- Amgen (Boston, MA)
- …order to advance the value and clinical knowledge of our products to the payer community. This is a field-based position within the Medical Value & Population Health ... Liaisons (MVAL) group in Scientific Affairs, reporting to a Director . Geographic region for this position is within the...the US business and majority regional accounts and select payer integrated IDNs as assigned. **Responsibilities:** + Provide … 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
- East Boston Neighborhood Health Center (Revere, MA)
- …EXPERIENCE: One to three year's experience working in a Medical Staff Office, Credentialing or Managed Care in a hospital, managed care insurance, or ... 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
- 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 ... you're making a difference in people's lives.** Under the direction of the Director , Revenue Integrity and Coding at Harvard Medical Faculty Physicians (HMFP) at the… more
- Cognizant (Boston, MA)
- …Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in health ... management and managing clinical denials from Providers to the Health Plan/ Payer . The comprehensive process includes analyzing, reviewing, and processing medical… more
- Takeda Pharmaceuticals (Boston, MA)
- …as well as scientific, medical and clinical oversight in support of medical, payer and patient access strategies for all Oncology products and pipeline + Lead ... partnerships with the corresponding global and US business Unit and the Managed Market Organizations + Form integrated partnerships with R&D therapeutic area(s),… more