• Manager , Medicare Clinical

    Tufts Medicine (Burlington, MA)
    …and Medicare Advantage programs, plays a crucial role in overseeing clinical operations , and driving performance improvements within the Tufts Medicine ... MSSP electronic Clinical Quality Measures (eCQMs) or Medicare Clinical Quality Measures (CQMs) and quality...Works closely with Care Management leadership to manage daily clinical operations and oversee clinical more
    Tufts Medicine (06/25/25)
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  • RN Clinical Manager

    Aveanna Healthcare (Worcester, MA)
    RN Clinical Manager ApplyRefer a FriendBack Job Details Requisition #: 204886 Location: Worcester, MA 01606 Category: Clinical Care and Support Salary: ... $100,000.00 per year Position Details Clinical Manager - Aveanna Healthcare - Worcester,...retains top talent. + Collaborate & Coordinate:Work closely with operations to ensure smart staffing levels and efficient patient… more
    Aveanna Healthcare (04/30/25)
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  • Manager Utilization Management…

    Tufts Medicine (Burlington, MA)
    …and oversight to Utilization Review departments and UM vendor management. The UM Operations Manager is responsible for compliance with CMS Conditions of ... the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization Program that integrates… more
    Tufts Medicine (06/24/25)
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  • RN Clinical Coordinator Weekends

    Tufts Medicine (Lowell, MA)
    …+ Works collaboratively with all disciplines, facilitating productivity, cooperation and efficient operations . + Assists in clinical manager 's and scheduling ... of each individual in relation to established standards in collaboration with the clinical manager . + Determines staff competency in a fair and consistent… more
    Tufts Medicine (06/24/25)
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  • Research Manager - Pulmonary

    Beth Israel Lahey Health (Burlington, MA)
    …a difference in people's lives.** Under general direction, the Research Program Manager will be responsible for managing, promoting, cultivating and overseeing all ... aspects of research, including management of a clinical research department(s). **Job Description:** **Essential Duties & Responsibilities, including but not limited… more
    Beth Israel Lahey Health (04/17/25)
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  • Contract Manager

    Fallon Health (Worcester, MA)
    …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
    Fallon Health (06/14/25)
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  • Site Director - (PACE Center) - Great Opportunity

    Fallon Health (Lowell, MA)
    …and business administration. + Recruits and hires staff. Supervises and evaluates Clinical Nurse Manager , Social Workers, Supervisor of Support Services, ... among the nation's top health plans for member experience, service, and clinical quality.Fallon Health operates one of the largest Programs of All-Inclusive Care… more
    Fallon Health (05/14/25)
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  • Senior Provider Relations Representative

    Fallon Health (Worcester, MA)
    …development, implementation and ongoing maintenance company initiatives, policy, procedure, and operations + Escalates conflicts to Manager of Provider Relations ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
    Fallon Health (05/31/25)
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