- Humana (Boston, MA)
- …thinking capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a critical role in… more
- Humana (Boston, MA)
- …and help us put health first** Humana's Marketing Organization is looking for a Senior Product Marketer that has prior experience focused on Medicare, ... Medicaid and/or DSNP Members around Health and Well-being initiatives...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Boston, MA)
- …us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... just may be the role for you! As the Senior Product Owner, you will support Humana's...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- CenterWell (Boston, MA)
- **Become a part of our caring community and help us put health first** The senior product manager will play critical role in defining and executing Integrated ... models, patient 360 and AI based solutions that enhances omni channel patient experiences. The Senior Product Manager Leads all phases of the product life… more
- HealthEdge Software Inc (Boston, MA)
- **Overview** **Position** **Overview:** As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create… more
- WellSense (Boston, MA)
- Senior Manager of Clinical UM - BH WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... NaviCare** : Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage...enrollee inquires, including but not limited to Medicare and Medicaid benefit handling prospect inquires + To serve as… more
- Humana (Boston, MA)
- …reports and data management to support the market's Quality team within the Medicaid product line. Integrates data from multiple sources to produce requested ... a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report… more
- Deloitte (Boston, MA)
- …Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and ... health plan/ insurance company experience + 1 years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- Humana (Boston, MA)
- …Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Senior Technology Leadership Professional ... situations or data requires an in-depth evaluation of variable factors. The Senior Technology Leadership Professional works with design engineering and test team to… more
- Humana (Boston, MA)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... Medicare organizations. The ** Senior Business Intelligence Engineer** : + Develops and maintains...interactive reports using Power BI, Qlik, Tableau and/or similar product + Intermediate skills in Power Apps and Power… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Software Engineer solves complex business problems and issues using data from internal and ... incorporates principles of Scrum Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality… more
- Point32Health (Canton, MA)
- …and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives ... and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to...health status risk adjustment. + Knowledge of Medicare and Medicaid reimbursement is a plus + Must have the… more
- Humana (Boston, MA)
- …of Care (cost) & Effectiveness of Care (quality). Humana is seeking a Senior Informaticist on the Physician Performance Analytics team that leverages their advanced ... performance and rating metrics (claims, measures, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce meaningful results… more
- Humana (Boston, MA)
- …Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database Administrator is a key player in managing and maintaining both ... team. + Interact with internal customers including Developers, Data Engineers, Product Owners, etc., providing consultation on database changes, best practices, and… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... **Overview** **The Premium Billing Financial Senior Analyst will require working in the office...outstanding balance reporting to Enrollment & Billing Operations Director, Product line owners and VP of Finance. + Enters… more
- Humana (Boston, MA)
- …accessibility, and cross-platform strategy in an Agile development environment. As the Senior Product Designer, you will: + Develop industry-leading, high-value ... help us put health first** Are you a skilled Product Designer, User Experience Designer and/or Interaction Designer? Are...as much as users _Leadership_ + Ability to influence senior leaders, peers, and diverse teams consisting of a… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …us transform healthcare? Bring your true colors to blue. The Role Reporting to Senior Vice-President of Government Programs, the VP Product is responsible for ... and initiatives to meet corporate goals. The VP leads product strategy, product development, annual bid process,...Insurance (DOI), and the Centers for Medicare and Medicaid Services (CMS) + Ensure timely submission of fully… more
- Point32Health (Canton, MA)
- …experience + 8-10 years of progressive business experience + 3 - 5 years Medicaid product utilization management experience required + Medicaid compliance ... key departmental functions related to the compliance programs for Medicaid products. Major responsibilities include compliance program development, implementation… more
- Takeda Pharmaceuticals (Boston, MA)
- …solutions that ensure patient access to Takeda therapies. As a key member of the Senior US Oncology Leadership team, the Head of US Oncology Patient Value and Access ... not limited to: Medicare national (Centers for Medicare & Medicaid Services [CMS]), Medicaid (state and managed),...political insights are obtained and utilized when formulating the product market access strategies, and to develop core value… more