- CVS Health (Boston, MA)
- …we do it all with heart, each and every day. **Position Summary** The ** Medicaid Policy Administrator ** is responsible for supporting the development, ... and other projects. This person is responsible for facilitating the Aetna Medicaid Policy Committee ( _AMPC_ ) process for multiple Medicaid markets.… more
- Prime Therapeutics (Boston, MA)
- …role is dedicated to the government program compliance in the Medicare, Medicaid , and the Affordable Care Act (ACA) spaces. **Responsibilities** + Executes ... compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are… more
- Commonwealth Care Alliance (Boston, MA)
- …years in a combination of the following: (a) Full-time experience as an administrator in a Medicare or state-level Medicaid program, Health Maintenance ... Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the Utilization Review Medical Director will be… more
- Athena Health Care Systems (Providence, RI)
- …operations, and as may be directed by the Director of Financial Services or Administrator . Experience & Education: + Must have, as a minimum, six (6) months ... + Secure all cash and valuables on hand, per policy . + Maintains the cable/phone billing upon admission and...follows up on all applied income collections. + Completes Medicaid redeterminations when applicable. + Back-up for the Payroll… more
- Prime Therapeutics (Boston, MA)
- …and maintained. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting ... to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator , Utilization Review Organization, Business, State registrations, etc); compile… more