- Humana (Providence, RI)
- …our caring community and help us put health first** The Medicaid Clinical Operations Intake Product Manager applies professional concepts, industry ... by precedent and professional standards with some interpretation. The Medicaid Clinical Operations Intake Product Manager 2 - leads all phases of the … more
- Point32Health (Canton, MA)
- …and reporting activities for risk adjustment programs and initiatives that impact Medicare, Medicaid , and Duals product members. This individual will lead the ... and recommend changes to improve program results and effectiveness. The Manager will collaborate with key internal stakeholders ( Clinical , Contracting,… more
- Fallon Health (Foxborough, MA)
- …medication reconciliations o Performs Care Transitions Assessments - per Program and product line processes o Utilizing clinical judgment and nursing assessment ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
- Lundbeck (Boston, MA)
- Multi-Specialty Account Manager - Boston South, MA Requisition ID: 6949 Location: Boston, MA, US **Territory: Boston South, MA - Multi-Specialty** Target city for ... candidate will have the ability to be a specialty product expert with an understanding of requisite market complexities...the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio,… more
- Insight Global (Woonsocket, RI)
- …experience as a Program Manager or RTE * Experience with Medicare, Medicaid or healthcare within claims, provider contacting, product benefits, etc. * ... Job Description Insight Global is seeking a Program Manager to support a large health insurance client...Team Coordination: Work closely with cross-functional teams (including IT, clinical , and operational teams) to ensure project objectives are… more
- Fallon Health (Plymouth, MA)
- …coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note: Job ... provider sheets as applicable + **Access to Care** + Depending upon the product , generates requests and authorizations for Medicaid covered services per the… more