- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …payment policy, care management, pharmacy, health and wellness programs, fraud /waste/abuse, behavior change, unit cost initiatives, product and network redesign ... of Finance, spanning multiple layers of the organization from analyst to SVP, including Sales & Segmentation, Pharmacy, ET,...ad hoc and drilldown analytic support from front to back for both plan and accounts + Direct and… more
- JND (Englewood Cliffs, NJ)
- …Automation + Vendor Management Responsibilities Affiliate Program Operations & Compliance + Fraud Detection and Prevention: Review the Bi-Weekly Fraud Report to ... correct Lines of Business (LOBs) based on specific budget, commission, and cash- back rates. + Returns and Cancellations Management: Regularly review and update the… more