- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director is responsible for the overall success of Point32Health's Medicare ... offerings, including the Medicare Advantage and Medicare Supplement product lines. In addition to managing existing...In addition to managing existing products and markets, the Director will lead or play a key role in… more
- State of Massachusetts (Fall River, MA)
- …Services* **Organization:** **Department of Mental Health* **Title:** *Center Director * **Location:** * Massachusetts -Fall River-49 Hillside Street* **Requisition ... (DMH) is seeking an experienced and dynamic professional for the position of Center Director . CMHC provides a mental health system of care that is responsive and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to adjudicate these requests. At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical ... improvement activities + Perform additional tasks as assigned by the Associate Medical Director of the Physician Psychologist Review Unit + Adhere to NCQA, URAC, … more
- Beth Israel Lahey Health (Charlestown, MA)
- …government reimbursement and net revenue analysis. Working with the VP and AVP, the Director will develop long- and short- term Medicare , Medicaid, and other ... not just taking a job, you're making a difference in people's lives.** The Director , Revenue Finance and Reimbursement, will be a core member of the Revenue Finance… more
- Fallon Health (Springfield, MA)
- …get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts , we deliver equitable, high-quality coordinated care and are continually rated among ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… more
- The Cigna Group (Bloomfield, CT)
- **About The Role:** The Senior Director , Health Plan Growth (Commercial and Regulated Markets) will provide strategic vision, guidance, and industry expertise ... plan partners within the commercial and regulated markets space. The Senior Director will be responsible for cultivating innovation to ensure continuous improvement… more
- Brockton Hospital (Brockton, MA)
- Signature Healthcare is Southeastern Massachusetts ' premier local provider of quality, personalized medical services. We are comprised of the award-winning ... make a difference in the lives and health of our patients. The Assistant Director , Corporate Compliance (Assistant Director ) is a member of the Compliance… more
- Advocates (Framingham, MA)
- …the ideas and contributions of our staff. The Behavioral Health Regional Medical Director (RMD) is a leadership and clinical role within Advocates' Behavioral Health ... Services Division. The RMD serves as Medical Director for the clinics of an assigned region. The...+ Current, valid, unrestricted license to practice medicine in Massachusetts . + Current, valid, and unrestricted DEA and … more
- Olympus Corporation of the Americas (Westborough, MA)
- **Working Location:** ** MASSACHUSETTS , WESTBOROUGH; PENNSYLVANIA, CENTER VALLEY** **Workplace Flexibility:** **Hybrid** **_For more than 100 years, Olympus has ... entity other than @Olympus.com, it is likely not legitimate._ **Job Description** The Director , Global Health Economics & Market Access is part of Health Economics &… more
- Tufts Medicine (Burlington, MA)
- …throughout the greater Boston region. **What you will do:** Our new Director Regional Operations for Tufts Medicine Integrated Network (TMIN) reporting to the ... you need** **Minimum Qualifications** **:** 1. Master's degree in Healthcare Administration, Business Administration, or another related field. 2. Ten (10) years of… more
- Dartmouth Health (Bennington, VT)
- Overview Medical Director , Hospital Medicine Dartmouth Hitchcock Clinic is seeking a Medical Director to lead our Hospital Medicine service at Southwestern ... and includes a 10-bed ICU. The Hospital Medicine Medical Director leads and oversees the medical care delivered by...the greater Bennington area and nearby New York and Massachusetts . Through a visionary partnership with Dartmouth Health, nearly… more
- Molina Healthcare (Cambridge, MA)
- …must live in Massachusetts _** **Job Description** **Job Summary** The Director , LTSS Partnerships plays a critical role in the development and implementation of ... financial, clinical, quality, member satisfaction, compliance, and growth goals. The Director will be working within a highly matrixed organization focused on… more
- Tufts Medicine (Boston, MA)
- …Graduate Medical Education, TM Entity Medical Education Physician Leaders and the Director of Simulation, as needed. This position is responsible for directly ... and the Associate CMO for GME), takes full accountability for strategic business plan development, the achievement of annual and long-term operational goals for… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …are restricted to the performance of administrative duties only\. + Based on business need, an unencumbered and unrestricted license in an alternative state may be ... interpret and explain complex government policies + Knowledge of Medicare programs Employees who are required to operate either...vehicle or a personal or rental vehicle for company business on a routine basis\* will be automatically enrolled… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible ... medical coding (CPT, HCPCS, Modifiers) along with the application of Medicare / Massachusetts Medicaid claims' processing policies, coding principals and payment… more
- Fallon Health (Boston, MA)
- …get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts , we deliver equitable, high-quality coordinated care and are continually rated among ... area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare ...referral sources. + Develops and implements their own territory business development plan and carries out activities to penetrate… more
- WellSense (Manchester, NH)
- …WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and ... Well Sense and its regulatory entities (eg, NH DHHS, Medicare , DOI etc); + Develops and maintains business...health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare , Individual… more
- U-Haul (Phoenix, AZ)
- …Ave, Phoenix, Arizona 85036 United States of America Under the direction of the Director of Compliance, you'll be responsible as the "go to" Compliance Expert when ... it comes to Medicare Supplemental Insurance ("MedSupp") rate filings. In addition, you'll...and regulations for compliance trends and changes that affect business and operations. You'll also provide administrative support to… more
- Fallon Health (Worcester, MA)
- …the care they need and deserve. Founded in 1977 in Worcester, Massachusetts , Fallon Health delivers equitable, high-quality, coordinated care and is continually ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a difference in people's lives.** **Job Description:** + **Schedule: FT, M-F, business hours (hybrid/remote option)** BILHPN has oversight of population health and ... as the central resource for the physicians and practice team for the Medicare ACO population functioning as navigator, coach, and condition manager for the targeted… more