- Humana (Boston, MA)
- …and help us put health first** Humana Healthy Horizons is seeking a Medicaid Compliance Business Intelligence Lead who describes the tools, technologies, ... off current and historical compliance information in their Market and others. The Medicaid Compliance Business Intelligence Lead will support the Medicaid … more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Abt Global Inc. (Cambridge, MA)
- …to play a leadership role in our work with the Centers for Medicare and Medicaid Services (CMS). As a member of the Research, Monitoring, and Evaluation ... claims and administrative data to meet project needs. + Lead the adaptation or development of Medicaid ...partners to develop and implement quality improvement strategies and/or provide technical support to participants in CMMI models. +… more
- Public Consulting Group (Boston, MA)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience...outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction… more
- Humana (Boston, MA)
- …population with a strong lens on intersecting behavioral and social health needs. + Provide support to Medicaid markets within the region, aiding in case review, ... Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Boston, MA)
- …innovate **Additional Information:** Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending on size of ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Highmark Health (Boston, MA)
- …business data subject matter expert hands on where possible, and guide, lead and educate staff knowledge and growth. Responsible for customer relationship ... as necessary; may have budgetary responsibility and authority. + Provide leadership for data analysis, including requirement solicitation, collaboration with… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Value-Based Programs Lead supports successful value-based provider relationships with a focus on ... in VBP and have advanced technical knowledge and experience. The Value-Based Programs Lead supports successful value-based provider relationships with a focus on… more
- Commonwealth Care Alliance (Boston, MA)
- …advanced analytical tools and techniques to assess network performance, including provider utilization, cost trends, and quality metrics. + Develop and maintain ... methodologies, and value-based incentives. Value-Based Care (VBC) Contracting: + Lead negotiations with healthcare providers to establish value-based care contracts,… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …development of Medicaid RFP content to effectively represent the products, services , brands, and/or the organization to customers. **The Lead , Content ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... business and the experiences we create for our members, provider partners & associates. We partner closely with our...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …Humana's business segments to drive enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Boston, MA)
- …practical guidance and support to management and consultants in compliance areas including Medicaid regulations. + Take a lead role in compliance investigations ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Fenway Health (Boston, MA)
- Lead Community Health Worker Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Full-time Description Under the ... Leadership, Care Coordination Nurse Manger, and the Nurse Care Coordinators, the Lead Community Health worker (CHW) provides patient support and specialized and… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... caring community and help us put health first** The Lead Technology Leadership Professional is responsible for all aspects...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... resulting in an optimized and adaptive organization. As a Lead DevSecOps Architect, you will be at the forefront...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... caring community and help us put health first** The Lead Technology Leadership Professional is responsible for all aspects...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Boston, MA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... caring community and help us put health first** The Lead Consumer Identity and Access Management Architect designs and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more