- Commonwealth Care Alliance (Boston, MA)
- …Master's Degree preferred Required Experience: + 5-7 years + Experience working in a health care or managed care setting with specific background in contract ... negotiations and management. + Specific background in complex managed care provider contracting including Health Systems, Physician Hospital Organizations,… more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): - Experience working with managed care organizations, value-based programs, or community-based behavioral health ... care for members. In this role, the Program Manager acts as an account manager , relationship...a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager … more
- Commonwealth Care Alliance (Boston, MA)
- …high-quality, coordinated care in alignment with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- Commonwealth Care Alliance (Boston, MA)
- …) **Required Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting + 2 or more years working in a clinical setting ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Arup (Boston, MA)
- …client ambitions. We are seeking to hire an East Geography Marketing Winning Work Manager [Energy, Water, & Resources (EWR) ] to strengthen our MCBD function. **What ... the role involves:** The East Geography Marketing Winning Work Manager [EWR] is the senior manager in the East geography marketing team. The role includes… more
- Sallie Mae (Newton, MA)
- …students plan for their future for the better. **What You'll Contribute** The Manager , Web Development will be responsible for full stack web development execution ... control, documentation, and project management tools to be well managed + Stay up-to-date with the latest trends and...a focus on CMS development (Hubspot, Drupal, Adobe Experience Manager , or similar) + 2+ years of experience with… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Commonwealth Care Alliance (Boston, MA)
- …use **Desired Experience (nice to have):** + 5+ years in health plan or managed care settings **Required Knowledge, Skills & Abilities (must have):** + Ability ... 024800 Clin Alli-Community Health Services **Position Summary:** Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for… more
- Cardinal Health (Boston, MA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Takeda Pharmaceuticals (Lexington, MA)
- …companies and nursing agencies + Work with Regional Business Managers, Patient Access Manager and Managed Care /Government Accounts team + Prior reimbursement ... knowledge. **Job Description** Join Taked as a Patient Support Manager out of our Lexington, MA office. Where you...**_MORE ABOUT US_** At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will support the ObGyn Department at Beth Israel Deaconess ... Medical Center in Boston, MA. The Managed Care Coordinator role is a hybrid...instructions and procedures as provided. Work is monitored by supervisor/ manager . + **Written Communications:** Ability to communicate clearly and… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- Molina Healthcare (Waltham, MA)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year… more
- Gentiva (Auburndale, MA)
- …excellence with strategic oversight? If so, you could be the next Hospice Patient Care Manager Senior on our team. At Gentiva Hospice, we're dedicated to ... live with dignity and comfort. As a Senior Patient Care Manager , you'll help guide branch-level clinical...Medicaid, JCAHO, ACHC), and best practices * Familiarity with managed care principles and human resource guidelines… more
- Molina Healthcare (Boston, MA)
- …and cost-effective based on the severity of illness and the site of service. The Care Manager , LTSS provides support for care management/ care ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care , including at least 1 year experience in care management, managed care , and/or… more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): * Experience working with managed care organizations, value-based programs, or community-based behavioral health ... care for members. In this role, the Program Manager acts as an account manager , relationship...a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager … more
- US Tech Solutions (Malden, MA)
- …Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid managed care preferred. Proficient in computer use, the Internet, and ... administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects of member … more
- Elevance Health (Woburn, MA)
- **Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse or… more
- Cambridge Health Alliance (Cambridge, MA)
- Social Work Care Manager LICSW- Primary Care ... for the most vulnerable patients is coordinated and managed to deliver on the three goals of the Triple ... Street **Work Days:** 8-4:30 **Category:** Social Work **Department:** Primary Care Complex Care Mgmt **Job Type:** Full time **Work Shift:** Day **Hours/Week:**… more
