Top Tech Jobs & Startup Jobs in Boston, MA

The Manager of Product Strategy for D-SNPs drives strategic initiatives for growth and compliance, collaborates cross-functionally, and evaluates product performance to enhance member experience.

The Fraud Operations Specialist develops relationships, delivers anti-fraud training, ensures compliance, and leads investigations related to fraud, waste, and abuse.

The Appeals and Grievances Analyst manages member appeal and grievance cases, ensuring compliance with regulations and providing superior customer service during the process.

The Research Assistant supports a project on biosimilar drug use, conducting literature searches, reviewing patents, coordinating data collection, and assisting the project team with various tasks.

The Manager oversees contract negotiations with allied health providers, leads a team of contract managers, and ensures smooth contract transitions while meeting financial and legal objectives.

The Manager will lead the Risk Adjustment Operations & Provider Consulting team, focusing on program management, provider engagement, and risk adjustment strategies for healthcare services. Responsibilities include analyzing risk score data, managing vendor contracts, leading strategic planning efforts, and developing financial reporting for various health plan products.

The Senior Manager of Compliance Program will oversee compliance operations, manage compliance risks, and ensure adherence to Medicare and Medicaid regulations, while leading a team and collaborating with leadership.

Responsible for managing legal interests, representing in litigation, drafting contracts, providing legal advice, and supporting compliance within Point32Health.

The Analyst manages member appeals and grievances, ensuring compliance with regulations, and provides superior customer service while preparing cases for review and resolution.

Lead a team to analyze and improve Point32Health's information security environment, developing measures for data confidentiality, integrity, and availability. Collaborate with IT and business organizations to ensure security compliance and communicate security concerns to leadership.