• Senior Quantitative Research

    Abt Global Inc. (Cambridge, MA)
    …seeks to add a talented researcher to its team of experts conducting policy-relevant Medicare and Medicaid research and evaluation. The successful candidate ... key technical roles on projects for the Centers for Medicare and Medicaid Services (CMS). As a...Medicaid Services (CMS). As a member of the Research , Monitoring, and Evaluation Capability, you will collaborate on… more
    Abt Global Inc. (01/01/25)
    - Save Job - Related Jobs - Block Source
  • Senior Health Care Research Expert…

    Abt Global Inc. (Cambridge, MA)
    research expert with demonstrated success directing projects funded by the Centers for Medicare and Medicaid Services (CMS). As a member of the Research , ... Opportunity** Abt Global seeks to expand its health care research team with the addition of a health care...a project director or equivalent for projects focused on Medicare policy. + Contribute subject matter expertise in the… more
    Abt Global Inc. (01/03/25)
    - Save Job - Related Jobs - Block Source
  • Lead Research Scientist

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... us put health first** Humana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote). Healthcare is rapidly changing, and our members are living… more
    Humana (01/03/25)
    - Save Job - Related Jobs - Block Source
  • Associate Actuary, Pricing

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing… more
    Humana (11/21/24)
    - Save Job - Related Jobs - Block Source
  • Insurance Strategy Consultant

    Humana (Boston, MA)
    …benefits organizations in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, ... professional experience leveraging core consulting skills to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with… more
    Humana (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Financial Analytics Lead - HQRI Finance

    Humana (Boston, MA)
    …supports Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and ... $67B in '20 revenue, Medicare and Medicaid are Humana's largest business...eager to collaborate and to learn + Analytically minded; research , data, and detail oriented + Passionate about driving… more
    Humana (01/11/25)
    - Save Job - Related Jobs - Block Source
  • Insurance Segment Strategy Lead

    Humana (Boston, MA)
    …delivering high priority projects and initiatives across our insurance products (including Medicare , Medicaid , Med Supp, PDP, and others), with an emphasis ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
    Humana (11/13/24)
    - Save Job - Related Jobs - Block Source
  • Encounter Data Management Professional

    Humana (Boston, MA)
    …to ensure successful submission and reconciliation of encounter submissions to Medicaid / Medicare . Ensures encounter submissions meet or exceed all compliance ... develops tools to enhance the encounter acceptance rate by Medicaid / Medicare . Looks for long term improvements of...DSNP and HERO DSNP Implementations. Professional will need to research claims in CAS and Ehub as well as… more
    Humana (01/14/25)
    - Save Job - Related Jobs - Block Source
  • Regional Accounts Executive- New England

    Amgen (Boston, MA)
    …Customer accounts include targeted commercial payers (BCBS of MA, Point32 Health), state medicaid agencies, medicare advantage and managed medicaid plans. ... partnerships with Pharmacy Directors, Medical Directors, Pharmacoeconomists, Quality personnel, Medicare Contractors, State Medicaid personnel, and other… more
    Amgen (11/14/24)
    - Save Job - Related Jobs - Block Source
  • Director, Insurance Strategy

    Humana (Boston, MA)
    …in the country. **Location:** remote The Insurance Strategy team supports Humana's Medicare and Medicaid lines of business. This business unit, Humana's ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
    Humana (12/21/24)
    - Save Job - Related Jobs - Block Source
  • Specialty Product Designer

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... enhancements to existing products or strategic product extensions, and translates research discoveries into usable and marketable product design features. Develops… more
    Humana (12/10/24)
    - Save Job - Related Jobs - Block Source
  • Pharmacy Claims Representative

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of the Call Center * Assist Customer Service team with claims research /resolution *Assist with new hires training **Billing:** . Assist pharmacies with claims… more
    Humana (01/15/25)
    - Save Job - Related Jobs - Block Source
  • Value-Based Programs Compass Analyst

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... platform user education outreach/support + Uses excel to analyze, research and load Provider Access to Compass + Supports...10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is… more
    Humana (01/15/25)
    - Save Job - Related Jobs - Block Source
  • Senior Marketing Campaign Manager

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... be sure to provide the requisition number so we may be able to research your request quicker. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range… more
    Humana (01/15/25)
    - Save Job - Related Jobs - Block Source
  • Senior Enterprise Architect - Front End Focus

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... translate business requirements into scalable technological solutions. + **Innovation and Research :** Stay abreast of the latest industry trends and technologies.… more
    Humana (01/09/25)
    - Save Job - Related Jobs - Block Source
  • Actuarial Analyst, Pricing

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... targeted metrics. Leverages market level projections and experience data tools to research root cause and capture insights. Researches and understands competitors in… more
    Humana (01/08/25)
    - Save Job - Related Jobs - Block Source
  • Senior Software Engineer - IAM

    Humana (Boston, MA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... procedure for software. Oversees testing and debugging and develops fixes. Research complaints and makes necessary adjustments and/or recommendations to resolve… more
    Humana (12/05/24)
    - Save Job - Related Jobs - Block Source