- Cardinal Health (Boston, MA)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... negotiation with strategy. **Essential Functions:** + In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Beth Israel Lahey Health (Burlington, MA)
- …patients admitted to the Clinic Attending Physicians: Coordinates appropriate documentation Medical Director for / Managed Care , Physician Advisors Works ... closely with other administrative and clinical areas under the direction of the Executive Director and the VP of Revenue Cycle/Chief Revenue Officer as part of an… more
- Commonwealth Care Alliance (Boston, MA)
- …as Associate Medical Director (or equivalent) or physician reviewer in a Managed Care Plan preferred. **Required Knowledge, Skills & Abilities (must have):** ... + 5 or more years of medical management and general management experience in a managed care environment is strongly preferred. + Primary care discipline,… more
- EPAM Systems (Boston, MA)
- As the ** Director , Next-Generation Managed Services** AI-Powered Managed Services at EPAM Systems, you will revolutionize our service delivery model by ... while leading multiple strategic client accounts. You'll architect next-generation managed services that integrate DevOps, SRE principles, and intelligent automation… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- Humana (Boston, MA)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Athena Health Care Systems (Worcester, MA)
- We are hiring a Director of Nursing Services to join our dynamic care team at Worcester Rehabilitation & Health Care Center! Worcester is a 146-bed skilled ... allow you to grow within the company. As a Director of Nursing Services, the purpose of your position...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Athena Health Care Systems (Worcester, MA)
- Athena Health Care Systems is hiring a Senior Regional Director of Nursing to support the quality of care at our Massachusetts and Rhode Island skilled ... This is a salaried role with weekly pay. The Director of Nursing Practices is directly responsible for the...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Athena Health Care Systems (Centerville, MA)
- …are hiring a full-time Director of Rehabilitation (Therapy) to join our dynamic care team at Cape Regency Rehabilitation & Health Care Center in Centerville! ... the coordination of program development activities with the Administrator, Director of Nursing, Medical Director and other...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Commonwealth Care Alliance (Boston, MA)
- … policy. + A minimum of three (3) years of experience with Medicaid & Medicare managed care and other public health care programs is required. + Experience ... 011110 CCA-Public Affairs **Position Summary:** The Director of State Government Affairs (" Director ")...verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are… more
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