• Sr . Manager , Medicare

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... Vice-President of Medicare Strategy and oversee critical business reporting...opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
    - Save Job - Related Jobs - Block Source
  • Medicare Risk Adjustment Strategy

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and ... ensure complete and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and facilitate discussion… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
    - Save Job - Related Jobs - Block Source
  • Sr . Business Development Manager

    Amazon (Boston, MA)
    …This role will spearhead business development solutions for Amazon Pharmacy payer strategy , driving key growth and profitability goals of the business. Within the ... PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D, and commercial innovation. - Bachelor's degree in… more
    Amazon (06/11/25)
    - Save Job - Related Jobs - Block Source
  • Senior Strategy Advancement…

    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
    CenterWell (06/24/25)
    - Save Job - Related Jobs - Block Source
  • Senior Client Coding Project Manager

    Datavant (Boston, MA)
    …educational and life experiences to realize our bold vision for healthcare. As a Sr . Client Coding Project Manager , you will plan, forecast, and manage ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic… more
    Datavant (06/28/25)
    - Save Job - Related Jobs - Block Source
  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Hingham, MA)
    …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
    Elevance Health (07/03/25)
    - Save Job - Related Jobs - Block Source
  • Senior Clinical Pharmacist

    CenterWell (Boston, MA)
    …put health first** The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist Therapeutic Subject Matter Expert monitors drug development ... factors. **Responsibilities** The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist develops, maintains, and/or operationalizes strategies related… more
    CenterWell (07/12/25)
    - Save Job - Related Jobs - Block Source
  • Care Management Product - Client Management

    CVS Health (Woonsocket, RI)
    …the opportunity to lead our client acquisition and retention strategy for our Medicare specific products. The Senior Manager will work within the ... with heart, each and every day. **Position Summary:** The Senior Manager of Client Management - Care...be focused on the successful management of our growing Medicare product business. You will be focused on identifying… more
    CVS Health (07/09/25)
    - Save Job - Related Jobs - Block Source
  • Lead Product Owner - EMR

    CenterWell (Boston, MA)
    …non-technical audiences. **Preferred Qualifications** + Master's degree + Experience in senior -focused or Medicare Advantage care models, especially within ... visionary, strategic, and execution-oriented **Lead Product Owner** to drive the strategy , development, and continuous optimization of this platform. In this… more
    CenterWell (07/04/25)
    - Save Job - Related Jobs - Block Source
  • Associate Actuary - Primary Care Organization

    CenterWell (Boston, MA)
    …cost effective resolutions for data anomalies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues regarding technical ... on continuously improving consumer experiences **Preferred Qualifications** + Experience with Medicare Advantage + Experience with member level claims Travel: While… more
    CenterWell (07/16/25)
    - Save Job - Related Jobs - Block Source