• Senior Product Manager

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer ... use. The Senior Product Manager work assignments involve moderately...manage the implementation + Proficiency in communicating effectively with project stakeholders up to and including senior more
    Humana (05/14/24)
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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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  • 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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  • Client Quality Manager

    Prime Therapeutics (Boston, MA)
    …passion and drives every decision we make. **Job Posting Title** Client Quality Manager **Job Description** The Client Quality Manager ensures the successful ... role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating System (HIM… more
    Prime Therapeutics (05/16/24)
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  • Sr. Manager , External Audit & CAP…

    Commonwealth Care Alliance (Boston, MA)
    …from external regulatory agencies including but limited to Centers for Medicare & Medicaid Services (CMS), Mass Health, Departments of Insurance, and the Office of ... documents and responses to regulators and (2) coordinate attestations from Senior Leadership for submission **Corrective Action Plan (CAP) Management** + Assign… more
    Commonwealth Care Alliance (05/16/24)
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  • Sr. Manager , Medicare Compliance - Remote

    Commonwealth Care Alliance (Boston, MA)
    …Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance (DOI), oversight of ... regulators + Submit materials to regulators + Coordinate attestations from Senior Leadership for submission **Compliance Regulatory Guidance Distribution** + Monitor… more
    Commonwealth Care Alliance (05/15/24)
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  • Principal IT Program Manager (Remote…

    Mathematica (Boston, MA)
    …developing data-driven solutions. This client-facing leadership role involves owning the project delivery and managing the relationship between the customer and ... Mathematica for a given project /engagement. The technology organizations in Health and Human Services...some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other agencies. Most… more
    Mathematica (05/16/24)
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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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  • 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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