- Sumitomo Pharma (Marlborough, MA)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- Fallon Health (Worcester, MA)
- …provider network; physician, hospital, ancillary, and/or carve out vendor as assigned by Senior Director or Manager . + Prepares, updates and maintains files and ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Public Consulting Group (Boston, MA)
- …facilities for individuals with intellectual disabilities (ICF-IID) . Serves as project manager and subject matter expert on community LTSS programs within the ... and exceeding performance expectations. . Facilitates client discussions and develops contract work plans, budgets, communication plans, and contract … more
- Elevance Health (Hingham, MA)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement Senior -** **Medicare Cost Report Audit** **Locations:** This...the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Fallon Health (Worcester, MA)
- …for compiling reports and analyzing data and making program level recommendations. The Manager supports the Senior Director, PACE Operations to manage program ... to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of purpose:** The… more
- WellSense (Boston, MA)
- Manager of Actuarial Services WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...for our members, no matter their circumstances. The Actuarial Manager is a key member of the Finance /… more
- Humana (Boston, MA)
- **Become 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 ... enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, evaluate and recommend products based on user… more
- Fallon Health (Worcester, MA)
- …on Provider enrollment initiatives. + Escalate critical issues and conflicts to Manager , Provider Data or Sr . Director, Benefit and Provider Configuration ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more