• Senior Payer Process…

    CGI Technologies and Solutions, Inc. (Canton, MA)
    ** Senior Payer Process Assessment & BPM Lead** **Category:** Business Analysis (functional and technical) **Main location:** United States, ... 1. Process Discovery & Assessment . Conduct current-state process assessments across payer operations. . Facilitate process discovery… more
    CGI Technologies and Solutions, Inc. (12/25/25)
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  • Senior Field Sales Executive - Healthcare…

    Wolters Kluwer (Boston, MA)
    …other equivalent experience + Experience in the healthcare technology space either in payer , vendor, or risk assessment . + Experience working with risk ... | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language/risk-adjustment)** **What We Offer: ** The Senior Field Sales Executive role offers growth potential opportunities,… more
    Wolters Kluwer (10/28/25)
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  • GRC Technology Architect - Archer Development

    Highmark Health (Boston, MA)
    …Knowledge of business and technology processes, risk and control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and ... issues, general technological options, compliance and regulatory requirements, and process facilitation techniques. Collaborates with company customers, staff, IT… more
    Highmark Health (10/28/25)
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  • Director, Utilization Management & Prior…

    Fallon Health (Worcester, MA)
    …all utilization management activities. + Recommends and implements innovative process improvements for the prior authorization and utilization management processes ... meeting, and TruCare Insights/upgrade meetings. + Represents the Vice President and Senior Medical Director of Clinical Management at internal and external senior… more
    Fallon Health (12/14/25)
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  • Portfolio Manager

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Day-to-Day Responsibilities Intake /Execution Management: + Monitor the project intake process for assigned portfolio by evaluating project proposals and validating ... priorities and target architecture, value proposition, resource availability, and risk/issue assessment and mitigation. + Monitor the execution of assigned portfolio… more
    Blue Cross Blue Shield of Massachusetts (10/23/25)
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