- CVS Health (Boston, MA)
- …make health care more personal, convenient and affordable. **Position Summary** The Medicare Performance Management Lead Business Consultant will facilitate and ... Medicare Advantage market and segment leadership teams. The Lead Business Consultant role will be a liaison between... Business Consultant role will be a liaison between senior management and local market leaders Identifies and leads… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, leading, and ... Services, Inpatient & Outpatient) for Point32Health's lines of business. The Director is responsible for ensuring achievement of Point32Health corporate goals;… more
- Elevance Health (Woburn, MA)
- **Reporting and Analytics Director - CAHPS/STARS** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... KY, Wilmington, DE, Tampa, FL or Nashville, TN. The **Reporting and Analytics Director - CAHPS/STARS** is responsible for high-priority analytical projects for the … more
- Commonwealth Care Alliance (Boston, MA)
- …to a variety of audiences + Experience with managing clinical services for Medicaid/ Medicare patients + Demonstrated ability to lead and navigate large scale ... **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all...health care delivery **Required Knowledge, Skills & Abilities:** + Medicare and Medicaid managed care experience + Demonstrated knowledge… more
- Fallon Health (Boston, MA)
- …in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare benefits, including prescription ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… more
- Point32Health (Canton, MA)
- …Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic ... and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to...in accordance with compliance and regulatory requirements. Additionally, will lead analysts in measuring the impact of contracts on… more
- Prime Therapeutics (Boston, MA)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Senior Principal or Senior Director in the Finance department ... owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage...for all lines of business. This position will also lead complex projects that are highly visible to executives… more
- Public Consulting Group (Boston, MA)
- …work as an integral part of a dynamic team along with peers and senior staff. The Fire/EMS Consultant will be responsible for carrying out the day-to-day activities ... public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of...and current best practices in the fire/EMS field to lead and facilitate public safety consulting projects. Project examples… more