Top Tech Jobs & Startup Jobs in Boston, MA

Own and prioritize the HEDIS Engine and clinical data ingestion products end-to-end. Define product vision, maintain backlog, write user stories, lead Agile ceremonies, accept delivered work, ensure regulatory/compliance alignment, mitigate delivery risks, and collaborate with engineering, data, QA, operations, and health plan stakeholders.

Manage process improvement, organizational change, and project delivery including estimating, scheduling, costing, planning, and risk/issue management. Develop detailed project and communication plans, define roles, and use project-specific software. Support intermediate to large-scale projects with cross-functional teams and present alternatives to overcome obstacles.

Lead competitive intelligence and market analysis for RFP capture and response efforts across Medicaid, DSNP, and Marketplace lines. Build and maintain competitor content/scoring databases, support pre-RFP capture strategy, advise senior leadership, collaborate cross-functionally, support legal during award protests, and provide coaching for oral presentations. Travel 50%+.

Analyze healthcare and operational datasets to produce and maintain reports, dashboards, and analytics using SQL, Excel, and BI tools. Validate data, document workflows, support regulatory reporting, and collaborate with stakeholders to deliver insights for utilization, cost containment, and performance improvement.

Lead cross-functional business programs from initiation through delivery: plan schedules and budgets, manage program staff and vendors, define requirements, create test plans and training materials, recommend process improvements, and monitor program performance. Acts as subject matter expert and supports Program Managers to meet critical organizational needs.

Lead Databricks-based enterprise data and analytics modernization programs. Define future-state architecture, drive platform modernization, ensure security, scalability, cost optimization, and mentor teams while delivering AI-ready data platforms and governance.

Lead a finance and analytics team to perform financial modeling, forecasting, variance analysis, reserve review, vendor contract evaluation, and reporting. Collaborate with cross-functional teams, regulatory bodies, and enterprise analytics to improve profitability, data quality, and performance monitoring while supporting strategic planning and financial compliance.

Perform financial and data/text mining analysis on large, disparate datasets using advanced SQL and Excel. Produce quantitative and qualitative reports, identify trends and outliers, collaborate with stakeholders to define requirements, develop standard reports/processes, and recommend process improvements related to membership, revenue, and commissions.

Lead enterprise architecture governance and design for provider application portfolio, ensuring scalable, secure solutions. Guide engineers and architects, drive large initiatives, integrate AI into workflows, support system performance and planning, and present solutions to executive and review committees.

Manage claims program governance, policies, workflows, controls, budgets and vendor practices. Drive portfolio/initiative change, create requirement/test/training documentation, track metrics, coordinate governance meetings, and recommend program enhancements to improve adoption and value realization.