- Fallon Health (Worcester, MA)
- …Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is compliant with all quality ... Massachusetts Division of Medicaid (MassHealth) or Senior Care Options (Navicare). The Senior Program Manager takes the lead on documentation and reporting to… more
- Molina Healthcare (Worcester, MA)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- CDM Smith (Worcester, MA)
- …with other federal agencies to support policy development, or other government program development experience. * Previous experience supporting mitigation ... Smith is seeking to enhance our team with an experienced Project Manager to primarily support Climate Resiliency and FEMA's Hazard Mitigation Technical Assistance… more
- Fallon Health (Worcester, MA)
- …of government -sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. Learn ... their leadership of the Fraud, Waste and Abuse (FWA) program . The FWA Manager will be responsiblefor...monitoring trends/schemes. + Develop customized fraud plans to meet contract and federal requirements. + Oversee the reporting of… more
- Compass Group, North America (Woonsocket, RI)
- …you to join our team and make a difference today! As a General Manager , you will be directly responsible for the overall operation and cost-effective management of ... recommendations + Audits units to ensure conformance with the Company, government and accrediting agency standards, regulations and codes regarding food storage,… more
- Elevance Health (Smithfield, RI)
- …Services** is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and ... programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare… more
- Neotech (Westborough, MA)
- …Responsible to advise the Purchase Price Variance (PPV) based on material availability to the program manager . + As part of the E&O mitigation process, work with ... supplier & program manager for reduction and/or return opportunities...Savings Plan option with a company match. Due to government contract requirements, this position requires US… more
- Fallon Health (Worcester, MA)
- …of government -sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. Learn ... summary of purpose** : Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers… more
- CDM Smith (Worcester, MA)
- …the US Government for over 30 years and holds multiple contract vehicles to provide consulting, planning, studies, engineering, design, and construction. The ... business network (client decision-makers and teaming partners). * Serving as capture manager for proposal efforts to include managing and communicating amongst a… more
- CDM Smith (Worcester, MA)
- …routine to moderately complex nature or a single large project or multiple- contract projects of moderately complex nature. Manages the day-to-day activities of ... preparation and general contact with current and potential clients. Reviews government and funding agency regulations to provide consultative services that reflect… more