• Senior Project Manager , Healthcare…

    Humana (Boston, MA)
    …system or health plan. + Experience working in Medicaid and/or Medicare . **Preferred Qualifications** + 3+ years of leadership experience in a matrixed ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Senior...Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT)… more
    Humana (01/16/26)
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  • Medicare Outside Sales - Spanish Required

    Fallon Health (Springfield, MA)
    …and inspiring hope_ , we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the ... Medicare benefits, including prescription drug coverage. At Fallon Health , we believe our individual differences, life experiences, knowledge, self-expression… more
    Fallon Health (11/17/25)
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  • Eligibility & Revenue Operations Representative-…

    Fallon Health (Worcester, MA)
    …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of ... accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health Weinberg and any… more
    Fallon Health (11/18/25)
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  • Lead - Medicaid and Group Medicare Project…

    CenterWell (Boston, MA)
    …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... **Become a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project, from start to finish, so that it… more
    CenterWell (01/07/26)
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  • RN Clinical Manager , Home Health

    BAYADA Home Health Care (Marlborough, MA)
    …a Registered Nurse (RN) to fill the position of **Home Health Nurse Manager ** for our **Marlborough, MA** Medicare Certified home health office. This ... vacation and sick leave. + Vision, dental and medical health plans. + Employer paid life insurance ,...assistance program. + Field mileage reimbursement. **As a Home Health Nurse Manager your day may look… more
    BAYADA Home Health Care (12/09/25)
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  • Territory Manager , Home Health

    BAYADA Home Health Care (Beverly, MA)
    **Account Executive / Marketing Manager , Home Health ** Are you looking for an exciting opportunity in one of the fastest growing areas of healthcare that will ... referral sources in the community to promote BAYADA Home Health Care services and help expand our Medicare...holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k… more
    BAYADA Home Health Care (01/07/26)
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  • Senior Manager , Compliance Program

    Point32Health (Canton, MA)
    …personnel management and compliance related activities, legislative and regulatory activities, health insurance operations or legal research or equivalent ... of Medicare and/or Medicaid Compliance experience. Strong experience with Medicare and/or Medicaid health care products. Demonstrated knowledge of government… more
    Point32Health (12/23/25)
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  • Nurse Case Manager - Senior Care Options

    Fallon Health (Lakeville, MA)
    …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of ... their care plan Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric Support Service… more
    Fallon Health (01/07/26)
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  • BH Vendor Relations Manager - Hybrid

    Fallon Health (Worcester, MA)
    …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of ... Twitter and LinkedIn. **Brief summary of purpose:** The Behavioral Health Vendor Relations Manager serves as the...managed healthcare or public sector programs. + Knowledge of Medicare and Medicaid reimbursement, behavioral health coding… more
    Fallon Health (12/30/25)
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  • Manager , Risk Adjustment Operations…

    Point32Health (Canton, MA)
    …of risk adjustment results and the quality, accuracy and identification of member health conditions. The Manager will build relationships and drive risk ... **Who We Are** Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality,...capture of risk adjustment data. To be successful, the Manager will need to rely on strong analytic, consultative… more
    Point32Health (12/25/25)
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