- Humana (Boston, MA)
- …capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager ** plays a critical role in… more
- Sumitomo Pharma (Boston, MA)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** ... business partnership skills + Excellent, communication/facilitation, consultation, training and project management skills. + Ability to collaborate effectively across… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Project Manager II manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Project Manager II work assignments are varied...matter expertise relative to both Humana as well as Medicaid line of business + Prior experience in the… more
- Humana (Boston, MA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Project Manager 2 to manage all aspects of enterprise level non-technical program ... it is completed on time and within budget. The Project Manager work assignments are varied and...Qualifications** + Experience with Smartsheets. + Experience working with Medicaid requirements and guidelines. + PMP or PMI-ACP certifications.… more
- Harvard University (Cambridge, MA)
- …ManagementPre-Employment Screening:Education, IdentityJob Function:General Administration Position Description: The Project Manager will independently perform a ... analysis) and ensure they are performing high-quality work. The Project Manager will also perform other duties...Quality of Cost of Care for Dual-Eligible Medicare and Medicaid Beneficaries C) The Impact of Federal and State… more
- Evolent Health (Boston, MA)
- …Join 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 ... contributes to providing the best clinical guideline product. **Collaboration Opportunities:** The Project Manager will partner most closely with Medical Policy… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: The Project Manager /Liaison coordinates the accurate and efficient enrollment of LogixHealth providers into health ... the entire physician network + Oversee and lead the documentation of project action items, issues, risks, outcomes, and decisions + Develop, review, distribute,… more
- Commonwealth Care Alliance (Boston, MA)
- …and workflows reliant on reimbursement policy outcomes + Serve as the department's project manager for: (1) regulatory information such as proposed and final ... such changes into materials. As directed by the department manager , he/she will project manage regulatory changes...Medicare and/or Medicaid payment regulations, Medicare Manual updates, DHHS and EOHHS… more
- Point32Health (Canton, MA)
- …with Medicaid laws and regulations governing federal and state contracts for Medicaid products. The Program Manager will be expected to proactively identify ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Program Manager is responsible for key departmental functions related to the… more
- Public Consulting Group (Boston, MA)
- …in Medicare and/or Medicaid audits and reviews + Leader with effective project management skills + Effective manager with team-building skills + Self-starter ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare/ Medicaid cost settlement and supplemental payment projects, effectively supervising… more
- Commonwealth Care Alliance (Boston, MA)
- …from external regulatory agencies including but limited to Centers for Medicare & Medicaid Services (CMS), Mass Health, Departments of Insurance, and the Office of ... more years direct work experience inregulatory affairs and/or compliance in Medicare or Medicaid required + 5 or more years of managerial experience required +… more
- Commonwealth Care Alliance (Boston, MA)
- …Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance (DOI), oversight of ... years direct work experience in regulatory affairs and/or compliance in Medicare or Medicaid required + 5 or more years of managerial experience required + Health… more
- Point32Health (Canton, MA)
- …the behavioral health provider account management team. The Provider Account Management Manager will manage a staff who are liaisons internally between departments ... and externally with providers. Working in a heavily matrixed environment, the Manager of Provider Account Management (or Manager of Provider Relations)… more
- CenterWell (Boston, MA)
- …of our caring community and help us put health first** The senior product manager will play critical role in defining and executing Integrated Health data strategy ... AI based solutions that enhances omni channel patient experiences. The Senior Product Manager Leads all phases of the product life cycle, from inception to… more
- Public Consulting Group (Boston, MA)
- …care facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs ... to elicit feedback to inform contract tasks. + Identifies project gaps and risk mitigation strategies. + Plans and...such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge… more
- Public Consulting Group (Boston, MA)
- …artifacts, and client presentations + Plan, monitor, and manage ongoing tasks with the project manager + Provide guidance and support to project teams ... allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for… more
- Elevance Health (Hingham, MA)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Elevance Health (Hingham, MA)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… 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