• Medicaid and State Government

    Public Consulting Group (Boston, MA)
    …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
    Public Consulting Group (10/22/25)
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  • Principal, Medicaid Product Marketing

    Humana (Boston, MA)
    …or related field. + 10+ years of experience in healthcare marketing, with a focus on Medicaid or government programs . + Deep understanding of Medicaid ... certification in Marketing, Communications or Business. + Experience working directly with state Medicaid agencies, managed care organizations (MCOs), or CMS. +… more
    Humana (10/20/25)
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  • North Carolina Medicaid Account Manager…

    Prime Therapeutics (Boston, MA)
    …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
    Prime Therapeutics (09/23/25)
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  • VP Government Programs - REMOTE

    Prime Therapeutics (Boston, MA)
    …Qualifications** + Strong skills in developing comprehensive strategy to drive growth in government programs (Medicare and/or Managed Medicaid ) + Proven ... drives every decision we make. **Job Posting Title** VP Government Programs - REMOTE **Job Description** The...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
    Prime Therapeutics (10/08/25)
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  • Director of State Government Affairs

    Commonwealth Care Alliance (Boston, MA)
    011110 CCA-Public Affairs **Position Summary:** The Director of State Government Affairs ("Director") sits within The Government Affairs team and reports to ... of CCA's membership. + Knowledge of inner workings of the Massachusetts state government , policymaking, and budgetary processes. + Excellent collaboration,… more
    Commonwealth Care Alliance (10/21/25)
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  • Director, Federal Government Affairs

    WelbeHealth (Boston, MA)
    …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
    WelbeHealth (09/17/25)
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  • Senior Director of External Affairs

    State of Massachusetts (Boston, MA)
    …Human Services (EOHHS) is the largest Secretariat in the Massachusetts state government , comprising 11 agencies and the MassHealth program . With a workforce ... briefings that inform decision-making at the highest levels of state government to leading public engagement on... state and federal health and human services programs such as Medicaid , behavioral health, and… more
    State of Massachusetts (10/15/25)
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  • Payer Relations Lead Coordinator

    CVS Health (Cumberland, RI)
    …Submits, maintains, and monitors applications for Initial enrollment and Revalidation with Government Medicaid Payer and Commercial Payers for Clinics and ... for clinics and providers. This role supports compliance with Medicaid and Commercial programs by maintaining quality...and issues. + Responsible for minimizing the deactivation of government program applications by adhering to established… more
    CVS Health (10/22/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Hingham, MA)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
    Elevance Health (10/14/25)
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  • Audit & Reimbursement III

    Elevance Health (Hingham, MA)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
    Elevance Health (10/09/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Providence, RI)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
    Elevance Health (10/16/25)
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  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Boston, MA)
    …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
    Prime Therapeutics (08/08/25)
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  • Head of Contracts & Pricing

    Takeda Pharmaceuticals (Boston, MA)
    …analytic aspects of the US Oncology BU's (US OBU's) commercial and government pricing strategy and commercial contracting management, oversee advanced market access ... the analytic aspects of the US OBU's commercial and government pricing plan for all in-line and new products...-- Department of Veterans Affairs (VA), Federal SupplySchedule (FSS), Medicaid , Department of Defense (DOD) -- and OncologyGPOs. This… more
    Takeda Pharmaceuticals (10/11/25)
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  • NaviCare Medicare Outside Sales - Norfolk…

    Fallon Health (Foxborough, MA)
    …and inspiring hope_ , we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... plans for member experience, service, and clinical quality. Fallon Health's NaviCare is a program for people age 65 and older, who live in our service area, and… more
    Fallon Health (10/03/25)
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  • ACO BH Care Coordinator - Hybrid - Norwood 1…

    Fallon Health (Norwood, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... community and the health plan, health systems, BH vendor, government and social service systems and works in partnership...and support groups, mental health services, social service and state agencies (eg, DMH, DDS) and levels of care.… more
    Fallon Health (09/19/25)
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  • Sr. Fellow, Value-Based Care Implementation…

    Mathematica (Cambridge, MA)
    …The Sr. Fellow's work could be focused on improving the Medicare, Medicare Advantage, Medicaid , and veterans and military focused programs , as well as the ... partners to translate big questions into deep insights that improve programs , refine strategies, and enhance understanding using data science and analytics.… more
    Mathematica (09/25/25)
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  • OCM Consultant

    Public Consulting Group (Boston, MA)
    …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
    Public Consulting Group (10/04/25)
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  • Senior Legal Counsel - Pharmacy Benefit Manager…

    CVS Health (Boston, MA)
    …network issues, pharmacy and/or mental health parity. + Experience working with state and federal government agencies, healthcare laws and regulations. + ... for action to internal stakeholders and senior/executive management regarding federal/ state regulations in the healthcare industry. Serves as a subject… more
    CVS Health (10/10/25)
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  • Financial Consultant

    Public Consulting Group (Boston, MA)
    …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program more
    Public Consulting Group (09/13/25)
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  • Lead, Trade and Channel, Patient Services, Global…

    Chiesi (Boston, MA)
    …specialty trade channels. + Knowledge, experience, and strong understanding with government programs , such as the IRA, 340B, State Medicaid , and Medicare ... related market research efforts and manage external vendors for additional distribution program design. + Develop, issue and review request for proposals to evaluate… more
    Chiesi (09/18/25)
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