- WellSense (Boston, MA)
- Nurse Care Manager ( Senior Care Product ) - Field Based WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and ... to making a difference in elders' lives. The Care Manager serves a central role on an interdisciplinary team...Excellent clinical and assessment skills + Experience with the Medicaid , Medicare, and Senior population + Experience… more
- Point32Health (Canton, MA)
- …process improvement activities. Report actual and potential risks for non-compliance to senior manager and lead mitigation planning activities. Provide guidance ... to senior manager and team managers on regulations...of progressive business experience + 3 - 5 years Medicaid product utilization management experience required +… more
- Point32Health (Canton, MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the supervision of the Manager , Data and Reporting, this individual will be responsible for supporting ... you will be doing** **Data Submission Integrity** + Support Medicare Advantage manager across a range of activities, including monthly encounter data submission to… more
- Humana (Boston, MA)
- …regulations, strategies, and operating standards. **Responsibilities include:** + Partner with the CIAM Product Manager and senior leadership to develop and ... product backlog in collaboration with the CIAM Product Manager , stakeholders and the CIAM Scrum...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Point32Health (Canton, MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Audit Manager reports to the Audit Senior Manager and supports the Audit Senior Manager in ... the annual audit plan. The position supports the Audit Senior Manager in his/her leadership and oversight...statutory reporting + Knowledge of Centers of Medicare and Medicaid Services (CMS) Medicare Advantage (MA) and Medicare and… more
- CVS Health (Cumberland, RI)
- …Business Continuity program escalation, contention, or concern. The position reports to the Senior Manager of Business Continuity. The ideal candidate will be an ... in a timely manner. + Perform program and project activities as assigned by Senior Manager or Director. Required Qualifications + Minimum of 5 years combined… more
- Commonwealth Care Alliance (Boston, MA)
- …Direct Reports Include the Director of Member Service, Director of Provider Service, Senior Director of Member Communications, Manager of Training and Quality, ... Director of Business Strategy and Technology, Director of Member Experience and Improvement, Senior Director of Consumer Affairs, and the Director and Senior … more
- Commonwealth Care Alliance (Boston, MA)
- …Partner with Senior Director of Operations, and Paramedic Network Delivery Manager around medic performance and periodic trainings and/or case reviews. + Oversee ... eg through conference presentation and/or media opportunities. + As backup to the Senior Director of Operations, Customer Support Manager , and Associate Medical… more
- Point32Health (Boston, MA)
- …on health outcomes among commercially insured people. Under the direction of a senior biostatistician and senior project manager , this SAS Programmer ... and ad hoc reports, in close consultation with investigators, statisticians and senior programmers. + Use SAS software to clean and troubleshoot health insurance… more
- Humana (Boston, MA)
- …design at an enterprise level within a Fortune 100 company + Certified SAFe(R) Product Owner/ Product Manager or equivalent + Project Management ... communicate and present technical/financial details to executive level leadership and/or senior level internal and external partners/leaders + Ability to balance… more