Definitive Healthcare jobs in Framingham, MA - 31 jobs

Job Description About Definitive Healthcare: At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024 and 2025, we earned multiple workplace honors, including Built In's 100 Best Places to Work in Boston (both years), a Stevie Bronze Award for Great Employers, and recognition as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. We're looking for a data-driven Growth Strategist to design and execute integrated marketing campaigns that drive measurable revenue growth for our Claims and Reference + Affiliation verticals. In this role, you'll own campaign strategy - and some execution - while testing new growth tactics, optimizing performance, and scaling programs that deliver business impact. This position is ideal for someone who is curious, collaborative, and analytical, with a passion for turning data into actionable insights and results. What You'll Do: Campaign Strategy & Execution: Own integrated marketing campaigns for 2 verticals (Claims and Reference + Affiliation), from planning through launch and ongoing optimization. Segment & Target Audiences: Define and prioritize key audiences by role, company, engagement, and solution needs to maximize campaign relevance and impact. Growth Tactics: Test and scale new approaches across channels (paid media, email, web, events, and more) to improve pipeline performance. Data-Driven Optimization: Analyze campaign performance to uncover insights, apply learnings, and drive measurable improvements. Cross-Functional Collaboration: Partner with product marketing, sales, operations and marketing leadership to define messaging, integrated channels and align on goals. Revenue Impact: Ensure campaigns directly contribute to pipeline creation and revenue growth for your business units. What We're Looking For: 7+ years of B2B marketing experience, ideally in demand generation, growth, performance marketing or campaign strategy. Proven ability to design and execute integrated campaigns that drive pipeline and revenue. Strong analytical skills and comfort using data to inform decisions and optimizations. Familiarity with marketing automation (HubSpot, Marketo) and CRM platforms (Salesforce). Collaborative mindset - able to partner effectively across marketing, sales, and product. Curiosity and creativity in testing new tactics and scaling what works. Experience with Agile Marketing and Healthcare Industry marketing a plus. Why Join Us Own the marketing strategy for high-priority business verticals. Make a direct, measurable impact on revenue growth. Work on a collaborative team where new ideas and experimentation are encouraged. Grow your career in demand generation and growth marketing within a dynamic, high-growth environment. Compensation and Benefits: The salary range for this position is $103,000- $193,000 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual compensation will depend on relevant experience, skills, and qualifications. This role is also eligible to participate in the company's annual bonus program, subject to individual and company performance. All employees receive standard benefits, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: "Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed." -Business Development Manager "Great team. Amazing growth. Employees are treated very well." -Research Analyst "I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there." -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024 and 2025, we earned multiple workplace honors, including Built In's 100 Best Places to Work in Boston (both years), a Stevie Bronze Award for Great Employers, and recognition as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. Our Revenue Operations team acts as the strategic bridge between Finance, Sales, and other go-to-market functions, ensuring alignment across forecasting, planning, and performance analysis. We are responsible for delivering accurate revenue projections, driving operational efficiency, and enabling data-driven decision-making across the organization. We are seeking a highly analytical and detail-oriented Senior Revenue Operations Analyst to support our go-to-market teams with insights, reporting, and process optimization. In this role, you will partner closely with Sales, Marketing, Customer Success, and Finance to deliver data-driven recommendations that accelerate revenue growth and operational efficiency. This individual contributor role will report directly to the Senior Director, FP&A and play a key part in shaping our revenue strategy. The ideal candidate is detail-oriented, analytically strong, and thrives in a fast-paced, collaborative environment. A strong background in Tableau and/or Sigma is essential for building robust dashboards and enabling data accessibility across the organization. Responsibilities Build, maintain, and optimize dashboards and reports in Salesforce, Tableau and/or Sigma to provide visibility into pipeline health, forecast accuracy, and GTM performance Analyze revenue trends to identify opportunities, risks, and operational improvement areas, and clearly articulate the story behind performance Support forecasting through rigorous data validation and scenario modeling Collaborate with Marketing Operations on attribution, campaign analytics, and funnel performance Serve as a strategic advisor to GTM leadership by transforming complex data into clear, actionable insights Work closely with Finance to support annual planning, budgeting, and revenue modeling Communicate analytic solutions to stakeholders and implement improvements and solutions Qualifications 4+ years of experience in Revenue Operations, Sales Operations, Business Intelligence, or related analytics roles Bachelor's degree in a related field (Business, Finance, Economics, Analytics, Information Systems, or similar) Advanced proficiency in Tableau and/or Sigma, including SQL-based dashboard creation, data modeling, and performance optimization Hands-on experience with CRM systems (e.g., Salesforce) and GTM tools (e.g., HubSpot, Salesloft, Gong) Ability to thrive in a rapidly changing startup environment, handling multiple tasks with flexibility and a positive attitude Excellent written and verbal communication skills and the ability to collaborate effectively with cross-functional teams Compensation and Benefits The salary range for this position is $77,000 - $143,000 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual pay within this range will be determined based on factors such as relevant experience, skills, and qualifications. Depending on the position, employees may also be eligible to participate in a company bonus or commission plan. All employees are eligible for a comprehensive benefits package, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: “Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed.” -Business Development Manager “Great team. Amazing growth. Employees are treated very well.” -Research Analyst “I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there.” -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024 and 2025, we earned multiple workplace honors, including Built In's 100 Best Places to Work in Boston (both years), a Stevie Bronze Award for Great Employers, and recognition as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. As the Director of GTM Technology, you will lead the strategy, architecture, and execution of the technology ecosystem that powers our go-to-market engine across Marketing, Sales, Customer Success, and Partnerships. This critical leadership role blends technical expertise, operational rigor, and business acumen to ensure our systems, data, and workflows scale with the company's high growth trajectory. You will oversee our GTM tech stack end-to-end-driving integration excellence, workflow automation, data governance, and cross-functional alignment. This role is ideal for a systems-minded data centric leader who thrives at the intersection of technology and revenue strategy, and who is passionate about enabling teams with best-in-class tools and insights. Key Responsibilities GTM Systems Strategy & Architecture Own the vision, roadmap, and governance of the full GTM technology ecosystem, including CRM platforms (Salesforce), marketing automation (Hubspot), sales engagement (SalesLoft & Nooks), customer success platforms, and analytics tools (Databricks & Tableau). Design scalable system architectures that support multi-product, multi-segment go-to-market motions. Evaluate, procure, and implement technologies that enhance efficiency, data quality, and revenue performance Technology Implementation & Optimization Lead the build, configuration, and ongoing optimization of core systems to support lead management, pipeline execution, forecasting, renewals, and customer lifecycle visibility. Establish and enforce best practices for system use, documentation, and change management. Partner with enablement teams to train users and ensure adoption of new tools and workflows. Workflow Automation & Integrations Coordinate with IT Sys Admins to architect and deploy automated workflows that reduce manual effort and increase accuracy (e.g., lead routing, enrichment, account scoring, sales handoffs). Ensure all systems operate cohesively to deliver seamless end-to-end GTM processes. Data Governance, Quality & Insights Establish data governance standards to ensure cleanliness, consistency, and compliance across the GTM tech stack. Oversee data pipelines and enrichment workflows using tools like ZoomInfo, Gong, RingLead and DemandTools. Partner with RevOps and lead Analytics teams to deliver accurate dashboards and reporting that drive strategic decisions. Cross-Functional Leadership & Collaboration Act as the primary technical liaison between Sales, Marketing, IT, Customer Success, Product, and Finance. Translate business requirements into scalable technical solutions and project plans. Lead cross-functional initiatives that improve funnel conversion, pipeline visibility, forecasting accuracy, and customer lifecycle efficiency. Process Innovation & Continuous Improvement Identify operational bottlenecks and build long-term, scalable solutions to eliminate friction in GTM execution. Stay current on emerging AI, automation, and data technologies and champion their thoughtful adoption. Drive a culture of experimentation, measurement, and process excellence. Qualifications Technical Expertise 8+ years of experience in GTM Systems, RevOps, SalesOps, MarketingOps, or related roles supporting high-growth B2B tech companies. Advanced understanding with CRM platforms (Salesforce preferred) including schema design, automation, flows, validation rules, and packaging. Experience with API-based integrations, data transformation, and scripting languages (SQL, Python, or JavaScript). Familiarity with marketing automation systems (Marketo, HubSpot), sales engagement tools (Outreach, SalesLoft, Gong), and customer success platforms (Gainsight, Totango). Business & Operational Acumen Deep understanding of the B2B SaaS revenue lifecycle, from top-of-funnel marketing to sales execution to renewal/expansion motions. Proven ability to align technology solutions with business strategy and GTM objectives. Strong analytical skills and experience supporting data-driven decision making, dashboard creation and automation, and deriving insights. Leadership & Project Management Demonstrated ability to lead cross-functional initiatives and manage a team of system administrators, engineers, or technical specialists. Exceptional communication skills, with the ability to translate complex technical concepts for non-technical stakeholders. Strong project management and organizational skills, with experience delivering large-scale system implementations or re-architectures. What Success Looks Like A unified, scalable GTM tech stack that delivers accurate, timely data and supports rapid growth. Reduced manual work through intelligent automation and integrations. High adoption and satisfaction among GTM teams with the tools and processes provided. Improved lead flow, pipeline visibility, forecasting accuracy, and revenue efficiency across the business. Clear alignment between systems, data, and the company's strategic go-to-market objectives. Compensation and Benefits: The salary range for this position is $149,000 - $277,000 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual compensation will depend on relevant experience, skills, and qualifications. This role is also eligible to participate in the company's annual bonus program, subject to individual and company performance. All employees receive standard benefits, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: “Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed.” -Business Development Manager “Great team. Amazing growth. Employees are treated very well.” -Research Analyst “I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there.” -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

The Care Manager (RN) provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA RN licensure, case management and home health experience. Bilingual candidates are encouraged to apply to support our diverse communities! Hours: Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25-50% field travel in Boston, MA Essential Job Duties • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Description About Definitive Healthcare: At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024 and 2025, we earned multiple workplace honors, including Built In's 100 Best Places to Work in Boston (both years), a Stevie Bronze Award for Great Employers, and recognition as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. Machine Learning Engineer We are looking for a Machine Learning Engineer to help design and implement AI/ML systems that drive meaningful business outcomes. In this role, you'll contribute to the development of end-to-end ML solutions-from data preparation and modeling to deployment and performance optimization. Your work will directly impact customer experience and operational efficiency. The ideal candidate has hands-on experience in applied machine learning, strong software engineering skills, and a passion for building scalable, production-ready models. This is a high-impact role that blends research and engineering, with opportunities to grow and collaborate across teams. What You'll Do ML Systems Development & Deployment Contribute to the design and implementation of scalable ML systems in cloud environments, focusing on performance and reliability. Collaborate with product managers and engineering teams to support ML initiatives aligned with business goals. Data Pipeline & Feature Engineering Help build and maintain data pipelines for large-scale datasets, ensuring efficiency and reproducibility. Develop meaningful features and label sets across domains such as healthcare and consumer analytics. Experimentation & Model Management Support experimentation efforts, including A/B testing, validation strategies, and model lifecycle management using tools like MLflow and Databricks. Assist in improving model performance through retraining, monitoring, and bias mitigation techniques. Innovation & Prototyping Participate in prototyping and proof-of-concept development to explore new ML techniques and technologies. Stay current with emerging ML architectures and methodologies. Cross-Functional Collaboration Work closely with product, engineering, and data teams to deliver integrated ML solutions. Contribute to documentation and uphold code quality standards. What You'll Need Required Qualifications Bachelor's or Master's degree in Computer Science, Machine Learning, Data Science, or a related field (or equivalent practical experience). 2-5 years of industry experience in ML Engineering, Data Science, or Data Engineering. Proficiency in Python, SQL, and PySpark, with experience using libraries such as scikit-learn, PyTorch, and XGBoost. Experience building ML pipelines and working with tools like MLflow or similar. Familiarity with cloud platforms (AWS, GCP, Azure) and deploying models in production environments. Strong communication skills and ability to work effectively in cross-functional teams. Preferred Qualifications Experience with healthcare claims, EHR, or life sciences datasets. Exposure to MLOps practices such as CI/CD for ML, model versioning, and automated retraining. Familiarity with deep learning techniques for time series or sequential data. Ability to define performance metrics and evaluate model effectiveness. Compensation and Benefits The salary range for this position is $112,000.00 - $210,000.00 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual pay within this range will be determined based on factors such as relevant experience, skills, and qualifications. Depending on the position, employees may also be eligible to participate in a company bonus or commission plan. All employees are eligible for a comprehensive benefits package, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: "Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed." -Business Development Manager "Great team. Amazing growth. Employees are treated very well." -Research Analyst "I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there." -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024, we brought home a number of awards including Built In's 100 Best Places to Work in Boston, a Stevie Bronze Award for Great Employers, and we were recognized as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. About the position: We are seeking an accomplished and visionary leader to serve as our Vice President / Head of Artificial Intelligence. This executive will be responsible for defining and executing the organization's AI strategy end-to-end-research, productization, operations, ethics, and talent development-positioning us as an industry leader in AI innovation. The AI Leader will spearhead the enterprise-wide AI strategy, driving innovation, operational efficiency, and competitive advantage through responsible and scalable AI adoption. This role blends technical depth with strategic vision, requiring a leader who can align AI initiatives with business goals, manage cross-functional teams, and evangelize AI across the organization. This is a transformative leadership role for a hands-on leader with the vision and operational rigor to scale artificial intelligence capabilities for a high-growth, data-driven business. What you'll do: Strategic Leadership & Vision Define and execute the enterprise AI roadmap, including GenAI, agentic frameworks, and chatbot UX initiatives. Collaborate with executive leadership to align AI investments with GTM, product, engineering and operational priorities. Drive the integration of AI/ML capabilities across products, services, and internal operations as well as the enterprise. Stay at the forefront of AI trends, emerging technologies and regulations; evaluate partnerships and M&A opportunities in the AI space to ensure the company maintains a competitive edge. Represent the company in external forums, conferences, and strategic collaborations (e.g., Databricks, Tamr). Research, Development & Productization Oversee research and development of advanced AI/ML models, including generative AI, predictive analytics, and other cutting-edge methods. Translate research breakthroughs into scalable, secure, and high-impact products. Establish best-in-class data science and machine learning engineering practices (MLOps, model governance, reproducibility). Technical Oversight, Data Strategy & Infrastructure Partner with engineering, IT, data, and product teams to build robust data pipelines, platforms, and infrastructure. Ensure responsible data acquisition, storage, privacy, and compliance (GDPR, CCPA, and emerging U.S. AI regulations). Guide architecture and deployment of AI/ML models across verticals (e.g., healthcare, life sciences, sales enablement. Ensure data integrity, model defensibility, and compliance with ethical AI standards. Talent, Organizational, and Cross-Functional Leadership Build, inspire, and retain a world-class AI organization-including research scientists, ML engineers, data scientists, product managers, and applied AI specialists. Mentor talent and foster a culture of experimentation, learning, and accountability. Develop cross-functional training and upskilling initiatives to embed AI literacy across the company. Serve as the cross functional resident expert for AI for the enterprise. Establish performance metrics to measure adoption and foster a culture of experimentation, innovation, and continuous learning. Strong executive presence and communication skills-trusted advisor to C-level stakeholders Experience leading, developing, and mentoring global, diverse teams in multiple time zones. Strategic mindset with the ability to translate complex technical needs into business impact Partner with key stakeholders to integrate AI into core workflows and customer-facing solutions. Work with HR and Operations to support AI-driven workforce transformation and training. Ethics, Safety & Governance Champion responsible AI principles-transparency, fairness, accountability, and explainability. Set up governance frameworks to monitor bias, ethical risk, and regulatory compliance. Serve as a thought leader representing the company in public forums, academia, and with regulators. Partnerships & Ecosystem Engagement Forge collaborations with leading universities, research labs, and AI consortia in the Boston/Cambridge innovation ecosystem. Evaluate and negotiate strategic partnerships, acquisitions, or technology investments to accelerate our AI roadmap. What You Bring - Experience & Qualifications: Advanced degree (MS/PhD) in Computer Science, AI, Data Science, or related field preferred. 10+ years of experience in AI/ML leadership roles, including enterprise-scale deployments. Proven success in building and scaling AI teams and platforms. Deep understanding of LLMs, NLP, computer vision, and agentic AI systems. Strong business acumen and ability to translate technical capabilities into strategic outcomes. Success Metrics Delivery of AI initiatives on time and within budget. Tangible ROI on AI-driven products and process improvements. High retention and engagement within the AI team. Recognition of the company as a leader in ethical and innovative AI. Preferred Skills Experience with cloud-native AI platforms (AWS, Azure, Databricks). Familiarity with regulatory frameworks and ethical AI governance. Excellent communication and stakeholder management skills. Prior exposure to vertical AI applications in healthcare, life sciences, or B2B SaaS helpful. Working Conditions: Standard office hours - minimum Tuesday - Thursday in our Framingham, Massachusetts location with occasional travel as required Compensation and Benefits: The salary range for this position is $253,000 - $471,000 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual compensation will depend on relevant experience, skills, and qualifications. This role is also eligible to participate in the company's annual bonus program, subject to individual and company performance. All employees receive standard benefits, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: “Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed.” -Business Development Manager “Great team. Amazing growth. Employees are treated very well.” -Research Analyst “I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there.” -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

We are seeking a friendly, responsible, and well organized candidate for a full time Administrative Assistant position that will begin immediately.The Administrative Assistant/ Data Entry/ Customer Service/Office Administrative Assistant. is the point of contact in our office and requires great customer service skills so we are looking for candidates who enjoy customer service, are professional, and would be comfortable in a challenging but supportive work environment. Our Administrative Assistant is responsible for working effectively with the center team to provide services to our clients such as attending walk in sales, taking payments and etc, which consists up to six lines. Office management, clerical support and maintaining the appearance of the front office among other duties are included. This position will be Monday-Friday with a Saturday a month during our busy season. Computer Literacy is required and customer service experience is a plus. The ideal candidate will possess great closing skills, prospecting skills, negotiation skills, presentation skills, and great customer service. For immediate consideration, please respond to this (office_****************)

At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024 and 2025, we earned multiple workplace honors, including Built In's 100 Best Places to Work in Boston (both years), a Stevie Bronze Award for Great Employers, and recognition as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. We are looking for a Senior Data Scientist to help shape the next generation of analytics that power our products. This role is ideal for someone who thrives at the intersection of data science, product innovation, and healthcare commercialization. About the Role As a Senior Data Scientist, you will design, develop, and operationalize advanced analytics that enhance the value of Definitive Healthcare's proprietary datasets. You'll lead strategic product initiatives, build scalable models, and translate complex data into actionable insights that support our clients' commercial strategy goals. You will also mentor junior team members, guide analytic frameworks, and collaborate closely with product, engineering, and subject matter experts to bring new capabilities to market. What You'll Do Transform complex data into clear insights by synthesizing large datasets into compelling narratives, frameworks, and recommendations that drive client value. Develop scalable analytics and models (e.g., forecasting, segmentation, NLP, ML pipelines) that integrate directly into Definitive Healthcare products. Lead strategic product enhancements, including defining project plans, managing timelines, and ensuring high quality execution. Build deep domain expertise in healthcare markets, therapeutic areas, and commercial strategy to inform product innovation. Oversee quantitative analysis and guide methodological decisions to ensure rigor, accuracy, and scalability. Mentor and coach junior data scientists, providing technical guidance, feedback, and support for professional growth. Collaborate cross functionally with product managers, engineers, and commercial strategy experts to align analytics with product and business goals. Promote best practices in modeling, documentation, reproducibility, and knowledge sharing across the data science organization. Contribute to thought leadership by supporting internal research, whitepapers, and analytic frameworks that elevate Definitive Healthcare's market presence. What You Bring BA/BS in Statistics, Computer Science, Engineering, Mathematics, or related field; MS or PhD preferred. 5+ years of experience applying machine learning, NLP, or advanced analytics-ideally within life sciences, healthcare, or commercial strategy. Expert proficiency in Python, SQL, and Jupyter Notebook environments. Hands‑on experience with PySpark for building scalable data pipelines, processing large datasets, and optimizing distributed analytics workflows in cloud environments. Strong working knowledge of cloud based data environments (Azure preferred; AWS or GCP acceptable). Demonstrated experience with quantitative modeling, forecasting, segmentation, and analytic frameworks. Domain experience in Commercial Strategy, Market Access, or Pricing is highly desirable. Exceptional communication skills, including the ability to translate technical concepts for nontechnical audiences. Strong project management skills with the ability to lead complex initiatives and collaborate across teams. High motivation, strong work ethic, and comfort working in a fast paced, deadline driven environment. Proficiency with Microsoft Office tools, especially PowerPoint and Excel. Compensation and Benefits: The salary range for this position is $112,000 - $210,000 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual compensation will depend on relevant experience, skills, and qualifications. This role is also eligible to participate in the company's annual bonus program, subject to individual and company performance. All employees receive standard benefits, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: “Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed.” -Business Development Manager “Great team. Amazing growth. Employees are treated very well.” -Research Analyst “I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there.” -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024, we brought home a number of awards including Built In's 100 Best Places to Work in Boston, a Stevie Bronze Award for Great Employers, and we were recognized as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. Position Summary This role functions as the analytical and clinical translation layer between client facing teams and the Analytics function. The individual is accountable for ensuring that client objectives are converted into precise, executable analytical specifications and that analytical outputs are translated back into accurate, decision ready client deliverables. The position requires deep fluency in medical claims data, strong disease area understanding, and the ability to operate with authority across Analytics, Delivery, and client stakeholders. This is not a coordination role. It is quality control, specification of ownership, and analytical interpretation role. The successful candidate will act as the primary steward of analytical intent, ensuring fidelity between client needs, analytical design, and delivered insights. Core Responsibilities Analytical Translation and Specification Ownership Own the end-to-end translation of client questions into detailed analytical specifications at the claims code level, including ICD, CPT, HCPCS, NDC, place of service, provider taxonomy, and temporal logic Create and maintain dynamic specification documents that evolve with client feedback, analytical discovery, and data constraints Serve as the primary point of contact for the Analytics function, ensuring clarity of intent, methodological rigor, and correct interpretation of requirements prior to coding Proactively identify ambiguities, edge cases, and data limitations before analytical execution begins Analytical Quality Control and Validation Act as the final quality control checkpoint between Analytics output and client delivery Validate cohort definitions, patient journeys, metrics, and assumptions for clinical plausibility and analytical correctness Ensure reproducibility, traceability, and defensibility of analytical logic Identify and resolve discrepancies between expected and observed results Client Facing Interpretation and Delivery Translate analytical output into clear, accurate, and client ready materials including PowerPoint, Excel, and written documentation Communicate analytical findings with appropriate nuance, avoiding over interpretation while preserving strategic relevance Support client discussions by explaining methodology, assumptions, and limitations in clear, confident language Disease Area Research and Clinical Contextualization Conduct self-directed research into disease states relevant to client engagements Document and apply understanding of epidemiology, patient demographics, symptomology, comorbidities, diagnostic pathways, treatments, and procedures Integrate clinical context into cohort design, patient journey logic, and analytical interpretation Methodology and Solution Design Contributes to the development of analytical strategies and methodologies for leveraging medical claims and RWE data in Pharma commercial and medical use cases Collaborate with senior Analytics leadership to design scalable frameworks for patient identification, segmentation, and longitudinal analysis Apply creative problem solving to combine multiple claims and RWE datasets to address complex or non-standard client questions Required Qualifications Bachelor of Science degree in quantitative, scientific, or technical discipline Minimum of 5 years of experience in healthcare analytics, healthcare consulting, or medical claims-based analysis Strong hands-on experience working with open and closed commercial healthcare datasets Demonstrated understanding of medical claims data structures and coding systems and their application to Pharma commercial and medical analytics Knowledge (proficiency optional) of 2+analytical and data science technologies used in claims-based analytics including SQL, Python, R, SAS, etc. Experience creating dashboards and visual analytics using any BI technology Advanced proficiency in Microsoft Excel, including management and interrogation of large datasets using pivot tables, logic functions, and text functions High proficiency in Microsoft PowerPoint and Word with strong attention to narrative structure and detail Excellent written and verbal communication skills with the ability to engage both technical and non-technical audiences Preferred Qualifications Advanced degree in life sciences, public health, biostatistics, data science, or related field Experience supporting Pharma commercial analytics, market access, or medical affairs use cases Prior experience acting as a bridge between analytics teams and clients facing stakeholders Strong understanding of longitudinal patient journey construction and provider interaction mapping Experience reviewing and validating analytical work produced by data science teams Additional Information Travel requirement approximately 20 percent Role requires comfort operating in ambiguity, managing multiple stakeholders, and making defensible analytical decisions Position demands uncompromising attention to detail and accountability for analytical integrity Compensation and Benefits: The salary range for this position is $103,000 - $193,000 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual compensation will depend on factors such as experience and qualifications. This role is also eligible for a commission plan based on sales performance, in accordance with the company's commission policy. All employees receive standard benefits, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: “Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed.” -Business Development Manager “Great team. Amazing growth. Employees are treated very well.” -Research Analyst “I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there.” -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

The Transition of Care Coach (RN) provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Moline One Care plan. Molina One Care is a community-based health care organization with national operations support delivering government funded health plans for members who reside in Massachusetts. We are looking for candidates with a MA RN licensure and prior work history with a managed care plan or case management experience, preferably transition of care. Hospital experience required. Strong communication, documentation, and EMR skills. Cultural competence, time management, and the ability to work independently. Bilingual candidates are encouraged to apply to support our diverse communities! Work Hours: Monday - Friday 8:00am - 5:00pm EST Remote position with field travel in Bristol, Plymouth, Essex, Norfolk, Suffolk or Middlesex county MA Essential Job Duties • Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions. • Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network. • Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support. • Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition. • Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed. • Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge. • Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • Facilitates interdisciplinary care team meetings (ICT) and collaboration. • Provides consultation, recommendations and education as appropriate to non-behavioral health care managers. • 40-50% local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model. • Background in discharge planning and/or home health. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Excellent verbal and written communication skills. • Microsoft Office suite/other applicable software program(s) proficiency. Preferred Qualifications • Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). • Hospital discharge planning or home health experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHPO2 Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

* Employee for this role must reside in Massachusetts or surrounding state* Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans. Job Duties Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries. * In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. * Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards. * Manages and directs the Provider Service staff including hiring, training and evaluating performance. * Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies. * Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. * Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website). * Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized. * Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues. * Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan. * Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends. * Develops and implements strategies to reduce member access grievances with contracted providers. * Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program * 15-30% travel, mostly daytime, throughout Massachusetts. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in Health or Business related field or equivalent experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products * 5+ years previous managed healthcare experience. * Previous experience with community agencies and providers. * Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc. * Experience with preparing and presenting formal presentations. * 2+ years in a direct or matrix leadership position * Min. 2 years experience managing/supervising employees. PREFERRED EDUCATION: Master's Degree in Health or Business related field PREFERRED EXPERIENCE: * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals). To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $76,425 - $149,028 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

At Definitive Healthcare (NASDAQ: DH), we're passionate about turning data, analytics, and expertise into meaningful intelligence that helps our customers achieve success and shape the future of healthcare. We empower them to uncover the right markets, opportunities, and people-paving the way for smarter decisions and greater impact. We're headquartered in Framingham, Massachusetts, but we have 3 office locations globally, including locations in Sweden, and India. We've grown significantly since our founding in 2011 and have expanded our global client base to 2,400+. We're also a great place to work. In 2024 and 2025, we earned multiple workplace honors, including Built In's 100 Best Places to Work in Boston (both years), a Stevie Bronze Award for Great Employers, and recognition as a Great Place to Work in India. We foster a collaborative, inclusive culture where diverse perspectives drive innovation. Through programs like DefinitiveCares and our employee-led affinity groups we strive to promote connection, education, and inclusion. About the Role: We're seeking a Senior Director, Life Sciences Strategy to define and drive strategic direction within our Life Sciences vertical. In this highly visible role, you'll combine market intelligence, customer insight, and strategic foresight to shape our product roadmap, guide investment priorities, and identify growth opportunities in one of the most dynamic sectors of data and analytics. Reporting into the product organization, this leader operates at the intersection of market strategy, product direction, and business impact, connecting external trends to internal decision-making. You'll collaborate closely across Product, Commercial, Data, and Finance teams to ensure strategies are grounded in evidence, opportunity size, and measurable outcomes. What You'll Do: Own vertical strategy and insight generation: Develop and evolve the market strategy for your vertical, identifying key trends, customer segments, and whitespace opportunities. Integrate insights into action: Collaborate across functions to ensure market and customer insights directly inform product, portfolio, and investment decisions. Guide strategic investment: Partner with Finance and Commercial leadership to assess opportunity size, model ROI, and inform long-range planning and resource allocation. Lead cross-functional prioritization: Drive roadmap and initiative prioritization across Product, Data, and Go-to-Market teams, ensuring investments align to market opportunity and strategic value. Manage and mentor Product Managers: Provide strategic leadership to Product Managers supporting the vertical, guiding roadmap development, prioritization, and market alignment while fostering analytical rigor and professional growth. Champion customer-centricity: Partner with Product Marketing and CX to embed customer and market insights into product and strategic planning. Partner across the organization: Work closely with Product Marketing, Sales, CX, and Data teams to ensure market insights inform go-to-market priorities, portfolio focus, and product direction. Collaborate on thought leadership: Act as an internal thought partner on industry trends and market dynamics, supporting external representation in collaboration with Marketing and Communications. Measure strategic impact: Define and track success metrics for strategic initiatives, communicating progress and outcomes to executive stakeholders. What You Bring: 10+ years of experience in Life Sciences, SaaS or data-driven strategy, ideally spanning product, commercial, or corporate strategy roles. Proven ability to translate market and customer insight into actionable strategy and business impact. Experience leading teams and influencing senior stakeholders across multiple functions. Strong analytical and financial modeling skills, including market sizing, forecasting, and ROI analysis. Exceptional strategic storytelling and executive communication skills. Bachelor's degree required; advanced degree (MBA, MPH, or related) preferred. Why Join Us: Play a key role in shaping the future of our Life Sciences growth strategy. Partner directly with senior leaders to influence long-term product and investment direction. Collaborate in a culture that values curiosity, data, and innovation. Competitive compensation, equity, and benefits package. Summary: This role is ideal for a strategic, market-savvy leader who thrives at the intersection of insight, execution, and influence. You'll help define where we grow, how we invest, and how our products meet the evolving needs of our customers, driving measurable value across the business. Compensation and Benefits: The salary range for this position is $177,000 - $331,000 per year, which represents the base pay the company reasonably and in good faith expects to pay for this role. Actual compensation will depend on relevant experience, skills, and qualifications. This role is also eligible to participate in the company's annual bonus program, subject to individual and company performance. All employees receive standard benefits, including medical, dental, and vision coverage, unlimited paid time off, and participation in the company's 401(k) plan with employer contribution. Why we love Definitive, and why you will too! Industry leading products Work hard, and have fun doing it Incredibly fast growth means limitless opportunity Flexible and dynamic culture Work alongside some of the most talented and dedicated teammates Definitive Cares, our community service group, gives all of us a chance to give back Competitive benefits package including great healthcare benefits and a 401(k) match What our Employees are saying about us on Glassdoor: “Great Work atmosphere, great work life balance, excellent company to work for, amazing top notch product, incredible customer service, lots of tools to help you succeed.” -Business Development Manager “Great team. Amazing growth. Employees are treated very well.” -Research Analyst “I have waited 36 years to work at a dream job for a dream company and I am so happy to have finally got there.” -Profile Analyst If you don't fit all of these qualifications, but believe you're still a great fit, feel free to apply and tell us why in your cover letter. If you are a California, Colorado, New York City or Washington resident and this role is a remote role, you can receive additional information about the compensation and benefits for this role, which we will provide upon request. Definitive Hiring Philosophy Definitive Healthcare is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive workplace with equal opportunity for all applicants and teammates. Our goal is to recruit the most talented people from a diverse candidate pool regardless of race, color, religion, age, gender, gender identity, sexual orientation or any other status. If you're interested in working in a fast growing, exciting working environment - we encourage you to apply! Privacy Your privacy is important to us. Please review our Candidate Privacy Notice which tells you how we use and process your personal information. Please note: All communications regarding the hiring process at Definitive Healthcare will come directly from one of our corporate recruiters or coordinators with an @definitivehc.com email address. We will never request any money transfer or purchase of equipment with a promise of reimbursement. If you receive any suspicious communications, please reach out to ************************* to confirm your status in the application process.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The Transition of Care Coach (RN) provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Moline One Care plan. Molina One Care is a community-based health care organization with national operations support delivering government funded health plans for members who reside in Massachusetts. We are looking for candidates with a MA RN licensure and prior work history with a managed care plan or case management experience, preferably transition of care. Hospital experience required. Strong communication, documentation, and EMR skills. Cultural competence, time management, and the ability to work independently. Bilingual candidates are encouraged to apply to support our diverse communities! Work Hours: Monday - Friday 8:00am - 5:00pm EST Remote position with field travel in Bristol, Plymouth, Essex, Norfolk, Suffolk or Middlesex county MA Essential Job Duties • Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions. • Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network. • Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support. • Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition. • Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed. • Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge. • Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • Facilitates interdisciplinary care team meetings (ICT) and collaboration. • Provides consultation, recommendations and education as appropriate to non-behavioral health care managers. • 40-50% local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model. • Background in discharge planning and/or home health. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Excellent verbal and written communication skills. • Microsoft Office suite/other applicable software program(s) proficiency. Preferred Qualifications • Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). • Hospital discharge planning or home health experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHPO2 Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

*****Employee for this role must reside in Massachusetts or surrounding state***** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans. **Job Duties** Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries. - In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. - Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards. - Manages and directs the Provider Service staff including hiring, training and evaluating performance. - Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies. - Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. - Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website). - Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized. - Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues. - Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan. - Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. - Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends. - Develops and implements strategies to reduce member access grievances with contracted providers. - Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program - 15-30% travel, mostly daytime, throughout Massachusetts. **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree in Health or Business related field or equivalent experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : - 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products - 5+ years previous managed healthcare experience. - Previous experience with community agencies and providers. - Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc. - Experience with preparing and presenting formal presentations. - 2+ years in a direct or matrix leadership position - Min. 2 years experience managing/supervising employees. **PREFERRED EDUCATION** : Master's Degree in Health or Business related field **PREFERRED EXPERIENCE** : - 5-7 years managed healthcare administration experience. - Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals). To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $76,425 - $149,028 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The Care Manager (RN) provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA RN licensure, case management and home health experience. Bilingual candidates are encouraged to apply to support our diverse communities! Hours: Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25-50% field travel in Boston, MA Essential Job Duties * Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. * Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. * Conducts telephonic, face-to-face or home visits as required. * Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. * Maintains ongoing member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. * Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. * Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. * Assesses for barriers to care, provides care coordination and assistance to member to address concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication regimens. * Care manager RNs may conduct medication reconciliation as needed. * 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications * At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. * Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). * Demonstrated knowledge of community resources. * Ability to operate proactively and demonstrate detail-oriented work. * Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. * Ability to work independently, with minimal supervision and self-motivation. * Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. * Ability to develop and maintain professional relationships. * Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. * Excellent problem-solving, and critical-thinking skills. * Strong verbal and written communication skills. * Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS Pay Range: $30.37 - $59.21 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management. **Job Duties** This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception. - Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting. - Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. - Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. - Clearly and professionally communicates VBC contract terms to VBC providers. - Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. - Communicates proactively with other departments to ensure effective and efficient business results. - Trains and monitors newly hired Contract Specialist(s). - Participates in other VBC related special projects as directed. - Limited team travel once to twice annually. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. - 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required. Pay Range: $30.37 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

The Care Manager (RN) provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA RN licensure, case management and home health experience. Bilingual candidates are encouraged to apply to support our diverse communities! Hours: Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25-50% field travel in Boston, MA Essential Job Duties • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and self-motivation. • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications • Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS Pay Range: $30.37 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.