- Advocates (Framingham, MA)
- …with CSA (Community Service Agencies as part of Mass Health's managed care contractors) and community partners.Location of employment:Advocates, Inc., ... develops natural supports for youth and parent/guardian/caregiver; provides complete care coordination: attends necessary meetings, to include, IEP meetings,… more
- CODAMETRIX (Boston, MA)
- …accurate sets of medical codes. CodaMetrix's autonomous coding supports improved patient care and drives efficiency under fee-for-service and value-based care ... doctors away from the keyboard and back to clinical care . The Team At CodaMetrix, the Machine Learning and...market. The Machine Learning Engineer II reports to the Director of Architecture. Responsibilities + Participate in all team… more
- Humana (Boston, MA)
- …a Health Plan or provider-based industry + Knowledge and experience in health care / managed care regulatory environment **Additional Information** To ensure ... work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality audits, prior authorization list… more
- Beth Israel Lahey Health (Milton, MA)
- …accordance with quality standards. + Accurately inputs patient insurance and managed care plans, including prior authorizations, referrals, and precertification. ... limited basis or as designated by the Practice Manager, Director of the Center or their designee. + The...of_ _personnel assigned to this position._ **As a health care organization, we have a responsibility to do everything… more
- Humana (Boston, MA)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... a Director within the Strategy team, works collaboratively with leaders...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Intermountain Health (Boston, MA)
- …an entire market. Ensures enrollment is completed timely and accurately. Follows-up with managed care organizations and government payers to ensure timely and ... and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health Professionals. **Essential Functions** + Participates… more
- Takeda Pharmaceuticals (Lexington, MA)
- …operational resource, upon the request of internal and external business partners, health care professionals (HCPs) and consumers. As part of the US Medical team, ... you will report to the Director , US Medical Information and Review. This is a...industry. * 2-3 years of healthcare or related experience ( managed markets, clinical practice, research or academic) following award… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a difference in people's lives.** Under general direction of the IT Director , Project Management Team, provides project management leadership and direction for ... working with all levels of BILH leadership will be managed .** **2. Defines project scope, goals and deliverables that...to functional area and related systems.** **As a health care organization, we have a responsibility to do everything… 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 ... **Preferred Qualifications** + 5 years of experience within the managed Medicaid industry + 3 years of project management...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- BlackRock (Boston, MA)
- **About this role** ** Director , Head of AI and Data Transformation** Location: Boston, Princeton, New York **About this role** BlackRock is one of the world's ... of BlackRock strategies across the whole portfolio - including ETFs, managed accounts, alternatives, portfolio solutions, outsourced CIO, and sub-advisory mandates.… more