- Commonwealth Care Alliance (Boston, MA)
- …rules within the Plan's claims adjudication system, including the claim editing systems ( CES and Zelis).The Policy Manager will also review current payment ... Sr. Director, TPA Management and Claims Compliance, Medical/BH Reimbursement Policy Manager will have overall responsibility for CCA's reimbursement policies for ICO… more
- IQVIA (Northborough, MA)
- …**Position Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program and its lifecycle. Care Manager 's ... in all communication methods while providing efficient, courteous, and friendly service + Contact insurance companies for benefit investigation and coverage… more
- IQVIA (Northborough, MA)
- …can help deliver medical breakthroughs in the real world. The Associate Program Manager is responsible for the daily operational effectiveness of a dedicated team ... recommend corrective services to address customer complaints. + Provide product/ service information by answering questions, aiding customers, providers, and fellow… more
- Eaton Corporation (Worcester, MA)
- …the pursuit of business excellence. This position will report directly to Human Resource Manager . . **In this position you will:** + Track training for EHS, Quality, ... to ensure training materials are effective and relevant. + Maintain group's cross-training matrix( ces ) + Provide training to both individuals and groups as needed. +… more