Managed Care Jobs in Boston
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Search Results - Managed Care Jobs in Boston
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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MelroseWakefield Hospital-Melrose (MA), 7 mi from Boston
of the multidisciplinary team.
Job 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...
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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Aureus Medical Group - Therapy-Newton (MA), 7 mi from Boston
guidelines.
• Documentation to support Managed Care authorizations/DME requirements is maintained/transmitted within designated time frames.
• Visit schedule is consistent with authorizations by Managed Care payors.
• Casemix Weight meets Agency Standards...
The National Coalition of Healthcare Recruiters-Needham (MA), 11 mi from Boston
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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Aureus Medical Group - Therapy-Newton (MA), 7 mi from Boston
within agency and regulatory guidelines.
• Documentation to support Managed Care authorizations/DME requirements is maintained/transmitted within designated time frames.
• Visit schedule is consistent with authorizations by Managed Care payors...
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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Page Mechanical Group, Inc.-Boston
within their territory including healthcare professionals (HCPs), Investigators, Medical Thought Leaders, Advocacy organizations, Payors and Managed Care organizations, research scientists, government employees, etc. These interactions will be conducted...
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MelroseWakefield Hospital-Melrose (MA), 7 mi from Boston
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...
Marchon Partners-Quincy (MA), 8 mi from Boston
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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Aureus Medical Group - Therapy-Newton (MA), 7 mi from Boston
Documentation to support Managed Care authorizations/DME requirements is maintained/transmitted within designated time frames.
• Visit schedule is consistent with authorizations by Managed Care payors.
• Casemix Weight meets Agency Standards.
• Utilization...
Point32Health-Canton (MA), 14 mi from Boston
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-Boston
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...
University of Massachusetts Medical School-Quincy (MA), 8 mi from Boston
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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Well Sense-Boston
allopathic or osteopathic medical school.
Experience:
• 8-10+ years of related experience is required including a minimum of 5 years direct clinical experience and a minimum of 3 years experience in medical management in a managed care setting.
• Experience...
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