- Baystate Health (Springfield, MA)
- …regulatory changes, and audit adjustments related to Medicare and Medicaid 4) As a Sr . Managed Care Contract Manager this position will serve as team ... Summary Description: The Sr . Managed Care Contract Manager...regulatory changes, and audit adjustments related to Medicare and Medicaid 9) Performs complex data analysis and contract… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Senior Manager , Government Contracting and Analytics **Location:** Morristown, NJ **About the job** **Job Summary:** This position is responsible ... ASP models. Responsibilities may also include supporting the management of Medicaid Supplemental and Federal Supply Schedule (FSS) government contracts, modeling… more
- CVS Health (Boston, MA)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... market-based, behavioral health groups and facility providers. You will manage contract performance and support the development and implementation of strategic,… more
- Elevance Health (Hingham, MA)
- … Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** **_Virtual:_** _This role enables associates to work...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Atrius Health (Newton, MA)
- …supervision on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding current and ... evolving provider payment methodologies . Reviews and monitors contract /payer performance . Compares expected reimbursement data to negotiated rates from contract… more
- WellSense (Boston, MA)
- …for our members, no matter their circumstances. **Job Summary:** _The BH Clinical Program Manager , reports to the Senior Manager of Behavioral Health Program ... **Supervision Received:** **.** **General Direction is received weekly by the Senior Manager of BH Program Performance** **Qualifications:** **Education… more
- Fallon Health (Worcester, MA)
- …on Provider enrollment initiatives. + Escalate critical issues and conflicts to Manager , Provider Data or Sr . Director, Benefit and Provider Configuration ... 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