- Deciphera Pharmaceuticals (Waltham, MA)
- Company Description Job Description Deciphera is seeking a Senior Manager of Patient Support Operations. The ideal candidate has deep reimbursement knowledge, ... summarize findings to facilitate improvements. Work with vendors to ensure ongoing compliance with contract requirements, business rules, and pertinent legal and … more
- Saviance (Boston, MA)
- …and vendor contract negotiations. Compliance & Risk Management: Ensure compliance with all healthcare financial regulations, including Medicare , Medicaid, ... the accuracy and integrity of the hospital's financial statements and compliance with all regulatory requirements. Manage the hospital's revenue cycle, optimizing… more
- Humana (Boston, MA)
- …The focus of this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and ... caring community and help us put health first** The Senior Compliance Professional ensures ...Compliance or Health Plan Operations + Familiarity with Medicare pharmacy laws or regulations **Additional Information** Interview Format… more
- CenterWell (Boston, MA)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional 's work assignments involve...liaison between vendors, internal business owners, contracting, risk, and compliance teams. As part of the Humana Military Contract… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Senior Acquisition Integration Professional performs procurement related project management duties ... Advancement Lead under the Procurement Center for Enablement team. The Senior Acquisition Integration Professional work assignments involve moderately complex… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other ... of goods and services for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult ... to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (Boston, MA)
- …help us put health first** We are seeking an accomplished and experienced Senior Strategy Advancement Professional to join the Conversational Experience Platform ... business issues and opportunities, including OKR creation and evaluation. The Senior Strategy Advancement Professional will exercise considerable latitude in… more
- Humana (Boston, MA)
- …consolidating the IT supply base, alongside run-the-business initiatives). The Senior Procurement Professional (Category Manager) generates and implements ... and manages the company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional work assignments involve moderately complex to… more
- Beth Israel Lahey Health (Woburn, MA)
- …at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, ... **Job Description:** **Primary Responsibilities** * Monitor departments' adherence to professional charge reconciliation, work-queue, and professional coding… more
- Humana (Boston, MA)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you...revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- Humana (Boston, MA)
- …Care business, where we empower agents to assist seniors in choosing our senior -focused primary care services. This role sits at the intersection of cutting-edge ... you will have the chance to work directly with Senior Leadership in the Growth Team. Your primary focus...Deployment. + Platform App Builder. + Health Cloud Accredited Professional . + Certified Data Cloud Consultant. + Healthcare Industry… more
- CenterWell (Boston, MA)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates… more
- CenterWell (Boston, MA)
- …complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will ... Qualifications** + Bachelor's degree + 5-7 years progressively responsible professional experience in health-related strategy and operations positions, preferably in… more
- Humana (Boston, MA)
- …recommendations. + Present complex analytical findings and model outputs to senior leaders and non-technical stakeholders, focusing on clear data storytelling. + ... ensure holistic and informed strategy development. + Maintain a deep understanding of Medicare Part D benefit design and regulatory changes to inform forecasting and… more
- Humana (Boston, MA)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Evolent (Boston, MA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst, Scope Management** The Specialty Scope Management team is made up ... to own the opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst, Scope Management plays a crucial role in supporting the… more
- Takeda Pharmaceuticals (Boston, MA)
- …reporting and compliance + Chair the Pricing Committee (comprised of senior leadership from sales,patient value & access, marketing, finance and legal) that is ... access analytics, including but not limited to; Pricing, Pricing Compliance , Government Price Reporting, Planning, Contract Administration, Rebates, Group Purchasing… more
