- Humana (Boston, MA)
- …and help us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network Implementation) who is accountable for ... end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions supporting technical and operational… more
- WellSense (Boston, MA)
- Nurse Care Manager ( Senior Care Product ) - Field Based WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and ... to making a difference in elders' lives. The Care Manager serves a central role on an interdisciplinary team...Excellent clinical and assessment skills + Experience with the Medicaid , Medicare, and Senior population + Experience… more
- Humana (Boston, MA)
- …community and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full ... accountability from strategy to execution. **Location:** remote The Lead Product Manager partners across various multi-disciplinary teams at Humana to design,… more
- Point32Health (Canton, MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Audit Manager reports to the Audit Senior Manager and supports the Audit Senior Manager in ... the annual audit plan. The position supports the Audit Senior Manager in his/her leadership and oversight...statutory reporting + Knowledge of Centers of Medicare and Medicaid Services (CMS) Medicare Advantage (MA) and Medicare and… more
- Point32Health (Canton, MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Lead Compliance Program Manager will be responsible for development, implementation and management of ... with federal and state regulations for multiple lines of business (Medicare, Medicaid ). This work requires partnering with internal departments as well as external… 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
- 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 ... eg through conference presentation and/or media opportunities. + As backup to the Senior Director of Operations, Customer Support Manager , and Associate Medical… more
- Point32Health (Boston, MA)
- …on health outcomes among commercially insured people. Under the direction of a senior biostatistician and senior project manager , this SAS Programmer ... and ad hoc reports, in close consultation with investigators, statisticians and senior programmers. + Use SAS software to clean and troubleshoot health insurance… more