- Merck (Boston, MA)
- …operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related ... how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific access questions… more
- Humana (Boston, MA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Health insurance experience + Medicare Advantage experience Travel: While ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 11-29-2025 **About us**… more
- Prime Therapeutics (Boston, MA)
- …processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the assigned ... management experience related to, or within Pharmacy Benefit Management (PBM) or health insurance Must be eligible to work in the United States without the need… more
- Fallon Health (Lowell, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief ... service, sales, outreach and general marketing principles and practices. Knowledge of Medicare , Medicaid and/or other insurance products is desirable. **Pay… more
- Commonwealth Care Alliance (Boston, MA)
- …(eCW) + Experience with disability issues preferred + Experience with Medicaid or Medicare programming and insurance products (ie ACO, MCO, PACE, or SCO) ... **Required Knowledge, Skills & Abilities (must have):** + Excellent written and verbal communication skills. + Working knowledge of Microsoft Office applications + Excellent organizational skills. + Ability to utilize an Electronic Medical Record + Ability to… more
- State of Massachusetts (Pittsfield, MA)
- …supportive and protective device forms . Communicates with pharmacist to provide and ensure Medicare Part D insurance plans are in place. . Responsible for ... completed consult forms prior to medical appointments. . Fills out behavior medication and pre-medication consents annually. . Maintains travel folder and health related assessments. *_PLEASE NOTE:_ * *This position is located in Pittsfield, MA and provides… more
- Beth Israel Lahey Health (Boston, MA)
- …regression analysis 5. Documented ablity to manipulate complex, large databases including Medicare and other insurance claims data. 6. Advanced skills with ... Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases. **Competencies:** 1. **Decision Making:** Ability to make decisions… more
- CenterWell (Boston, MA)
- …experience in a medical management review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance . + Experience ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Baystate Health (Springfield, MA)
- …variety of grant and/or government sponsored programs, identifying and counseling Medicare patients without secondary insurance , assisting with applications for ... and outpatient settings. These services include walking patients through state-wide insurance and grant program options, certified assitance in application process,… more
- Cardinal Health (Boston, MA)
- …company policy, regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or ... things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities… more