Jobs near South Weymouth: 11,859
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Relevance Score ranked on: TOTAL REWARDS
Program Manager I
Canton
Program Manager I is responsible for projects and initiatives with cross-functional interface that support assigned programs and/or vendors. We are looking for someone who has experience with provider data and regulatory network adequacy reporting. Responsibilities include managing departmental progr...
Search Terms: Program Manager, Manager, Program, Total Rewards, Operations
73.1
9.4mi
Updated: July 25
Vice President, Underwriting
Canton
The Head of Underwriting is responsible for developing pricing strategies, rate development, and directing the underwriting operations across the enterprise with the goal of maximizing market penetration and optimizing profitability. Directly impacts large group revenue and indirectly impacts small g...
Search Terms: Underwriting, Vice President, Leadership, President, Total Rewards
72.9
9.4mi
Updated: July 24
VP Provider Partnerships Strategy
Canton
The Vice President, Strategic Provider Partnerships is a senior functional leader responsible for developing and advancing provider partnership and network strategies that support Point 32 Health’s contracting, product, affordability, and quality goals. This role partners closely with Contracting, Pr...
Search Terms: Partnership, Strategy, VP, Product Development, Total Rewards
72.5
9.4mi
Updated: July 22
Finance Operations Analyst I
Canton
Under the direction of the Supervisor, Finance Operations, the Finance Operations Analyst is responsible for the execution of multiple complex operational processes. The Analyst participates in key Finance Operations initiatives, including but not limited to operational improvements, new product deve...
Search Terms: Operations Analyst, Operations, Finance, Analyst, Total Rewards
72.5
9.4mi
Updated: July 22
Assistant Corporate Controller
Canton
This position reports directly to the Vice President and Corporate Controller of Finance and will be responsible for managing and overseeing the monthly close cycle, internal and external financial reporting (GAAP/ NAIC SSAP),financial regulatory compliance and filings, Federal and State tax, audit c...
Search Terms: Controller, Corporate, Accounting, Assistant, Total Rewards
72.4
9.4mi
Updated: July 21
Member Service Advocate-27
Canton
Under the general direction of the Service Center Supervisor, the Member Services Advocate provides exceptional customer service, navigating the complexities of the healthcare system, dressing inquiries, resolving issues and ensuring members have a positive experience with Point 32 Health. The Member...
Search Terms: Advocate, Member Service, Continuous Improvement, Customer Service, Member Services
72.4
9.4mi
Updated: July 21
Investigator II
Canton
The Investigator II is an essential team member of the Special Investigation Unit (SIU) responsible for leading complex provider investigations related to fraud, waste, and abuse, and developing action plans to address the investigative findings and prevent future loss. The Investigator works closely...
Search Terms: Investigator, Behavioral Health, Total Rewards, Healthcare, Business Services
72.4
9.4mi
Updated: July 21
Manager, SIU Provider Investigations
Canton
Point 32 Health is currently seeking highly motivated individuals to join our organization as a Manager within our Special Investigations Unit (“SIU”). The Manager is an essential team member of the SIU, responsible for supervising, and setting investigative strategies and priorities for a team of in...
Search Terms: Manager, Total Rewards, Health, Skills, Operations
72
9.4mi
Updated: July 18
Internal Controls Manager
Canton
The Internal Controls Manager reports to the Audit Senior Manager and is responsible for aiding in the evaluation, execution, maintenance, and continuous improvement of the organization’s Model Audit Rule (MAR) and Service Organization Control (SOC) reporting programs. This role serves as a key contr...
Search Terms: Controls Manager, Internal Auditor, Controls, Manager, Internal
72
9.4mi
Updated: July 18
Clinical Utilization Management Pharmacist
Canton
Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and exceptions. The Clinical Pharmacist ensures ...
Search Terms: Clinical, Management, Pharmacist, Medical Director, Pharmacy Technician
72
9.4mi
Updated: July 18
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