- Humana (Boston, MA)
- …our caring community and help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a ... and leading teams, and working in matrixed environments. The Associate Director , Medicaid Provider...subject matter expert on provider relations and provider engagement/performance improvement. + Provide oversight of… more
- Humana (Boston, MA)
- …are best suited for this role. The Associate Director , Medicaid Implementation (Business Project Management) will provide oversight to the development of ... put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Implementation (Business...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Boston, MA)
- …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...internal teaching conferences, and other reference sources * Learns Medicaid requirements and understands how to operationalize this knowledge… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Associate Director , Agile Coaching guides, educates, and mentors organizational leaders and ... and practices including Scrum, Kanban and Scaled Agile Framework (SAFe). The Associate Director , Agile Coaching requires a solid understanding of how… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security ... frameworks to ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in… more
- Humana (Boston, MA)
- …**Additional Information** Typically reports to a Lead, may also report to a Regional/ Associate Vice President or Corporate Medical Director , depending on size ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Humana (Boston, MA)
- …to provide equitable healthcare for all. HESI is seeking a Director of Enterprise Solutions and Transformation to provide strategic thought leadership; ... of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Humana (Boston, MA)
- …load balancing and collaboration + Escalations unable to be resolved by the Associate Director of Product Management or Principal + Oversee the product ... part of our caring community and help us put health first** The Director , Product Management conceives of, develops, delivers, and manages products for customer use.… more
- Humana (Boston, MA)
- …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...Effectively lead a high-performing team of associates consisting of Associate Directors, Lead Architects, Tech Leads, and more. +… more
- Public Consulting Group (Boston, MA)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the ... PCG services. This position may report to either a SBS COE Client Success Director or a Client Success Lead. **Duties and Responsibilities** _Clients_ + Own and… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Under direction of the Director of Internal Audit, the primary functions of this position are to: + Contribute towards the ... towards enhancement of the Compliance Monitoring Program processes and provide guidance to align the program with CCA data...to the Continuous Compliance Risk Assessment process. + Alert Director of Internal Audit of identified new or emerging… more
- North Shore Community Health (Peabody, MA)
- …of the Chief Clinical Officer (CCO) and the direct supervision of the Medical Director , the physician will provide continuing and comprehensive health care for ... behavioral health services. As a community-based safety net healthcare provider , NSCH actively encourages diversity and welcomes staff members...only be added with the written approval of the ( associate ) medical director and the CCO. +… more