- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Compliance Senior Manager will report to the Government Programs Compliance ... years of directly related experience (5+ years of Medicare and/or Medicaid Compliance experience) in personnel management and compliance related activities,… more
- Public Consulting Group (Boston, MA)
- …sector. To learn more, visit www.publicconsultinggroup.com . PCG is seeking candidates for a Project Manager (Fire & EMS Consultant) position who will work as an ... part of a dynamic team along with peers and senior staff. The Fire/EMS Consultant will be responsible for...support the public safety consulting business line, and other Medicaid and Medicare related projects. This role will use… more
- CGI Technologies and Solutions, Inc. (Boston, MA)
- ** Project Manager - Healthcare Payer** **Category:** Project Management **Main location:** United States, Massachusetts, Boston **Position ID:** J1024-0469 ... cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** As the Project Manager - Healthcare Payer, you will… more
- Fallon Health (Worcester, MA)
- …and deliver measurable results. Collaborating with a broad group of stakeholders, the Project Manager III will ensure appropriate business objectives are defined ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Prime Therapeutics (Boston, MA)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The… more
- Fallon Health (Worcester, MA)
- …Twitter and LinkedIn. **Brief summary of purpose:** As a member of the Enterprise Project Management Office team, the Senior Business Analyst is responsible for ... /Program managers within the ePMO working directly under the guidance of Project /Program Manager + Facilitates process workshop sessions with subject-matter… more
- CenterWell (Boston, MA)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- State of Massachusetts (Boston, MA)
- …Senior Care Options (SCO), including for individuals eligible for Medicare and Medicaid (dual eligibles). The Integrated Care Operations Manager , reporting to ... program initiatives for Integrated Care. The Integrated Care Operations Manager willassistin creating, manipulating, anddisseminatingseveral recurring reports. This position… more
- Humana (Boston, MA)
- …help us put health first** Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join ... market trends, and campaign performance. **Key Role Functions** + Works with Campaign Manager and Campaign Strategy roles to define the measurement approach for each… more
- Deloitte (Boston, MA)
- …working knowledge of the individual medical and small group markets and/orstate Medicaid programs + Strong client presence with project management, presentation, ... role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist… more
- State of Massachusetts (Acton, MA)
- …to multitask, balancing both clinical, managerial and administrative tasks. This is a senior leadership position within the Northeast Area. An essential role of the ... all Departmental policies and procedures, use of electronic health records, Medicaid billing system, utilization management, utilization review, risk management, and… more
- Molina Healthcare (Worcester, MA)
- …goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid . Works collaboratively with key departments across the enterprise to ... rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Provides leadership for...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
- Prime Therapeutics (Boston, MA)
- …**Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible for leading portions of departmental regulatory ... and participates in committee review meetings within the Commercial, Medicare, Medicaid , and Health Insurance Marketplace for the assigned department. This position… more
- Humana (Boston, MA)
- …user applications and delivering comprehensive productivity solutions. This role works with senior executives and technical leaders to develop and drive segment or ... Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance. This role is considered an advanced… more
- Commonwealth Care Alliance (Boston, MA)
- …completion of regulator and other external reviews as assigned** + Communicate project deliverables and deadlines to internal stakeholders, points of contact, and ... performance indicators. **Additional Responsibilities** + Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source… more
- Humana (Boston, MA)
- …contract manager or IT sales + 2+ years of project leadership experience leading cross-functional teams + Collaborative and consultative across ... Contracts departments. + **Executive Advisory:** Provides strategic advisement to senior leadership on significant matters, helping to shape functional strategies… more