• Credentialing Coordinator I

    WellSense (MA)
    …an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works ... process are not currently debarred, suspended or otherwise excluded from participation in Medicare , Medicaid or any other federal or state health care programs. +… more
    WellSense (11/20/25)
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  • Health Aide or CNA $20/hr (*Up to $24/hr)…

    Fallon Health (Webster, MA)
    …innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... **+ Great benefits!** + Full-time benefits offering! + Health Insurance offerings! + Paid Time Off! + 12 Holidays!...the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit… more
    Fallon Health (11/01/25)
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  • Principal Data Scientist

    Humana (Boston, MA)
    …at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are ... + **Industry Knowledge** : Familiarity with the healthcare sector, specifically Medicare Advantage, and an understanding of regulatory frameworks and market… more
    Humana (11/01/25)
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  • Occupational Therapist

    Tarrytown Rehabilitation & Nursing Center (Everett, MA)
    …+ Professional Growth & Stability + Innovative Training Programs Benefits: + 401(k) + Dental insurance + Health insurance + Paid time off + Vision insurance ... resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State… more
    Tarrytown Rehabilitation & Nursing Center (10/28/25)
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  • Claims Examiner | Multi-Line | Public Entity…

    Sedgwick (Boston, MA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Secures and disposes of salvage. + Reports claims to the… more
    Sedgwick (10/15/25)
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  • Direct Support Professional

    Aveanna Healthcare (Housatonic, MA)
    …checks For out-of-home overnight respite service provide proof of homeowners/ renters insurance Requirements The desire to assist individuals to live life to its ... High school diploma or equivalency. Active driver's license, current automobile insurance , current car registration and current car inspection if transporting… more
    Aveanna Healthcare (11/28/25)
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  • Senior Business Intelligence Engineer

    Humana (Boston, MA)
    …Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 11-30-2025 **About us**… more
    Humana (11/27/25)
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  • Lead, Data Quality/Integrity - HEDIS Supplemental…

    Humana (Boston, MA)
    …reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-04-2025 **About us**… more
    Humana (11/26/25)
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  • Utilization Management Nurse

    Humana (Boston, MA)
    …reviewing criteria to ensure appropriateness of care preferred + Previous Medicare experience a plus + Milliman MCG experience preferred **Additional Information** ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is… more
    Humana (11/24/25)
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  • Associate Director, HEDIS Operations…

    Humana (Boston, MA)
    …and oversee execution of, numerous strategies required to ensure success for our Medicare Stars and Medicaid LOBs. The ideal candidate for this role will thrive ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us**… more
    Humana (11/21/25)
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