- Sumitomo Pharma (Marlborough, MA)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- CVS Health (Boston, MA)
- …+ Medicaid Delegation + Delegation / capitation and associated contract and performance oversight + PMP Certification + Key concepts (high level) ... within network as well as other business areas (clinical, operations, Medicaid segment). **Skills In** + Project management fundamental skills: planning,… more
- Public Consulting Group (Boston, MA)
- …facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... and exceeding performance expectations. + Facilitates client discussions and develops contract work plans, budgets, communication plans, and contract … more
- Point32Health (Canton, MA)
- …other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives and ... and mentoring to all members of the team. The Senior Manager will directly support complex analysis...and may actively participate in external provider meetings with Contract Managers. The individual will also provide support for… more
- HealthEdge Software Inc (Boston, MA)
- …and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities ... **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the… more
- Commonwealth Care Alliance (Boston, MA)
- …and access to protected health information as required by law, regulation, and contract , and, as necessary, with CCA's Regulatory Compliance team to report any and ... regulators and/or management as appropriate or required by law, regulation and/or contract . + Performs initial and periodic information privacy risk assessments and… more
- State of Massachusetts (Boston, MA)
- …is led by the Director of Program Integrity, who reports to the Deputy Medicaid Director, and consists of 10 internal staff members and dozens of contractors ($50M ... in annual contract value). MassHealth currently works in a hybrid in-person...federal entities such as the Centers for Medicare and Medicaid Services, State Auditor's Office, and Office of Inspector… more