NewSenior Director, Benefit/Risk Medical Adviser To The Qppv Regeneron PharmaceuticalsSenior Director, Benefit/Risk Medical Adviser To The QppvUxbridge, MAYou will combine clinical judgement with qualitative and quantitative approaches, including patient preferences, real-world data and epidemiological evidence, while partnering with colleagues across Global Patient Safety, Regulatory Affairs, Clinical Development and other functions. Partner across safety, regulatory, clinical, quality, legal, commercial, local pharmacovigilance and product supply functions while contributing to governance and inspection readiness.
IT Risk & Compliance Specialist Amica Mutual Insurance CompanyIT Risk & Compliance SpecialistLincoln, RI$68,912–$103,235 / yearAmica was founded on the principles of creating peace of mind and building enduring relationships for and with our exceptionally loyal policyholders, a mission that thousands of employees in offices nationwide share and support. Amica conducts background checks which includes a review of criminal, educational, employment and social media histories, and if the role involves use of a company vehicle, a motor vehicle or driving history report.
Senior Manager, Corporate Compliance - Risk Adjustment CVS Health CorpSenior Manager, Corporate Compliance - Risk AdjustmentWoonsocket, RI$75,400–$165,954 / yearThis position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements. As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements.
Lead Director, Risk Adjustment Performance Reporting and Insights CVS Health CorpLead Director, Risk Adjustment Performance Reporting and InsightsMA$100,000–$231,540 / yearMaster's degree in Business, Informatics, Analytics, Finance, Statistics, Computer Science, Public Health, Healthcare analytics, Actuarial, Mathematics, Economics, or equivalent combination of advanced education, professional certification, or demonstrated subject matter expertise preferred. Partner with provider, clinical, and operational leaders to support performance improvement initiatives through data-driven insights and targeted intervention strategies.
Risk Associate - Derby Street Shops AritziaRisk Associate - Derby Street ShopsHingham, MA$20–$30 / hourWith a special focus on merchandise security, our Risk Associate supports the Boutique team in delivering an outstanding customer experience while encouraging a safe and secure store environment. Some of the industry-leading benefits you will receive working at Aritzia: Competitive Pay Package- We're committed to competitive pay and performance- based pay increases.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsRI$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Executive Director, Regulatory Management, Network Standards & Technology Transformation CVS Health CorpExecutive Director, Regulatory Management, Network Standards & Technology TransformationWoonsocket, RI$131,500–$303,195 / yearThe candidate will be expected to have the following key attributes: 10+ years of progressive leadership experience in PBM, healthcare, pharmacy operations, regulatory compliance, technology, program management, or related healthcare disciplines. Partner with Legal, Compliance, Regulatory Affairs, Government Affairs, Finance, Digital, and Operations teams to evaluate business impacts, establish implementation strategies, and ensure timely execution.
Lead Director - Product Portfolio Management CVS Health CorpLead Director - Product Portfolio ManagementRI$100,000–$231,540 / yearThis role has two primary areas of focus: Product Management (Local Markets, Segments & Verticals): development and management of differentiated and tailored solutions aligned to market opportunities and customer needs. Lead, develop, and manage a team responsible for: Defining portfolio strategy translating market intelligence, buyer needs, competitive insights, and performance data into differentiated product, program, and solution roadmaps.
Senior Manager, Resources for Living Product Development & Management CVS Health CorpSenior Manager, Resources for Living Product Development & ManagementMA$67,900–$182,549 / year5+ years of experience and technical/functional expertise in one or more of the following: management consulting, financial analysis, project management, public policy, mergers and acquisitions, operations management, and/or strategic execution. This role combines product leadership, cross-functional influence, and subject matter expertise to drive programs that support the organization's multi-year strategic priorities.
Manager, Customer Shared Services Ocean SprayManager, Customer Shared ServicesLakeville, MA$96,200–$120,200 / yearTeam members, farmers, consumers and communities alike--we value what makes us unique and strive to connect our farms to families for a better life by living our values: Grower Mindset- We embrace our grower-owners innovative spirit and heritage through confidence, learning and focus on the future. The Manager, Customer Shared Services, is responsible for leading the day-to-day operations of the Customer Shared Services function, with primary responsibility for Accounts Receivable, Credit, Collections, and Cash Application processes.
Security Risk Assessor NTT DATASecurity Risk AssessorCanton, MARemote$80–$88 / hourBasic Qualifications: (what are the skills required to this job with minimum years of experience on each) Min 5+ year of experience in at least 4 of these or similar disciplines: IT governance and operations; access control analysis; incident response; data analysis and auditing controls; data protection; advance threat protection; identity and access management; integrated technologies with cross-functional impact. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity.
CDI Risk Adjustment Nurse-24 Hours, Benefit Eligible Lahey Hospital and Medical CenterCDI Risk Adjustment Nurse-24 Hours, Benefit EligibleWestwood, MA$47,424–$70,474.80 / year4. Clinical Validation & Documentation Integrity · Serve as a clinical validation resource to ensure diagnoses are: o Clinically supported o Accurately documented o Compliant with coding and payer requirements · Collaborate with CDI and coding teams to resolve discrepancies and prevent denials · Ensure documentation supports audit defensibility and regulatory compliance · Identify patterns of clinical validation concerns, documentation deficiencies, and audit vulnerabilities and communicate findings to CDI leadership to support education and process improvement efforts. 2. Coding Opportunity Identification & Pre-Visit Workflow Support · Identify coding opportunities as directed by the CDI Manager and Performance Director, with a focus on chronic disease burden · Partner with pre-visit planning and coding teams to: o Surface suspect conditions prior to encounters o Integrate findings into workflows and registries o Support timely risk gap closure.
Safety, Risk & Regulatory Compliance Coordinator High Point & SEMCOASafety, Risk & Regulatory Compliance CoordinatorNew Bedford, Massachusetts$28.20–$32.30 / hourLead incident investigations related to environmental hazards, behavioral safety events, nearâmisses, facility issues, or staff/patient injuries; document findings and develop corrective actions. Program & Location: Quality and Compliance / New Bedford Education: Bachelor’s degree in Environmental Health, Public Health, Health Sciences, Healthcare Administration, Safety Management, or a related field.
Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA) National RecruitersHealth Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)MassachusettsWe’re looking for Nurse Practitioners (NPs) and Physician Assistants (PAs) interested in a flexible PRN role conducting in-home Health Risk Assessments (HRAs) for Medicare Advantage members. This is a great way to supplement your income, work autonomously, and make a real difference in patient care, without the responsibilities of ongoing treatment.
NewSenior Manager, Contract Management Johnson & JohnsonSenior Manager, Contract ManagementRaynham, MA$122,000–$212,750 / yearRequired Skills: Preferred Skills: Business Impact Analysis (BIA), Contract Management, Developing Others, Give Feedback, Inclusive Leadership, Leadership, Negotiation, Office Administration, Performance Measurement, Process Improvements, Proofreading, Regulatory Compliance, Relationship Building, Sales Enablement, Sales Support, Sales Terms and Conditions, Team Management, Tender Management. The Senior Manager is accountable for all customers and contracting activities within their assigned Region and POD, including prioritization of work, resource allocation, workload balancing, and ensuring customer commitments, contracting deliverables, and business objectives are achieved in a timely and compliant manner.
Risk, Quality and Performance Analyst MaximusRisk, Quality and Performance AnalystNewport, RIRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .
Treasury Management Product Manager Rockland TrustTreasury Management Product ManagerBrockton, MAThis role partners closely with Treasury Sales, Operations, Technology, and Risk teams to drive product performance, vendor management, continuous enhancement, and day-to-day support of treasury solutions that support client needs and generate sustainable fee income. Support the growth and profitability of the Treasury Management product portfolio by identifying opportunities to increase product adoption, supporting pricing strategies, and improve overall revenue performance.
Manager, IT Asset Management Point32Health, Inc.Manager, IT Asset ManagementCanton, MA$105,544–$158,316 / yearPreferred: 8-10 years of progressive experience leading IT Asset Management, Software Asset Management, or Hardware Asset Management functions in complex enterprise environments; experience maturing ITAM governance, controls, reporting, and operating practices; experience supporting software audits, major contract renewals, vendor negotiations, license optimization, and technology cost reduction initiatives; experience with ServiceNow SAM/HAM, Microsoft Endpoint Configuration Manager, Intune, Snow Software, or similar enterprise asset management platforms; and experience in healthcare, insurance, financial services, or other highly regulated industries. Preferred: Advanced degree; Certified Software Asset Manager (CSAM), Certified IT Asset Manager (CITAM), Certified Hardware Asset Management Professional (CHAMP), Information Technology Infrastructure Library (ITIL), Certified Software Asset Management Professional (CSAMP), Agile, Lean, Six Sigma, or related asset management, governance, or process improvement certification.
Clinical Utilization Management Pharmacist Point32Health, Inc.Clinical Utilization Management PharmacistCanton, MA$110,680.66–$166,020.98 / yearPerforms case reviews in automated prior authorization (Auto PA) tools and guides the case through the entire process to either approval or denial to ensure all coverage determinations and notices are consistent with applicable regulatory and accreditation requirements and turnaround times. Communicate with UM staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage determinations within timelines developed by all accrediting and regulatory guidelines.
NewHealthcare Project Management Office Director NTT DATAHealthcare Project Management Office DirectorCanton, MA$85–$98 / hourThe successful candidate will combine healthcare payer expertise, PMO leadership, financial and operational discipline, customer management, and strong people leadership to help drive a more efficient, transparent, and outcome-focused delivery model. You will partner closely with customer portfolio leaders, business and IT stakeholders, delivery teams, finance, and account leadership to improve execution discipline, strengthen accountability, optimize resources, and demonstrate measurable value from PMO services.