The Care Manager - Nursing (RN CM) coordinates care for members, ensuring they receive timely interventions and support for optimal health outcomes, while managing complex cases and collaborating with multiple care teams.

The Care Manager (RN CM) coordinates care for members, facilitates transitions, performs assessments, implements care plans, and collaborates with healthcare teams to improve member outcomes.

The Senior Financial Planning Analyst will conduct financial analysis, manage budgeting processes, provide insights for decision-making, and ensure financial goals alignment across departments.

The Community Outreach Specialist will conduct outreach to generate leads, support existing members, and educate the community about the Senior Care Options program and MassHealth.

The Business Development Representative develops sales accounts, cultivates relationships with community groups, and implements outreach strategies while educating on health plans.

The Community Investor manages grantmaking, engages communities, and develops health strategies, focusing on diverse populations. They strengthen partnerships and lead projects for the Foundation's mission.

The Lead Financial Planning Analyst provides financial support mainly for operational and corporate functions, managing budgets, conducting financial analysis, and collaborating with leadership on financial matters.

The Senior Analyst develops and reports on contractual agreements with providers, analyzes financial data, and leads projects to identify improvement opportunities.

The Senior Marketing Specialist manages data analytics and CRM solutions, collaborating with teams and stakeholders to drive project execution and implement system changes effectively.

The Sr Provider Audit Analyst reviews claims for accuracy and compliance, analyzes data for recovery suggestions, and coordinates with various departments for payment adjustments and reporting.

The Actuarial Analyst I supports financial and actuarial analyses including rate reviews, projections, trend analysis, and product development, collaborating with multiple departments.

The IT Audit Manager leads technology audits, manages audit teams, ensures quality compliance, and delivers audit activities on time while building relationships with management.

The Senior Manager of Finance will lead the development of a 5-year strategic financial model, evaluate capital funding, and track strategic goals through collaboration across the organization, including financial analysis and decision-making support.

The Appeals & Grievance Analyst manages member appeals and grievances, ensuring compliance with regulations through effective documentation and customer service. Responsibilities include coordinating resolutions, consulting with experts, and communicating processes clearly to members.

Oversee management of large, complex research projects and cross-functional initiatives while ensuring adherence to timelines, budget, and compliance. Prepare grant applications, manage data agreements, foster stakeholder relationships, and support research activities.

The Customer Experience Program Manager will optimize customer journeys, manage improvement plans, advocate for customer needs, and lead strategic initiatives for enhancing overall customer experience.

The Customer Experience Measurement & Improvement Program Manager leads survey programs and initiatives to enhance customer loyalty and improve overall experience in healthcare.

The Actuarial Analyst II conducts financial and actuarial analysis, supports rate reviews and provider reimbursement analysis, and collaborates with various departments.

The Senior Actuarial Analyst conducts analysis and data development for financial functions, guides junior staff, and collaborates with various departments on projects related to product pricing, financial planning, and pharmacy analytics.

The Director of Provider Partnerships leads strategic initiatives, collaborating across departments to align business goals and manage organizational strategy.