- Cardinal Health (Boston, MA)
- …**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid ... for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to… more
- Highmark Health (Boston, MA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for ... employee health benefits. HNAS is part of Highmark Health...a trusted adviser by providing financial and risk management support to sales as well as strategic insight. **ESSENTIAL… more
- Commonwealth Care Alliance (Boston, MA)
- …including: monthly case quality monitoring, coordination of training initiatives, coordination of Peer to Peer reviews with MDs, and preparation of case ... works collaboratively with the AG Representatives and Management to support the development and maintenance of a quality program....training opportunities based on analysis of results + Schedule Peer to Peer calls between requesting MDs… more
- Highmark Health (Boston, MA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** _As a Digital Strategy Partner, you'll work on shaping and executing the organization's digital ... and managing our vendor partners and other stakeholders who support our digital experiences. This role is designed for...+ None **Travel Requirement:** + 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** + Office-based… more
- Highmark Health (Boston, MA)
- …is adaptable, solution-oriented, and capable of collaborating across multiple teams to support a broad range of technical initiatives. The incumbent, and team, may ... the technical process from idea generation, analysis, design, build, and support using various technologies and design patterns. **ESSENTIAL RESPONSIBILITIES** +… more
- Highmark Health (Boston, MA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This individual will lead a team responsible for shaping the organization's digital vision and ... and managing our vendor partners and other stakeholders who support our digital experiences. This role is designed for...of industry trends, regulations, and best practices in the health care sector & ensure comply with relevant regulations… more
- Highmark Health (Boston, MA)
- …analysis, documentation, configuration and implementation of business requirements in support of enhancements for the PeopleSoft AR application, ensuring alignment ... through root cause analysis and process optimization. Provide testing support and resolve testing issues. Support integration...IS/IT **Preferred** + 1 - 3 years in the Health Insurance Industry + 3 - 5 years in… more
- Sevita (Lowell, MA)
- …South Bay** , provides Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across Massachusetts ... Participate in team meetings with peers and collateral team meeting when needed. Support peer development by addressing areas of concern for professional… more
- Highmark Health (Boston, MA)
- …enterprise risk taxonomy. Through matrixed leadership with Risk Operations and with support from Risk Enablement, the incumbent monitors and tracks the delivery of ... or requested. **EDUCATION** **Required** + Bachelor's Degree in Business, Finance, Health Administration, Public Health , Public Administration, Legal, Accounting… more
- Highmark Health (Boston, MA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If living within 50 mile radius of an office in PA, NY, DE or WV this will be a hybrid role in ... and create business cases and cost sheet analysis to support the product strategy and evolve the product roadmap;...Sigma and/or Process Improvement + 1 year in the Health Insurance Industry + 1 year in the Healthcare… more