- Commonwealth Care Alliance (Boston, MA)
- …critical measures. The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with relevant ... 011230 CA- Provider Engagement & Performance **Position Summary:** The HEDIS...of focus will be to: 1. Identify underperforming Providers 2 . Work cross-functionally to determine reasonable expectations and solutions… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. - Supports provider relations and provider contracting leaders in the ... vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues....or nursing leadership to include a minimum of two ( 2 ) years leadership experience in UM. - Minimum three… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes ... and/or other provider contracts and agreements. The Provider Contracting Professional 2...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Pharmacy Contracting Professional 2 ensures all published materials support the ... pharmacy communications, regulatory contract compliance, and other communications. The Pharmacy Contracting Professional 2 may perform analysis regarding… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional communicates contract terms, payment… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... shine? Join us as a Manager, Site Budgeting and Contracting based remotely reporting to the Associate Director, Site...global teams are united by an unwavering commitment to provide Better Health and a Brighter Future to people… more
- Point32Health (Canton, MA)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network. + Support RFP work ... for the submission of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network for commercial business. + Works with… more
- Highmark Health (Boston, MA)
- …programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of provider contract ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Beth Israel Lahey Health (Charlestown, MA)
- …pertain to coding, billing, and documentation. To educate, give support, and provide guidance to all BILH providers about compliance, billing, coding, and ... Leadership. * Perform process review of denials by hospital departments, and provide clinical improvement initiatives. * Draft, revise, and enforce BILH policies and… more
- State of Massachusetts (Boston, MA)
- …Unit. The selected candidate will be responsible for the following duties: * Provide legal advice to ensure that the agency's mandates, licensing procedures, child ... other agencies and providers on agency regulations, policies and goals; * Contracting and Budgeting Review: The Deputy General Counsel provides internal legal… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth The right candidate: * Has a significant ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth **What You'll Do:** + Develops, monitors and ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. * Supports provider relations and provider contracting leaders in the ... vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues....or nursing leadership to include a minimum of two ( 2 ) years leadership experience in UM. * Minimum three… more
- Deloitte (Boston, MA)
- …then we would like to get to know you. Apply now! What you'll do As a professional in Deloitte's Tax Technology Consulting (TTC) team, you will be a part of a team ... solutions to address the legal department needs. + Support: Provide training around day-to-day activities, related to processes and...that requires US Tax professionals to co-locate in person 2 -3 days per week + 5+ years' experience with… more
- Medtronic (Mansfield, MA)
- …models, and develop actionable dashboards and tools to support pricing strategies and contracting effectiveness. In this role you will apply your data mining skills, ... week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the… more
- RTX Corporation (Marlborough, MA)
- …States of America **Location:** MA801: Marlborough, MA 1001 Boston Post Road Building 2 , Marlborough, MA, 01752 USA **Position Role Type:** Onsite **U.S. Citizen, US ... to complete tasks. Responsible for the conceptual design, detailed design contracting , installation contracting , and acceptance testing of various fire… more
- Deloitte (Boston, MA)
- …then we would like to get to know you. Apply now! What you'll do As a professional in Deloitte's Tax Technology Consulting (TTC) team, you will be a part of a team ... the efficiency of tax and legal departments. + Support: Provide training and software support around day-to-day activities, related...that requires US Tax professionals to co-locate in person 2 -3 days per week + Ability to travel up… more
- Thrivent Financial (Boston, MA)
- …journeys to financial clarity, empowering lives of service and faith. + Provide personal, actionable and achievable advice and connect clients to Thrivent products ... communities where clients live, work and worship. Whether you're a seasoned financial professional or looking for a career change, you could be a successful Thrivent… more
- Thrivent Financial (Worcester County, MA)
- …journeys to financial clarity, empowering lives of service and faith. + Provide personal, actionable and achievable advice and connect clients to Thrivent products ... communities where clients live, work and worship. Whether you're a seasoned financial professional or looking for a career change, you could be a successful Thrivent… more
- Medtronic (Mansfield, MA)
- …week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the ... of life experiences as our patients. The Contract Analyst provides analytic, contracting , and operational support to the Field Sales Organization. This includes… more
