- Humana (Boston, MA)
- …help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... and new Medicaid markets. The Senior Medicaid Provider Education Professional will be...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Atrius Health (Newton, MA)
- …benefit package **Job:** **Information Technology* **Organization:** **Finance* **Title:** * Senior Provider Compensation Analyst* **Location:** *Newton MA ... and prepares recommendations requiring a broad and thorough understanding of provider compensation design, techniques, methods, and market practices. Serves as… more
- LogixHealth (Bedford, MA)
- …ability to multitask We want to meet YOU! Purpose Perform all provider enrollment related procedures for physicians/mid/level providers to ensure groups can submit ... to insurance carriers for reimbursement. Duties and Responsibilities + Process provider enrollment applications for providers/groups + Research insurance provider… more
- Center For Health Information And Analysis (Boston, MA)
- …CHIA and be a driving force in health policy impact! CHIA is seeking a Senior Health Policy Analyst to provide hands-on contributions in the development and ... implementation of data-driven pricing policy within the Provider Finance Pricing team. As a Senior Health Policy Analyst at CHIA, you will have the opportunity… more
- Humana (Boston, MA)
- …the research + Vendor conducts data analysis and provide initial report _( Senior Market Research Professional works in conjunction with the vendor to deliver ... us put health first** Humana's Corporate Marketing Organization is looking for a Senior Market Research Professional to join the Market Research team working… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional manages information from various sources, transforming ... order to support ongoing reporting and analytics efforts. The Senior Data and Reporting Professional work assignments...put patients at the center. As the nation's largest provider of senior -focused primary care, one of… more
- State of Massachusetts (Boston, MA)
- …. Design and deliver comprehensive training plans and materials to support the professional development of shelter provider and HLC staff to enhance program ... Communities (EOHLC) is_**_seeking a Division of Housing Stabilization (DHS) Provider Performance and Reporting Manager!_* *_AGENCY MISSION:_* The Executive Office… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Senior Vendor Management Professional will work as liaison between vendors and Humana ... the remainder of the calendar year beginning 1/1/2025. The Senior Vendor Management Professional builds and maintains...put patients at the center. As the nation's largest provider of senior -focused primary care, one of… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental ... products in Puerto Rico and ensures compliance with regulatory requirements. The Senior Compliance Professional works assignments involving moderately complex to… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... payment. The Senior Pharmacy Claims Professional work assignments involve...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc.$63,400 - $87,400 per yearThis job is… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Agency Management Professional analyzes transactions posted to the general ledger, 1099 ... for accruals, prepaid, and adjusting updates or entries. The Senior Agency Management Professional work assignments involve...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Boston, MA)
- …join the Exstream Dialogue team working remote anywhere in the US. As the Senior Professional , you will contribute to the development of dynamic document ... importance to the organization's commitment to enhancing the consumer experience. As the Senior Professional , you will also be responsible for contributing to… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Senior Enterprise Transformation Professional plans, performs and implements process improvement ... initiatives such as Lean or Six Sigma. The Senior Enterprise Transformation Professional work assignments involve moderately complex to complex issues where the… more
- HCA Healthcare (Derry, NH)
- …* Collaborates with team including nurse navigator, social worker, nutritionist, and provider to provide information to patients, screens for barriers to ... to customer inconveniences and responds accordingly. * Confidentiality, compliance, patient/ provider rights. Adheres to corporate and professional codes… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- State of Massachusetts (Boston, MA)
- …regulatory guidance including provider education , engagement and issue escalation. Provide assistance to AFC/GAFC senior manager on provider and ... to triage issues to the appropriate OLTSS internal staff. Provide assistance to AFC/GAFC senior manager during...but not limited to program audits, site reviews and provider education visits (limited travel required). Maintain… more
- Humana (Boston, MA)
- …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in resolving ... lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers...the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role.'_ **_Work at… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet ... within a specified scope while aligned to enterprise objectives. The ** Senior Technology Implementation Professional ** gathers and documents business system… more
- Guardian Life (Boston, MA)
- **Position Summary** The Lead of Provider Reimbursement will be responsible for leading a team of analysts in evaluating and optimizing our dental network ... background in leadership and a deep understanding of dental networks and provider compensation strategy. **You are:** A leader with strong actuarial background and… more