- Elevance Health (Hingham, MA)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- CVS Health (Boston, MA)
- …and every day. **Position Summary** We are seeking a highly skilled and experienced Senior Data Engineering Manager to lead and mentor our data engineering team ... team that is responsible for processing Claims, Revenue, and Medicare Specific files and data from 30+ payors into...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Commonwealth Care Alliance (Boston, MA)
- …and drive both program -wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… more
- Beth Israel Lahey Health (Charlestown, MA)
- …health system to attract, retain and develop diverse talent. The Health Equity Program Manager will contribute to achieving this vision through partnership with ... local senior leadership and business leaders to reduce health disparities,...BIPOC, LGBTQIA+ and other underrepresented communities. The Health Equity Program Manager plays a leadership role in… more
- Fallon Health (Plymouth, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... delivery of items as part of the 'Oh Baby' program and work with Nurse Case Managers to coordinate...needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note:… more
- Point32Health (Canton, MA)
- …with senior leaders at contracted provider organizations. + **Risk Adjustment Program Management and Vendor Evaluation** : The Manager will be responsible ... to identify improvement opportunities and recommend changes to improve program results and effectiveness. The Manager will...and reporting that identify and track revenue trends and program results for Medicare , Medicaid, Duals and… more
- BAYADA Home Health Care (Bedford, MA)
- …seeking a **Registered Nurse, RN** for a full time position with our North Boston Senior Living team, a Medicare Certified home health office. + Schedule: Full ... clients living in communities that include assisted living, independent living, senior congregate living, 55+ communities, and intermediate care facilities for… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): * 5+ years * Experience with Medicaid and Medicare products and programs * Value-based program oversight and performance ... the demonstrated ability to handle multiple projects. * Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including… more
- Commonwealth Care Alliance (Boston, MA)
- …engagement The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing ... complex, cross-functional projects and meeting deadlines. + Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including… more
- BAYADA Home Health Care (Marlborough, MA)
- BAYADA Home Health Care is currently seeking a **Client Services Manager ** to join our **Marlborough, MA M** **edicare certified Home Health Senior Living ... career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...management of your caseload by monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.) + Client Services… more
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