- Elevance Health (Woburn, MA)
- …Network Contract Coordinator** is responsible for managing and negotiating contracts with large home health (HH), durable medical equipment (DME), large vendors ... contract specialists responsible for managing specific payer relationships and contracts , ensuring the contract administration goals are obtained and… more
- State of Massachusetts (Boston, MA)
- This Program Manager for Policy and Contracts on the Accountable Care and Behavioral Health (ACBH) Accountable Care and Policy Innovation Team will play a ... the ACO program and Community Partners program. The Program Manager for Policy and Contracts will be...supporting new and refined policy into ACO and MCO contracts , including overseeing contract development, amendments, and… more
- Humana (Boston, MA)
- … contracts and managing vendor relationships. + Knowledgeable in project management methodologies, tools, understanding of IT products and services, including ... bottom line (hard savings, contractual entitlements and restrictions, expiring contracts , software assessments, consolidating the IT supply base, alongside… more
- Humana (Boston, MA)
- …+ Work collaboratively with the Continuous Improvement team for multi-business unit project implementations. + Coordinate with Contract Managers to identify and ... and help us put health first** The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and… more
- Prime Therapeutics (Boston, MA)
- …Prime's contracts and Provider Manual. The Network Client Services Manager supports efforts to ensure all network (non-financial) performance guarantees are met ... decision we make. **Job Posting Title** Network Client Services Manager **Job Description** The Networks Client Services Manager...+ Support Client facing teams in business case and project request development; serve as liaison back to the… more
- Point32Health (Canton, MA)
- …the Director, Customer Experience (CX), the CX Measurement & Improvement Program Manager is directly responsible for leading two heavily regulated annual survey ... programs and strategic improvement initiatives. The Customer Experience Program Manager is key role on the enterprise Customer Experience team and is responsible for… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** Program Manager , SPS Vendor Management - Remote **Job Description** The Program Manager ... within Prime's Vendor Lifecycle Management (VLM) team. The Program Manager will be the primary VLM point of contact...2 years of work experience in healthcare, PBM, state Medicaid plans, specialty pharmacy, or health care consulting +… more
- Atrius Health (Newton, MA)
- …tools to evaluate partnership performance and inform decision-making related to contract terms and proposal development. * Collaborate closely with contract ... deploy subject matter expertise in public payer ACO models (Medicare and Medicaid ) and create analyses to assess ACO performance and inform decision-making related… more
- Fresenius Medical Center (Waltham, MA)
- …+ Overseeing the monthly close process of the Advantx and Medical Manager sub-systems and providing the accounting department with cash deposits, projected revenue, ... to assure proper direction is obtained. + Assuring compliance with Medicare/ Medicaid requirements and regulations by: + Maintaining current knowledge on Medicare,… more
- Robert Half Technology (Lexington, MA)
- Description Data Analyst Manager (2) Roles & Responsibilities Oversee an offshore team of Healthcare Data Analysts and QA engineers under the direction of the ... & Billing Data - Experience analyzing claims from Medicare, Medicaid , and private insurers. HEDIS Quality Measures CMS Data...with AWS (Redshift), Google Cloud, and/or Azure a plus. Project Management - Familiarity with Agile, Scrum, or Lean… more