• Lead Managed Care Contract Manager

    Baystate Health (Springfield, MA)
    …expert related to manage care contracts 5) Will support director with payer contract negotiations, quantitative analysis and report preparation as it relates ... Summary Description: The Sr. Managed Care Contract Manager will act as the...to managed care payer contracts 6) Ensures successful ...to managed care payer contracts 6) Ensures successful contract negotiation through… more
    Baystate Health (08/30/25)
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  • Manager - Utilization Review & Denials…

    Beth Israel Lahey Health (Plymouth, MA)
    …resolution, monitoring & reporting of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care determination ... Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth...knowledge of InterQual Level of Care Criteria. + Understands payer contractual guidelines for all third party and government… more
    Beth Israel Lahey Health (07/29/25)
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  • Senior Manager , Biosimilars Regional…

    Teva Pharmaceuticals (Boston, MA)
    Senior Manager , Biosimilars Regional Account Management - Northeast Region Date: Sep 9, 2025 Location: Boston, United States, Massachusetts, 00000 Company: Teva ... a difference with. **The opportunity** The Senior Biosimilar Regional Account Manager is responsible for recruiting, coaching, managing and training Biosimilar… more
    Teva Pharmaceuticals (09/10/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …current and evolving provider payment methodologies . Reviews and monitors contract / payer performance . Compares expected reimbursement data to negotiated ... routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding...rates from contract . Develop analysis in support of … more
    Atrius Health (09/02/25)
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  • Sr. BizDev Manager , Amazon Pharmacy

    Amazon (Boston, MA)
    …the world's safest and fastest online pharmacy. The Role: We seek a Senior Manager of Business Development leader to drive growth within our strategic payer ... business objectives - Lead RFP responses for expanded business opportunities and contract re-negotiations - Partner with product and technical teams to ensure our… more
    Amazon (07/18/25)
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  • Medical Staff Coordinator

    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). ... evaluation, validates discrepancies, and ensures appropriate follow up with Manager /Supervisor. + Prepares credentials file through completion and presentation to… more
    Dana-Farber Cancer Institute (09/25/25)
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  • Patient Access Representative M-F 40 HRs

    Beth Israel Lahey Health (Danvers, MA)
    …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . **Pre-Registration:** 17. Efficiently registers patients, capturing and verifying all… more
    Beth Israel Lahey Health (09/26/25)
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  • Patient Access Representative

    Beth Israel Lahey Health (Newburyport, MA)
    …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 16. Efficiently registers patients, capturing and verifying all… more
    Beth Israel Lahey Health (09/24/25)
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  • Patient Access Representative, ED Registration 16…

    Beth Israel Lahey Health (Burlington, MA)
    …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 17. Efficiently registers patients, capturing and verifying all… more
    Beth Israel Lahey Health (07/30/25)
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  • Patient Access Representative, Evenings

    Beth Israel Lahey Health (Milton, MA)
    …patients with Kiosk check-in as needed.** **3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.** ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration:** **16. Efficiently registers patients, capturing and verifying all… more
    Beth Israel Lahey Health (07/12/25)
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