• Code Edit Disputes Medical Coder

    Humana (Boston, MA)
    …Coder + Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-18-2025 **About us**… more
    Humana (11/14/25)
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  • Actuarial Analyst

    Humana (Boston, MA)
    …2+ years of actuarial experience in healthcare + SAS or other coding skills + Medicare experience + Familiarity with CMS Star Ratings Travel: While this is a remote ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-30-2025 **About us**… more
    Humana (11/07/25)
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  • Special Needs Plan- Support Social Services

    Humana (Boston, MA)
    …English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-21-2025 **About us**… more
    Humana (11/06/25)
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  • Call Center Service Reps - Hybrid/Remote!…

    Fallon Health (Worcester, MA)
    …innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... with training, career path advancement, great benefits, paid time off, heath insurance and more..** The REMOTE work model can commence after approximately 8-9… more
    Fallon Health (11/03/25)
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  • Resident Care Coordinator Assistant (Rcca)

    Athena Health Care Systems (Southbridge, MA)
    …have been edited by interdisciplinary team members. + Tracks and schedules all Medicare certifications and recertification. + Mails and tracks all Medicare ... Program Available for Eligible Team Members: + Employer-Paid Life Insurance + 401(k) with Employer Match + Vacation and...Vacation and Personal Time + Health, Dental, and Vision Insurance We are an equal opportunity employer that values… more
    Athena Health Care Systems (10/22/25)
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  • Senior Clinical Programs Pharmacist

    Humana (Boston, MA)
    …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is… more
    Humana (10/18/25)
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  • RN MDS Coordinator experienced! Join Our Team…

    Bear Mountain Health Care (East Longmeadow, MA)
    …+ One year of Long-term care experience + Experience with Medicare /Medicaid reimbursement, MDS completion, clinical resources utilization, and/or case management is ... timeliness + Must be in compliance with MDS / Medicare protocols and policies. + Informing DON and ADON...tasks as assigned Benefits: + Medical, Dental and Vision Insurance + 401(k) retirement plan + Life insurance more
    Bear Mountain Health Care (09/28/25)
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  • Home Health Aide (HHA)

    Aveanna Healthcare (Northampton, MA)
    …offers both short-term and long-term care services, catering to individuals under the Medicare and Medicaid programs, as well as those with Private Insurance ... applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
    Aveanna Healthcare (11/28/25)
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  • Clinical Account Director - Remote

    Prime Therapeutics (Boston, MA)
    …all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the ... to the plan + Provide clinical guidance and support for client's Health Insurance Marketplace business + Manage incoming requests for information from the plan… more
    Prime Therapeutics (11/25/25)
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  • Quality Professional, Growth and Retention…

    CenterWell (Boston, MA)
    …and monitoring the Tele Sales Agents who are responsible for converting Medicare eligible callers to patients. The Care Delivery Call Quality Professional is ... quality auditing experience + Understanding of value-based primary care and/or Medicare Advantage + Familiarity with healthcare systems and patient satisfaction… more
    CenterWell (11/25/25)
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