- Beth Israel Lahey Health (Westwood, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- Fallon Health (Norwood, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The BH Care Coordinator serves as a bridge between the community and the health ... partner locations **Responsibilities** **The role of the Behavioral Health Care Coordinator is to:** + maintain a...and motivational interviewing required + Experience in a healthcare managed care company, nursing facility, or in… more
- Family Service Association - Fall River (Brockton, MA)
- …$1,000 sign on bonus! We are looking to hire a full time (40 hours/week) Care Coordinator in our Long-Term Services and Supports (LTSS) Community Partner (CP) ... Monday through Friday, 8:00 am - 5:00 pm The Care Coordinator is responsible for promoting coordination...and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care… more
- Athena Health Care Systems (Rockland, MA)
- We are hiring a part-time Admissions Coordinator to join our dynamic care team at South Shore Rehabilitation & Skilled Care Center in Rockland! Hourly pay ... you to grow within the company. As the Admissions Coordinator , you assist in planning, organizing, implementing, evaluating, and...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Humana (Boston, MA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Evolent (Boston, MA)
- …regulatory and health plan requirements. They have a broad knowledge of health care delivery, managed care regulations, and prior authorization experience. ... Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for...role or comparable administrative role within a health plan, managed care organization or third-party administrator is… more
- Fallon Health (Worcester, MA)
- …experience in related position, preferably in health care . + Experience in a managed care or call center setting or physician's office; knowledge of ... applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process...managed care and/or utilization management strategies advisable… more
- Erickson Living (Peabody, MA)
- …$5,000 Our community is looking for an experienced Assistant Activities Manager/ Program Coordinator to help support our programming teams in Assisted Care , ... needs and well-being of the residents residing in Continuing Care . How you will make an Impact: Person Centered...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Trials Offices at the various DF/HCC institutions. The Institutional IND Regulatory Coordinator works directly for the Clinical Trials Office to complete and oversee ... the primary reporting contact for the Institutional IND portfolio managed by the CTO Regulatory Affairs Core. The Institutional...in life changing breakthroughs in cancer research and patient care . We are united in our mission of conquering… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...focus toward excellent customer service. In addition, the Service Coordinator will attain the targets for a customer service… more
- Beth Israel Lahey Health (Boston, MA)
- …with automated medical record and registration/scheduling systems preferred + Knowledge of managed care and insurance requirements + Demonstrated ability to ... **Overview** **The Medical Office Coordinator ** is responsible for providing support to physicians...a hybrid schedule may be available. _As a health care organization, we have the responsibility to do everything… more
- Beth Israel Lahey Health (Needham, MA)
- …period- the office is located in Stoughton, MA. The Clinician Onboarding Coordinator provides professional support to the (BILHPC South) Clinician Onboarding Manager ... issues with insurance plans. Implements enrollment for health plans not managed by BILHPN. Supports onboarding process for all providers. **Job Description:**… more
- Dana-Farber Cancer Institute (Boston, MA)
- …NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the ... process. Ensures that all expirables are reviewed, obtained, and managed on a monthly basis. Maintains the confidentiality of...in life changing breakthroughs in cancer research and patient care . We are united in our mission of conquering… more
- Erickson Living (Peabody, MA)
- …over with a company 3% match + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age + 30% discount on food and ... in the job description. Brooksby Village is a beautiful 90-acre continuing care retirement community located in Peabody, Massachusetts, just minutes from Boston.… more
- US Tech Solutions (Canton, MA)
- …experience with Microsoft Office products and HR systems + Preferred: Knowledge of the managed care / health care industry **Skill requirements:** + Attention ... closely with outsourced leave administration vendor to ensure all leaves are managed appropriately. Escalate issues and resolve problems. + Provide and implement… more
- Tufts Medicine (Stoneham, MA)
- …11. Knowledge and understanding of health care delivery systems with special emphasis on the referral management process for managed care providers. ... patient's necessary demographic and financial information from physician offices, acute- care entities, or the patients themselves, schedules services for patients,… more
- Cardinal Health (Boston, MA)
- …Minimum 2 years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid ... accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims.… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …that the health center accepts. Additionally, assist with changing insurance primary care provider and assist with enrollment into health plan. + Follow proper ... + Enter all necessary information into EPM and scan all necessary forms. Managed paper flow (encounter forms, labels) necessary for patients to receive appropriate… more
- Highmark Health (Boston, MA)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... retail pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Fallon Health (Worcester, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... access to reliable transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or community social service agency… more