- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Director , Next Best Action (NBA) Platform, is accountable for architecting and expanding an ... call-center, and marketing channels. This position provides both technical and delivery leadership in the areas of decisioning, state management, business rules,… more
- Molina Healthcare (MA)
- …5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare ... between Molina Healthcare and contracted provider network. In partnership with Director , manages and coordinates the Provider Services activities for the state… more
- Point32Health (Canton, MA)
- …that optimize performance across our provider networks serving Point32Health's Medicare, Medicaid , Duals and Commercial small and individual group markets. This ... corporate and business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. **Job Description** +… more
- Pfizer (Cambridge, MA)
- …RESPONSIBILITIES** * Form collaborative partnerships with decision-makers at large integrated delivery networks and medical groups to conduct needs assessments and ... of Pfizer vaccines. * Negotiate and manage contracts with targeted Integrated Delivery Networks, Medical Groups and Buying Groups. Enable such through collaboration… more
- Gentiva (Boston, MA)
- …Patient Care Manager, RN You Will:** * Report directly to the Executive Director or Administrator * Lead and support a high-performing hospice program, ensuring ... excellent care delivery and regulatory compliance * Supervise, teach, evaluate, and...workflows such as documentation of referrals, DME pickups, Medicare eligibility , insurance verifications, and patient benefit tracking * Coordinate… more