- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. Supporting ... language, evaluate validity in the data and support the Managed Care Contract Team at...Contract Manager this position will serve as team lead and technical expert related to manage care… more
- Cardinal Health (Boston, MA)
- …policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and align negotiation ... **_What Managed Care contributes to Cardinal Health_**...Key member of negotiating team for company. + Negotiates contract language across all contracts, striving for uniformity among… more
- MaineGeneral Health (MA)
- …a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of reimbursement, managed ... oversee the Charge Description Master (CDM) rate setting + Lead contract negotiations and manage payer relationships...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Hilton (Boston, MA)
- …ever\-growing portfolio\! **What will I be doing?** As a Senior Director Management Contract Services, you will partner with owners and investors to grow Hilton's ... managed and franchised hotel portfolio\. On the Owner Relations and Management Contract Services team reporting to the Vice President, Owner Relations and… more
- State of Massachusetts (Boston, MA)
- …and maintain well- managed data solutions and pipelines. The ETL Analyst Lead will collaborate with Information Technology teams and business units to design, ... role as Business Intelligence & Extract, Transform and Load*(*ETL*)*Data Analyst Lead . This position is not characterized as "Specialized Training" for STEM… more
- Western Digital (Boston, MA)
- …**ESSENTIAL DUTIES AND RESPONSIBILITIES:** **Technical Program Management Excellence** * Lead cross-functional programs spanning Legal, IT, and Information Security ... Provide L2/L3 support including onboarding, user provisioning, and workflow troubleshooting * Lead live demos and training sessions for new technology adoption *… more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: * 7-10 years * 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... care delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of federal and state… more
- Beth Israel Lahey Health (Cambridge, MA)
- …and improve health outcomes. **Job Description:** **BILHPN President Population Health & Managed Care ** is responsible for developing and implementing a vision ... provided across our network. The President Population Health & Managed Care reports to the **BILH Chief...and engaging health plans accordingly. + Coordination with the Contract & Finance Committee of the board and the… more
- Point32Health (MA)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers. ... strategies, and options for contract negotiation. Support contract negotiation as needed. + Devise strategy, lead...teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy… more
- Commonwealth Care Alliance (Boston, MA)
- … policy. + A minimum of three (3) years of experience with Medicaid & Medicare managed care and other public health care programs is required. + Experience ... Exercised:** No, this position does not have direct reports. **Massachusetts Market Contract Key Personnel:** No, this position is not identified in the … more
- Prime Therapeutics (Boston, MA)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm Trade Relations leads a team of ... programs and solutions that drive strategic product decisions, pharmaceutical manufacturer contract decisions, and related client messaging. This position is also… more
- Point32Health (Canton, MA)
- …**EXPERIENCE** (minimum years required) **:** + 10+ years related experience in a managed health care environment, with a thorough knowledge of the health ... - financial, legal, and operational with emphasis on implementation of contract terms + Detailed understanding of health care reimbursement methodologies… more
- ConvaTec (Lexington, MA)
- …on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care , Ostomy Care , Continence Care , and Infusion Care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2...management / data analytics as this service would be managed by Convatec's Manager, Data Management & Analytics. +… more
- Evolent (Boston, MA)
- …maintain relationships with health plan executives to drive new business. + Lead contract negotiations and partnership agreements. + Collaborate with internal ... **:** The **VP,** **Growth** **-** **Pay** **e** **r** will lead strategic partnerships with health plans. + Develop and...+ Personally initiate and foster executive level relationships at managed care organizations or health systems and… more
- RTX Corporation (Marlborough, MA)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required **Raytheon Company, Managed by ... coordination, and monthly variance analyses. There will also be the opportunity to lead the hardware portion of various bids and proposals. **What You Will Do**… more
- ZOLL Medical Corporation (Chelmsford, MA)
- …comprehensive financial analyses. + Safeguard all contracts as part of the contract administration function. Independently lead and accurately complete various ... Acute Care Technology At ZOLL, we're passionate about improving...contract agreements. + Lead negotiations and drafting contracts based on business requirements… more
- Prime Therapeutics (Boston, MA)
- …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... member of the legal department's leadership team. **Responsibilities** + Lead and mentor a team of attorneys and support...False Claims Act, with a focus on PBM and managed care operations + Experience engaging with… more
- RTX Corporation (Marlborough, MA)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required **Raytheon Company, Managed by ... as only US citizens are authorized to access information under this program/ contract **Qualifications We Prefer:** + Experience designing with COTS devices +… more
- CDM Smith (Boston, MA)
- …join our Northeast group. In this position, your primary role will be to lead the successful delivery of engineering projects for our clients in the following areas ... Project managers are also provided with project control specialist, contract administrator, and quality management support throughout the project planning,… more
- RTX Corporation (Marlborough, MA)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required **Raytheon Company, Managed by ... Linux and Solaris operating systems + Project or Team Lead experience + Earned Value Management (EVM) experience **What...virtual doctor visits + Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… more