• Sr . Manager , Medicare

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... Vice-President of Medicare Strategy and oversee critical business reporting...opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
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  • Medicare Risk Adjustment Strategy

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and ... ensure complete and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and facilitate discussion… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Sr Business Development Manager

    Amazon (Boston, MA)
    …This role will spearhead business development solutions for Amazon Pharmacy payer strategy , driving key growth and profitability goals of the business. Within the ... PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D, and commercial innovation. - Bachelor's degree in… more
    Amazon (06/11/25)
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  • Sr . Manager , Aetna B2B Writing…

    CVS Health (Wellesley, MA)
    …of work supporting multiple lines of Aetna business, including Commercial, Group Medicare , and Medicaid. Your success will hinge on your ability to collaborate ... Recommend, research and develop facts, quotes, and scenarios to support creative strategy and execution. + Ensure messaging, brand guidelines and directives are… more
    CVS Health (06/25/25)
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  • Senior Strategy Advancement…

    CenterWell (Boston, MA)
    …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more
    CenterWell (06/24/25)
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  • Senior Provider Relations Consultant, BH…

    WellSense (Boston, MA)
    Senior Provider Relations Consultant, BH Network Strategy WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and ... New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...development of training materials** + **Works collaboratively with the Manager of Behavioral Health Network Strategy to… more
    WellSense (06/21/25)
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  • Senior Client Coding Project Manager

    Datavant (Boston, MA)
    …educational and life experiences to realize our bold vision for healthcare. As a Sr . Client Coding Project Manager , you will plan, forecast, and manage ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic… more
    Datavant (06/28/25)
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  • Strategy & Program Development Director…

    Elevance Health (Boston, MA)
    ** Strategy & Program Development Director - Payment Integrity Strategy & Planning** **Location:** This role requires associates to be in-office 3 days per week, ... be considered. Travels to worksite and other locations as necessary. The ** Strategy & Program Development Director** is responsible for coordinating the relationship… more
    Elevance Health (06/24/25)
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  • Principal Product Manager - Digital…

    Humana (Boston, MA)
    …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. We are aggressively driving new digital capabilities, new ways of ... working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of...be critical in our growth plans. The Principal Product Manager Leads all phases of the product life cycle,… more
    Humana (06/27/25)
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  • Manager Medicaid Compliance

    Highmark Health (Boston, MA)
    …growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted business partner, ... Audit Committee. + Prepare regular reports on operational compliance performance for senior management, highlighting key trends and areas for improvement. + Other… more
    Highmark Health (06/17/25)
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  • Compliance Nurse 2

    CenterWell (Boston, MA)
    …for the team and individuals. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes ... BSN + Health Plan experience working with large carriers + Previous Medicare /Medicaid experience a plus + Previous experience in utilization management, case… more
    CenterWell (07/01/25)
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