- Daiichi Sankyo, Inc. (Boston, MA)
- …primarily focused on providing novel therapies in oncology, as well as other research areas centered around rare diseases and immune disorders. Summary: The ... Associate Director Field Reimbursement (ADFR) is a critical front-line...utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes and… 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
- 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 are seeking a research Data Analyst in the Department of Oral Health...projects + Previous experience with health care claims (Medicare, Medicaid , and private insurance plans) strongly preferred + Ability… 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 seek a Research Data Analyst in the Department of Oral Health...including electronic health records, administrative claims (such as Medicare, Medicaid , and private insurance plans), and national survey data,… more
- Humana (Boston, MA)
- …help us put health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 (Remote). Healthcare is rapidly changing, and our members are living ... and clinicians to shape Humana's clinical strategies and initiatives. The Research Scientist 2 applies statistical and epidemiologic principles to identify trends,… more
- Humana (Boston, MA)
- …our goals, we seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem ... to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them… more
- Humana (Boston, MA)
- …**Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... prior management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
- Humana (Boston, MA)
- …or working within a similar environment that requires a determination based on research . + Ability to quickly learn new systems. + Proven ability to utilize ... be sure to provide the requisition number so we may be able to research your request quicker. \#LI-BB1 **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
- Humana (Boston, MA)
- …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and ... 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is...the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40… more
- Humana (Boston, MA)
- …products in Puerto Rico, the Senior Compliance Professional shall: + Research regulatory compliance issues and make business recommendations that assure compliance ... and Commercial Dental and Vision compliance issues in Puerto Rico * Research , understand and apply federal and state laws, regulations, and regulatory guidance… more
- Humana (Boston, MA)
- …with teams whose expertise is outside of behavioral science or quantitative research , eg product managers and market leaders. Success for the BEP means ... communication skills + Strong interpersonal skills + Interest in applied research and real-world decision-making **Preferred Qualifications** + Master's or PhD… more
- Humana (Boston, MA)
- …standard calculations to accurately compile and report statistics. Performs background research on customer accounts, prospects, competitors, and industry trends to ... organization focused on continuously improving consumer experiences **Preferred Qualifications** + Associate or bachelor's degree in business or related field +… more
- Humana (Boston, MA)
- …upload speed of 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is suggested. + Satellite, cellular ... be sure to provide the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …an integrated Medicare marketing strategy through collaboration with Marketing, Market Research , Sales, Operations, and Compliance + Oversee Medicare Market project ... including local Division of Insurance (DOI), and the Centers for Medicare and Medicaid Services (CMS) + Ensure timely submission of fully substantiated rate and… more
- Humana (Boston, MA)
- …entries, account analysis, reconciliations, staffing models, vendor management and AP research . + Manages the budgeting and forecasting processes including the ... (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)
- …entries, account analysis, reconciliations, staffing models, vendor management and AP research . + Manages the budgeting and forecasting processes including the ... (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)
- …physician, advanced practitioner, and clinical pay trends and practices. Translate research , trends and best practices into plan design and administration solutions ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Elevance Health (Manchester, NH)
- …phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled ... or pended, as well as recovered in error. + Associate must identify the correct formulas in order to...to State and Federal Guidelines. + Handles complex case research and resolution. + May assist with training of… more
