• Fidelity TalentSource LLC (Boston, MA)
    …is crucial for ensuring the confidentiality and integrity of client data.Skills: Strategy and Planning: Develop and implement a strategic roadmap that aligns with ... or Kanban is preferred.Leadership and team management: The ability to lead cross-functional teams, foster collaboration, and drive a high-performance culture is… more
    JobGet (09/15/24)
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  • Medicare Strategy Lead

    Humana (Boston, MA)
    …with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead , you will deconstruct issues and challenges, perform ... largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This… more
    Humana (09/06/24)
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  • Audit & Reimbursement Senior- Medicare Cost…

    Elevance Health (Hingham, MA)
    …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** This is a...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (09/11/24)
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  • Audit & Reimbursement III - Medicare Cost…

    Elevance Health (Hingham, MA)
    …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (09/11/24)
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  • Audit & Reimbursement III- Medicare Cost…

    Elevance Health (Hingham, MA)
    …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (09/11/24)
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  • Pharmacy Account Director, Medicare

    Elevance Health (Woburn, MA)
    …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (09/11/24)
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  • Behavioral Health Medical Director…

    Humana (Boston, MA)
    …Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
    Humana (08/07/24)
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  • Managing Director, Medicare & Debt…

    Travelers Insurance Company (Boston, MA)
    …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
    Travelers Insurance Company (07/18/24)
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  • VP, Medicare Regional President-NE Region

    Humana (Boston, MA)
    …includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... record of driving operational performance improvement + Proven experience developing multi-product strategy at the market level or higher. + Excellent verbal and… more
    Humana (08/27/24)
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  • Capture Lead , Medicaid Clinical…

    Humana (Boston, MA)
    …and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health Strategy key responsibilities include: ... and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to lead initiatives developing… more
    Humana (08/15/24)
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  • Strategy Advancement Lead - Clinical…

    Humana (Boston, MA)
    …of our caring community and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business ... issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services.… more
    Humana (09/04/24)
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  • Director of Finance and Strategy

    WellSense (Boston, MA)
    …of Finance and Strategy , MassHealth Product will be the Finance program lead for the WellSense ACO and MCO programs under the Massachusetts Medicaid product ... company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...lead the finance arm of ACO performance and strategy . ACO performance measurement cuts across a number of… more
    WellSense (07/20/24)
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  • Advisor, Medicaid Provider & Network…

    Humana (Boston, MA)
    …caring community and help us put health first** The Advisor, Medicaid Network Strategy will be accountable for leading the development of Humana Healthy Horizon's ... (Medicaid) network development market entry strategy for its Medicaid growth markets.... for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic advisement in the development… more
    Humana (09/11/24)
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  • Director, Medicaid Product Management and Wellness…

    Humana (Boston, MA)
    …Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the strategic direction and growth of the Medicaid ... opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development… more
    Humana (09/11/24)
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  • Strategy Advancement, Principal…

    Humana (Boston, MA)
    …and help us put health first** Humana Healthy Horizons is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy ... quality improvements, establishing long range goals, objectives, and plans. The Strategy Advancement, Principal is an experienced healthcare strategist with broad,… more
    Humana (07/25/24)
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  • Vice President of Product, Government Programs

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …and benefits achieve market leadership + Lead and manage Medicare ancillary product strategy , diversification, innovation, development, and implementation. + ... needed to support and ensure that the enterprise technology strategy is consistency with Medicare Product ...of product, marketing, sales, and operations business plans + Lead Medicare Integrated Medicare Market… more
    Blue Cross Blue Shield of Massachusetts (07/17/24)
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  • Lead Security Architect(remote)

    Humana (Boston, MA)
    …security architecture to ensure the enterprise can achieve the enterprise security strategy . The Lead Security Architect will work with stakeholders and ... of our caring community and help us put health first** The Lead Security Architect determines security architecture requirements by evaluating business strategies… more
    Humana (09/11/24)
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  • Internal Communications Lead , IT

    Humana (Boston, MA)
    …to work Eastern Standard Time business hours.** **Key Role Functions** + Lead communications strategy for various initiatives within Humana IT, implementing ... first** Humana's Corporate Communications organization is seeking an Internal Communications Lead who will support IT to join the Internal Communications Team.… more
    Humana (09/13/24)
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  • Lead Google Cloud Solutions Engineer,…

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
    Humana (08/20/24)
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  • Lead Application Architect (Integrated…

    Humana (Boston, MA)
    …vision resonates with you, we would like to talk to you! The Lead Application Architect designs and develops IT applications architecture solutions to business ... problems in alignment with the enterprise architecture direction and standards. The Lead Application Architect works on problems of diverse scope and complexity… more
    Humana (07/04/24)
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