Managed Care Jobs in Massachusetts
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Search Results - Managed Care Jobs in Massachusetts
Axelon Services Corporation-Dorchester (MA)
medical office, managed care, insurance or customer service environment. Work requires ability to effectively speak, read and write English. Multilingual skills (beyond that of English) is a plus. Ability to accurately interpret and utilize medical...
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The National Coalition of Healthcare Recruiters-Needham (MA)
help you navigate the managed care system, learn solid business practices and provide clinical learning and consultation in a supportive and collaborative environment. We believe that the mental health field is enhanced when diverse groups of people...
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Integrated Resources, Inc-Dorchester (MA)
of relevant experience facilitating patient access to healthcare services by managing check-in/check-out processes, verifying insurance, and answering patient inquiries, preferably in admitting, medical office, managed care, insurance or customer service...
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Association of Clinicians for the Underserved-Boston
Knowledge and comfort working in a managed care setting
Experience & Qualifications:
• Physician holding MD or DO degree and licensed to practice medicine in Massachusetts
• Interest and at least one year of experience working with the geriatric population...
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CBOHN-Boston
such as coverage, reimbursement, managed care delivery systems, or demonstration projects under section 1115 of the Social Security Act. Candidates without such experience are nonetheless encouraged to apply if they have a strong interest in and willingness...
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The National Coalition of Healthcare Recruiters-New Bedford (MA)
health services within a managed care framework.
7. Providing emergency and crisis intervention services.
8. Consulting with staff and other service providers when needed.
9. Assessing and referring non-psychiatric health problems where appropriate.
10. ..
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MelroseWakefield Hospital-Melrose (MA)
Requirements
• Experience in Acute care Setting, plus experience in discharge planning.
• Must be familiar with Medicare, Medicaid, managed care and other 3rd party payor review requirements.
• BSN preferred but not required.
• Will consider someone without MA...
Point32Health-Canton (MA)
or equivalent required.
Experience:
• A minimum of 3 years of professional experience in a managed care company, medical related field, or community social service agency preferred. 1-2 years of experience in consumer engagement with a track record of success...
Mass General Brigham - Internal Travel-Jamaica Plain
by leading innovation across our system. Founded by Brigham and Womens Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization...
mindmatch.ai -
Cambay Healthcare LLC.-Boston
insurance and managed care plans, including prior authorizations, referrals, and pre-certifications. Explains processes as needed to help patients meet their needs and insurance requirements. Verifies patient schedule to assure patient was seen and enters...
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University of Massachusetts Medical School-Quincy (MA)
included in all Managed Care Organizations (MCO) and provider (hospital, nursing facility, physician, laboratory, etc) contracts or agreements.
• Clinical oversight of the Office of Medicaid's pharmacy and dental programs.
• Clinical oversight of the Office...
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Marchon Partners-Quincy (MA)
Test Summary Reports after each cycle.
Technical Skills and Requirements
Process HIPAA ANSI X12 standards and EDI 834, 820, 270, 271, 837, and 999 with good knowledge of Managed Care/Member systems.
Hands-on experience with any public cloud...
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Leading Age-Boston
/fellowship in Internal Medicine or Cardiology
• 1+ years of managed care utilization review experience desirable
• Membership in national and/or regional specialty societies
• Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should...
appcast.io -
Grafton (MA)
in accordance with program requirements.
• Develop and maintain a thorough knowledge of managed care and health insurance systems; provide other clinicians with managed care information and resources pertinent to the crises being managed,
• Participate in cross...
icims.com -
Mass General Brigham - Internal Travel-Salem (MA)
and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities...
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