• US Tech Solutions (Canton, MA)
    …multiple products / lines of business; such as state specific Medicaid and Senior Products ( Medicare Advantage and SCO). The Clinical Reviewer ensures consistent ... RN license required. Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in… more
    Upward (06/26/25)
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  • Medicare /MassHealth Sales - Spanish…

    Fallon Health (Springfield, MA)
    …NaviCare program. + Participates in all community outreach activities, such as senior fairs, community events, and elder services professional association events ... area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare ...be made to tactical plans. + Manages their own professional development by seeking advice, training, and coaching from… more
    Fallon Health (05/19/25)
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  • Senior Strategy Advancement…

    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
    CenterWell (06/24/25)
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  • Senior Professional Business…

    Humana (Boston, MA)
    …providing frameworks to maximize available resources to achieve growth. The ** Senior Professional Business Intelligence Engineer** is an experienced individual ... a proven track record of leveraging data to meet compliance requirements and define and drive business value. The... requirements and define and drive business value. The Senior Professional will partner across various multi-disciplinary… more
    Humana (07/21/25)
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  • Senior Technology Leadership…

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Senior Technology Leadership Professional role within LRC&GA offers unique exposure to the ... a wide range of technical and business requirements for our partner teams. The Senior Technology Leadership Professional will develop a deep understanding of our… more
    Humana (07/22/25)
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  • Senior M&A Integration Professional

    Humana (Boston, MA)
    …of our caring community and help us put health first** The Senior Acquisition Integration Professional performs procurement related project management duties ... Advancement Lead under the Procurement Center for Enablement team. The Senior Acquisition Integration Professional work assignments involve moderately complex… more
    Humana (07/19/25)
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  • Senior Contract Management…

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other ... of goods and services for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to… more
    Humana (07/03/25)
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  • Senior , Enterprise Data Governance…

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Senior Enterprise Data Governance Professional is responsible for implementing, operating, and ... the necessity of data policies, and the impact of compliance in a clear and professional manner....to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (07/21/25)
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  • Senior Learning Design Professional

    Humana (Boston, MA)
    …help us put health first** Humana Healthy Horizons is looking for a Senior Learning Design Professional who will use instructional design, cognitive psychology ... to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to… more
    Humana (07/21/25)
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  • Senior Learning Design Professional

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult ... to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to… more
    Humana (07/12/25)
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