- Humana (Boston, MA)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Boston, MA)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project , from start to finish, so ... that it is completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial.… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager works on problems of diverse scope and complexity ranging from moderate to substantial in a… more
- Evolent Health (Boston, MA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Project Manager on the Medical Policy team, you will work closely with Medical Policy ... to providing the best clinical guideline product. **Collaboration Opportunities:** The Project Manager will partner most closely with Medical Policy teammates and… more
- Elevance Health (Woburn, MA)
- …for Medicare and Medicaid Services to transform federal health programs. The ** Project Leader** is responsible for developing project plans and leading small ... ** Project Leader** **Location:** This position will work a...mitigation plans. + Provide oversight of operational plans (eg Associate Engagement Plans, transformation and automation plans, etc.) +… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare Advantage ... ad hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Associate VP, Data Science uses mathematics, statistics, machine learning, business analysis, and ... volumes of complex data into advanced analytic solutions. The Associate VP, Data Science requires an in-depth understanding of...be very selective about which projects the team pursues. Project selection needs to be a combination of inside-out… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** Associate Director of Digital Experience Solutions (DES) Architecture In support of our vision ... goals, and to enable effectiveness and efficiency of technology decisions. The Associate Director of Digital Experience Solutions (DES) Architecture is a highly… more
- Harvard University (Cambridge, MA)
- Details Title Research Associate /Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description We ... The person will be responsible for completion of these tasks within project timelines and must ensure the integrity of data collection, review, compilation,… more
- Commonwealth Care Alliance (Boston, MA)
- …maintenance and enhancement of an effective Compliance Risk Assessment Program + Project manage regulator and other external reviews as assigned + Contribute towards ... impact on the Annual Internal Audit Plan or Annual Compliance Monitoring Plan. ** Project manage regulator and other external reviews as assigned** + Lead the… more
- Harvard University (Cambridge, MA)
- Details Title Research Associate /Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description We ... will be responsible for successful completion of these tasks within competing project timelines, and must ensure integrity of data collection, data review, data… more
- Humana (Boston, MA)
- …omnichannel use cases. **Leadership skills** + Strong leadership, communication, and project management skills, with a proven ability to lead cross-functional teams. ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Boston, MA)
- …reporting. + Engage with the producers and the Center for Medicare and Medicaid Services Department of Insurance regulations specific to them if there are concerns ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees… more
- Humana (Boston, MA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems, ... medical management review organization, such as Medicare Advantage and managed Medicaid + Physical Medicine and Rehabilitation, Internal Medicine, Family Practice,… more
- Humana (Boston, MA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Boston, MA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Boston, MA)
- …cloud native architectures and agile delivery **Preferred Qualifications** + Associate or Professional level solution architecture certification in Azure, GCP ... Cloud technologies, Cloud migration or Enterprise Architecture. + 2+ years of project leadership and consulting experience. + Health Care Business Domains -… more
- Humana (Boston, MA)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... will:** + Support the discipline of portfolio planning and management for project selection and execution in TechStrat towards agreed upon milestones + Collaborate… more
- Commonwealth Care Alliance (Boston, MA)
- …standards, and due diligence, enterprise security and privacy policies, business associate agreements and business associate oversight, and corporate record ... (CRISC), among other relevant ones + Six Sigma Certification + Project Management Certification + Certification in Healthcare Compliance (CHC) **Required Experience… more