- Tufts Medicine (Burlington, MA)
- …and Medicare Advantage programs, plays a crucial role in overseeing clinical operations , and driving performance improvements within the Tufts Medicine ... MSSP electronic Clinical Quality Measures (eCQMs) or Medicare Clinical Quality Measures (CQMs) and quality...Works closely with Care Management leadership to manage daily clinical operations and oversee clinical … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical ... to internal partners including but not limited to Member Service, Medicare Operations , Compliance, Legal, Medical Directors, Sales/Marketing/Product and external… 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 - $110,000.00 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
- Humana (Boston, MA)
- …non-digital clinical solutions. You'll sit at the center of product, strategy, clinical operations , and technology and play a critical role in shaping the ... health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical ...sits in the center of strategy, design, engineering, technology, clinical , and operations and is responsible for… more
- WellSense (Boston, MA)
- …Behavioral Health Clinical Support (Supervisor) is responsible for the daily operations and performance management of the Behavioral Health Clinical Support ... Supervisor of BH Clinical Support WellSense Health Plan is a nonprofit...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… 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
- 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
- Option Care Health (Marlborough, MA)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... engaging customers and both modeling and teaching desired behaviors. Partners with operations to resolve customer service issues and ensure both high quality service… 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)
- …regulations. Coordinates the dissemination of information. + Provides trended reports for operations and clinical management in order to improve performance, ... policies and training based on trends, changes in regulations, operations or clinical programs. + Participates in...quality assurance or teaching position in/or related to a Medicare certified home health agency. + A thorough knowledge… more
- CenterWell (Boston, MA)
- …(ACO) business. This role will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid ... and cross-functional teams to manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement,… 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)
- …of digital-first care experiences, working at the intersection of technology, clinical operations , and user experience. Partnering with cross-functional ... electronic medical record (EMR), enabling seamless communication, care coordination, and clinical documentation across virtual care settings. We are looking for a… 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 (Lowell, MA)
- …among the nation's top health plans for member experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… 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