- Humana (Boston, MA)
- …and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full ... accountability from strategy to execution. The Lead Product Manager partners across various multi-disciplinary teams at Humana to design, define and deliver … more
- Humana (Boston, MA)
- …specific cost and clinical success outcomes. Once products are launched, the Senior Product Manager monitors efficacy of products and uses customer and ... community and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products for customer… more
- Fallon Health (Worcester, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused on care… more
- Dana-Farber Cancer Institute (Boston, MA)
- The Senior Manager of Patient Accounting Information Services leads a small team of business analysts responsible for enabling and enhancing the operational ... that support patient billing, collections, and financial reporting processes. The Senior Manager will collaborate closely with cross-functional teams including… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The Role:The Medical Clinical Program Manager will focus on utilization management compliance and audit ... to various levels in the organization, perform gap analysis, risk assessment, track issues/ risks to closure, and collaboratively...integral part of HMM Quality and Compliance team, the Clinical Program Manager works through the influence… more
- Bristol Myers Squibb (Cambridge, MA)
- …Myers Squibb (BMS) is seeking a strong candidate for the position of Senior Manager , Research & Development within the Global Procurement organization. Global ... within the supply chain through productivity initiatives and strong partnerships. The Senior Manager position will have strategic procurement responsibility for… more
- US Tech Solutions (Malden, MA)
- …the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects ... of the primary care team, members, and their caregivers in identifying risk factors, conducting assessments, and developing and implementing care plans to… more
- Point32Health (MA)
- …and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and ... OPPORTUNITY! 75% FIELD WORK 25% HOME OFFICE The Care Manager - Nursing (RN CM) will ensure that all...BH CM) + Attend and present (as appropriate), high risk members at interdisciplinary rounds forum + Maintain professional… more
- Fallon Health (Worcester, MA)
- …and/or work with encounter submissions vendor for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance reporting and ... have shared ownership within the Analytics staff for product line(s) as assigned by the Risk Adjustment Operations and Analytics Manager and will be a SME for… more
- CVS Health (Boston, MA)
- …including financials, consumer experience impact, broader business outcomes, risks & risk mitigation strategies - to generate internal buy-in from relevant business ... key internal business stakeholders incl UX/design teams, digital/tech delivery teams, clinical teams, legal, analytics/reporting, et al to progress partnership from… more
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