- Humana (Boston, MA)
- …our caring community and help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a ... and leading teams, and working in matrixed environments. The Associate Director , Medicaid Provider...subject matter expert on provider relations and provider engagement/performance improvement. + Provide oversight of… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range ... understanding of how organization capabilities interrelate across the function or segment. The Director , Actuarial of Medicaid Pricing may be responsible for any… more
- Humana (Boston, MA)
- …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...internal teaching conferences, and other reference sources * Learns Medicaid requirements and understands how to operationalize this knowledge… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Associate Director , Agile Coaching guides, educates, and mentors organizational leaders and ... and practices including Scrum, Kanban and Scaled Agile Framework (SAFe). The Associate Director , Agile Coaching requires a solid understanding of how… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Associate Director , Data Science uses mathematics, statistics, modeling, business analysis, and ... to transform high volumes of complex data into advanced analytic solutions. The Associate Director , Data Science requires a solid understanding of how… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** Associate Director of Digital Experience Solutions (DES) Architecture In support of our ... goals, and to enable effectiveness and efficiency of technology decisions. The Associate Director of Digital Experience Solutions (DES) Architecture is a… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading ... be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Boston, MA)
- …**Additional Information** Typically reports to a Lead, may also report to a Regional/ Associate Vice President or Corporate Medical Director , depending on size ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Humana (Boston, MA)
- …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...Effectively lead a high-performing team of associates consisting of Associate Directors, Lead Architects, Tech Leads, and more. +… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on building a ... AI techniques **Preferred Qualifications:** * Microsoft Certified: Azure Data Engineer Associate * Microsoft Certified: Azure AI Fundamental * Microsoft Certified:… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Under direction of the Director of Internal Audit, the primary functions of this position are to: + Contribute towards the ... towards enhancement of the Compliance Monitoring Program processes and provide guidance to align the program with CCA data...to the Continuous Compliance Risk Assessment process. + Alert Director of Internal Audit of identified new or emerging… more
- North Shore Community Health (Peabody, MA)
- …of the Chief Clinical Officer (CCO) and the direct supervision of the Medical Director , the physician will provide continuing and comprehensive health care for ... behavioral health services. As a community-based safety net healthcare provider , NSCH actively encourages diversity and welcomes staff members...only be added with the written approval of the ( associate ) medical director and the CCO. +… more
- Humana (Boston, MA)
- …Clinical and Enterprise Compliance area, working closely with the Internal Audit Director , Clinical and Enterprise Compliance. The right individual will execute on ... + Proactively inform management of significant risks or exposures, and provide development feedback and coaching recommendations and improvements + Development and… more