- Humana (Boston, MA)
- …such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or ... conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements...MD or DO degree + 5+ years of direct clinical patient care experience post residency or… more
- Humana (Boston, MA)
- …such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements,...of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise… more
- Humana (Boston, MA)
- …(such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand… more
- Humana (Boston, MA)
- …such as inpatient rehabilitation. **Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid ... of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid...MD or DO degree + 5+ years of direct clinical patient care experience post residency or… more
- Evolent Health (Boston, MA)
- …for Evolent Primary Care and sub-plans for each business segment (MSSP, Medicare Advantage , and Commercial payer partnerships) + Sets clear goals and ... ECP launched as an internal start-up in 2020 with a wholly owned Medicare Shared Savings Program ("MSSP") Accountable Care Organization ("ACO") spanning four… more
- Humana (Boston, MA)
- …+ Bachelor's degree + Telephonic sales experience + Understanding of value-based primary care and/or Medicare Advantage + Bilingual in English/Spanish with ... service, effectively describes services offered and sell prospective patients on the clinical care model, documents and modifies contact notes across multiple… more
- Fallon Health (Springfield, MA)
- …accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit ... a healthcare setting as a member of a professional clinical team. + Experience with care coordination....Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated … more
- Humana (Boston, MA)
- …enables business partners to improve outcomes and lower costs for millions of Medicare Advantage beneficiaries, using strategic and rigorous test & learn ... skill set in applied research, exploring a range of questions across clinical , operational, and member experience workstreams. **Study design support** * Conduct… more
- North Shore Community Health (Peabody, MA)
- … clinical support staff by providing the safest and highest quality patient care possible. Physicians will support all other clinical staff with assessments, ... a Physician. Under the general direction of the Chief Clinical Officer (CCO) and the direct supervision of the...Director, the physician will provide continuing and comprehensive health care for the individual and family across all ages… more
- Brockton Hospital (Brockton, MA)
- …of Medicare and Medicaid programs, state insurance and health care laws, HITECH, HIPAA and general Corporate Compliance principles. Maintains up-to-date ... medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference...knowledge of health care legal requirements, and determines if policy revisions or… more
- Highmark Health (Boston, MA)
- …Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills ... but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid… more
- North Shore Community Health (Salem, MA)
- …* High School Diploma * Must have one year of experience in a health care setting * Understanding of Medicare , Medicaid and managed health care ... serving the surrounding communities with comprehensive and culturally sensitive care . With a strong commitment to excellence, NSCH provides:...day one, and all eligible staff members can take advantage of these benefits right from the start of… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the ... 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… more