- Commonwealth Care Alliance (Boston, MA)
- …critical measures. The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with relevant ... 011230 CA- Provider Engagement & Performance **Position Summary:** The HEDIS...of focus will be to: 1. Identify underperforming Providers 2 . Work cross-functionally to determine reasonable expectations and solutions… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. - Supports provider relations and provider contracting leaders in the ... vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues....or nursing leadership to include a minimum of two ( 2 ) years leadership experience in UM. - Minimum three… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes ... and/or other provider contracts and agreements. The Provider Contracting Professional 2...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Pharmacy Contracting Professional 2 ensures all published materials support the ... pharmacy communications, regulatory contract compliance, and other communications. The Pharmacy Contracting Professional 2 may perform analysis regarding… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional communicates contract terms, payment… more
- Point32Health (MA)
- …well-being organization dedicated to delivering high-quality, affordable healthcare. 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 healthier lives for everyone. Our culture revolves around being a community of care… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... shine? Join us as a Manager, Site Budgeting and Contracting based remotely reporting to the Associate Director, Site...global teams are united by an unwavering commitment to provide Better Health and a Brighter Future to people… more
- Point32Health (MA)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network. + Support RFP work ... for the submission of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network for commercial business. + Works with… more
- J&J Family of Companies (Raynham, MA)
- …the development of detailed offers demonstrating product expertise, discernment and professional judgment while adhering to contracting strategies and price ... Enablement **Job Sub** **Function:** Contract Administration and Management **Job Category:** Professional **All Job Posting Locations:** US014 MA Raynham - 325… more
- Lockheed Martin (Westford, MA)
- …or a related field, and experience with program finance and government contracting \. You're also a collaborative team player who can work effectively with ... at 10 Technology Road, Westford, Mass\., which is about 2 miles from the Chelmsford facility at 16 Maple...or industrial engineering is desired with 3 years of professional experience in one or more of the following… more
- Highmark Health (Boston, MA)
- …programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of provider contract ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Medtronic (Boston, MA)
- …to innovation in a more connected, compassionate world. **A Day in the Life** Provide legal support within the US Commercial Legal team on topics including medical ... week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the… more
- Beth Israel Lahey Health (Charlestown, MA)
- …pertain to coding, billing, and documentation. To educate, give support, and provide guidance to all BILH providers about compliance, billing, coding, and ... Leadership. * Perform process review of denials by hospital departments, and provide clinical improvement initiatives. * Draft, revise, and enforce BILH policies and… more
- State of Massachusetts (Boston, MA)
- …Unit. The selected candidate will be responsible for the following duties: * Provide legal advice to ensure that the agency's mandates, licensing procedures, child ... other agencies and providers on agency regulations, policies and goals; * Contracting and Budgeting Review: The Deputy General Counsel provides internal legal… more
- Tufts Medicine (Lowell, MA)
- …Tufts Medicine Care at Home is a leading provider of expert home health, palliative and hospice care. ... This position serves as a key member of the senior management team to provide leadership, analysis, planning and support, and to ensure all programs within the home… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth The right candidate: * Has a significant ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth **What You'll Do:** + Develops, monitors and ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. * Supports provider relations and provider contracting leaders in the ... vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues....or nursing leadership to include a minimum of two ( 2 ) years leadership experience in UM. * Minimum three… more
- Deloitte (Boston, MA)
- …then we would like to get to know you. Apply now! What you'll do As a professional in Deloitte's Tax Technology Consulting (TTC) team, you will be a part of a team ... solutions to address the legal department needs. + Support: Provide training around day-to-day activities, related to processes and...that requires US Tax professionals to co-locate in person 2 -3 days per week + 5+ years' experience with… more
- MaineGeneral Health (MA)
- …and conduct regulatory research + Analyze government reimbursement and assist with provider and payer enrollment + Manage professional enrollment, facility ... ambitious people who share our values and strive to provide excellent customer service. We are actively seeking a...excellent customer service. We are actively seeking a finance professional to join our experienced team as the Director… more
