- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... claims submissions, and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with Hubs on individual… more
- Philips (Boston, MA)
- …evidence and obtaining medical record documentation. + Be an expert on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy. Be ... able to effectively educate healthcare teams in identifying patients who meet coverage criteria. + Ability to analyze data to effectively target priority healthcare teams and create sales call routing. Capable to be flexible and adjust routing to fit pipeline… more
- Fallon Health (Springfield, MA)
- …Job Responsibilities may vary depending upon the member's Fallon Health Insurance Product ** **Member Education, Advocacy, and Care Coordination** Utilizes ... hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive… more
- Fallon Health (Worcester, MA)
- …hope_ , we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief ... who have MassHealth Standard, and may have Medicare. It combines MassHealth ( Medicaid ) and Medicare benefits, including prescription drug coverage. At Fallon Health,… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... and Flex Program Coordinator as needed and directed by Supervisor/ Manager **Responsibilities** **Primary Job Responsibilities:** **New Member Processing and Referral… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... **Brief Summary of Purpose:** Under the direction of the Market Research Manager , supports Fallon by making Welcome/Outreach calls to members and/or survey calls… more