- Highmark Health (Boston, MA)
- …- Medicare Advantage, Medicaid, Affordable Care Act + Demonstrated knowledge of risk adjustment principals + Health Insurance and/or managed care industry ... and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and...experience + Provider facing or health system/practice experience + Vendor Management… more
- Point32Health (Canton, MA)
- …this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment ... and timely resolution of production issues pertaining to CMS and risk adjustment data submission, including issue investigation, business requirements,… more
- Commonwealth Care Alliance (Boston, MA)
- … presentations in PowerPoint + Work collaboratively with our partners in the Provider Engagement, Contracting, Risk Adjustment , and Population Health ... has built clinical/quality incentives into the contract agreements of several larger provider organizations. As CCA's continues to grow its VBC program, we are… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …domains, including population health management, quality measurement and performance improvement, risk adjustment and coding, and product management and ... medical/pharmacy service categories, benchmarking methodologies, retention/leakage analytics, and Medicare risk adjustment + Solid understanding of risk… more
- RELX INC (Cambridge, MA)
- …LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with solutions and decision ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- WellSense (Boston, MA)
- …teams to capture, value, and scorecard medical cost savings initiatives. + Leads risk adjustment analyses and risk score simulations. + Leads ... Manager of Actuarial Services WellSense Health Plan is...years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members,… more
- RELX INC (Cambridge, MA)
- Manager Security Are you a skilled Cyber Security Strategist? Are looking for an innovative Cyber Security Leadership Role? About our TeamThis team secures ... to safeguard company information assets against current and foreseen threats. Provide management and general direction for the integration of security strategy… more
- Actalent (Boston, MA)
- …solutions to project risks; collaborates with the Project Leader and/or Program Manager to manage risk . Communication -Oversees communication with Project ... effective implementation options. The CDS III position is an experienced manager supporting Clinical Data Management (CDM) teams, coordinating projects, facilitating… more
- Bristol Myers Squibb (Devens, MA)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... careers.bms.com/working-with-us . Position Summary: The Associate Director Supplier Relationship Manager (SRM) is accountable for overall relationship management and… more
- Mitsubishi Chemical Group (Boston, MA)
- **Contracts Manager (1464)** + Title:Contracts Manager + Group Company: Mitsubishi Chemical America + Location:Remote + Employment Type:Full time Group Company: ... as they are today. Job Purpose As a Contracts Manager , you will work with business partners at the...arise in transactional work, including contract lifecycle management. + Provide guidance to increase the efficiency and scalability of… more
- Bristol Myers Squibb (Devens, MA)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... . The primary focus of this role is to support Bristol Myers Squibb (BMS) as the Manager of EOHSS for the Devens Facility. As the Manager this person will play… more
- State of Massachusetts (Grafton, MA)
- …Site located in North Grafton. The primary role of the Adult Case Manager is to provide assessment, outreach, service coordination and person-centered advocacy ... Central Mass Area, is seeking a qualified Adult Case Manager to serve as a case manager ...individuals' needs. * Facilitates periodic meetings such as conferences, risk reviews, discharge planning, program reviews, team meetings, and… more
- Bristol Myers Squibb (Devens, MA)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... Job Summary The primary focus of the **Assistant Production Manager , External Manufacturing** role is to assist in coordinating...to BMS stakeholders and vice versa. + Production + Provide operational support to VPT / SRMs to ensure… more
- RELX INC (Cambridge, MA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Healthcare vertical, our solutions focus on ... decisions and solve complex challenges. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/healthcare About the Team: Are… more
- RELX INC (Cambridge, MA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- CIBC (Boston, MA)
- …member of CIBC's team, the Senior Auditor is responsible for conducting risk -focused audits; advising business units on the design, implementation, and maintenance ... control policies, and applicable legislation. The role applies advanced concepts to provide expertise in the development and completion of monthly audit reports,… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common ... towards the maintenance and enhancement of an effective Compliance Risk Assessment Program + Project manage regulator and other...recommended + Present updates and reports as requested. + Provide support to team members or manager … more
- Boston Public Schools (Boston, MA)
- …and implement a comprehensive support plan for each student within the program. Provide or coordinate mental health services for students on assigned caseload, this ... with the BPS district wide Crisis Team as needed. This includes supporting Suicide Risk Assessments and Threat Assessments (with the school crisis team). Provide … more
- Boston Public Schools (Boston, MA)
- …Program Director of Social Work. The Office of Social Work aims to provide high-quality culturally and linguistically relevant mental health support in all BPS ... school-based hours shall be determined by their direct supervisor. Direct Service: Provide individual and/or group counseling which may include IEP and non-IEP… more
- Boston Public Schools (Boston, MA)
- …Program Director of Social Work. The Office of Social Work aims to provide high-quality culturally and linguistically relevant mental health support in all BPS ... school-based hours shall be determined by their direct supervisor. Direct Service: Provide individual and/or group counseling which may include IEP and non-IEP… more