• Medicaid and State Government

    Public Consulting Group (Boston, MA)
    …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
    Public Consulting Group (10/22/25)
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  • VP Government Programs - Medicare…

    Prime Therapeutics (Boston, MA)
    …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
    Prime Therapeutics (10/08/25)
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  • North Carolina Medicaid Account Manager…

    Prime Therapeutics (Boston, MA)
    …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
    Prime Therapeutics (09/23/25)
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  • Director of State Government Affairs

    Commonwealth Care Alliance (Boston, MA)
    011110 CCA-Public Affairs **Position Summary:** The Director of State Government Affairs ("Director") sits within The Government Affairs team and reports to ... of CCA's membership. + Knowledge of inner workings of the Massachusetts state government , policymaking, and budgetary processes. + Excellent collaboration,… more
    Commonwealth Care Alliance (10/21/25)
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  • Director, Federal Government Affairs

    WelbeHealth (Boston, MA)
    …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
    WelbeHealth (09/17/25)
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  • Social Worker ll- 55+ PACE Program -no…

    Fallon Health (Leominster, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
    Fallon Health (08/13/25)
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  • Senior Director of External Affairs

    State of Massachusetts (Boston, MA)
    …Human Services (EOHHS) is the largest Secretariat in the Massachusetts state government , comprising 11 agencies and the MassHealth program . With a workforce ... briefings that inform decision-making at the highest levels of state government to leading public engagement on... state and federal health and human services programs such as Medicaid , behavioral health, and… more
    State of Massachusetts (10/15/25)
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  • Lead Counsel, Market Access, Oncology

    Takeda Pharmaceuticals (Cambridge, MA)
    …including AMP, Best Price, ASP, and 340B, as well as federal health care program contracting (eg, Medicaid , VA, etc.). + Understanding laws impacting the ... aspects of the PVA function, including pricing, payor and GPO contracting, government price reporting, co-pay programming and patient services for inline and launch… more
    Takeda Pharmaceuticals (10/23/25)
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  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Boston, MA)
    …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
    Prime Therapeutics (08/08/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Boston, MA)
    …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state more
    CenterWell (10/23/25)
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  • Health Aide Supervisor - Great Manager Role in…

    Fallon Health (Worcester, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short....well as Life Enrichment staff with individual and group programs by helping to plan individual treatment programs more
    Fallon Health (10/21/25)
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  • Head of Contracts & Pricing

    Takeda Pharmaceuticals (Boston, MA)
    …analytic aspects of the US Oncology BU's (US OBU's) commercial and government pricing strategy and commercial contracting management, oversee advanced market access ... the analytic aspects of the US OBU's commercial and government pricing plan for all in-line and new products...-- Department of Veterans Affairs (VA), Federal SupplySchedule (FSS), Medicaid , Department of Defense (DOD) -- and OncologyGPOs. This… more
    Takeda Pharmaceuticals (10/11/25)
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  • Navicare Account Executive - MetroWest

    Fallon Health (Worcester, MA)
    …and inspiring hope_ , we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... plans for member experience, service, and clinical quality. Fallon Health's NaviCare is a program for people age 65 and older, who live in our service area, and… more
    Fallon Health (09/06/25)
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  • Care Coordinator - Framingham - Gujarati…

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... through the EBT system, fuel assistance and other community programs and services such as WIC + Screens members...delivery of items as part of the 'Oh Baby' program and work with Nurse Case Managers to coordinate… more
    Fallon Health (10/02/25)
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  • Senior Care Options, Supervisor - RN

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... with Clinical Integration Leaders to implement Models of Care, Programs as outlined in Program Descriptions for...for various Fallon Health products ensuring adherence to CMS, State , NCQA, and other required elements * Ensuring the… more
    Fallon Health (10/14/25)
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  • Sr. Fellow, Value-Based Care Implementation…

    Mathematica (Cambridge, MA)
    …The Sr. Fellow's work could be focused on improving the Medicare, Medicare Advantage, Medicaid , and veterans and military focused programs , as well as the ... partners to translate big questions into deep insights that improve programs , refine strategies, and enhance understanding using data science and analytics.… more
    Mathematica (09/25/25)
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  • OCM Consultant

    Public Consulting Group (Boston, MA)
    …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
    Public Consulting Group (10/04/25)
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  • Senior Legal Counsel - Pharmacy Benefit Manager…

    CVS Health (Boston, MA)
    …network issues, pharmacy and/or mental health parity. + Experience working with state and federal government agencies, healthcare laws and regulations. + ... for action to internal stakeholders and senior/executive management regarding federal/ state regulations in the healthcare industry. Serves as a subject… more
    CVS Health (10/10/25)
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  • Financial Consultant

    Public Consulting Group (Boston, MA)
    …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program more
    Public Consulting Group (09/13/25)
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  • Nurse Case Manager

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... determine the number of hours' members require for MassHealth programs such as the personal care attendant program...rating category to ensure members are in the correct State defined rating category o Maintains up to date… more
    Fallon Health (10/25/25)
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