- 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)
- …( Medicaid ) provider & network market entry strategy for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic ... community and help us put health first** The Advisor, Medicaid Provider & Network Strategy will be...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Mathematica (Boston, MA)
- …person will bring expertise focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services , Medicaid Finance, ... implementation at a public or private entity such as Medicaid director, disability services director, deputy director...relevant expertise. * Within their appropriate area of expertise, provide consulting services to state and local… more
- Mathematica (Boston, MA)
- …areas related to monitoring and improving Medicaid programs such as: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... manage multiple priorities, sometimes simultaneously, under deadlines * Understanding of Medicaid payment and financing, home and community-based services , or… 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)
- …+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, ... projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements… more
- Highmark Health (Boston, MA)
- …+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, ... projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements… more
- Highmark Health (Boston, MA)
- …ongoing trends or patterns in complex data sets for specified projects. + Provide guidance on opportunities to enhance analytic capabilities with a particular focus ... on the ability to measure, benchmark and track value metrics. + Lead the design, implementation, and maintenance of analytical processes and reports supporting… more
- Commonwealth Care Alliance (Boston, MA)
- …experience - 3-5 years of experience - Managed Care experience (preferably Medicare/ Medicaid ). - Experience in health plan provider relations. - Understanding ... **Why This Role is Important to Us:** The Provider Relations Specialist is responsible for cultivating, maintaining and strengthening relationships with the… more
- Humana (Boston, MA)
- …in and delivery leaders in Insurance segment to make a major impact on the Medicaid and Specialty space by provide world-class, best of breed solutions! **Job ... and Clinical etc., to deliver solutions for new Medicaid State implementations and market enhancements. The Lead...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 ... 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 ... caring community and help us put health first** The Lead Solutions Architect is a highly technical and strategic...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 ... first** Humana Healthy Horizons is seeking a Data Manager Lead who supports all clinical and population health analysis...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 ... help us put health first** Humana is seeking a Lead Solutions Architect to join our Fortune #40, Best...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
- 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
- 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
- CenterWell (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 ... Digital Performance team is looking for a Business Intelligence Lead to join us in transforming healthcare. In this...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more