- CVS Health (Wellesley, MA)
- …short-term, and long-term goals. + 3+ years of analytical experience within pharmacy, healthcare, managed care , or related field + 3+ years of experience using ... short-term, and long-term goals. + 5+ years of analytical experience within pharmacy, healthcare, managed care , or related field + 5+ years of experience using… more
- Humana (Boston, MA)
- …and identify opportunities to for provider education. + Ensures compliance with Oklahoma's Managed Care Contractual requirements for provider relations, such as ... first** Humana Healthy Horizons in Oklahoma is seeking a Claims Research & Resolution Lead to lead a team...+ Experience with Oklahoma Medicaid. + Thorough understanding of managed care contracts, including contract language and… more
- State of Massachusetts (Quincy, MA)
- …billion in rebates returned to MassHealth from drug manufactures on our Fee-For-Service and Managed Care drug spend. EOHHS IT is looking for a well-organized, ... Systems Analyst*responsible for supporting the pharmacy system, MassRx. MassRx is a claims processing and rebate system, which processes around 26 million claims… more
- Humana (Boston, MA)
- …regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional ... interpretation. The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work various tasks or… more
- Prime Therapeutics (Boston, MA)
- …is client facing, and acts as a strategic liaison between the business and vendor partners to ensure the Strategic Solutions roadmap is created, managed , and ... platforms and products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly… more
- Takeda Pharmaceuticals (Boston, MA)
- … Vendor Management + Oversight and accountability for labeling activities managed by external vendor (s) for assigned products, ensuring seamless coordination, ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- CS Energy (Braintree, MA)
- …avoid legal actions. When needed work with legal teams on dispute resolutions and claims . + Assist Teams with training and development activities. + Hire and Train ... industry experience, with progressively greater responsibility + Successfully led and managed complex project or portfolios valued at $30+ million + Success… more