• Payer Contracting Senior Manager

    Intermountain Health (Boston, MA)
    …for the effective management of assigned contractual associations with payers. The Senior Manager is responsible for high-level, strategic accounts that bring ... following states: CA, HI, IL, PA, RI, WA._** The Senior Manager is the liaison between Intermountain...that department processes are aligned with such programs. 8. Project Ownership: As new strategies and organization initiatives are… more
    Intermountain Health (05/12/24)
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  • Senior Pharmacist Account Manager

    Prime Therapeutics (Boston, MA)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... for managing strategic accounts across various lines of business (Managed Medicaid ; Commercial; Medicare; Exchange) under the guidance of the Vice President… more
    Prime Therapeutics (05/10/24)
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  • GPS HST Senior Manager Program…

    Deloitte (Boston, MA)
    …the entire lifecycle of customers' interactions with the public sector. As a Senior Manager in our Human Services Transformation group possible responsibilities ... services on a cross-section of complex projects + Develop business, vendor, and senior level client relationships + Lead pursuit teams focused on new opportunities… more
    Deloitte (04/24/24)
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  • Aging & Disability Senior Consultant

    Public Consulting Group (Boston, MA)
    …care facilities for individuals with intellectual disabilities (ICF-IID) . Serves as project manager and subject matter expert on community LTSS programs ... to elicit feedback to inform contract tasks. . Identifies project gaps and risk mitigation strategies. . Plans and...such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge… more
    Public Consulting Group (02/28/24)
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  • Compliance Program Manager III,…

    Point32Health (Canton, MA)
    …process improvement activities. Report actual and potential risks for non-compliance to senior manager and lead mitigation planning activities. Provide guidance ... laws and regulations governing federal and state contracts for Medicaid products. The Program Manager will be...to senior manager and team managers on regulations… more
    Point32Health (03/29/24)
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  • Senior Application Architect

    Humana (Boston, MA)
    …experience as a senior developer in large IT projects + Prior project architect and/or team lead experience + Experience in Agile development environment. + ... preferred) + Healthcare industry experience + Experience with IBM Operational Decision Manager (ODM) + Experience with middle tier integrations (ie Kafka, Message… more
    Humana (04/27/24)
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  • Data Manager Lead

    Humana (Boston, MA)
    …support of Medicaid 's Equitable Population Health Management goals. The Data Manager Lead consults with clinical and business partners and helps them solve ... and help us put health first** Humana Healthy Horizons is seeking a Data Manager Lead who supports all clinical and population health analysis and measurement in… more
    Humana (05/07/24)
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  • Manager , Enterprise Resiliency

    CVS Health (Cumberland, RI)
    …a timely manner. + Perform program and project activities as assigned by Senior Manager or Director. Required Qualifications + Minimum of 5 years combined ... Business Continuity program escalation, contention, or concern. The position reports to the Senior Manager of Business Continuity. The ideal candidate will be an… more
    CVS Health (05/07/24)
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  • Manager MA/RI Network Quality and CCA…

    Commonwealth Care Alliance (Boston, MA)
    …and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing and executing quality measurement and improvement programs ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
    Commonwealth Care Alliance (05/10/24)
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  • Associate Director- Business Systems…

    Humana (Boston, MA)
    …capabilities interrelate across department(s). The Associate Director- Business Systems Manager will report into the Procurement Center for Enablement ('C4E') ... sustainable, repeatable, and quantifiable business system related process improvements. The Manager of Business Systems will work within specific guidelines and… more
    Humana (05/08/24)
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  • SAS Programmer/Analyst (HPI)

    Point32Health (Boston, MA)
    …among commercially insured people. Under the direction of a senior biostatistician and senior project manager , this SAS Programmer will use SAS software ... hoc reports, in close consultation with investigators, statisticians and senior programmers. + Use SAS software to clean and...techniques, and methods in daily work. + Participate in project meetings, both via telephone and in-person. + Contribute… more
    Point32Health (05/11/24)
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  • VP, Customer Service & Consumer Experience…

    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 (04/05/24)
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  • Sr. Medical Director, instED

    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 ... delivery. + Oversee and support the Quality and Safety Project Manger in building and deploying systems to measure...presentation and/or media opportunities. + As backup to the Senior Director of Operations, Customer Support Manager ,… more
    Commonwealth Care Alliance (05/10/24)
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  • IT Cloud Procurement Category Lead

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Sr. Manager , Lead Category Manager will report directly into the Director of IT Procurement ... enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, evaluate and recommend products based on user… more
    Humana (04/14/24)
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  • Associate Director, Data Governance

    Humana (Boston, MA)
    …level within a Fortune 100 company + Certified SAFe(R) Product Owner/ Product Manager or equivalent + Project Management Certification (PMP) or Lean Six ... and present technical/financial details to executive level leadership and/or senior level internal and external partners/leaders + Ability to...a high level of ambiguity (Shifting needs, stopping on project and focusing on a new project /task)… more
    Humana (05/10/24)
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