- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... shared accountability, and a culture of partnership across the network. Value-Based Program Support - Support Provider Engagement and Delegation Partnerships in the… more
- Insight Global (Woonsocket, RI)
- …Skills and Requirements * 7+ years' experience as a Program Manager or RTE * Experience with Medicare , Medicaid or healthcare within ... Job Description Insight Global is seeking a Program Manager to support a large...Cross-Functional Team Coordination: Work closely with cross-functional teams (including IT , clinical, and operational teams) to ensure project objectives… more
- Humana (Boston, MA)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- Point32Health (Canton, MA)
- …engagement with senior leaders at contracted provider organizations. + **Risk Adjustment Program Management and Vendor Evaluation** : The Manager will be ... to identify improvement opportunities and recommend changes to improve program results and effectiveness. The Manager will...and reporting that identify and track revenue trends and program results for Medicare , Medicaid, Duals and… more
- Prime Therapeutics (Boston, MA)
- …Come build the future of pharmacy with us. **Job Posting Title** Manager of Clinical Pharmacy Operations **Job Description** This position provides administrative ... communication and teamwork across internal departments (account management, implementations, IT , quality, specialty pharmacy), in order to achieve objectives and… more
- Danaher Corporation (Boston, MA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer...value to our lives. Whether it's a health care program or paid time off, our programs contribute to… more
- Point32Health (Canton, MA)
- …not limited to Dental, Vision, Durable Medical, Transportation, Hearing, and other Medicare supplemental benefits. The Manager of Vendor Oversight is responsible ... at Point32Health (https://www.point32health.org/) . **Job Summary** The Provider Vendor Manager supports sourcing, contract execution, and performance management for… more
- Humana (Boston, MA)
- …the information to the application at Humana's secure website. + Position reports to Manager , Technology Solutions, IT HPE - Digital Channels & Contact Centers + ... health first** The Senior Application Architect designs and develops IT applications architecture solutions to business problems in alignment...* Annual Incentive Plan * 401K - * Well-being program * Paid Volunteer Time Off * Student Loan… more
- East Boston Neighborhood Health Center (Revere, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... + Mentor Medical Directors, providers and staff + Oversee program development in all clinical areas Quality of Care...health center during Lab and health center surveys + Medicare + Represent health center Administration during Pace surveys… more
- Deloitte (Boston, MA)
- …documentation specialist, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and ... executive meetings to explain CDI benchmarks, KPIs and demonstrate overall program accomplishments and challenges through analytics and dashboards + Conducts and… more
- East Boston Neighborhood Health Center (Revere, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... Epic or other electronic health record systems (EHR) preferred + Background in PACE, Medicare , or Medicaid programs preferred PAY: + $ 79,040 - $ 122,720 annually,… more
- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... shared accountability, and a culture of partnership across the network. Value-Based Program Support * Support Provider Engagement and Delegation Partnerships in the… more
