- CVS Health (Boston, MA)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing cost issues and… more
- Option Care Health (Boston, MA)
- …+ immunology/neurology, oncology, or transplant. + Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + ... with Company Match -HSA Company Match -Flexible Spending Accounts -Tuition Reimbursement -myFlexPay -Family Support -Mental Health Services -Company Paid Life… more
- Tufts Medicine (Malden, MA)
- …of resources to achieve desired clinical outcomes and within episode reimbursement . + Provide effective guidance to professional staff regarding: justification for ... staff understanding of documentation and compliance with regulations (Medicaid, Medicare , DPH, OSHA, JCAHO, State and Federal) with QA...one! + 403(b) retirement with company match + Tuition reimbursement + Generous PTO Package Tufts Medicine is a… more
- Tufts Medicine (Lawrence, MA)
- … reimbursement sources. Escalates to referral management director and/or referral manager , in circumstances of potential admission where reimbursement sources ... program. + Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document in EMR. + Reviews and… more
- Tufts Medicine (Lowell, MA)
- …in the coordination of care with the multidisciplinary team, and with the nursing case manager . The LPN may collect data on the health status of the patient, in ... licensure. + Collects relevant data and documents the information according to Medicare record policy & procedure. + Completes all nursing documentation per… more
- Beth Israel Lahey Health (Burlington, MA)
- …guidelines, and National and Local Coverage Determinations to conduct prospective reimbursement analysis (or " Medicare Coverage Analysis"). + Maintain thorough ... you're making a difference in people's lives.** Under general supervision of the Manager of the Office of Sponsored Research, the Contracts Specialist works with… more
- Brockton Hospital (West Bridgewater, MA)
- …a pre-employment coding test. + Must be able to demonstrate knowledge of reimbursement ( Medicare and Medicaid) principles. + Must have knowledge medical ... patients. Position Summary: Under the general direction of the Coding Compliance Manager the Outpatient Coding Specialist is responsible for coding and abstracting… more
- Beth Israel Lahey Health (Plymouth, MA)
- …* Collect data and support denial prevention strategies * Integrate clinical and reimbursement knowledge for optimal outcomes **RN Case Manager - Emergency ... acts as a liaison between ED and post-acute providers + Ensure compliance with Medicare , Code 44, and reimbursement regulations + Address social determinants and… more
- CenterWell (Boston, MA)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... as medical, dental and vision benefits, 401k with company matching, tuition reimbursement , 3 weeks paid vacation time, paid holidays, work-life balance, growth, a… more
- Baystate Health (Springfield, MA)
- …the first year, with scheduled earned increases + Continuing education support and reimbursement + First Time Home Buyers Financial Packages + Farm Share Memberships ... home, auto and personal insurance + Life insurance + Reimbursement for a variety of wellbeing activities, included but...applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the charge… more