• Senior Facilities Manager

    Datavant (Boston, MA)
    …and ability to travel up to 50%. + Excellent organizational and time- management skills with the ability to manage multiple and shifting priorities. + Facilities ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...is a hands-on leader with deep expertise in facilities management and a proactive, problem-solving approach. **Key Responsibilities** +… more
    Datavant (10/28/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Boston, MA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health + The curiosity… more
    Humana (11/11/25)
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  • Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Boston, MA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
    Humana (11/07/25)
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  • Medical Director - Claims Mgmt (Remote)

    Humana (Boston, MA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
    Humana (11/01/25)
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  • Medical Director - Medicaid N. Central

    Humana (Boston, MA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
    Humana (10/25/25)
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  • Community Support Specialist (Boston)

    Vitra Health (Boston, MA)
    …Suite and Google Suite (G Suite) + High School Diploma required. + Case management , behavioral health, social services and/or community health worker experience ... customized care plan, community resources, and caring teams of nurses and case managers. Job Overview: The Community Support Specialist is responsible for developing… more
    Vitra Health (11/19/25)
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  • Senior Investigator, Special Investigations Unit…

    CVS Health (Boston, MA)
    …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** +...for clinical and legal review. + Document all appropriate case activity in case tracking system. +… more
    CVS Health (11/19/25)
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  • Human Services Coordinator I

    State of Massachusetts (Springfield, MA)
    …accordance with criteria specified in DMH regulations and guidelines. . Attends case management staff meetings, ongoing and regular weekly supervision meetings, ... system problems via participation in the Quality Improvement and Utilization processes for case management in order to maintain professional standards of client… more
    State of Massachusetts (11/20/25)
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  • Digital Sales Consultant - Chicago

    J&J Family of Companies (Raynham, MA)
    At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,...in assigned region. + Lead site installation and initial case support with our sales consultant team in assigned… more
    J&J Family of Companies (11/13/25)
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  • Health Information Operations Supervisor

    Datavant (Boston, MA)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...is a primarily remote position but will require some travel to sites. Travel could be in… more
    Datavant (10/04/25)
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