• Sr . Manager , Medicaid

    Sumitomo Pharma (Marlborough, MA)
    …seeking a dynamic, highly motivated, and experienced individual for the position of Sr . Manager , Medicaid Contract Administration. This position ... is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
    Sumitomo Pharma (06/28/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Manchester, NH)
    … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** _Location:_ This role enables associates to work...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
    Elevance Health (07/03/25)
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  • Senior Strategy Advancement Professional

    CenterWell (Boston, MA)
    …of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex...payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and… more
    CenterWell (06/24/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …supervision on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding current and ... evolving provider payment methodologies . Reviews and monitors contract /payer performance . Compares expected reimbursement data to negotiated rates from contract more
    Atrius Health (06/04/25)
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