- Humana (Boston, MA)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- Humana (Boston, MA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... 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 (Sandwich, MA)
- We are hiring an MDS Director to join our dynamic care team at Cape Heritage Rehabilitation & Health Care Center in Sandwich! Shift is 8a-4p with weekly pay. ... you to grow within the company. As the MDS Director , you plan, organize, and direct the MDS process...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Athena Health Care Systems (Brockton, MA)
- We are hiring a Hospice Clinical Director to join our care team with Hospice Services of Massachusetts! Weekly pay ranging from $53 to $63 an hour, depending on ... allow you to grow within the company. The Clinical Director is responsible for the overall direction of hospice...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- CenterWell (Boston, MA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical … more
- Cardinal Health (Boston, MA)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic...seasoned expertise in the managed care industry, this leader translates the… more
- Option Care Health (Boston, MA)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The National Director IG Business Development role will be responsible for… more
- Athena Health Care Systems (Haverhill, MA)
- We are hiring a full-time Director of Social Services to join our dynamic care team at The Oxford Rehabilitation & Health Care Center in Haverhill! Shift is ... of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow...apply. Athena Health Care Systems and its managed centers follow federal and state mandatory guidelines regarding… more
- Humana (Boston, MA)
- …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: * 7-10 years * 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of federal and state regulations… more