- Humana (Boston, MA)
- …Based Services, Medicaid and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health ... put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population...clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population… more
- Humana (Boston, MA)
- …(MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services. This role will focus on opportunities to improve member health outcomes, ... member and provider experience, clinical quality, and savings to medical costs. The Strategy...quality, cost, and experience for members and providers + Lead cross-functional teams to define discrete opportunities that are… more
- Commonwealth Care Alliance (Boston, MA)
- …is Important to Us:** Please Note: This position will primarily be focused on Clinical Healthcare projects.** We seek an experienced Agile Scrum Master to join our ... processes, software systems, and technology platforms that support Medicare and Medicaid Health Plans. **Supervision Exercised:** No, this position does not have… more
- HealthEdge Software Inc (Boston, MA)
- …(from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more