- Commonwealth Care Alliance (Boston, MA)
- …of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network , with a focus on ... determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality … more
- Molina Healthcare (Boston, MA)
- **Job Description** **Job Summary** Sr. Analyst, Network Strategy , Pricing & Analytics guides the investment of our network partners through contract ... plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial… more
- Commonwealth Care Alliance (Boston, MA)
- …operations, utilization management, and quality programs as they relate to provider satisfaction and network performance. * Experience with change management ... quality , compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The Provider… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Facilitate Communications Team in content creation as the subject matter expert for provider network + Maintain inventory of all provider communications ... all letters, emails and newsletters are compliant, uniform to CCA brand standards, and provider -friendly + Work with provider network and data management to… more
- Evolent (Providence, RI)
- …Strategic Account teams and payer clients to align priorities and deliver high- quality provider network engagement, performance reporting, and present ... territory. You will design and execute strategies that elevate provider performance, enhance care quality , and drive... experience advisory panels + Own market level engagement strategy and collaborate with provider engagement market… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting, the Senior Provider Contract ... ensure CCA members have superior access to the highest quality , cost-effective providers of healthcare services. Essential Duties &...Duties & Responsibilities: + Develop, negotiate, manage and maintain provider contracts for a set of provider … more
- Meta (Providence, RI)
- …to improve efficiency and manage business risk, our team is accountable. We provide the services to manage network operations across data center, backbone, ... weight solutions in code 7. Data Measurement: As an operations practitioner supporting our network , you will be expected to drive quality into the metrics we… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... therapies to patients worldwide. Join Takeda as Director, Global Regulatory Labeling Strategy where you will be responsible for the development and implementation of… more
- Lilly (Boston, MA)
- …Massachusetts. **The Position** The purpose of the Associate Director, Regulatory Strategy role is to support the development and implementation of innovative ... as assigned. In this role, you'll collaborate across teams to provide regulatory guidance, drive health authority interactions, and manage regulatory submissions.… more
- Ford Motor Company (Providence, RI)
- Network DevSecOPs Lead (LL6) role is based out of Dearborn, Michigan, USA and contours of deliverables are detailed below. 1. Lead transformation of enterprise ... Collaboration services. 2. Lead will be responsible for defining the adoption strategy , business impact analysis, user adoption journey. Hands on knowledge on… more
- TD Bank (Boston, MA)
- …related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. **Line of Business:** Administration **Job ... Description:** The Retail Store Strategy & Transformation team leads initiatives that reshape the...reshape the in-store experience across the US Retail Bank-spanning network optimization, physical layout redesign, and the shift to… more
- Prime Therapeutics (Providence, RI)
- …or Network Client Services initiatives + Perform network development, network analysis and management activities supporting strategy and network ... drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Publicis Groupe (Boston, MA)
- …Experiences by leveraging comprehensive data, technology, creative, media and strategy capabilities. Digitas delivers ambitious outcomes via unique solutions that ... US Campaign's Brand Experience Agency of the Year, Media Network of the Year and celebrated by Forrester and...an experienced and visionary Vice President, Group Director, Connections Strategy (CRM & Loyalty) to join our growing team.… more
- Publicis Groupe (Needham, MA)
- … Manager, you are responsible for a portfolio of advertiser accounts. Growth Strategy Managers provide expert advice, training, and consultation on affiliate ... with them on how to best execute affiliate marketing strategy on the CJ network . **Responsibilities** What...program management and technical challenges. + Mentor Associates- coach, provide guidance, and best practices to help team members… more
- Point32Health (Canton, MA)
- …not-for-profit health and well-being organization dedicated to delivering high- quality , affordable healthcare. Serving nearly 2 million members, Point32Health ... on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around… more
- Datavant (Providence, RI)
- …Senior Manager will also own the integration of privacy considerations into training, quality , and product development in the Provider division. For candidates ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...providing clear, business-oriented guidance on complex privacy issues. + ** Quality Partnership:** Collaborate with the Provider division… more
- Highmark Health (Providence, RI)
- …centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) ... realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the ... data analysis, to ensure delegated entities meet contractual, regulatory, and quality standards that optimize member outcomes and operational efficiency. This… more
- Lilly (Boston, MA)
- …of people with diabetes, obesity, and complications. Through research, collaboration and quality manufacturing we strive to make life better for people impacted by ... cardiovascular and renal diseases. We are looking for physician/scientists to provide clinical development leadership to a rapidly expanding cardio-renal portfolio.… more
- Public Consulting Group (Providence, RI)
- …and Billing Services + Applied Technology + Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies High ... partners, and key members of the family's social support network to build an individualized plan of care that...in Behavioral Health is to increase the capacity and quality of HFW provided throughout the State of Maine.… more