- Sumitomo Pharma (Boston, 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)
- …to make health care more personal, convenient and affordable. **Position Summary** The Medicaid senior manager , network management: * Negotiates, executes, ... building, and loading contracts, agreements, amendments and/or fee schedules in contract management systems per Aetna's established policies. . * Conducts research,… 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
- WellSense (Boston, MA)
- Senior Contract Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...our members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible… 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