• Manager, Risk Adjustment Operations…

    Point32Health (Canton, MA)
    …our corporate and business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. **Job ... . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's program management,… more
    Point32Health (10/24/25)
    - Related Jobs

  • Sr Manager, Clinical Pharmacy Operations

    Point32Health (MA)
    …Point32Health (https://www.point32health.org/) . **Job Summary** Under the direction of the Director , Clinical Pharmacy Operations , the Senior Manager, Clinical ... and administrative simplification for members and providers. Ensures compliance with state and federal regulatory and accreditation requirements in all geographies.… more
    Point32Health (11/21/25)
    - Related Jobs

  • Area Vice President, Clinical Operations…

    Aveanna Healthcare (Boston, MA)
    …components of performance management * Enforces and demonstrates compliance with all State and Federal Regulations, Medicaid Regulations, and Aveanna Healthcare ... Area Vice President, Clinical Operations / RN - Home Care ApplyRefer a...for their area of responsibility. Working within the federal, state , and regional regulations covering home health/care the Area… more
    Aveanna Healthcare (12/19/25)
    - Related Jobs

  • General Counsel

    State of Massachusetts (Boston, MA)
    …policies and management initiatives, and ensuring legal compliance across all operations . The General Counsel also directs the Department's Legal Office, supervises ... coordinate with stakeholders to establish appropriate legal frameworks supporting DDS operations . - Draft, review, and revise Department regulations, contracts, and… more
    State of Massachusetts (12/03/25)
    - Related Jobs

  • Clinical Manager, RN

    Fallon Health (Springfield, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Summary of purpose:** Provides ... implementation of discipline specific policies and procedures. Responsible for the operations of the PACE center clinic. Oversees all nursing services provided… more
    Fallon Health (11/14/25)
    - Related Jobs

  • Lead Counsel, Market Access, Oncology

    Takeda Pharmaceuticals (Cambridge, MA)
    …**Job Description** **About the role:** As Counsel, Market Access, at the senior director level, you will be responsible for providing day-to-day legal support to ... GPOs, the Department of Veterans Affairs (VA), Federal Supply Schedule (FSS), Medicaid , the Department of Defense (DOD), specialty pharmacies and distributors. +… more
    Takeda Pharmaceuticals (12/14/25)
    - Related Jobs

  • Contract Support and RCM Analyst - Independent…

    Public Consulting Group (Boston, MA)
    …**Organizational Relationships** **Reports directly to the ASO Project Manager / Sr. Director of Operations ** **Key Qualifications and Education Requirements** + ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
    Public Consulting Group (12/02/25)
    - Related Jobs

  • RN Clinical Manager

    Aveanna Healthcare (Worcester, MA)
    …Clinical Supervisor or similar leadership role (preferred) + Deep understanding of state /federal compliance and private duty nursing operations + Strong ... develops, and retains top talent. + Collaborate & Coordinate:Work closely with operations to ensure smart staffing levels and efficient patient assignments. + Stay… more
    Aveanna Healthcare (11/24/25)
    - Related Jobs

  • Provider Communications Manager

    Commonwealth Care Alliance (Boston, MA)
    …cross-functional projects and meeting deadlines. + Strong understanding of Medicare, Medicaid , duals program, and health plan operations , including regulatory ... foster strong, collaborative relationships with provider partners serving dual-eligible (Medicare- Medicaid ) members. This role ensures providers are well-informed, engaged,… more
    Commonwealth Care Alliance (10/18/25)
    - Related Jobs

  • Provider Network Quality Strategy Program Manager

    Commonwealth Care Alliance (Boston, MA)
    …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
    Commonwealth Care Alliance (10/29/25)
    - Related Jobs