- Commonwealth Care Alliance (Boston, MA)
- …data interpretation. - Oversee administrative components related to performance management activities as needed. - Lead the program's contributions to ... does not have direct reports. Essential Duties & Responsibilities: Performance Management : - Assume full management...have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and… more
- Commonwealth Care Alliance (Boston, MA)
- …and manages outcome improvement initiatives. - Ensures staff selection, training, and performance monitoring and - Leads the Utilization Management team in ... to a variety of audiences - Experience with managing clinical services for Medicaid/ Medicare patients - Demonstrated ability to lead and navigate large scale… more
- Commonwealth Care Alliance (Boston, MA)
- …& Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the evaluation of ... and facilities under the provisions of CCA's benefits plan. The Manager, Utilization Management is responsible for overseeing and managing the daily operation of the… more
- Commonwealth Care Alliance (Boston, MA)
- …implementing key population health and network quality initiatives to achieve high performance on CCA's Population Health goals; including Medicare Star ... measures, Medicaid- Medicare Plan withhold measures, quality performance metrics incorporated into other CCA contracts, health equity, Culturally and… more
- Commonwealth Care Alliance (Boston, MA)
- …to other departments whose functions are necessary to the development, implementation and management of the provider arrangements. + Lead and/or participate in ... Centers, Adult Day Health Centers, Adult Foster Care providers, etc.). + Lead complex negotiations and/or contracting arrangements which require developing a sound… more
- Commonwealth Care Alliance (Boston, MA)
- …with internal teams to address provider issues and ensure timely resolution. ** Performance Management ** + Oversee onboarding, training, and ongoing engagement of ... CCA's LTSS network, including ASAP and LTSC agencies. + Lead the monitoring and analysis of provider performance using utilization, quality, and member… more
- Commonwealth Care Alliance (Boston, MA)
- …senior management role. - Experience with value-based payment models, performance -based contracting, or population health initiatives. - Prior work with hospital ... and quality programs as they relate to provider satisfaction and network performance . - Experience with change management and process improvement methodologies.… more
- Stanford Health Care (Palo Alto, CA)
- …Additionally, the Corporate Controller is the primary point of contact and lead executive representing management interfacing with Stanford Health Care's ... procedures and monitor compliance. Support the CFO in the management of financial and operating performance of...and contractual allowances for all payors including managed care, Medicare , Medi-Cal, commercial, and self pay payors. Oversee the… more
- Merck & Co. (VA)
- …product labeling, and CDC and professional society recommendations. Providing Company Vaccine management with updates on customer needs as it relates to helping them ... to educate customers on the best ways to maximize their contract performance across the Company portfolio.- Assisting customers with education to improve their… more
- Commonwealth Care Alliance (Boston, MA)
- …to support communication with the network and drive performance improvements. + Lead the planning, project management , and execution of annual and ongoing ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- Boost Home Health (Frisco, TX)
- …1+ year in management ) Proficient in OASIS and QAPI Knowledge of Medicare CoPs and payment systems Valid driver's license , auto insurance, and reliable vehicle ... ideal candidate will possess knowledge of OASIS, PDGM, QAPI functions, Medicare Conditions of Participation, and state regulations Strong computer skills, meticulous… more
- InterDent (Portland, OR)
- …and best practices Lead hiring, onboarding, training, mentoring, and performance management of dentists and hygienists Evaluate clinical performance ... (DSO experience preferred) Proven experience in clinical leadership, team development, and performance management Ability to effectively lead , coach, and… more
- Lundbeck (Schenectady, NY)
- …Join us on our journey of growth! As a Psychiatry Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with ... comprehensive clinical knowledge to drive sales performance . Our Account Managers are adept at executing against the toughest commercialization challenges in today's… more
- Somatus (Mclean, VA)
- …another, and show up for our mission. Responsibilities **The Impact** **You'll** **Make:** + ** Lead ** performance management tied to key metrics and business ... Somatus is on the hunt for a visionary **Senior Vice President of Finance** to lead at the crossroads of strategy, innovation, and impact. This isn't just a finance… more
- Lundbeck (Orlando, FL)
- …in the primary care and neurology settings. As an Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with ... comprehensive clinical knowledge to drive sales performance . Our Account Managers are adept at executing against the toughest commercialization challenges in today's… more
- Commonwealth Care Alliance (Boston, MA)
- …electronic medical records. Desired Experience (nice to have): - Experience with Medicare and/or Medicaid programming - Management Experience - Electronic ... is responsible for providing primary care, palliative care and community intensive care management to a specific panel of high risk and complex people.? This… more
- Alameda Health System (Oakland, CA)
- …the American College of Radiology (ACR), The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and the California Department of Public Health - ... workflow education to enhance operational consistency and compliance. Strong project management and process improvement skills are essential in this role. Project… more
- Eisai, Inc (Houston, TX)
- …the Associate Director, Access and Reimbursement, the ARM, will be the functional lead for Access and Reimbursement activities across HCP offices, alternate sites of ... the US healthcare system across one or more major payer segments ( Medicare , Medicaid, Federal, and Commercial).Experience working with medical and pharmacy benefits,… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening ... Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation presentations, and ongoing… more
- Commonwealth Care Alliance (Springfield, MA)
- …Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high risk and complex people. This panel ... with significant medical, behavioral, and social complexities that require intensive care management and care delivery. Within the CIC Program, The Senior Clinician,… more
