- Jazz Pharmaceuticals (Boston, MA)
- …please visit www.jazzpharmaceuticals.com and follow @JazzPharma on Twitter. Oncology Business Manager , Market Access,The Oncology Business Manager - is seen as ... Proposition, Buy and Bill process, supporting formulary acceptance and the payer environment in multiple sites and channels of care.Communicates assigned account… more
- Amazon (Boston, MA)
- …Amazon Pharmacy is seeking a driven, talented, and experienced business development manager to define and manage critical relationships with large Health Insurance ... partners. This role will be instrumental in fostering pharmacy relationships with payer organizations that desire innovation and an easy customer experience. This… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with providers to develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to ... quality incentive programs, as well as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for an assigned portfolio of… more
- Sumitomo Pharma (Boston, MA)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Beth Israel Lahey Health (Charlestown, MA)
- …including but not limited to charge capture, charge description master maintenance, payer contract management, and billing compliance. * Estimates net patient ... job, you're making a difference in people's lives.** The Manager of Net Revenue will play a crucial role...financial reporting. * Ensure compliance with healthcare financial regulations, payer contracts , and accounting standards. * Stay… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Manager , IT Quality Assurance is part of the Business Solutions team responsible for QA testing, product management ... are being met and is fiduciary responsible for QA contracts . + Oversee the definition and management of test...metrics to executive leadership as needed. + Manage the contract and procurement process for all QA vendors/resources. +… more
- Boehringer Ingelheim (Boston, MA)
- **Description** The Strategic Account Manager will uncover opportunities for utilization of approved BI oncology product and optimal clinical benefit in appropriate ... where appropriate to meet the needs of customers.The Strategic Account Manager is responsible for creating mutually beneficial Oncology business relationships with… more
- HealthEdge Software Inc (Boston, MA)
- …door to new value-based reimbursement models, benefits plans and provider contracts . The complete suite of solutions fromHealthEdgedelivers a digital foundation for ... payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Manage and standardize programs to meet the client's release/deployment and quality criteria. +… more
- HealthEdge Software Inc (Boston, MA)
- …to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers ... Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more
- Prime Therapeutics (Boston, MA)
- …Serves as facilitator and mentor to the clinical liaisons for assigned contract (s). Assists Account Managers with managing overall client relationship and driving ... program. Provides guidance, assistance and mentoring to assist the Account Manager staff in attaining goals. Requires communication across all departments and… more
- CenterWell (Boston, MA)
- …support accreditation requirements + Oversight of home infusion reporting for third party payer contracts + Monitor the following key functions: + Program ... vendors and as necessary + Reviews and updates vendor contracts with procurement as necessary + Ensure that the...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Commonwealth Care Alliance (Boston, MA)
- …programs. 3) In collaboration with their supervisor and Market General Manager , works with external stakeholders including network providers and facilities to ... care delivery, metrics, outcomes, and accurate HCC coding for value-based contracts . Identifies cost drivers and works with network providers on management… more
- Beth Israel Lahey Health (Boston, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . **Pre-Registration:** 17. Efficiently registers patients, capturing and verifying all… more
- Universal Health Services (Franklin, MA)
- …that all clinical services are in full compliance with applicable regulations and payer contract specifications. This Director will promote the development of ... or LMHC required + Minimum of two years as a clinical supervisor or program manager preferred + Minimum of five years of psych experience preferably in a community… more
- Universal Health Services (Franklin, MA)
- …that clinical services are in full compliance with applicable regulations and payer contract specifications. This role delivers direct services to clients, ... or LMHC required + Minimum of two years as a clinical supervisor or program manager preferred + Prior experience with children & adolescents as well as a higher… more
- Beth Israel Lahey Health (Cambridge, MA)
- …patients with Kiosk check-in as needed. + Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . + Efficiently registers patients, capturing and verifying all required information… more
