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Humana
Internship
 
Encounter Data Management Professional
Humana Boston, MA, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Humana. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission...

Dec 26, 2025
Humana
Encounter Data Management Professional
Humana Boston, MA, USA
Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Dec 24, 2025
EY
ServiceNow - IT Service Management (ITSM) - Senior - Tech Consulting - Open Location
EY Boston, MA, USA
Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. ServiceNow Senior Consultant - IT Service Management (ITSM) In the digital economy, it takes more than good ideas and strong leadership to thrive. Upgrading outdated processes, systems and information is vital - but can be a risky investment in such a rapidly changing environment. That's why some of the most prestigious businesses worldwide look to us for authoritative, agile, and efficient solutions for business decision-making. As a ServiceNow Senior Consultant you'll play a leading role in that mission, providing the competitive edge our clients need to overcome some of the biggest creative and technical challenges around. The opportunity You'll lead ServiceNow Transformation teams in a rapidly growing...

Dec 22, 2025
Humana
Care Management Support Assistant
Humana Boston, MA, USA
Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Dec 21, 2025
EY
Full time
 
ServiceNow - IT Service Management (ITSM) - Manager - Tech Consulting - Open Location
EY Boston, MA, USA
Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. ServiceNow Consulting Manager – IT Service Management (ITSM) In the digital economy, it takes more than good ideas and strong leadership to thrive. Upgrading outdated processes, systems and information is vital – but can be a risky investment in such a rapidly changing environment. That’s why some of the most prestigious businesses worldwide look to us for authoritative, agile, and efficient solutions for business decision-making. As a ServiceNow Consulting Manager you’ll play a leading role in that mission, providing the competitive edge our clients need to overcome some of the biggest creative and technical challenges around. The opportunity You’ll lead ServiceNow Transformation teams in a rapidly growing area of...

Dec 20, 2025
EY
Full time
 
ServiceNow - Strategic Portfolio Management (SPM) Manager - Tech Cons - Open Location
EY Boston, MA, USA
Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. ServiceNow Consulting Manager – Strategic Portfolio Management (SPM) In the digital economy, it takes more than good ideas and strong leadership to thrive. Upgrading outdated processes, systems and information is vital – but can be a risky investment in such a rapidly changing environment. That’s why some of the most prestigious businesses worldwide look to us for authoritative, agile, and efficient solutions for business decision-making. As a ServiceNow Consulting Manager you’ll play a leading role in that mission, providing the competitive edge our clients need to overcome some of the biggest creative and technical challenges around. The opportunity You’ll lead ServiceNow Transformation teams in a rapidly...

Dec 19, 2025
Otsuka Pharmaceutical Companies (U.S.)
Senior Manager, Global Quality Management - Clinical
Otsuka Pharmaceutical Companies (U.S.) Boston, MA, USA
Job Summary The Senior Manager of Global Quality Management (GQM) supports the execution of clinical quality activities to ensure compliance with Good Clinical Practice (GCP), regulatory requirements, and internal standards across global clinical trials. This role provides hands-on quality oversight, supports audit and inspection readiness, and collaborates with internal teams and external partners to maintain high-quality standards throughout the clinical development lifecycle. Key Responsibilities Clinical Study Support Serve as a GCP quality resource to clinical teams during study planning, conduct, and close-out. Support the review of study documents (e.g., protocols, monitoring plans, vendor agreements) for quality and compliance. Assist in identifying and resolving quality issues, protocol deviations, and potential noncompliance. Collaborate with Clinical Operations, Regulatory Affairs, and Medical Affairs to embed quality practices...

Dec 19, 2025
Humana
Workforce Management Professional 1
Humana Boston, MA, USA
Become a part of our caring community and help us put health first The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of moderate complexity. The Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented...

Dec 16, 2025
Humana
Lead Product Owner - Product Management
Humana Boston, MA, USA
Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The Lead Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Lead Product Owner works on problems of diverse scope and complexity ranging from moderate to substantial. This role will be aligned to Humana sales technology platforms, helping further advance capabilities that provide a seamless...

Dec 13, 2025
Humana
Senior Workforce Management Professional
Humana Boston, MA, USA
Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

Dec 12, 2025
BM
Senior Manager, Quality Systems - Change Control and Quality Risk Management Process Owner
Bristol Myers Squibb Careers MA, USA
Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible. Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us . Position Summary: The Senior Manager, Quality Systems - Change...

Dec 09, 2025
Humana
Staff Utilization Management Clinical Pharmacist
Humana Boston, MA, USA
Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

Dec 07, 2025
BM
Full time
 
Senior Manager, Quality Systems - Change Control and Quality Risk Management Process Owner
Bristol Myers Squibb Careers MA, USA
Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible. Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us . Position Summary: The Senior Manager, Quality Systems - Change...

Dec 06, 2025
Omni Hotels & Resorts
Kestra Restaurant Chef
Omni Hotels & Resorts Boston, MA, USA
Overview The 1,054-room Omni Boston Hotel at the Seaport is the newest luxury hotel in the City of Boston, and the most significant hotel project in the city for the last forty years. The property features seven outlets for drinking and dining, a signature spa, fitness center, and rooftop pool. It boasts more than 100,000 square feet of meeting and event space, and caters to the most discerning clientele. Job Description The Omni Boston Hotel at the Seaport is located in the center of the bustling Seaport District. The AAA Four Diamond Rated hotel boasts 1,054 finely appointed guestrooms, seven distinct dining (https://www.omnihotels.com/hotels/boston-seaport/dining) experiences, a scenic rooftop pool (https://www.omnihotels.com/hotels/boston-seaport/wellness/pool) , and a luxe day spa (https://www.omnihotels.com/hotels/boston-seaport/spa) , all of which allow us to provide each guest a unique and memorable experience. Creativity must infuse everything we do, and everyone...

Dec 27, 2025
Ab
Full time
 
Strategic Account Executive - Northeast
Abbott Boston, MA, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Abbott. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. About Abbott Abbott is a global healthcare leader, creating breakthrough science to improve people's health. We're always looking...

Dec 25, 2025
BM
Manager, Quality Assurance Investigations, Cell Therapy
Bristol Myers Squibb Careers MA, USA
Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible. Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us . At Bristol Myers Squibb we are reimagining the future of cell...

Dec 23, 2025
Techint Group
SSO Global Service Solutions Product Manager
Techint Group Boston, MA, USA
The Global Service Product Marketing Manager is the strategic and executional leader responsible for shaping and scaling Tektronix's global service strategy across the Service Solutions Organization (SSO). In this highly visible role, you will define the vision, roadmap, and go-to-market strategy for our full services portfolio-ensuring our solutions deliver measurable customer value, market differentiation, and profitable growth across Tektronix, Keithley, and Elektro-Automatik. You will be the champion of service innovation at the intersection of Product, Sales, Marketing, Operations, and Customer Success. You bring deep customer understanding, commercial acumen, and data-driven decision-making to build offerings that win in the market and accelerate attach, renewals, and long-term customer loyalty. This is a role for a builder: someone who thrives in cross-functional environments, influences without authority, and turns insights into compelling products, pricing...

Dec 22, 2025
WayUp
Full time
 
Project Manager
WayUp Boston, MA, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Acxiom. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. The Project Manager/Cards Rewards Control Validation Analyst will play a critical role in validating the accuracy of rewards offer fulfillment by independently verifying transaction calculations, identifying discrepancies, resolving identified discrepancies, and ensuring compliance with internal practices and standards. This position requires strong analytical skills to navigate proprietary bank systems, perform complex validations, and contribute to process improvements. The ideal...

Dec 22, 2025
Or
Senior/Principal Technical Program Manager
Oracle Boston, MA, USA
Job Description Job Description Building off our Cloud momentum, Oracle has formed a new organization - Oracle Health Applications & Infrastructure. This team will focus on product development and product strategy for Oracle Health, while building out a complete platform supporting modernized, automated healthcare. This is a net new line of business, constructed with an entrepreneurial spirit that promotes an energetic and creative environment. We will need your contribution to make it a world class engineering center with the focus on excellence. The Role We are looking for an experienced Technical Program Manager who is proactive, results-oriented, and demonstrates strong ownership and accountability. The successful candidate will have extensive experience working cross-functionally with Product Development teams, Product Management, technology leaders, as well as their operations teams to deliver Products. You should possess a strong background in program...

Dec 21, 2025
EY
Full time
 
Sector Tech: Power & Utilities - Digital Grid - Manager - US Consulting
EY Boston, MA, USA
Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Technology Consulting – Sector Tech – Digital Grid - Manager Our clients operate in a world where achieving and sustaining performance is more difficult than ever. As a performance improvement professional, you’ll be focused on helping them grow and turn their strategy into reality. You’ll work with high-performing teams that drive growth and deliver exceptional client service while doing your part to build a better working world. Your career is yours to shape.   The opportunity The role of a Digital Grid Manager will be to provide consulting services to Power & Utilities clients implementing Digital Grid Programs, capabilities and systems (AMI, ADMS, OMS, SCADA, DRMS, DERMS, EMS, GIS) resulting in increased...

Dec 21, 2025
BM
Full time
 
Senior Manager, Clinical Data Warehouse Research
Boston Medical Center Boston, MA, USA
Position: Senior Manager, Clinical Data Warehouse Research Department: Research - Support Services Location: Boston, MA Schedule: 40 hours per week, Remote (must be able to work Eastern Standard Time business hours) Position Summary The Senior Manager, Clinical Data Warehouse for Research (CDW-R), reporting to the Director of Research Analytics and Reporting, leads and manages an Operations Manager and a team of analysts responsible for high-quality, compliant, and efficient data extraction, provisioning, and reporting to support research initiatives. This role provides technical guidance in Structured Query Language (SQL) query development, implements and maintains data warehouse solutions, and ensures adherence to research and hospital data policies. The Clinical Data Warehouse Research consolidates data from a wide range of legacy and current clinical systems, including Epic, using SQL Server; and works to ensure secure, accurate, and reproducible data retrieval...

Dec 21, 2025
NS
Project Manager - Hybrid
North Shore Community Health MA, USA
Project Manager - Hybrid WFH Flexible - Salem, MA (http://maps.google.com/maps?q=27+Congress+Street+Salem+MA+USA+01970) - Operations Job Type Full-time Description The position requires a minimum oftwo daysin the office per week. However, based on operational needs, additional in-office days may be required. Position Overview TheOperations Project Manager (PM)is a key member of the Operations Team, supporting the Director of Operations and Chief Operations Officer as well as other leadership members in developing and implementing projects to improve operations, clinical performance, quality of care, and compliance, while advancing organizational goals related to healthcare delivery. Reporting directly to the Director of Operations, the PM is responsible for developing project plans, gathering data to monitor key performance indicators, and supporting performance improvement and Patient-Centered Medical Home efforts. Additionally, the PM develops reports and performs...

Dec 21, 2025
Humana
Senior Product Manager
Humana Boston, MA, USA
Become a part of our caring community and help us put health first The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. As a Senior Product Manager, you will plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology solutions. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and enterprise architecture. The Senior Product Manager will...

Dec 21, 2025
Otsuka Pharmaceutical Companies (U.S.)
Manager, Medical Data Analytics
Otsuka Pharmaceutical Companies (U.S.) Boston, MA, USA
The Manager, Data Analytics is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role will serve as the data and analytics lead supporting operational excellence across the Global Medical Affairs organization. This role is responsible for collecting, analyzing, and translating data into actionable insights that inform medical strategy, field engagement, performance measurement and medical strategy. The Manager, Data Analytics will work closely with both Field Medical and Headquarters teams to understand business needs and system requirements, support development of analytical solutions and other projects to drive key business processes and decisions for the Medical Affairs function. This role reports into the Business Solutions & Analytics Lead who reports into the Executive Director, Medical Excellence and Operations. Job Description Key Responsibilities: Data Collection, Management and Governance...

Dec 19, 2025
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