Top 503 Medicare manager Jobs in Boston, Ma

Manager, Medicare and Medicaid Risk Adjustment
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $99,465.60 - $144,643.20 a year
- Full-time
- 5 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Opportunities for advancement
Quick Apply
20h
Program Manager, Medicare Stars & Quality Improvement (Remote in Massachusetts)
Molina Healthcare —Waltham, MA
- $84,067 - $163,931 a year
- Full-time
- Remote
- Writing skills
- Analysis skills
- Organizational skills
- Health insurance
Lead Compliance Program Manager
Point32Health —Canton, MA
- $103,111.66 - $154,667.50 a year
- Full-time
- Microsoft Excel
- Office
- 3 years
- Disability insurance
- Health insurance
14d
Compliance Program Manager (Operations and Investigations)
Philips —Cambridge, MA
- $125,000 - $198,000 a year
- Full-time
- Microsoft Access
- 5 years
- Office
- Health savings account
- Employee stock purchase plan
13d
Compliance Program Manager III
Point32Health —Canton, MA
- $98,783.90 - $148,175.86 a year
- Full-time
- Microsoft Excel
- Office
- 3 years
- Disability insurance
- Health insurance
14d
Mgr II,Program Administration
Boston Children's Hospital —Boston, MA
- $83,241.60 - $133,192.80 a year
- Full-time
- 6 years
- Writing skills
- Office
Senior Program Manager
Autonodyne LLC —Boston, MA
- $150,000 - $205,000 a year
- Full-time
- Hybrid work
- Computer Science
- 5 years
- Office
- Health savings account
- Health insurance
Quick Apply
Special Education Inclusion Gymnastics Program Manager
MSGA —Canton, MA
- $18 - $25 an hour
- Part-time
- Background check
- Experience working with individuals with developmental disabilities
- CPR Certification
- Paid training
- Health insurance
Quick Apply
Program Manager Supplemental Work
Keolis Commuter Services —Somerville, MA
- $100,000 - $135,000 a year
- Background check
- Writing skills
- Engineering
- Disability insurance
- Health insurance
Quick Apply
8d
Residential Program Manager
Walnut Street Center (Hosted) —Cambridge, MA
- $65,000 a year
- Full-time
- Management
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Program Manager, PICS
Massachusetts Water Resources Authority —Winthrop, MA
- $116,439.41 - $163,072.97 a year
- Full-time
- Computer Science
- Word processing
- System design
Quick Apply
Tumbling Program Manager
MSGA —Canton, MA
- $18 - $22 an hour
- Part-time
- Background check
- Mid-level
- Mentoring
- Paid training
- Health insurance
Quick Apply
Residential Program Manager (ASL Fluent)
NORTH SUFFOLK COMMUNITY SERVICES INC —Revere, MA
- $61,594 - $73,546 a year
- Mid-level
- Residential
- High school diploma or GED
- 403(b) matching
- Paid holidays
Quick Apply
Senior Program Manager
Leidos —Bedford, MA
- $154,050 - $278,475 a year
- Full-time
- 11+ years
- Analysis skills
- Bachelor's degree
Assistant Program Manager
CinemaKidz —Newton Center, MA
- $50,000 - $57,000 a year
- Full-time
- Hybrid work
- Background check
- Classroom
- Google Workspace
- Paid time off
- Employee discount
Quick Apply
Program Manager, LICSW/LMHC
NORTH SUFFOLK COMMUNITY SERVICES INC —Revere, MA
- $75,190 - $89,781 a year
- Full-time
- School experience
- Spanish
- CPR Certification
- 403(b) matching
- Paid holidays
Quick Apply
Employment Program Manager
Advocates —Ashland, MA
- $22 - $25 an hour
- Full-time
- CPR Certification
- Mid-level
- High school diploma or GED
Project/Program Manager
Horizontal Talent —North Reading, MA
- $22 - $50 an hour
- Writing skills
- Mid-level
- Bachelor's degree
- Dental insurance
- Vision insurance
2d
Preschool Program Manager
Next Generation Children's Center —Beverly, MA
- $50,000 - $60,000 a year
- Urgently hiring
- School experience
- Classroom
- 18 years or older
- Paid holidays
- Health insurance
R&D Program Manager
Nova Biomedical —Waltham, MA
- $130,000 - $1,600,000 a year
- Full-time
- Hybrid work
- Ability to lift 50 pounds
- Product management
- Senior level
- Paid holidays
- Health insurance
Quick Apply

I want to receive the latest job alert for medicare manager in boston, ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medicare manager jobs near boston, ma

Manager, Medicare and Medicaid Risk Adjustment

Mass General Brigham Health Plan Holding Company, Inc. -
Somerville, MA

Quick Apply

Job Details

Full-time
$99,465.60 - $144,643.20 a year
20 hours ago

Benefits

Health insurance
Opportunities for advancement

Qualifications

Program management
Team leadership
Team development
Health insurance knowledge
Centers for Medicare and Medicaid Services (CMS)
Leading team collaboration initiatives
Healthcare team management
General management

Full Job Description

Site: Mass General Brigham Health Plan Holding Company, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Responsible for overseeing and managing the risk adjustment program for Medicare and Medicaid within MGB Health Plan. This role leads and develops a team, collaborates with cross-functional teams to optimize risk adjustment strategy and operations, and ensures accurate documentation and coding of patient conditions.

Essential Functions

Lead risk adjustment strategy and operations.
Directly manage and develop a team (including hiring, performance management, and coaching).
Develop and present analytics that communicate ongoing financial performance.
Lead risk adjustment operational work across the entire lifecycle of the payment process.
Develop content and strategies for provider training, education, and medical management.
Evaluates data quality of internal and external datasets.
Work with vendors to help negotiate new or existing contracts.

Qualifications

Education

Bachelor's Degree required; experience can be considered in lieu of a degree

Experience

At least 5-7 years of experience in managing risk adjustment programs in a healthcare setting, including direct team leadership, required

Knowledge, Skills, and Abilities

In-depth knowledge of risk adjustment methodologies and healthcare coding guidelines for Medicare and Medicaid lines of business.
Familiarity with healthcare regulations and compliance requirements related to risk adjustment.
Strong analytical and problem-solving skills.
Excellent communication skills to collaborate effectively with various stakeholders.
Proven ability to manage, coach, and develop direct reports.
Strong problem-solving skills to address coding and documentation challenges and develop corrective action.

Additional Job Details (if applicable)

Working Conditions

This is a remote role that can be done from most US states with a strong preference for local candidates who could attend occassional in-person meetings
This is a Monday-Friday role with standard business hours (in Eastern time)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$99,465.60 - $144,643.20/Annual

Grade

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Quick Apply

Refine Your Search

medicare manager jobs in boston, ma

Manager, Medicare and Medicaid Risk Adjustment

Program Manager, Medicare Stars & Quality Improvement (Remote in Massachusetts)

Lead Compliance Program Manager

Compliance Program Manager (Operations and Investigations)

Compliance Program Manager III

Mgr II,Program Administration

Senior Program Manager

Special Education Inclusion Gymnastics Program Manager

Program Manager Supplemental Work

Residential Program Manager

Program Manager, PICS

Tumbling Program Manager

Residential Program Manager (ASL Fluent)

Senior Program Manager

Assistant Program Manager

Program Manager, LICSW/LMHC

Employment Program Manager

Project/Program Manager

Preschool Program Manager

R&D Program Manager

I want to receive the latest job alert for medicare manager in boston, ma

Related Searches

Explore jobs in more locations

Mass General Brigham Competency Framework

Job Seeker Tools

Employer Tools

Browse

Stay Connected