- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Boston, MA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Scientist supports analytic activities associated with BCBSMA overall performance on Medicare Stars ratings, with specific focus on CAHPS patient experience ... to help identify the most efficient means through which Medicare Stars clinical quality and patient experience performances at...into a cohesive view. Under direction of the Senior Director of Population Health Analytics, the Data Scientist will… more
- CVS Health (Boston, MA)
- …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** +… more
- Humana (Boston, MA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Point32Health (Canton, MA)
- …service lines for Medicare , Medicaid and Commercial product lines. The Director also identifies opportunities to reduce medical and administrative costs by ... to our members, partners, colleagues and communities. **Job Summary** The Director , Ancillary Contracting leads the development and management of Point32Health's… more
- Takeda Pharmaceuticals (Boston, MA)
- …Biostatistics, Global Emerging Markets (GEM; eg, China), Project Leadership, Finance, Corporate Communications and Business Development + Develop and manage strong ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more
- Fresenius Medical Center (Waltham, MA)
- …+ Ensuring appropriate internal controls, timeliness, accuracy, and adherence to Corporate and governmental policy is maintained. + Ensuring that patient accounts ... accuracy. + Overseeing the monthly close process of the Advantx and Medical Manager sub-systems and providing the accounting department with cash deposits, projected… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. Reports to the Associate Director of Project Portfolio Management. The Program Manager of Production Operations will ... stages of program or project lifecycle + Participate in other corporate projects representing Production Operations + Maintain strong relationships throughout the… more
- Point32Health (Canton, MA)
- …and trend to aid in managing pharmacy costs. + Collaborate with the Pharmacy Medical Director and Marketing to develop member and provider specific communication ... to meet regulatory and accreditation requirements and to meet Point32Health's corporate priorities. The Senior Clinical Pharmacist also oversees the structure and… more
- Tufts Medicine (Lowell, MA)
- …experience required or combination of at least one year of acute medical /surgical nursing experience and 2 years of home health experience required. **Preferred ... + Communicates regularly with Clinical Managers as well as with the Clinical Director when issues arise relative to clinical practice or other performance related… more
- Point32Health (Canton, MA)
- …partners, colleagues and communities. **Job Summary** Under direction of the Director , Customer Experience (CX), the CX Measurement & Improvement Program Manager ... compliance requirements are met, including staying up to date on all Center for Medicare & Medicaid Services (CMS) memos and notices. + Ensures all survey content,… more