- Fallon Health (Worcester, MA)
- …Enrollment Process** + After initial account executive contact with referral, the enrollment specialist (ENSP) supports next steps toward enrollment , ... + Supports documentation gathering and submission for final Government Program Enrollment Specialist (GPES) review and MassHealth application submission. +… more
- Beth Israel Lahey Health (Westwood, MA)
- …**High School diploma or GED required. Bachelor's degree preferred.** **Year of experience 3-7** **Provider Enrollment experience is strongly preferred.** ... data . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid). (essential)**… more
- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...ASAPs and LTSC Agencies related to member rosters and enrollment records o Perform data quality checks, and additional… more
- CenterWell (Boston, MA)
- …to the delivery of home health services preferred + Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred + ... **Available to work 3 holidays a year.** The E-Referral Specialist is an integral part of the referral process...practices. **Use your skills to make an impact** **Required Experience /Skills:** + High School Diploma or its equivalent; Associates… more
- Beth Israel Lahey Health (Burlington, MA)
- …agendas and generating minutes and action items.** **Possesses direct knowledge and experience in the implementation of all aspects of clinical trials research ... department.** **Acquires detailed knowledge of studies so to serve as a specialist ; Grasps the scope and objectives of projects.** **Triages calls from physicians,… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare /Medicaid) + Experience in health plan provider ... Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with… more