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Elevance Health
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Woburn, Massachusetts
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development and ongoing management of one or more multi-year external client-facing programs within a business ... :**
Requires a BA/BS and minimum of 5 years external client-facing experience in program/project management; or
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Elevance Health
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Woburn, Massachusetts
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onsite will be discussed as part of the hiring process.
The **Business Change Manager, Sr ... related field and minimum of 8 years process improvement, business change or project related experience
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Elevance Health
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Woburn, Massachusetts
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directing multiple business function operations teams on Tier I contract with primary responsibility for Program Management and/or Medicare Integrity Operations.
**How you will make an impact
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Elevance Health
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Woburn, Massachusetts
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and business members and management.
Has basic understanding of project management methodology ... in managing project scope to ensure business needs are met and the project scope as defined in the
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Elevance Health
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Woburn, Massachusetts
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discussed as part of the hiring process.
The Compliance Manager is responsible for managing ... management. This role leads external regulatory audits and collaborates with various departments to mitigate
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Elevance Health
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Woburn, Massachusetts
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and minimum of 10 years of process improvement experience with planning, project management, business ... Process Improvement Director-Enterprise HEDIS
Location: This position will work a
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Elevance Health
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Woburn, Massachusetts
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projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
May collaborate with sales team in making presentations to
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Elevance Health
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Woburn, Massachusetts
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ideal candidate will bring innovative ideas, strategic thought leadership, and project management acumen ... advise senior management relative to compliance.
Travels to worksite and other locations as
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Elevance Health
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Woburn, Massachusetts
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. Supports the audit plan development process through business leadership meetings, identifying risk, and ... compliance.
Identify risks and collaborate with team leadership, business management and external
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Elevance Health
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Woburn, Massachusetts
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Requires BA/BS in Nursing, Pharmacy or Pharm D.
Minimum of 5 years of clinical or medical management ... Oncology Practice Enablement Clinician
**Carelon Medical Benefits Management
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Elevance Health
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Woburn, Massachusetts
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, and formulary management.
How you will make an impact:
Leads Commercial formulary management processes.
Responsible for all member, stakeholder, and provider communications regarding
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Elevance Health
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Woburn, Massachusetts
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, DIS, and formulary management.
How you will make an impact:
Lead Health Insurance Exchange formulary management processes.
Responsible for all member, stakeholder, and provider
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Elevance Health
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Woburn, Massachusetts
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.
The Program Manager is responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support
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Elevance Health
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Woburn, Massachusetts
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spending.
Minimum Requirements:
Requires a BA/BS degree in a related field and a minimum ... preferred.
Health or managed care experience preferred.
Product Lifecyle Management experience
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Elevance Health
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Woburn, Massachusetts
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& Procurement** is responsible for Elevance Health’s federal government contracting business’ contract ... , reporting directing to the federal business’ Chief Legal and Compliance Officer.
**How you will make
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Elevance Health
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Woburn, Massachusetts
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strategic growth in our AHD pharmacy business, ensure the right metrics are in place, results and ... advanced home delivery pharmacy business growth. Act as a thought partner to the VP, providing strategic
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Elevance Health
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Woburn, Massachusetts
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Business Information Developer Consultant – HEDIS Analytics
Location: This position ... , Wallingford, CT or Louisville, KY.
The **Business Information Developer Consultant – HEDIS Analytics
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Elevance Health
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Woburn, Massachusetts
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business**
_Location: This position will work a hybrid model (remote and office). The ideal ... business and/or state.
Effectively establish rapport and on-going working relationship with law
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Elevance Health
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Woburn, Massachusetts
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Provider Network Management Director
Location: This position will work a hybrid ... .
The Provider Network Management Director develops the provider network by managing the
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Elevance Health
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Woburn, Massachusetts
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Population Health Management Pharmacist – CarelonRx
Location: The ideal candidate ... , to deliver member-centered, lasting pharmacy care.
The **Population Health Management
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Elevance Health
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Woburn, Massachusetts
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leaders for all aspects of business continuity planning, support, and management.
Leads the end-to ... Global Business Continuity Executive Advisor
Location: This position will work a
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Elevance Health
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Woburn, Massachusetts
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for generating process improvements that bring about measurable improvement in quality and/or ... leads, operations experts, associates, and/or managers on process improvement issues.
**How you
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Elevance Health
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Woburn, Massachusetts
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Proposal Director Sr. is responsible for leading the proposal management for multiple prime bids with contract value of $500M to upwards of a billion. Leads the proposal process by managing cross-functional
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Elevance Health
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Woburn, Massachusetts
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teams during the Sales bid process.
How You Will Make an Impact
Primary duties may ... data validation.
Minimum Requirements:
Requires a BA/BS; 8 years of experience in
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Elevance Health
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Woburn, Massachusetts
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, maintains, and enhances the claims review process.
Assists management with developing unit goals ... Experiences:**
BA/BS preferred.
Experience in hospital bill auditing or defense auditing
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Elevance Health
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Woburn, Massachusetts
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superior clinical mental health and substance use disorder management, a comprehensive employee assistance ... /BA degree in a mental health or other human services field and two years of experience working
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Elevance Health
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Woburn, Massachusetts
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onsite will be discussed as part of the hiring process.
The Stop Loss **Actuarial Analyst ... prepares management reports
Assists in training of actuarial trainees, analysts and specialists
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Elevance Health
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Woburn, Massachusetts
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.
Minimum Requirements
Requires a BA/BS and a minimum of 3 years of experience managing business ... administrator (TPA) of medical benefits, also providing medical management, human resource consulting, and
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Elevance Health
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Woburn, Massachusetts
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management and legal department throughout investigative process.
May assist in training of internal and ... Investigator Senior
Supports the Payment Integrity line of business
_Location
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Elevance Health
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Woburn, Massachusetts
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and public relations strategies to support designated business units and position the Company as a ... organization’s mission and business objectives.
Media Campaigns: Lead the development and execution of
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