Pharmacy Fraud Program Manager Devoted Health ServicesPharmacy Fraud Program ManagerMassachusettsRemoteThe ideal candidate pairs a deeply inquisitive, investigative mindset with strong analytical discipline and brings genuine pharmacy depth: fluency with pharmacy claims data and pharmacy benefit operations, including NCPDP claim fields, NDCs, quantity and days supply logic, formulary and prior authorization concepts, and prescriber and pharmacy identifiers (NPI, DEA, state license), together with a working knowledge of the regulatory framework governing pharmacy fraud, waste, and abuse. Validate, reconcile, and cross-reference data drawn from numerous and disparate sources — pharmacy and medical claims systems, PBM data feeds, prior authorization and rejected-claim data, eligibility and enrollment systems, prescriber and pharmacy provider files, third-party databases, public records, watchlists, internal applications, and external vendor feeds.
Direct Sales Account Executive Transaction Network Services IncDirect Sales Account ExecutiveMassachusetts, MARemote$149,000–$181,000 / yearThe Direct Sales AE owns and develops the customer relationships, addressing needs and issues through a thorough understanding of the customers' business, and then works with the internal product and engineering teams to define operator technical requirements to define solutions. The right candidate will possess strong communication skills and a proven track record of initiative and success positioning, managing and deploying network and client products into North American operators.
COLI Sales Consultant MassMutualCOLI Sales ConsultantMassachusettsRemoteIn this role, you will work closely with brokers, consultants, producers, and internal business partners to help bring complex institutional life insurance opportunities to market leveraging purpose built Registered VUL (RVUL) and Private Placement VUL (PPVUL) product solutions. As a COLI / ICOLI Sales Consultant, you will make a direct and visible impact by: Building strong relationships with brokers, consultants, producers, and broker dealers to help position MassMutual’s COLI and ICOLI solutions competitively in the market.
Part Time Remote Psychiatric Nurse Practitioner - Fee For Service ThriveworksPart Time Remote Psychiatric Nurse Practitioner - Fee For ServiceRhode IslandRemoteTo maintain safety and best practices for our clinicians and patients via telemedicine, Thriveworks does not push or incentivize the use of stimulant medications; instead, we offer them as an option based on the client’s specific symptoms and diagnosis, with prescribing decisions left to the discretion of the clinician. With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address.
Medical Director II, Utilization Management Devoted Health ServicesMedical Director II, Utilization ManagementMassachusettsRemoteThe actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
VP, Cash Management & Forecasting Operations (open to remote) Reinsurance Group of America IncVP, Cash Management & Forecasting Operations (open to remote)RIRemote$180,220–$268,400 / yearThe VP ensures that cash is forecasted, positioned, and governed to support funding readiness and operational execution - coordinating across Treasury, Portfolio Management, Investment Accounting, and the asset class servicing teams to operationalize liquidity requirements and maintain the accuracy and integrity of cash reporting. This role owns the investment cash forecasting, liquidity planning, cash reconciliation, and control frameworks that provide RGA's investment organization with accurate, timely, and operationally reliable visibility over investment liquidity across all asset classes and transaction types.
Senior Director, Technical Training Reworld Holding CorpSenior Director, Technical TrainingRIRemote$180,600–$258,100 / yearManage the GPiLEARN+ Training Program to include the associated Learning Management System (LMS) for the organization to include generating reports, maintaining the system in a compliance-ready state, and managing the annual seat license renewal and invoicing process. All Reworld positions require a candidate's ability to perform the duties and responsibilities of the role while upholding Reworld's Values, including (but not limited to) contributing to a safe and inclusive workplace, delivering results through trust, and building breakthrough capabilities.
Product Manager, Marketing Technology Becton Dickinson and CoProduct Manager, Marketing TechnologyWarwick, RIRemote$117,800–$188,600 / yearThe ideal candidate is an agile practitioner, fosters teamwork, and can build strong interpersonal relationships with the Operations teams, Technology team, Leadership, and Partners with a focus on building the right functionality in the right order and helping overcome obstacles. 3+ years in managing, supporting and optimizing CRM and Marketing Technology platforms integrated with an eCommerce stack (Salesforce Marketing Cloud, Personalization, Data Cloud, Google Analytics or similar behavioral analytics platforms).
Principal Security Technology Strategist Cloud Software Group IncPrincipal Security Technology StrategistMARemote$182,713–$274,069 / yearNY generally ranges: $182,713-$274,069 CA generally ranges: $208,293-$312,439 All other locations fall under our General State range: $182,713-$274,069 Benefits may vary depending on the nature of your employment with Cloud Software Group and the country where you work. Hands on experience with data protection, digital forensics and incident management, web application security, networking, enterprise browser, remote access, Zero Trust, Identity Access Management (IAM), web proxy, role-based access control (RBAC), virtual desktops (e.g.
Payment Integrity Program Development Manager Devoted Health ServicesPayment Integrity Program Development ManagerMassachusettsRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
Public Sector Field Marketing Senior Specialist Hack The Box LtdPublic Sector Field Marketing Senior SpecialistMARemoteThe fellowship you'll be joining: You will join Hack The Box's global marketing organization and work closely with the AMER Field Marketing, Demand Generation, Partner Marketing, Product Marketing, Content, Digital, Brand, Communications, and Marketing Operations teams. Skills, knowledge, and experience points required to unlock the role of Public Sector Field Marketing Senior Specialist at Hack The Box: At least five years of B2B marketing experience, including experience in field marketing, demand generation, account-based marketing, or integrated campaigns.
Senior Statutory Reporting Accountant Devoted Health ServicesSenior Statutory Reporting AccountantMassachusettsRemoteAssist the Statutory Reporting unit with the daily tasks related to the compilation of Statutory financial statements, reconciliations, process enhancement and other critical Statutory accounting and reporting projects as the number of health insurance entities has grown significantly. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm.
Senior Global Commodity Manager - Chemicals, Reagents, Fuel Reworld Holding CorpSenior Global Commodity Manager - Chemicals, Reagents, FuelMARemote$121,584–$180,876 / yearThe Senior Global Commodity Manager - Chemicals Reagents will lead enterprise-wide commodity strategy, sourcing, supplier partnership management, and cost optimization for chemicals and reagents used across waste-to-energy plants, waste-processing facilities, and other industrial operations. The role will manage a significant portfolio that includes lime, ammonia, urea, water and wastewater-treatment chemicals, carbon products, industrial gases, solidification materials, lubricants, and other chemicals and reagents required by the business.
US Field Marketing Senior Specialist Hack The Box LtdUS Field Marketing Senior SpecialistMARemoteThe fellowship you'll be joining: You will join Hack The Box's global marketing organization and collaborate closely with Demand Generation, Partner Marketing, Product Marketing, Content, Digital, Brand, Communications, Customer Marketing, and Marketing Operations. Skills, knowledge, and experience points required to unlock the role of US Field Marketing Senior Specialist at Hack The Box: At least five years of B2B marketing experience, including experience in field marketing, demand generation, account-based marketing, or integrated campaigns.
Pharmacy Benefits Senior Manager Devoted Health ServicesPharmacy Benefits Senior ManagerMassachusettsRemoteRun pharmacy as a portfolio of projects with owners, milestones, dependencies, and hard deadlines (PBM implementations, formulary changes, plan-design rollouts, and audits) delivering predictable results through ambiguity in a matrixed environment. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Manager, Advanced Practice Provider - Transitions of Care Devoted Health ServicesManager, Advanced Practice Provider - Transitions of CareMassachusettsRemoteThe position will join the TOC management team (Medical Director, APP Managers, Operations Leads, Nurse Director & Managers, and Staff Supervisors) and together work to strengthen the program’s collaborative culture, empower the front line staff to achieve clinical excellence, and surface opportunities to improve patient care. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Marketing Manager AndelaMarketing ManagerMassachusettsRemoteThe company’s exclusive AI-powered platform, Andela Talent Cloud , is the industry’s only unified platform managing the complete global talent lifecycle and enables customers to fill individual roles or engage fully managed teams up to 66% faster. You will operate the Client Advisory Board, lead Voice of the Customer and NPS programs, produce a robust bank of case studies and testimonials, and serve as the connective tissue between Andela’s client base and its broader go-to-market strategy.
Applications Analyst II - Willow Inpatient/Inventory Certified Tufts MedicineApplications Analyst II - Willow Inpatient/Inventory CertifiedMassachusettsRemoteIn addition, this role focuses on performing the following Client Applications Support duties: Designs, develops, implements, and updates internal IT applications in accordance with specifications and business needs., designs, codes, tests, and debugs computer programs, and prepares systems documentation and training. 1. High school diploma or equivalent and eight (8) years of relevant experience OR Associate degree in information technology, finance, clinical field, or related field and six (6) years of relevant experience OR Bachelor’s degree in information technology, finance, clinical field, or related field and four (4) years of relevant experience.