- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The RoleThe Pharmacy Support Associate is a critical member of the Pharmacy ... for pharmacy interventions, ensuring they get personalized and effective support . The associate will triage member issues and concerns, facilitating… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in the measurement of program objectives and outcomes. This role will ... your true colors to blue. The Role The Clinical Pharmacist, Medicare Clinical Programs is responsible for providing comprehensive medication management services… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Need As a core member of the Government Programs Star Performance team, the Medicare Stars Analyst provides ongoing analytic support to the development and ... the health plan's best in class 5-star strategy. In collaboration with the VP, Medicare Stars, this person will work with key stakeholders from across the company,… more
- Humana (Boston, MA)
- …necessary to support optimal value based care in accordance with Medicare and Humana policy. **Use your skills to make an impact** **Required Qualifications:** ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care… more
- CenterWell (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, etc. within their scope.… more
- Humana (Boston, MA)
- … support the adoption of modernized analytics across CenterWell Pharmacy . This includes supporting the identification of opportunities, establishing operational ... Data Analyst, reporting to the Director, Pharmacy Digital Performance within Pharmacy Digital, include: + Support the transition to modernized analytics +… more
- CenterWell (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... and monitoring the Tele Sales Agents who are responsible for converting Medicare eligible callers to patients. The Care Delivery Call Quality Professional is… more
- CenterWell (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF,… more