- Advocates (Waltham, MA)
- …appropriate, and monitoring and evaluating treatment progress, provides psychiatric assessment , medication evaluations, and medical management and contribute to the ... comprehensive assessment and care planning. Advocates promotes a healthy work-life...from the National Practitioner Data Bank and absence of Medicare /Medicaid sanctions. + Strongly prefer candidate who has demonstrated… more
- Takeda Pharmaceuticals (Boston, MA)
- …strategies for Health Technology Appraisal (HTA; including the EU Joint Clinical Assessment [JCA]) and payer assessments to optimize rapid, broad patient access, ... CADTH, PBAC, EU JCA) along with knowledge of US Medicare (Part D), ICER in the US and trends...and hands on experience in health economics, health technology assessment (HTA) tools, methods and filings, SLRs, ITCs, statistical… more
- Fenway Health (Boston, MA)
- …listings appropriate for Fenway Health patients + Works with Medicaid, Medicare , Welfare, Social Security, housing, educational, day care and other institutions ... all agency and departmental policies and procedures + Participates in quality assessment and improvement activities as requested + Adheres to the highest principles… more
- Beth Israel Lahey Health (Needham, MA)
- …Points of Pride * Multiple five-out-five-star ratings from the federal Centers for Medicare and Medicaid Services in its annual quality and safety assessment ... at BID Needham. + The CMO will serve as the Patient Care Assessment Coordinator of the Hospital, provides direction/support to Director of Quality and Safety,… more
- Tufts Medicine (Lowell, MA)
- …and responsibilities may be assigned. + Provides comprehensive evaluation and assessment of patient's physical, cognitive and self-care status. Assesses and ... and to ensure proper reimbursement. + Complies with documentation regulations ( Medicare , Medicaid, DPH, OSHA, JCAHO, State and Federal regulations) and agency… more
- Molina Healthcare (Waltham, MA)
- …HCS Department staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and direction of ... run every workday and cases are addressed to maintain Health Risk Assessment (HRA) and Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion… more
- Humana (Boston, MA)
- …cloud security principles. + Experience with AI security practices and risk assessment methodologies. + Strong expertise in data classification, tagging, and access ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- CenterWell (Boston, MA)
- …improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements. The Director will lead and oversee the strategic planning, ... operational leaders, clinical leaders, IT, population health, and analytics. + Assessment : develop a framework to assess CIT operations, clinical program measurement… more
- Philips (Cambridge, MA)
- …Support the analysis of reimbursement trends and review/analyze US regulations including Medicare payment or coverage in proposed and final payment rules, CPT/HCPCS ... from international markets as required. + Assist with market assessment opportunities for business investments, acquisitions, and strategic partnerships. **You're**… more
- Amgen (Boston, MA)
- …in a compliant manner + Maintains comprehensive account profile / needs assessment / strategic plan + Responsible for routinely meeting with appropriate opinion ... impact to our approved CV products and the competition + Functional knowledge of Medicare and Government agencies, as well as abilities that match needs to strategic… more