- Sumitomo Pharma (Boston, MA)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- CVS Health (Boston, MA)
- …+ Medicaid Delegation + Delegation / capitation and associated contract and performance oversight + PMP Certification + Key concepts (high level) ... within network as well as other business areas (clinical, operations, Medicaid segment). **Skills In** + Project management fundamental skills: planning,… more
- Public Consulting Group (Boston, MA)
- …facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... and exceeding performance expectations. + Facilitates client discussions and develops contract work plans, budgets, communication plans, and contract … more
- WellSense (Boston, MA)
- Senior Contract Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...our members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible… more
- Point32Health (Canton, MA)
- …other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives and ... and mentoring to all members of the team. The Senior Manager will directly support complex analysis...and may actively participate in external provider meetings with Contract Managers. The individual will also provide support for… more
- Elevance Health (Hingham, MA)
- … Services to transform federal health programs. The **Audit and Reimbursement Senior -Appeals** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior - Appeals** _This is a United States based,...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Commonwealth Care Alliance (Boston, MA)
- …and access to protected health information as required by law, regulation, and contract , and, as necessary, with CCA's Regulatory Compliance team to report any and ... regulators and/or management as appropriate or required by law, regulation and/or contract . + Performs initial and periodic information privacy risk assessments and… more
- State of Massachusetts (Boston, MA)
- …is led by the Director of Program Integrity, who reports to the Deputy Medicaid Director, and consists of 10 internal staff members and dozens of contractors ($50M ... in annual contract value). MassHealth currently works in a hybrid in-person...federal entities such as the Centers for Medicare and Medicaid Services, State Auditor's Office, and Office of Inspector… 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 Lead** ... will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for...with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health… more