- 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
- Humana (Boston, MA)
- …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care… more
- 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
- 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
- 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
- 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 (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 (Boston, MA)
- …in alignment with clinical licensure. * Strong understanding of Medicare, Medicaid (MassHealth), and dual-eligible program operations , including regulatory and ... quality care. The BH Provider Engagement Program Manager reports to the Director of Delegation Partnerships and Provider Engagement. Supervision Exercised: * No,… more
- Danaher Corporation (Boston, MA)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... Communicate regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer… more
- Cardinal Health (Boston, MA)
- …and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine ... services and/or hospital (technical) services. This position will also support the Director with transactional audit diligence and integration planning, as well as… more