- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. Reporting to the SVP, Sales & Client Management, the Director , Group Medicare Sales, is an integral member of the leadership ... team-driving BCBSMA's purposeful re-entry into the Group Medicare Advantage Market. The role will...and that work/life balance is a key part of associate wellbeing. For more information on how we work… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and ... group accounts (generally 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations requires an in-depth… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Boston, MA)
- …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- CenterWell (Boston, MA)
- …our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing, ... the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: + Lead comprehensive… more
- Beth Israel Lahey Health (Boston, MA)
- …primary care practice as well as providing clinical support and training for a group of practices within a designated region. The Regional RN reports directly to ... both the Senior Director of Nursing and the Regional Operations Director...and providing clinical support including the following : Performing Medicare Annual Wellness (AWV) visits, Chronic Care Management (CCM),… more
- Beth Israel Lahey Health (Boston, MA)
- …**Work Shift:** Day (United States of America) Under the general direction of the Associate Director of the Clinical Trials Office (CTO), the Senior Contracting ... rights, insurance, termination, arbitration, and AAHRPP requirements. Works closely with the Associate Director of the Clinical Trials Office, BIDMC General… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network ... project teams, and frequently interact with senior leaders, and/or functional peer group managers. + Develop business requirements and change requests to include but… more
- Evolent Health (Boston, MA)
- …our day-to-day credentialing operations. This position reports to the Associate Director , Credentialing Operations. **Collaboration Opportunities:** The Manager, ... allied providers, in a fast-paced health care environment (hospital, provider group , health plan) - **Required.** + Certified Provider Credentialing Specialist… more