- Commonwealth Care Alliance (Boston, MA)
- …critical measures. The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with relevant ... 011230 CA- Provider Engagement & Performance **Position Summary:** The HEDIS...of focus will be to: 1. Identify underperforming Providers 2 . Work cross-functionally to determine reasonable expectations and solutions… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. - Supports provider relations and provider contracting leaders in the ... vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues....or nursing leadership to include a minimum of two ( 2 ) years leadership experience in UM. - Minimum three… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Pharmacy Contracting Professional 2 ensures all published materials support the ... pharmacy communications, regulatory contract compliance, and other communications. The Pharmacy Contracting Professional 2 may perform analysis regarding… 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 ... shine? Join us as a Manager, Site Budgeting and Contracting based remotely reporting to the Associate Director, Site...global teams are united by an unwavering commitment to provide Better Health and a Brighter Future to people… more
- Point32Health (Canton, MA)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network. + Support RFP work ... for the submission of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network for commercial business. + Works with… more
- Lockheed Martin (Westford, MA)
- …or a related field, and experience with program finance and government contracting \. You're also a collaborative team player who can work effectively with ... at 10 Technology Road, Westford, Mass\., which is about 2 miles from the Chelmsford facility at 16 Maple...or industrial engineering is desired with 3 years of professional experience in one or more of the following… more
- Highmark Health (Boston, MA)
- …programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of provider contract ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Medtronic (Boston, MA)
- …to innovation in a more connected, compassionate world. **A Day in the Life** Provide legal support within the US Commercial Legal team on topics including medical ... week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the… more
- Beth Israel Lahey Health (Charlestown, MA)
- …pertain to coding, billing, and documentation. To educate, give support, and provide guidance to all BILH providers about compliance, billing, coding, and ... Leadership. * Perform process review of denials by hospital departments, and provide clinical improvement initiatives. * Draft, revise, and enforce BILH policies and… more
- State of Massachusetts (Boston, MA)
- …Unit. The selected candidate will be responsible for the following duties: * Provide legal advice to ensure that the agency's mandates, licensing procedures, child ... other agencies and providers on agency regulations, policies and goals; * Contracting and Budgeting Review: The Deputy General Counsel provides internal legal… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth The right candidate: * Has a significant ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth **What You'll Do:** + Develops, monitors and ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. * Supports provider relations and provider contracting leaders in the ... vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues....or nursing leadership to include a minimum of two ( 2 ) years leadership experience in UM. * Minimum three… more
- Deloitte (Boston, MA)
- …then we would like to get to know you. Apply now! What you'll do As a professional in Deloitte's Tax Technology Consulting (TTC) team, you will be a part of a team ... solutions to address the legal department needs. + Support: Provide training around day-to-day activities, related to processes and...that requires US Tax professionals to co-locate in person 2 -3 days per week + Limited immigration sponsorship may… more
- RTX Corporation (Tewksbury, MA)
- …Posted:** 2025-10-14 **Country:** United States of America **Location:** MA132: Tewksbury, Ma Bldg 2 Sudbury 50 Apple Hill Drive Sudbury - Building 2 , Tewksbury, ... proposal, negotiation, and execution issues. The ideal candidate will have DCS contracting experience with foreign customers. The candidate should be an effective… more
- RTX Corporation (Marlborough, MA)
- …States of America **Location:** MA801: Marlborough, MA 1001 Boston Post Road Building 2 , Marlborough, MA, 01752 USA **Position Role Type:** Onsite **U.S. Citizen, US ... to complete tasks. Responsible for the conceptual design, detailed design contracting , installation contracting , and acceptance testing of various fire… more
- Black & Veatch (Burlington, MA)
- …expert training, career development, and career advancement to allow for continuous professional development. Our management is committed to the latest advances in ... and external clients. May act as on-site first aid and medical provider . Provides supervision, training, development, and performance management of direct reports.… more
- Tufts Medicine (Lawrence, MA)
- …closely with and communicates consistently with Social Work, Case Management, Billing, and Contracting to provide a cohesive support system to the patient and ... Description** **Minimum Qualifications:** 1. High school diploma or equivalent. 2 . Two ( 2 ) years of related experience...appropriate and complete to ensure that the Hospital, the professional groups, and the patient receive all benefits for… more
- Amazon (Boston, MA)
- …documentation/artifacts, managing project teams (developers, design engineers, professional consultants), influencing internal teams (Design Engineering, Amazon ... and prevent project issues. * You manage vendor procurement, and oversee professional service providers ensuring their skills and competencies meet the needs… more
- Deloitte (Boston, MA)
- …then we would like to get to know you. Apply now! What you'll do As a professional in Deloitte's Tax Technology Consulting (TTC) team, you will be a part of a team ... the efficiency of tax and legal departments. + Support: Provide training and software support around day-to-day activities, related...that requires US Tax professionals to co-locate in person 2 -3 days per week + Ability to travel up… more
