- CVS Health (Boston, MA)
- …Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… more
- Lumeris (MA)
- …Advantage (MA) plan. We are looking for a visionary and innovative Senior Product Manager to drive our Medicare Advantage technology powered offering. ... the transition from Fee-For-Service to Value Based Care. The Senior Product Manager will be...management + A customer focused leader + Experience in Medicare Advantage is highly preferred + Comfortable presenting to… more
- Point32Health (Canton, MA)
- …service to our members, partners, colleagues and communities. **Job Summary** The Senior Clinical Pharmacist is responsible for the development and maintenance of ... and accreditation requirements and to meet Point32Health's corporate priorities. The Senior Clinical Pharmacist also oversees the structure and activities of the… more
- Humana (Boston, MA)
- …caring 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 use. The Senior Product Manager work assignments...(3) or more years of combined professional experience in Medicare and Medicaid, with at least two (2) of… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... 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
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- Cardinal Health (Boston, MA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. + Process enrollments via inbound fax, phone,… more
- CVS Health (Boston, MA)
- …in demonstrated decrease in unit cost, inventory reporting, inventory allocation for Medicare , Medicaid and Commercial (fully insured and ASO) work product , ... waste, and abuse. + Experience with Aetna or other MCO Commercial/Medicaid/ Medicare plans + Certified Professional Coder Education: + Bachelor's degree preferred… more
- Humana (Boston, MA)
- …better information exchange, better outcomes and improved member experience. The Lead Product Manager understands the healthcare industry and various changes it ... going through. As part of the Interoperability team, lead product manager will lead all phases of...delivery. + Communicates strategy, progress, roadblocks and value to senior leadership. Success in this role involves the following:… more
- Humana (Boston, MA)
- …our members' well-being and overall experience with our products. As the Product Manager of DevOps within the Enterprise Engineering Enablement organization, ... you will play a pivotal role in overseeing the product maturity of DevOps and Developer platform ecosystem across...complex ideas in a clear and concise manner to senior leadership. + You are detail-oriented and possess the… more