- Commonwealth Care Alliance (Boston, MA)
- …reliable transportation. Required Education (must have): - Bachelor's degree in healthcare administration, business administration, public health, or a related ... field required. Desired Education (nice to have): - Master's degree in healthcare administration, business administration, public health, or a related field… more
- Commonwealth Care Alliance (Boston, MA)
- …and the surrounding area. **Required Education** : + Bachelor's degree in healthcare administration, public health, business or health care related field ... health equity, Culturally and Linguistically Appropriate Services, Consumer Assessment of Healthcare Providers and Systems (CAHPS), and social determinants of health… more
- Banc of California (Boston, MA)
- …"bank"). Banc of California is one of the nation's premier relationship-based business banks focused on providing banking and treasury management services to small, ... full-service branches throughout California and Denver, Colorado, as well as full-stack payment processing solutions through BancEdge. The bank is committed to its… more
- Commonwealth Care Alliance (Boston, MA)
- …care. Collaboration and Internal Coordination - Work closely with the Network and Business Development teams to ensure information and insights are shared ... Health leadership team to support initiatives related to value-based payment (VBP), quality improvement, and provider engagement. Results and Accountability… more
- US Bank (Boston, MA)
- …you'll turn insights into outcomes that matter for providers and patients alike. As a Healthcare Payments Business Development Officer, you will develop ... by identifying prospects and initiating contact for new healthcare payments business . This includes... development skills + Thorough knowledge of healthcare payment products, services, operations, policies and… more
- US Bank (Boston, MA)
- …to turn market insight into enduring partnerships? In this senior, consultative business development role, you'll drive profitable relationships with financial ... launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part...this is where your expertise moves the needle. The ** Business Development Officer** is responsible for driving… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Manager, the Payment Integrity Consultant uses industry knowledge, research skills, payment policy and business operations knowledge to become a trusted ... Ready to help us transform healthcare ? Bring your true colors to blue. Reporting...for business and/or IT to address. Deliver business requirements to address payment policy updates… more
- Amazon (Boston, MA)
- …We're looking for a dynamic professional with 8-10 years of progressive business development experience in healthcare or technology, demonstrating ... safest and fastest online pharmacy. We are seeking an exceptional Senior Business Development Manager to drive transformative strategic partnerships within our… more
- Elevance Health (Woburn, MA)
- …+ Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare -related questions as necessary to aid in investigations. ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually… more
- Cardinal Health (Boston, MA)
- … services and products company headquartered in Dublin, OH. The _Director of Business Development , Market Access_ is a seasoned managed care executive and ... contracts. + Establish and lead Joint Operating Committees (JOCs) and Quarterly Business Reviews (QBRs) with key payer partners to rigorously monitor contract… more
- CenterWell (Boston, MA)
- …**Use your skills to make an impact** **Required Skills:** + Bachelor's degree in healthcare administration, business , or a related field; in lieu of a degree, ... centralized team through effective recruiting, onboarding, coaching and talent development . + Foster a culture of accountability, continuous improvement and… more
- Molina Healthcare (Boston, MA)
- …Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with ... Molina Healthcare 's overall mission, core values, and strategic plan and...analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs.… more
- Humana (Boston, MA)
- …The Business Systems Analysis Professional 2 will support the Payment Integrity Electronic Medical Record (EMR) Team in the onboarding, implementation, and ... by improving provider engagement, data quality, and operational efficiency within Payment Integrity's EMR initiatives. The Business Systems Analysis Professional… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …and provide leadership to junior team members within the organization. + Support business development activities through medical due diligence and evaluation of ... **Company Background/Culture** Otsuka is a global healthcare company with the corporate philosophy: "Otsuka people...Development -** Play an active role in professional development as a business imperative. Minimum $245,454.00… more
- Point32Health (Canton, MA)
- …Knowledge of Commercial employer benefits programs Expertise in strategy, planning, and business development Proven track record of working effectively with ... and execution. + Lead business needs assessment, capability assessment, and business case development + Design, develop, and assess financial implications of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. The RoleThe Clinical Business Consultant for Cost and Trend Management is responsible for ... well as strong health care industry knowledge. The Clinical Business Consultant works with a wide variety of stake...to identify, resolve and recover on operational gaps and payment concerns Key Qualifications + Strong clinical skills and… more
- Humana (Boston, MA)
- …Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and ... leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software… more
- Highmark Health (Boston, MA)
- …recommendations with senior management; defining operational process and necessary system development to implement and maintain agreed-to enhanced business ... areas and external parties; 5) Monitoring and internal auditing of various business partners relative to payment and producer of record accuracy, appointment… more
- Humana (Boston, MA)
- …experiences and streamline workflows. The Director requires deep expertise in business systems analysis, systems lifecycle management, and healthcare technology ... healthcare industry standards. + Lead cross-functional teams (including business solution architecture, testing, release management, and production support) to… more
- Highmark Health (Boston, MA)
- …government lines of business . This team will be responsible for supporting development and maintaining models that will drive both the return on investment (ROI) ... as assigned or requested. **EDUCATION** **Required** + Bachelor's Degree in Business , Finance, Healthcare Administration, or Related Field **Substitutions** +… more
