- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... Vice-President of Medicare Strategy and oversee critical business reporting...opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and ... ensure complete and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and facilitate discussion… more
- Amazon (Boston, MA)
- …This role will spearhead business development solutions for Amazon Pharmacy payer strategy , driving key growth and profitability goals of the business. Within the ... PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D, and commercial innovation. - Bachelor's degree in… more
- Elevance Health (Woburn, MA)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is responsible for...+ Comfortable with sharing complex ideas or findings with senior leaders. For candidates working in person or virtually… more
- CenterWell (Boston, MA)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more
- Datavant (Boston, MA)
- …educational and life experiences to realize our bold vision for healthcare. As a Sr . Client Coding Project Manager , you will plan, forecast, and manage ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic… more
- Humana (Boston, MA)
- …us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health outcomes ... digital and non-digital clinical solutions. You'll sit at the center of product, strategy , clinical operations, and technology and play a critical role in shaping… more
- CenterWell (Boston, MA)
- …complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will ... and help us put health first** The Advisor of Strategy Advancement will play a pivotal role in advancing...value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to complex issues… more
- CenterWell (Boston, MA)
- …cost effective resolutions for data anomalies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues regarding technical ... on continuously improving consumer experiences **Preferred Qualifications** + Experience with Medicare Advantage + Experience with member level claims Travel: While… more