- Humana (Boston, MA)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products ... for customer use. The Senior Product Manager work assignments...feedback to ensure products are meeting business needs across Medicaid , evolving products over time to ensure product… more
- Humana (Boston, MA)
- …the future of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team. The ideal candidate will have a ... understanding of project management principles and exceptional communication skills. The Senior Project Manager will collaborate with cross-functional teams,… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- Fallon Health (Milford, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an… more
- Humana (Boston, MA)
- …improved health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, ... health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for...will ensure effective interaction with all organizational levels, including senior and executive level audiences + Proven ability… more
- CGI Technologies and Solutions, Inc. (Boston, MA)
- ** Senior Project Manager ** **Category:** Project Management **Main location:** United States, Massachusetts, Canton **Alternate Location(s):** United States, ... **Position Description:** CGI is seeking to hire an ePMO Program/Project Manager to work with Executive/Business sponsor to successfully implement new capabilities… more
- Cardinal Health (Boston, MA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. + Process enrollments via inbound fax, phone,… more
- CVS Health (Boston, MA)
- … Medicaid and Commercial (fully insured and ASO) work product , development of standardized coding language, assist with operational dashboard development ... waste, and abuse. + Experience with Aetna or other MCO Commercial/ Medicaid /Medicare plans + Certified Professional Coder Education: + Bachelor's degree preferred… more
- Humana (Boston, MA)
- …our members' well-being and overall experience with our products. As the Product Manager of DevOps within the Enterprise Engineering Enablement organization, ... you will play a pivotal role in overseeing the product maturity of DevOps and Developer platform ecosystem across...complex ideas in a clear and concise manner to senior leadership. + You are detail-oriented and possess the… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… 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
- Pearson (Boston, MA)
- …path through this shifting environment to achieve continued success.** _Purpose Summary_ _The Medicaid and Vendor Implementation Manager will act as the main ... agencies and product vendors. **Key relationships** + Works closely with the Senior Operations Manager and the Operations Team to ensure efficient execution… more
- Point32Health (Canton, MA)
- …service to our members, partners, colleagues and communities. **Job Summary** The Senior Clinical Pharmacist is responsible for the development and maintenance of ... and accreditation requirements and to meet Point32Health's corporate priorities. The Senior Clinical Pharmacist also oversees the structure and activities of the… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... and Flex Program Coordinator as needed and directed by Supervisor/ Manager **Responsibilities** **Primary Job Responsibilities:** **New Member Processing and Referral… more