- Commonwealth Care Alliance (Boston, MA)
- …role ensures providers are well-informed, engaged, and supported in delivering high-quality, coordinated care in alignment with the health plan's model of care ... engagement The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing… more
- Beth Israel Lahey Health (Burlington, MA)
- …coding Q) + Maintains a thorough understanding of clinical reimbursement and managed care issues specific to service-line. Identifies opportunities to optimize ... sites. The Operations Manager works in collaboration with the Service Line Director , Vice President, and leadership on key administrative issues, initiatives, and to… more
- Bear Mountain Health Care (Boston, MA)
- …checks received by the facility + Maintains Resident Trust accounts + Attends Medicare and Managed Care Meetings + Completes Rep Payee forms + Updates PCC with ... POSITION: Business Office Manager REPORTS TO: Director of Revenue SUMMARY OF POSITION: The Business...facility staff. Possess special interest in working with long-term care residents and the elderly. The ability to plan,… more
- Point32Health (MA)
- …in pharmacy, and 2 years of supervisory experience. + Preferred: 1 - 2 years' managed care or PBM work experience. Experience supervising in an office or ... of the principles and practices of pharmaceutical science. Working knowledge of managed care and policy development. + Requires analytical ability, highly… more
- Point32Health (Canton, MA)
- …Policy, etc. + Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new ... . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst...professional experience. + Preferred: 5-7 years of experience in managed care or provider environment. New England… more
- Beth Israel Lahey Health (Wakefield, MA)
- … Director , Contracting to manage key divisional initiatives that support Managed Care Contracting. The Contracting Program Manager will be responsible ... obligations within contracts to serve as the operational backbone for Managed Care Contracting . This position is responsible for aggregating relevant contract… more
- CenterWell (Pittsfield, MA)
- …MA branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on ... implements, analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including… more
- East Boston Neighborhood Health Center (Revere, MA)
- …one year of experience working with a geriatric population. Experience in a managed care setting highly preferred. SKILLS/ABILITIES: Must have the ability to ... communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of...care planning and interventions. + Collaborates with the Director of Clinical Operations to audit social work policies… more
- Beth Israel Lahey Health (Woburn, MA)
- …International Classification of Diseases (ICD-10) o reimbursement theories to include RBRVUS, MPFS, and managed care o NCCI edits and Medicare LCD/NCDs o health ... difference in people's lives.** Under the direction of the Director , Revenue Integrity and Coding at Harvard Medical Faculty...care documentation, coding and billing requirements as well as… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …+ Minimum of 3 to 5 years supervisory experience + Knowledge of managed care , the various insurance plans, registration practices and protocols strongly ... of our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support staff… more