- Humana (Boston, MA)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products ... for customer use. The Senior Product Manager work assignments...feedback to ensure products are meeting business needs across Medicaid , evolving products over time to ensure product… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- Fallon Health (Milford, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an… more
- Cardinal Health (Boston, MA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. + Process enrollments via inbound fax, phone,… more
- CVS Health (Boston, MA)
- … Medicaid and Commercial (fully insured and ASO) work product , development of standardized coding language, assist with operational dashboard development ... waste, and abuse. + Experience with Aetna or other MCO Commercial/ Medicaid /Medicare plans + Certified Professional Coder Education: + Bachelor's degree preferred… more
- Humana (Boston, MA)
- …our members' well-being and overall experience with our products. As the Product Manager of DevOps within the Enterprise Engineering Enablement organization, ... you will play a pivotal role in overseeing the product maturity of DevOps and Developer platform ecosystem across...complex ideas in a clear and concise manner to senior leadership. + You are detail-oriented and possess the… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... and Flex Program Coordinator as needed and directed by Supervisor/ Manager **Responsibilities** **Primary Job Responsibilities:** **New Member Processing and Referral… more