- Humana (Boston, MA)
- …and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full ... our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager ... sits in the center of strategy, design, technology, clinical , and operations and is responsible for… more
- 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
- 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
- Humana (Boston, MA)
- …to the Director, Case Management and supports the strategic priorities for Clinical Operations , Medical & Behavioral Health and Humana Government Business ... government customer and other HGB departments. Interfaces with quality management and clinical operations programs ensuring beneficiary coordination of care. +… more
- 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
- Datavant (Boston, MA)
- …platform needs and workflows. + Work closely with internal stakeholders (eg, Operations , Clinical , Engineering, and Customer Success) to ensure that analytics ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and… more
- 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
- Commonwealth Care Alliance (Boston, MA)
- 011520 CCA-Customer Service **Position Summary:** The Manager , Reporting Analytics and Technology is responsible for driving data and analysis informed decisions, ... managing all data and operations information collection on targeted variables on a systematic...Member Communication, Training and Quality_ ] functional areas and/or clinical lines; managing outcomes and process measures; collecting and… more
- CenterWell (Boston, MA)
- …focus in one or more key areas, as assigned, such as care model development, clinical operations , quality & clinical excellence, and technology enablement & ... that include a physician from each of the regions. **Effectively Partner as Dyad Clinical Leader** + Partner cohesively with National Operations Leader as a… more
- Beth Israel Lahey Health (Burlington, MA)
- …day operations , business management etc. 3. Manages staff including nurse/ operations managers, quality manager , outreach manager , research coordinators ... Providers Collaborate relative to department activities 3. Quality Manager and Nurse Manager Works as a team in operations 4. Service Line Director Direct… more
- Fallon Health (Worcester, MA)
- …the Operations Team and communicates this information to the clinical team for outreach utilizing established processes. + Creates NaviCare member authorizations ... process. + Receives NaviCare member enrollment notifications (enrollment/disenrollment) from the Operations Team andcommunicates this information to the clinical … more
- 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
- CenterWell (Boston, MA)
- …organizations + Prior knowledge of Value Based Care organizations, specifically around clinical operations and/or Risk Adjustment + Experience in SQL and/or ... area implements and supports strategy and targeted initiatives aimed at increasing clinical efficiencies, processes, education, and compliance as it relates to … more
- Beth Israel Lahey Health (Boston, MA)
- …score approaches, survival analyses), prior experience with administrative ( Medicare ) claims data is preferred. Additional preferred qualifications include ... research explores how state and federal health policies impact care delivery and clinical outcomes. Research in this section is funded primarily by the National… more
- Beth Israel Lahey Health (Brookline, MA)
- …Medical Assistant **Job Description:** **Job Summary:** Reports to: Practice Manager or Ambulatory Practice Coordinator with input from assigned physician(s), ... to patients while contributing to the smooth functioning of practice operations . **Department Specific Job Responsibilities:** 1. Provides support to the practice… more
- 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