• Medicaid Insurance Product Manager

    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. ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...with the following attributes: * Creative - Adept at research to determine the opportunity and a structured yet… more
    Humana (02/20/25)
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  • Associate Actuary

    Humana (Boston, MA)
    …planning. Applies statistical methods for modeling and comparison studies The Associate Actuary, Analytics/Forecasting analyzes emerging trends on Medicare ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
    Humana (02/19/25)
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  • Lead Research Scientist

    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. ... us put health first** Humana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote). Healthcare is rapidly changing, and our members are living… more
    Humana (03/08/25)
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  • Associate Medical Director, Cardiology

    Evolent (Boston, MA)
    …exclusions, sanctions, or disciplinary actions by **state or federal healthcare programs ( Medicare , Medicaid , OIG, or GSA).** Join us at **Evolent Health** ... for the mission. Stay for the culture. **What You'll Be Doing:** ** Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you… more
    Evolent (03/04/25)
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  • Sr. Professional Network Strategy

    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. ... Strategy will be accountable for supporting the development of Humana Healthy Horizon's Medicaid network strategy and market approaches in the Medicaid growth… more
    Humana (03/06/25)
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  • Telephonic UM Administration Coordinator

    Humana (Boston, MA)
    …Facilities and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for ... the requisition number so we may be able to research your request quicker. \#LI-BB1 **Scheduled Weekly Hours** 40...over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid more
    Humana (03/18/25)
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  • Sr Business Project Manager

    Humana (Boston, MA)
    …a managed care healthcare system or health plan. + Experience working in Medicaid and/or Medicare . **Preferred Qualifications** + 3+ years of leadership ... processes. + Proficiency in Microsoft Office programs. + Experience working in Medicaid / Medicare implementation. + Prosci, Six Sigma, and/or Project Management… more
    Humana (03/09/25)
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  • Regional Accounts Executive- New England

    Amgen (Boston, MA)
    …Customer accounts include targeted commercial payers (BCBS of MA, Point32 Health), state medicaid agencies, medicare advantage and managed medicaid plans. ... partnerships with Pharmacy Directors, Medical Directors, Pharmacoeconomists, Quality personnel, Medicare Contractors, State Medicaid personnel, and other… more
    Amgen (02/13/25)
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  • Director, Competitive Intelligence, Stars

    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. ... Ratings. The ideal candidate will possess a deep understanding of the Medicare landscape, strong analytical skills and the ability to communicate insights… more
    Humana (03/04/25)
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  • Value Based Programs Specialty Care Lead

    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. ... individual contributor role + This role reports to the Associate Vice President of Value Based Strategies In addition...the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40… more
    Humana (03/15/25)
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  • Sr Workday BI Engineer, HR Analytics

    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. ... Humana is dedicated to optimizing talent outcomes and enhancing the associate experience through a customer-centric approach. We deliver advanced analytic products… more
    Humana (03/13/25)
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  • Senior Data Scientist

    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. ... **Required Qualifications** + Master's Degree and 3+ years of experience in research /ML engineering or an applied research scientist position preferably with… more
    Humana (01/28/25)
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  • Software Engineer

    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. ... procedure for software. Oversees testing and debugging and develops fixes. Research complaints and makes necessary adjustments and/or recommendations to resolve… more
    Humana (03/19/25)
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  • Credentialing Auditing Assistant

    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. ... be sure to provide the requisition number so we may be able to research your request quicker. \#LI-BB1 **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
    Humana (03/19/25)
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  • Senior Data Scientist

    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. ... structured and unstructured data sets for analysis and reporting + Research and evaluate innovative analytical methodologies, approaches, and solutions + Collaborate… more
    Humana (03/18/25)
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  • Senior Provider Reimbursement Professional…

    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. ... Professional (MCCAU Code Edit Policy Team)-Certified Medical Coder performs research , analysis, documentation, and interpretation for the provider reimbursement… more
    Humana (03/06/25)
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