- Commonwealth Care Alliance (Boston, MA)
- …teams to monitor network performance against internal and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA ... 011230 CA- Provider Engagement & Performance Position Summary: The Director...contracting, or population health initiatives. - Prior work with hospital systems, large medical groups, and specialty care networks.… more
- Commonwealth Care Alliance (Boston, MA)
- …and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital , behavioral health, ... Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- WellSense (MA)
- …Responsible for managing the assigned territory of professional, institutional and ancillary provider types in order to enhance these relationships so that Well ... Serves as the primary liaison between WellSense Health Plan ("Plan") and key provider organizations, taking the lead and promoting collaboration within Plan, as it… more
- Commonwealth Care Alliance (Boston, MA)
- …teams to monitor network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA ... 011230 CA- Provider Engagement & Performance Position Summary: The Director...contracting, or population health initiatives. * Prior work with hospital systems, large medical groups, and specialty care networks.… more
- Beth Israel Lahey Health (Westwood, MA)
- …difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing applications. Maintains ... resource to providers, practice staff, BIDCO staff and health plan provider representatives concerning health care plan participation and status. Demonstrates… more
- Option Care Health (Boston, MA)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Humana (Boston, MA)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Baystate Health (Springfield, MA)
- …are a 716-bed independent academic medical center. We are the community's major referral hospital , and we provide a wide range of services, including: + Cancer ... 4 consecutive times + Named a top 50 cardiovascular hospital by Watson Health **SCHEDULE:** + Full time 40...separation from Baystate Health) + Continuing education support and reimbursement + First Time Home Buyers Financial Packages +… more
- Baystate Health (Springfield, MA)
- …are a 716-bed independent academic medical center. We are the community's major referral hospital , and we provide a wide range of services, including: + Cancer ... 4 consecutive times + Named a top 50 cardiovascular hospital by Watson Health **LOCATION** : + Baystate Medical...separation from Baystate Health) + Continuing education support and reimbursement + First Time Home Buyers Financial Packages +… more
