- Humana (Boston, MA)
- …with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead , you will deconstruct issues and challenges, perform ... largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This… more
- CVS Health (Boston, MA)
- …implementation and milestone tracking for business plans as Part of the Medicare benefit and product cycle. Directs the strategic development and implementation of ... large product initiatives, including new products and product enhancements for Medicare formularies, UM and clinical tools for Medicare PDP, MAPD and employer… more
- Humana (Boston, MA)
- …Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
- Travelers Insurance Company (Boston, MA)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
- Humana (Boston, MA)
- …includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... record of driving operational performance improvement + Proven experience developing multi-product strategy at the market level or higher. + Excellent verbal and… more
- Humana (Boston, MA)
- …and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health Strategy key responsibilities include: ... and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to lead initiatives developing… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business ... issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services.… more
- Humana (Boston, MA)
- …and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with internal and external stakeholders, ... (3) achieve these outcomes while driving operating efficiency. The Utilization Management Strategy Lead will bring deep expertise in utilization management (ie,… more
- WellSense (Boston, MA)
- …of Finance and Strategy , MassHealth Product will be the Finance program lead for the WellSense ACO and MCO programs under the Massachusetts Medicaid product ... company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...lead the finance arm of ACO performance and strategy . ACO performance measurement cuts across a number of… more
- Humana (Boston, MA)
- …Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the strategic direction and growth of the Medicaid ... opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development… more
- Humana (Boston, MA)
- …and help us put health first** Humana Healthy Horizons is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy ... quality improvements, establishing long range goals, objectives, and plans. The Strategy Advancement, Principal is an experienced healthcare strategist with broad,… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that provides data-driven strategic ... guidance to deliver a consistent and best-in-class Clinical function. The Strategy Advancement Advisor also enhances operational stability and effectiveness for… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and benefits achieve market leadership + Lead and manage Medicare ancillary product strategy , diversification, innovation, development, and implementation. + ... needed to support and ensure that the enterprise technology strategy is consistency with Medicare Product ...of product, marketing, sales, and operations business plans + Lead Medicare Integrated Medicare Market… more
- Humana (Boston, MA)
- …security architecture to ensure the enterprise can achieve the enterprise security strategy . The Lead Security Architect will work with stakeholders and ... of our caring community and help us put health first** The Lead Security Architect determines security architecture requirements by evaluating business strategies… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Organization Effectiveness Lead optimizes the effectiveness of a company, business unit, or team. Analyze the ... employee work output and effectively utilize employee skills. The Organization Effectiveness Lead works on problems of diverse scope and complexity ranging from… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Humana (Boston, MA)
- …vision resonates with you, we would like to talk to you! The Lead Application Architect designs and develops IT applications architecture solutions to business ... problems in alignment with the enterprise architecture direction and standards. The Lead Application Architect works on problems of diverse scope and complexity… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic ... thinker and collaborator who is effective at understanding our business strategy and providing pragmatic ways to deliver through technology. This architect plays a… more
- Takeda Pharmaceuticals (Boston, MA)
- …pricing strategies and oversee implementation of pricing activities consistent with the strategy including contracting strategies. + Develop and lead market ... best. As the Head of US Oncology Patient Value and Access, you will lead a best-in-class organization that works proactively with Payers to underscore the value of… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements to ... time, you will work cross-functionally with various stakeholders to drive the strategy to promote top-performing providers while ensuring members can easily find and… more