• Baystate Health (Springfield, MA)
    …Springfield, MA THE ADVANTAGES OF WORKING WITH BAYSTATE! Excellent Compensation High-quality, low- cost medical, dental and vision insurance Generous PTO - up to 25 ... participation, develop unit time schedules, etc. 4) Communication: provides report /handoff to next shift including pending discharges, admissions in process,… more
    Upward (07/21/25)
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  • Medicare /Medicaid Staff Accountant

    Public Consulting Group (Boston, MA)
    …principles and procedures. . Recommend accounting process improvements. . Assist with the Medicare and/or Medicaid cost report audit support and ... To learn more, visit www.publicconsultinggroup.com . Duties & Responsibilities . Prepare Medicare and/or Medicaid cost reports for ambulance providers. .… more
    Public Consulting Group (06/11/25)
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  • Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
    Commonwealth Care Alliance (05/28/25)
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  • Financial Counselor

    Baystate Health (Springfield, MA)
    …environment **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low- cost medical, dental and vision insurance + Generous PTO - up to ... on Mass Health applications and request additional information if needed **5)** Work daily report that consists of all self pay patients from the day before by… more
    Baystate Health (07/02/25)
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  • Complex Care Strategy Advancement Advisor

    CenterWell (Boston, MA)
    …evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
    CenterWell (07/19/25)
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  • Hospice RN Director of Clinical Services

    Gentiva (Hyannis, MA)
    …**Director of Clinical Services RN** to join our team in Hyannis MA.You will report directly to the Executive Director. You will be responsible for ensuring the ... patient services and compliance with the Conditions of Participation of the Medicare Hospice Benefit, State Hospice regulations and the operating model. In addition,… more
    Gentiva (07/09/25)
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  • Finance Manager, Amazon One Medical

    Amazon (Boston, MA)
    …One Medical. We are looking for leaders that have healthcare experience in Medicare or other government funded health insurance to support our internal and external ... on FP&A workstreams. Key job responsibilities - Ownership of monthly Medicare membership models and reporting, including gathering, manipulating, analyzing, and… more
    Amazon (05/16/25)
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  • Manager, Healthcare Services (Remote…

    Molina Healthcare (Worcester, MA)
    …progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity of illness and the site of service. ... and/or member assessment. + Typically, through one or more direct report supervisors, facilitates integrated, proactive HCS management, ensuring compliance with… more
    Molina Healthcare (06/01/25)
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  • Claims Reporting/Data Analyst

    Commonwealth Care Alliance (Boston, MA)
    …the production of performance reports and standard KPI reports to monitor and report on overall department metrics, program evaluation, and SLA performance. * Lead ... related to the identification and implementation of quality-improvement and cost -savings initiatives * Collaborates with and builds strong partnerships across… more
    Commonwealth Care Alliance (06/15/25)
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  • Operations Associate, Full Time, Nights, Emergency…

    Baystate Health (Springfield, MA)
    …MA **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low- cost medical, dental and vision insurance + Generous PTO - up to ... participation, develop unit time schedules, etc. **4)** Communication: provides report /handoff to next shift including pending discharges, admissions in process,… more
    Baystate Health (07/20/25)
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