- Owens & Minor (Woburn, MA)
- …success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working day + 401(k), ... leader in healthcare services, we provide home respiratory services and select medical equipment to help our patients sleep better, breathe better, heal faster,… more
- Commonwealth Care Alliance (Boston, MA)
- …Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care ... responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Reviewer has a key… more
- Commonwealth Care Alliance (Boston, MA)
- …direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... + No, this position does not have direct reports. **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and… more
- Commonwealth Care Alliance (Boston, MA)
- …This panel of patients incorporates the care of individuals with significant medical , behavioral, and social complexities that require intensive care management and ... and with external partners. **Supervision Exercised:** + Yes **Essential Duties & Responsibilities:** Management Responsibilities + Manages and mentors APCs… more
- Commonwealth Care Alliance (Boston, MA)
- …offerings and addresses members' questions or concerns. Supervision Exercised: No **Essential Duties & Responsibilities** + Serves as the primary member contact and ... healthcare provider outreach and education + Schedules new members' initial nurse intake visits + Utilizes communication skills such as motivational interviewing… more
- Beth Israel Lahey Health (Plymouth, MA)
- …in people's lives.** 40hpw; Day Shift 8:00am-4:30pm; Monday-Friday **Job Description:** ** Duties /Responsibilities:** + Under the guidance of the Senior Director of ... This may include leading teams, providing training and similar duties in support of the hospital's efforts to build...build a high-performance culture. + Oversee the Risk Management office for BID-P including all phases of actual and… more
- Beth Israel Lahey Health (Danvers, MA)
- …with other disciplines, to support patient care. **Job Description:** **Essential Duties & Responsibilities: including but not limited to:** I. Clinical ... + Cares for patients as delegated by the provider, RN or LPN + Contributes information provided by the...to fulfill role in Regulatory compliance and readiness. **Essential Duties & Responsibilities including but not limited to:** _Clinical_… more
- Commonwealth Care Alliance (Boston, MA)
- …**Essential Duties & Responsibilities:** + Actively monitor health plan medical expense, utilization, and unit cost year over year trends, performance against ... development for that variation. The role works collaboratively with Finance, Actuarial, Medical Economics, and Clinical Operations to ensure that monitoring of key… more
- Amergis (Needham, MA)
- …advance into a sales career as a Business Development Manager! TEAM-ORIENTED OFFICE STRUCTURE Our offices have been strategically designed to promote open ... sales techniques, HR processing, company organization and basic recruitment tools. Essential Duties and Responsibilities: + Assists and observe the Recruiters in the… more
- Commonwealth Care Alliance (Boston, MA)
- …enrollment periods (annually October 15 - March 31). + Compete other duties as assigned. **Working Conditions** Standard office conditions. **Required ... that all assigned training is completed. Supervision Exercised: No **Essential Duties & Responsibilities** + Independently present onboarding training to Member… more