- 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
- Molina Healthcare (Worcester, MA)
- …Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare - Medicaid recipients within ... **Required Education** High School diploma/GED **Required Experience** 2+ years Medicare , Medicaid , managed care or other health/insurance related… more
- 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
- 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 contribute and to learn + Analytically minded; research , data, and detail oriented + Passionate about driving… more
- 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 Senior Compliance Professional ensures compliance with governmental requirements. The Senior … more
- Prime Therapeutics (Boston, MA)
- …a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- 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. ... Cloud (SFMC), aiming to enroll prospects in a Humana Medicare plan. We are looking for an acquisition-focused digital...in current channel trends and best practices. As the Senior Marketing Campaign Manager, you will work with a… more
- CVS Health (Boston, MA)
- …opportunities to improve **Preferred Qualifications:** + Knowledge of Commercial, IFP, Medicare and/or Medicaid lines of business + Multi-year strategic ... make health care more personal, convenient and affordable. **Position Summary** The Senior Manager, Strategic Planning will sit in the Network Performance &… more
- 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. ... a part of our caring community and help us put health first** As a Senior ForgeRock Engineer, you will support Humana's Consumer (B2C & B2B) Identity & Access… more
- 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. ... help us put health first** Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join… more
- 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, ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...leveraging core consulting skills to support delivering some of Medicare and Medicaid 's highest priority projects and… more
- Humana (Boston, MA)
- …delivering high priority projects and initiatives across our insurance products (including Medicare , Medicaid , Med Supp, PDP, and others), with an emphasis ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- 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 ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Mathematica (Boston, MA)
- …Agile methodology. * Conceptual and practical knowledge of health data (eg commercial, Medicare , Medicaid , or APCD claims data; EHR and/or HIE data; healthcare ... sources such as EHRs and HIEs, to effectively answer research questions about health care policy. * Incorporate client...some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other… more
- 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. ... a part of our caring community and help us put health first** The Senior Product Designer partners with specialty product teams to design specialty products that… more
- Evolent (Boston, MA)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +...by any state or federal health care program, including Medicare or Medicaid , and is not identified… more
- Olympus Corporation of the Americas (Westborough, MA)
- …(US) healthcare systems, health policy, including managed care organizations, IDN's, Medicare and Medicaid ; innovative reimbursement pathways, similar awareness ... region value-based market strategies integrating reimbursement, health economics, outcomes research and market access solutions across product stages and lifecycles.… more
- Highmark Health (Boston, MA)
- …trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid ). The work can include new research and updating existing material. ... Concordia Dental **Job Description :** Job Description This role conducts in-depth research and analysis, and develops and deliver reports and presentations on… more
- Evolent (Boston, MA)
- …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of… more
- 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. ... from clinical literature and guidelines, as well as conduct more broad external research (eg competitive intelligence), to come up with ideas on approach. + Develop… more