- Takeda Pharmaceutical (Boston, MA)
- …order to bring life-changing therapies to patients worldwide.Join Takeda as Senior Manager , Global Regulatory Labeling Strategy where you will be responsible for the ... with labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs.Authors/manages of outgoing communications… more
- Cardinal Health (Boston, MA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Beth Israel Lahey Health (Boston, MA)
- …informed. Represents the various service areas at assigned meetings. 7. Works closely with the Manager of Managed Care Department and shares oversight of the ... to evaluate effectiveness of interventions. Implements relevant information systems, such as managed care , insuring accuracy of data input and patient… more
- Indeed (Boston, MA)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Molina Healthcare (Brockton, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (Dorchester, MA)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year… more
- Molina Healthcare (Boston, MA)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... regimens. * Care manager RNs may conduct medication reconciliation...care , including at least 1 year experience in care management, managed care , and/or… more
- CenterWell (Boston, MA)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home… more
- Commonwealth Care Alliance (Boston, MA)
- …) **Required Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting + 2 or more years working in a clinical setting ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- State of Massachusetts (Boston, MA)
- …collaboration with staff from the Health Care Access Bureau and Bureau of Managed Care to advise the Commissioner about issues that may impact future ... citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the Health Care ...market that have implications in health insurance mandates and managed care practices. * Manage staff working… more
- Beth Israel Lahey Health (Boston, MA)
- …expenses on Medicare Cost Report including mgmt of time studies. Liaisons with managed care to optimize contracts. Represent heart transplant with internal and ... process with internal teams for creation of charges, billing workflows and managed care contracting. (essential) 4. Maintains knowledge of regulatory… more
- CDM Smith (Boston, MA)
- …throughout the project planning, delivery, and closeout lifecycle. Senior Project Manager key performance indicators include revenue managed , profit delivered, ... CDM Smith currently has an exciting opportunity for a Senior Project Manager with previous experience managing municipal water services projects to join our… more
- Molina Healthcare (Plymouth, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- CDM Smith (Boston, MA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- State of Massachusetts (Boston, MA)
- …and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, and Family team. The ... HSC-II will provide oversight of case- managed youth in DMH community services and statewide programs,...The HSC-II promotes DMH's philosophy of recovery, trauma informed care , person, youth and family centered choices and cultural… more
- CAI (Boston, MA)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- Amgen (Boston, MA)
- …stakeholders on disease state awareness and product information to support optimal patient care . As a SAM, you will drive product utilization while identifying and ... strong relationships with a range of stakeholders across the patient care ecosystem-including physicians, nurses, office staff, case managers, infusion centers, and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …a bachelor's degree level RN/clinician with five or more years of clinical and managed care experience with two to three years of supervisory experience and ... establishing and maintaining a system that evaluates the quality of member care . These projects include supporting Case Management program design and quality… more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower… more
- Beth Israel Lahey Health (Boston, MA)
- …development and training for all staff. Implements relevant information systems such as managed care and patient appointments and ensures the accuracy of data. ... and visit ticket entry. Works actively as a 'hands-on' manager in the clinic areas. Coordinates care ...'hands-on' manager in the clinic areas. Coordinates care delivery, patient flow, and clinic check-out/discharge activities. Oversees… more
