• North Carolina Medicaid Account…

    Prime Therapeutics (Boston, MA)
    …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...Medicaid business by driving communications, client-facing initiatives, and product and program recommendations. This position leads client initiatives… more
    Prime Therapeutics (09/23/25)
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  • Nurse Case Manager - Senior Care…

    Fallon Health (New Bedford, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an… more
    Fallon Health (12/12/25)
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  • Duals Performance Manager , Product

    Point32Health (Canton, MA)
    …we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Performance Manager ( Product Strategy) is responsible for supporting product ... and over 65 members in Massachusetts ("One Care", and " Senior Care Options"). The Performance Manager leads...**Experience** + Required (minimum): 5 years in Medicare Advantage, Medicaid managed care, or healthcare product strategy.… more
    Point32Health (12/03/25)
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  • Lead Product Manager - Integrated…

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Lead Product Manager Conceives of, develops, delivers, and manages products for customer use. ... The Lead Product Manager works on problems of diverse...to optimize experiences and outcomes. + **Executive Influence:** Advise senior leadership on integrated experience strategies, providing insights that… more
    Humana (12/07/25)
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  • Navigator, Senior Care Options - Plymouth…

    Fallon Health (Plymouth, MA)
    …provider sheets as applicable + **Access to Care** + Depending upon the product , generates requests and authorizations for Medicaid covered services per the ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
    Fallon Health (10/22/25)
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  • Senior Marketing Associate, Home Solutions

    Humana (Boston, MA)
    …pharmacy benefit manager . Humana's CenterWell Marketing organization is hiring a Senior Marketing Associate ( Senior Product Marketer) to support the ... to the Director of CenterWell Home Solutions Marketing, the Senior Marketing Associate _( Senior Product ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (12/10/25)
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  • Manager , Risk Adjustment Operations…

    Point32Health (Canton, MA)
    …and reporting activities for risk adjustment programs and initiatives that impact Medicare, Medicaid , and Duals product members. This individual will lead the ... complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on strong analytic, consultative and communication skills to… more
    Point32Health (10/24/25)
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  • Associate / Product Owner - Marketing…

    Humana (Boston, MA)
    …planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/ Product Manager ... **Capability Ownership & Roadmap Development** + Define and evolve the product roadmap for MRM capabilities, including campaign intake, prioritization workflows,… more
    Humana (12/11/25)
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  • Manager of Price and Gross-to-Net (GTN)…

    Takeda Pharmaceuticals (Cambridge, MA)
    …is true to the best of my knowledge. **Job Description** Join Takeda as the Manager of Price and Gross-to-Net (GTN) Forecasting within the US Business Unit. For this ... GTN discounting components for your portfolio products - including Medicare, Medicaid , payer and incentive rebates, chargebacks, and government pricing calculations… more
    Takeda Pharmaceuticals (11/22/25)
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  • Sr Consultant

    Public Consulting Group (Boston, MA)
    …created and the revenue generated from those identified opportunities. The Senior Consultant will manage complex projects and/or produce sophisticated deliverables; ... serve as an internal consultant to other projects or product lines; play a key role in proposals and...proposals and sales presentations and present at conferences. The Senior Consultant will take a client-centric view and apply… more
    Public Consulting Group (10/28/25)
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