- Commonwealth Care Alliance (Boston, MA)
- …telephonic case management or primary care . + Experience with a Medicare Advantage population preferred. + Past experience caring for patients/members with ... services via telehealth technologies (video, chat, etc.) for clinically appropriate clinical care and care management services. **Working Conditions:** + … more
- Humana (Boston, MA)
- …such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or ... conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements...MD or DO degree + 5+ years of direct clinical patient care experience post residency or… more
- Humana (Boston, MA)
- …such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements,...of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise… more
- Humana (Boston, MA)
- …(such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand… more
- Humana (Boston, MA)
- …such as inpatient rehabilitation. **Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid ... of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid...MD or DO degree + 5+ years of direct clinical patient care experience post residency or… more
- Evolent Health (Boston, MA)
- …for Evolent Primary Care and sub-plans for each business segment (MSSP, Medicare Advantage , and Commercial payer partnerships) + Sets clear goals and ... ECP launched as an internal start-up in 2020 with a wholly owned Medicare Shared Savings Program ("MSSP") Accountable Care Organization ("ACO") spanning four… more
- Humana (Boston, MA)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... in region of assignment + 5+ years of direct clinical patient care experience post residency or...+ Experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
- Humana (Boston, MA)
- …report directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market ... financial, cost & utilization reporting at all levels + Supports Humana's Medicare Advantage product strategy, budgets, and administrative staffing and expenses… more
- CenterWell (Boston, MA)
- …experience in a Sales or Sales Support position + Understanding of value-based primary care and/or Medicare Advantage + Bilingual in English/Spanish with the ... enrollment, education, engagement, and activation duties for Humana's Primary Care Organization. The Patient Assessment and Navigation Professional contributes to… more
- Humana (Boston, MA)
- …of the Intermountain Region Finance department. This position will support the annual Medicare Advantage bid process, membership reporting and analytics, as well ... of the Intermountain Region Finance department. This position will support the annual Medicare Advantage bid process, membership reporting and analytics, as well… more
- North Shore Community Health (Peabody, MA)
- … clinical support staff by providing the safest and highest quality patient care possible. Physicians will support all other clinical staff with assessments, ... a Physician. Under the general direction of the Chief Clinical Officer (CCO) and the direct supervision of the...Director, the physician will provide continuing and comprehensive health care for the individual and family across all ages… more
- Brockton Hospital (Brockton, MA)
- …of Medicare and Medicaid programs, state insurance and health care laws, HITECH, HIPAA and general Corporate Compliance principles. Maintains up-to-date ... medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference...knowledge of health care legal requirements, and determines if policy revisions or… more
- North Shore Community Health (Salem, MA)
- …* High School Diploma * Must have one year of experience in a health care setting * Understanding of Medicare , Medicaid and managed health care ... serving the surrounding communities with comprehensive and culturally sensitive care . With a strong commitment to excellence, NSCH provides:...day one, and all eligible staff members can take advantage of these benefits right from the start of… more
- Humana (Boston, MA)
- …relevant rational database programming language **Preferred Qualifications** + Experience with Medicare Advantage + Experience with member level claims ... insurance and many other opportunities. **About us** About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive care… more