- Dana-Farber Cancer Institute (Boston, MA)
- …of practitioners as outlined in the medical staff bylaws, policies or related contracts or as required by accrediting and regulatory agencies (ie, TJC, CMS, NCQA). ... Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the… more
 
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical… more
 
- Cardinal Health (Boston, MA)
- …+ Minimum 2 years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid ... accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims.… more
 
- Trinity Health (Springfield, MA)
- …including: clinic administered medications in eligible locations, mixed use areas managed by split billing software, and outpatient prescriptions fulfilled by ... contract 340B pharmacies. The 340B Analyst will have responsibility...itself as one of the leading providers of health care services in Western Massachusetts. Mercy Medical Center is… more
 
- State of Massachusetts (Boston, MA)
- …is seeking an organized and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, ... and Family team. The HSC-II will provide oversight of case- managed youth in DMH community services and statewide programs, as well as liaison to community providers… more
 
- Humana (Boston, MA)
- …health care delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours** : Monday - Sunday; ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance, support, and...involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for… more
 
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