy Director's… more