- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …+ 3 years of Utilization Management experience at a health plan or equivalent managed care organization + 3-5 years of experience working with utilization ... + Plan and scope deliverables with minimal support; keep project/ workgroup leads and Director informed of key issues/ risks and meet deadlines + Collaborate with … more
- WellSense (Boston, MA)
- …related field** **Experience Required:** **.** **5 + years behavioral health specific health care / managed care experience.** **.** **Expertise in ... **.** **Works closely with internal stakeholders, to include the WellSense SUD Medical Director and NH Medical Director as appropriate to meet WellSense… more
- East Boston Neighborhood Health Center (Winthrop, MA)
- …facilitator with excellent communication and interpersonal skills. Experience in a managed care setting preferred. Prior experience in interdisciplinary team ... communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of...PACE Winthrop Position Summary: Under the leadership of the Director of Administration and Operations, and under the direct… more
- Beth Israel Lahey Health (Boston, MA)
- …and training for all staff. + Implements relevant information systems such as managed care and patient appointments and ensures accuracy of data. Provides ... a difference in people's lives.** Healthcare Associates (HCA) is a primary care group practice at BIDMC offering comprehensive health services to enhance quality… more
- Beth Israel Lahey Health (Westwood, MA)
- …care continuum to achieve the quality incentives as part of global payment and managed care contracts with the goal of optimizing our patients' health and ... the Quality Manager, the Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members of the health care team,… more
- Point32Health (Canton, MA)
- …business or related finance work experience demonstrating ability to perform in the position. Managed health care experience is preferred. + Minimum 5 or more ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower… more
- Merck (Boston, MA)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... of customers within their assigned geography. These customers may include health care providers such as physicians, nurses, pharmacists as well as quality directors,… more
- CVS Health (Boston, MA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... that cultivates diversity, innovation, and collaboration. Through our integrated pharmacy, health care , and digital services, we're pioneering a bold new approach to… more
- Prime Therapeutics (Boston, MA)
- …a regulatory or compliance role, with a minimum of 3 years of experience working with managed care companies or other health care clients Must be eligible to ... tactical legal advice and support to internal clients, typically at the Director or Vice President level. **Responsibilities** + Provide tactical legal advice and… more
- Amgen (Boston, MA)
- …performance priorities) + District Management Experience preferred + Reimbursement / managed care experience highly desirable + Experience in public ... do** The Cardiovascular Account Manager will report into a Cardiovascular Account Director . Their primary responsibility is to assess and diagnose the current… more