- Tufts Medicine (Boston, MA)
- …communities healthy, and bring research breakthroughs to life. **Job Overview** The Senior Employee & Labor Relations Specialist serves as a trusted subject matter ... knowledge of healthcare-specific regulations (eg, HIPAA, Joint Commission standards). The senior specialist plays a critical role in shaping a fair, respectful,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Manager / Compliance Consultant, Risk Specialist, Exception Review Specialists and Project Manager . This position is eligible for our Resident, Mobile, ... principles of fair and equitable review. + Work collaboratively with the CPR Project Manager to schedule and confirm date/time/location of hearing and… more
- Draper (Cambridge, MA)
- …leadership to identify schedule slips and mitigate risks. The Program Planner/Scheduler, Senior will also act as the Earned Value Management System (EVMS) and ... using scheduling software such as Open Plan or MS Project , incorporating all dependencies, to track the execution of...thorough cost and schedule integration. + Works with risk manager to incorporate realized risks in IMS and provide… more
- State of Massachusetts (Boston, MA)
- …appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to ... to serve our citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the Health Care Access Bureau is authorized, pursuant… more
- CenterWell (Boston, MA)
- …market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. ... includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The… more
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