- Humana (Boston, MA)
- …Degree + Advanced experience with Microsoft Excel + Provider contract interpretation experience + Previous account management or project management + Knowledge ... with medical claims + Ability to accommodate a work schedule following Central Standard Time zone hours **Additional Information** **Work at Home / Internet Information:** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the… more
- Pfizer (Cambridge, MA)
- …pharmaceutical medicine including clinical trial design, GCP and data interpretation , drug development, regulatory and promotional rules/guidance, legal and ... compliance, issue management and business development opportunity evaluations. + Candidate demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others,… more
- Baystate Health (Springfield, MA)
- …critical thinking, and troubleshooting skills + Experience with data interpretation ,analysisand reporting + Experience with both financial and clinical data, ... and complexities of models forvarious typesofprovidervalue basedrisk contracts + Experience with allocations and ratios, product mix,and riskadjustmentconcepts + Experiencewith SQL and/or SAS. Ability to write and run complexrequiresisrequiredfor this… more
- US Bank (Boston, MA)
- …Skills/Experience - Strong organizational skills and detail-oriented - Basic indenture interpretation abilities and analytical skills - Effective verbal and written ... communication skills - Ability to manage multiple tasks/projects and deadlines simultaneously - Ability to identify and resolve exceptions and interpret data - Proficient computer navigation skills using a variety of software packages including Microsoft… more
- CenterWell (Boston, MA)
- …care policy, industry and related clinical practice + Knowledge in the interpretation and application of regulations and performance improvement standards + Strong ... Project management principles and clinical policy development/implementation required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to interpret and apply regulatory requirements + Excellent… more
- US Tech Solutions (Worcester, MA)
- …analysis in a timely manner. . Assist in experimental designs, data interpretation and troubleshooting. . Document work appropriately in lab notebooks, reports and ... presentations. . Assist with lab operations and continuous improvement activities. **Minimum Qualifications:** . Must have completed bachelor's degree in Biosciences or related field . Extensive experience with aseptic technique and mammalian cell culture .… more
- Beth Israel Lahey Health (Boston, MA)
- …that are guided by general instructions and practices requiring some interpretation . May make recommendations for solving problems of moderate complexity and ... importance. **Problem Solving:** Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues. **Independence of Action:** Ability to set… more
- Humana (Boston, MA)
- …Governance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The ... Policy Governance Professional 2 supports the ongoing development, review, and management of Utilization Management (UM) policies and procedures. This role works closely with UM governance and relevant committees, ensuring documentation and reporting align… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …but not limited to stitching and suturing, joint injections, EKG interpretation , skin procedures, and reproductive health procedures. Compensation and Benefits + ... $210,000-$230,000/yr + Generous time off package including 4 weeks of paid vacation, 11 paid holidays, 3 personal days, 5 sick days and 3 extended sick days. + Qualified for HRSA Loan Forgiveness Program + Health Insurance plans starting on day-1 of… more
- Evolent (Boston, MA)
- …Director in research activities/questions related to the Utilization Management process, interpretation , guidelines and/or system support. + On a requested basis, ... may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** + MD/DO/MBBS-… more