- Point32Health (Canton, MA)
- …related field **Experience** + Required (minimum): 5 years in Medicare Advantage, Medicaid managed care , or healthcare product strategy. + Preferred: 5 years of ... members in Massachusetts ("One Care ", and "Senior Care Options"). The Performance Manager leads Duals...internal equity. As part of our comprehensive total rewards program , colleagues are also eligible for variable pay. Eligibility… more
- Point32Health (Boston, MA)
- …opportunities for team members to work on a wide-range of public health issues. The Project Manager will be managed by HPI's Senior Project Manager and will ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to...currently seeking a highly motivated, action-oriented, and resourceful Project Manager to join the Division of Health Policy and… more
- Beth Israel Lahey Health (Burlington, MA)
- …coding Q) + Maintains a thorough understanding of clinical reimbursement and managed care issues specific to service-line. Identifies opportunities to optimize ... a job, you're making a difference in people's lives.** The Operations Manager is responsible for the overall operational, clinical, and financial performance of… more
- Sedgwick (Boston, MA)
- …: To negotiate and/or renegotiate medical contracts for multiple lines of business in managed care markets. Grow the network by recruiting new medical groups and ... group contracts for multiple lines of business in the managed care markets. + Analyzes market data...other duties as assigned. + Supports the organization's quality program (s). + Excellent negotiation skills + Excellent oral and… more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower… more
- Fallon Health (Milford, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... access to reliable transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or community social service agency… more
- State of Massachusetts (Boston, MA)
- …coverage and reimbursement issues, prepare statistical reports, and communicate with Managed Care Organizations using EMR data. * Provide cross-functional ... Shattuck Hospital is seeking a dedicated and experienced Case Manager to coordinate key functions within our Case Management... to coordinate key functions within our Case Management Program . The ideal candidate will ensure appropriate use of… more
- Fallon Health (Worcester, MA)
- …leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...**Brief summary of purpose:** The Behavioral Health Vendor Relations Manager serves as the primary liaison between Fallon Health… more
- Cook Medical (Boston, MA)
- …physicians, hospitals, and outpatient facilities by establishing relationships with these health care providers. The District Manager will be customarily and ... Overview The District Manager 's primary duty is to sell medical devices...exhibits* Maintain timely expense reports* Keep current on the managed health care environment* Educate customers, through… more
- J&J Family of Companies (Boston, MA)
- …Connecticut (Any City) **Job Description:** Johnson & Johnson is hiring for a ** Manager , Strategic Accounts** for Shockwave Medical Inc. located in **Boston, MA and ... Our Shockwave Medical portfolio aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its… more