- Commonwealth Care Alliance (Boston, MA)
- …of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network , with a focus on ... determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality … more
- Commonwealth Care Alliance (Boston, MA)
- …operations, utilization management, and quality programs as they relate to provider satisfaction and network performance. - Experience with change management ... quality , compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The Provider… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the ... data analysis, to ensure delegated entities meet contractual, regulatory, and quality standards that optimize member outcomes and operational efficiency. This… more
- FleishmanHillard (Boston, MA)
- …on HCPs and patient audiences. + Support the execution of high- quality campaign launches alongside opportunistic media programs, helping manage from conception ... within a regulated environment. + Work with senior members across the network to manage and execute integrated communications programs that embrace all areas… more
- FleishmanHillard (Boston, MA)
- …team members. + Oversee team workloads and assignments across the account. + Ensure quality and consistency of media strategy and execution. + Collaborate with ... business impact, and navigate a complex media landscape. + Leverage a strong network of relationships with key healthcare, pharma, and business media, showing a… more
- Manulife (Boston, MA)
- …Policy, or related field preferred + 8 -15+ years in provider network management, healthcare contracting, or payer strategy roles + Familiarity with CRM ... long-term care providers to our customers when they need it. The Director, Provider Network Development & Relationship Management, is responsible for leading the… more
- Molina Healthcare (Boston, MA)
- **Job Description** **Job Summary** Sr. Analyst, Network Strategy , Pricing & Analytics guides the investment of our network partners through contract ... plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial… more
- Oracle (Providence, RI)
- …to drive adoption and utilization of the Oracle Population Health suite. o Provide expert guidance on population health strategy , helping clients optimize ... people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human,… more
- Commonwealth Care Alliance (Boston, MA)
- …operations, utilization management, and quality programs as they relate to provider satisfaction and network performance. * Experience with change management ... quality , compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The Provider… more
- Guardian Life (Boston, MA)
- …Contribute to strategic projects and ad hoc initiatives, aligning efforts with broader network strategy and organizational goals You have + Bachelor's degree or ... be responsible for ensuring best-in-class service and support for the dentists that provide the greatest value to Guardian's proprietary network , resulting in… more
- Point32Health (Canton, MA)
- …of domains including medical trend, financial and operational performance, member/ provider experience, care management, network development and compliance ... leading not-for-profit health and well-being organization dedicated to delivering high- quality , affordable healthcare. Serving nearly 2 million members, Point32Health… more
- Molina Healthcare (Boston, MA)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more
- Point32Health (Canton, MA)
- …utilized by Point32Health to understand performance, financial or otherwise, of the allied provider network . Work closely with the contract management staff and ... leading not-for-profit health and well-being organization dedicated to delivering high- quality , affordable healthcare. Serving nearly 2 million members, Point32Health… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... therapies to patients worldwide. Join Takeda as Director, Global Regulatory Labeling Strategy where you will be responsible for the development and implementation of… more
- Humana (Providence, RI)
- …to optimize UM processes, improve clinical outcomes, and enhance member and provider experiences. The Senior Strategy Advancement Professional helps develop and ... our caring community and help us put health first** The Senior Strategy Advancement Professional will support the design, implementation, and advancement of… more
- Point32Health (Canton, MA)
- …sales. **Job Description** Key Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop provider ... with function leaders and key stakeholders. Participate in/chair leadership meetings concerning provider strategy , network development and other issues.… more
- Grant Thornton (Boston, MA)
- Grant Thornton is seeking a Relationship Strategy & Enablement Director to join the team. Approved office locations can be found below. About the Role: At Grant ... of scale and agility along with our industry-specific focus helps us provide timely due diligence, transaction support and portfolio company value creation services.… more
- Humana (Providence, RI)
- …in enhancing provider performance and advancing Humana's mission to deliver high- quality healthcare. You will work with providers to improve their STARs ratings ... and strong relationship-building. Senior Healthcare Network Consultant /Senior Network Performance Professional + ** Provider Collaboration** : Work with… more
- Prime Therapeutics (Providence, RI)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management ... for development, performance and management of Prime's retail, mail, specialty, and quality -based networks aligning with Prime's Supply Chain Cost of Goods Sold… more
- Oracle (Providence, RI)
- …progress, key metrics, and risks to senior management and cross-functional teams. + Provide recommendations for improving product quality based on test results ... a strong technical background in optical transceiver testing and a passion for driving quality across the product development lifecycle. You will play a key role in… more
