- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. ... and track all regulatory inquiries, escalations, and resolutions. Change Request Management & System Configuration * Draft detailed ServiceNow change requests in… more
- Atrius Health (Boston, MA)
- …and delivery market. *SUMMARY * Under the direction of the Clinical Director , Nurse Leader or designee, the professional licensed registered nurse provides patient ... for effective triage, acuity leveling, age-appropriate nursing care/education, and disposition management for pediatric patients within the primary care, and limited… more
- Commonwealth Care Alliance (Boston, MA)
- …compliance. The Senior Business Analyst, Clinical Operations reports to the Director , Clinical Operations Support. This role will provide significant BA support ... to prior authorizations. **Process Improvement** + Partners with Clinical Operations management to develop and review workflows, to streamline processes and increase… more
- Beth Israel Lahey Health (Boston, MA)
- …Qualifications:** + Leadership experience. + 3-5 years of Supervisory/ Management experience. **Competencies:** **Decision Making:** Ability to make decisions ... determines how to accomplish defined results with some guidelines. Manager/ Director provides broad guidance and overall direction. **Written Communications:**… more
- Evolent (Boston, MA)
- …a Senior Analyst in Client Finance, you will collaborate closely with the Director of Client Finance to analyze financial data, engage with clients and contracting ... internal stakeholders in pursuit of better client financial support and management + Support cross-functional collaboration with other departments to gather data,… more
- Atlas (Woburn, MA)
- …Values (Life, Heart, Mastery, Trust) + Independently report to the Atlas Corporate QA Director on NQA-1 quality program + Plan, perform and implement the Atlas NQA-1 ... ASTM standards for construction material testing and inspection. + Lead periodic management reviews, NQA-1 audit program and project QA surveillances. + Manage NQA-1… more
- Humana (Boston, MA)
- …a significant financial impact on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and that work is properly ... the managed Medicaid industry + 3 years of project management experience + In depth knowledge of capitation rate...communicating complex actuarial concepts to a non-actuarial audience **Additional Information ** + Fully remote role within the US +… more
- Tufts Medicine (Lowell, MA)
- …patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes. + Coordinates care in a cost-efficient ... + Acts as a patient and family advocate. Provides information to families about all available resources. + Accurately...verbal orders, etc. + Involves Clinical Manager and Medical Director in situations appropriately. + Works with Clinical Manager… more
- Veralto (Boston, MA)
- …schedules & work-life balance + Health benefits + 401(k) Reporting to the Director , Northeast the **Sr. Sales Leader - Growth Driver** is responsible for Acquiring ... to prospects Help transition new business to the account management team when applicable + Entertain potential customers **The...materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates… more
- Tufts Medicine (Boston, MA)
- …the excision or incision of a patient's body, such as interventional pain management and other procedures. This position also works to provide a safe environment ... require interpretation or deviation from standard procedures and communicates information that requires some explanation or interpretation. **Job Overview** This… more