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Harvard Pilgrim Health Care Jobs & Careers

30 Jobs Found

Harvard Pilgrim Health Care
Reporting to the VP, Senior Programs the Compliance Specialist oversees compliance of various operational processes and member materials related to the Medicare Advantage product line. The Compliance Specialist is the subject matter expert responsi......
Harvard Pilgrim Health Care
The Clinical Services Associate is responsible for working with staff in Care and Disease Management to assist in the processing of transactions from home care agencies, hospitals, hospice, and Extended Care Facilities. Responsibilities include: inp......
Harvard Pilgrim Health Care
Sentinel is an FDA-funded medical product surveillance system coordinated by the Therapeutics Research and Infectious Disease Epidemiology (TIDE) group that sits within the Department of Population Medicine, Harvard Medical School and Harvard Pilgri......
Harvard Pilgrim Health Care
TheAssociateInformaticsData Analyst will assist the Medical Informatics team with providing analysis,insights, reports, and maintain analytical findings. This person will be accountable for identifying and quantifying key drivers for the Health Busi......
Harvard Pilgrim Health Care
The Research Fellow will manage research projects from their initial development through publication of findings in medical journals. Research will be focused on a PCORI-funded project examining the relationship between antibiotic use and child grow......
Harvard Pilgrim Health Care
Under the direction of the Manager, Customer Services, the Employer Service Associate (ESA), receives, resolves and/or triages front-line inquiries related to the enrollment and billing process at HPHC. The ESA functions as a liaison between the dep......
Harvard Pilgrim Health Care
Reporting to the Audit Manager, the Staff Auditor plans and conducts routine audit assignments using discretion and independent judgment to assist in the performance of operational, compliance, technology and financial audits. Duties and Responsi......
Harvard Pilgrim Health Care
The Marketing Strategy Manager is responsible for developing the regional marketing strategy as well as leading the creative development and execution of innovative, integrated marketing, communications and advertising activity. This role will act a......
Harvard Pilgrim Health Care
The Contracting Specialist II Maine reports to the V.P., Maine, and is accountable for developing and executing the strategic and business plans for the Maine provider network consistent with corporate and Maine business objectives. He/She will be ......
Harvard Pilgrim Health Care
Be at the Forefront of Change in Health Care Delivery Step into Benevera Health, the first Population Health improvement organization of its kind. As a partnership of Dartmouth-Hitchcock, Elliot Healthcare System, Frisbie Memorial Hospital and Ha......
Harvard Pilgrim Health Care
The Government Affairs Specialist has primary responsibility for tracking and analyzing legislation, regulations and sub-regulatory guidance on both the state and federal level relating to the Affordable Care Act (ACA). Working under the direction o......
Harvard Pilgrim Health Care
The Clinical Training Specialist provides primary support for the orientation, in-service training and continuing education of all Care and Disease Management staff. The Clinical Trainer Specialist mentors staff in their varied activities by utilizi......
Harvard Pilgrim Health Care
The Therapeutics and Infectious Disease Epidemiology group (TIDE) within the Department of Population Medicine is looking for Research Assistants to support our varied and growing research portfolio. We have opportunities for Research Assistants to ......
Harvard Pilgrim Health Care
Summary of Position The Associate Utilization Review Nurse is responsible for the administration of Harvard Pilgrim’s pre-admission review process for each member’s policy, as appropriate. She/he will utilize clinical experience and clinical decisi......
Harvard Pilgrim Health Care
Apply here to color outside the lines We used to be a leading health insurer. Now, Harvard Pilgrim is a leading health services company. What’s the difference? That’s where you come in. As Sr. Talent Acquisition Specialist, you’ll Use your ene......
Harvard Pilgrim Health Care
Sentinel is an FDA-funded medical product surveillance system coordinated by the Therapeutics Research and Infectious Disease Epidemiology (TIDE) group that sits within the Department of Population Medicine, Harvard Medical School and Harvard Pilgri......
Harvard Pilgrim Health Care
The Project Manager will work in the Harvard Medical School Department of Population Medicine at the Harvard Pilgrim Health Care Institute. This position is part of the Project Management Office (PMO) within the Sentinel Operations Center (SOC). The......
Harvard Pilgrim Health Care
The Senior Clinical Consultant is the main clinical liaison to the HPHC Provider network, which includes LCUs (local care units), IDSs (integrated delivery systems) and hospitals. He/she is responsible for the implementation and maintenance of Netwo......
Harvard Pilgrim Health Care
Reporting to the Director Quality and Clinical Compliance, the Program Manager/Sr. Quality Review Specialist will lead and manage numerous cross functional projects and programs associated with clinical quality and compliance. This will include deve......
Harvard Pilgrim Health Care
The Project Manager will work in the Harvard Medical School Department of Population Medicine (DPM) at the Harvard Pilgrim Health Care Institute. This position is part of the Therapeutics and Infectious Disease Epidemiology (TIDE) group, which sits ......
Harvard Pilgrim Health Care
The Research Associate will work with the Center for Healthcare Research in Pediatrics (CHeRP) within the Department of Population Medicine. CHeRP is a multidisciplinary research group whose missionis to conduct research that enhances health care de......
Harvard Pilgrim Health Care
The Research Fellow will perform research under the guidance of a faculty mentor in the Department of Population Medicine (DPM). S/he will manage research projects from their initial development through publication of findings in medical journals. ......
Harvard Pilgrim Health Care
This position is responsible for providing medical leadership for Harvard Pilgrim’s Medicare programs. Reporting initially to the Chief Medical Officer and working collaboratively across Health Services and other business areas, the Medical Director......
Harvard Pilgrim Health Care
The Senior Data Scientist is accountable for providing innovative solutions driven by exploratory data analysis from complex and high-dimensional datasets. This individual will apply their knowledge of statistics, data modeling, and advanced mathema......
Harvard Pilgrim Health Care
Under the general direction of the HEDIS Project Manager, the Analyst provides technical and methodological design consultation, database development, software program development, data management, statistical analysis, and results interpretation/ r......
Harvard Pilgrim Health Care
The Sales Compliance Training Analyst will function as an independent, objective body that continually reviews, promotes and evaluates the processes so that full compliance is achieved with all laws and regulatory requirements to improve both the qu......
Harvard Pilgrim Health Care
Are you looking for a place to work where the people genuinely care about shaping the future of health care? Do you want to work with people who are committed to and passionate about helping others live better, healthier lives - at a place where you......
Harvard Pilgrim Health Care
The Paralegal is responsible for providing support to the attorneys of the HPHC Legal Department on various legal, member, litigation and corporate matters. The Paralegal reports to a Senior Associate General Counsel or another senior attorney in th......
Harvard Pilgrim Health Care
As part of the Corporate Communications team, the Communications Specialist provides strategic communications assistance, with a strongemphasis on writing, editing, and project management, for a wide variety of marketing communications projects. The......