- Humana (Boston, MA)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in... care . + Minimum of 1 year of managed care experience. The Care … more
- Point32Health (Canton, MA)
- …Medicare and/or Medicaid healthcare programs, principles, and practices of managed care . Project coordination and management experience. + Preferred: Skill ... and/or Medicaid Compliance experience. Strong experience with Medicare and/or Medicaid health care products. Demonstrated knowledge of government regulations… more
- Gentiva (Boston, MA)
- …regulations (Medicare, Medicaid , JCAHO, ACHC), and best practices * Familiarity with managed care principles and human resource guidelines * Ability to lead ... ready to lead and elevate the standard of hospice care ?** Do you thrive in a leadership role that...procedures, and regulatory standards * Act as a key liaison between clinical teams, leadership, physicians, and other providers… more
- Cardinal Health (Boston, MA)
- …Medicare, Medicaid , and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) pharmacy ... accounts from a managed care contracting perspective. The primary purpose...Administrative Organization's (PSAO) efforts. This position will be a liaison for regional chain pharmacy PSAO members, supporting general… more
- East Boston Neighborhood Health Center (Revere, MA)
- …financial contracts for PACE, pharmacy vendors, payer agreements, value-based arrangements, and managed care contracts. Budgeting, Forecasting & Analytics + Lead ... of our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support staff… more
- Point32Health (Canton, MA)
- …or related field **Experience** + Required (minimum): 5 years in Medicare Advantage, Medicaid managed care , or healthcare product strategy. + Preferred: ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to...indicators for key initiatives + Serve as the key liaison for Actuarial, Finance, Risk Adjustment, Corporate Data and… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...Behavioral Health Vendor Relations Manager serves as the primary liaison between Fallon Health and its contracted behavioral health… more
- Fallon Health (Worcester, MA)
- …experience in related position, preferably in health care . + Experience in a managed care or call center setting or physician's office; knowledge of ... the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care ...managed care and/or utilization management strategies advisable… more
- Beth Israel Lahey Health (Plymouth, MA)
- …payment plans, pricing estimates, Financial Assistance, Federal/State benefits, and the managed care process. This position supports Patient Access and ... Open Enrollment; providing education and processing necessary applications. * Addresses Managed Care concerns with patients who require assistance. * Works… more
- Beth Israel Lahey Health (Peabody, MA)
- …payment plans, pricing estimates, Financial Assistance, Federal/State benefits, and the managed care process. This position supports Patient Access and ... Open Enrollment; providing education and processing necessary applications. + Addresses Managed Care concerns with patients who require assistance. + Works… more