- Humana (Boston, MA)
- …community and help us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network Implementation) who is ... provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions supporting technical and operational… more
- Prime Therapeutics (Boston, MA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... for managing strategic accounts across various lines of business (Managed Medicaid ; Commercial; Medicare; Exchange) under the guidance of the Vice President… more
- Humana (Boston, MA)
- …experience as a senior developer in large IT projects + Prior project architect and/or team lead experience + Experience in Agile development environment. + ... preferred) + Healthcare industry experience + Experience with IBM Operational Decision Manager (ODM) + Experience with middle tier integrations (ie Kafka, Message… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Client Quality Manager **Job Description** The Client Quality Manager ensures the successful ... role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating System (HIM… more
- Commonwealth Care Alliance (Boston, MA)
- …from external regulatory agencies including but limited to Centers for Medicare & Medicaid Services (CMS), Mass Health, Departments of Insurance, and the Office of ... documents and responses to regulators and (2) coordinate attestations from Senior Leadership for submission **Corrective Action Plan (CAP) Management** + Assign… more
- Commonwealth Care Alliance (Boston, MA)
- …Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance (DOI), oversight of ... regulators + Submit materials to regulators + Coordinate attestations from Senior Leadership for submission **Compliance Regulatory Guidance Distribution** + Monitor… more
- Mathematica (Boston, MA)
- …developing data-driven solutions. This client-facing leadership role involves owning the project delivery and managing the relationship between the customer and ... Mathematica for a given project /engagement. The technology organizations in Health and Human Services...some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other agencies. Most… more
- Commonwealth Care Alliance (Boston, MA)
- …and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing and executing quality measurement and improvement programs ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
- Humana (Boston, MA)
- …Qualifications** + Bachelor's Degree in a technical realm OR relevant experience as a product manager + 2+ or more years of project leadership experience + SAFe ... help us put health first** The Lead Data Product Manager will work within the Enterprise Operations Enablement (EOE)...+ Ability to communicate effectively and deliver presentations to senior leaders + Must be passionate about contributing to… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile ... delivery team by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where… more
- Point32Health (Boston, MA)
- …among commercially insured people. Under the direction of a senior biostatistician and senior project manager , this SAS Programmer will use SAS software ... hoc reports, in close consultation with investigators, statisticians and senior programmers. + Use SAS software to clean and...techniques, and methods in daily work. + Participate in project meetings, both via telephone and in-person. + Contribute… more
- Commonwealth Care Alliance (Boston, MA)
- …Partner with Senior Director of Operations, and Paramedic Network Delivery Manager around medic performance and periodic trainings and/or case reviews. + Oversee ... delivery. + Oversee and support the Quality and Safety Project Manger in building and deploying systems to measure...presentation and/or media opportunities. + As backup to the Senior Director of Operations, Customer Support Manager ,… more
- Commonwealth Care Alliance (Boston, MA)
- …Direct Reports Include the Director of Member Service, Director of Provider Service, Senior Director of Member Communications, Manager of Training and Quality, ... Director of Business Strategy and Technology, Director of Member Experience and Improvement, Senior Director of Consumer Affairs, and the Director and Senior … more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Sr. Manager , Lead Category Manager will report directly into the Director of IT Procurement ... enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, evaluate and recommend products based on user… more