• Medicare Medical Director

    Elevance Health (Woburn, MA)
    ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
    Elevance Health (01/08/25)
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  • Behavioral Health Services Regional Medical

    Advocates (Framingham, MA)
    …that values 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...from the National Practitioner Data Bank and absence of Medicare /Medicaid sanctions. + Currently practicing a minimum of 20… more
    Advocates (11/29/24)
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  • MDS Director

    Athena Health Care Systems (Marlborough, MA)
    We are hiring an MDS Director to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center in Marlborough! Working with our team and ... you to grow within the company. As the MDS Director , you plan, organize, and direct the MDS process...resident care plans through clinical assessment, review of resident's medical history, personal interviews, and completion of MDS reports.… more
    Athena Health Care Systems (12/13/24)
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  • Web Channel and SEO Director

    CVS Health (Wellesley, MA)
    …and affordable. **Position Summary** The Web Channel Owner role for Aetna Medicare is a critical position in our Marketing organization, with accountability for ... shepherd the delivery of Digital Marketing's capabilities backlog for Aetna.com/ Medicare , AllinaHealthAetnaMedicare.com, the Shop, Buy, and Enroll tool, and more,… more
    CVS Health (12/13/24)
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  • Director , Global Health Economics & Market…

    Olympus Corporation of the Americas (Westborough, MA)
    …**__** Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can ... 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
    Olympus Corporation of the Americas (11/22/24)
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  • Provider Network Management Director

    Elevance Health (Woburn, MA)
    Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 hour ... office. Monday and Tuesdays preferred. The **Provider Network Management Director ** develops the provider network through contract negotiations, relationship… more
    Elevance Health (01/14/25)
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  • RN-Hospice Weekend Admission/Revisit

    Tufts Medicine (Lowell, MA)
    …hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where ... indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare /Medicaid benefits to referral sources. + Thoroughly understands the … more
    Tufts Medicine (01/07/25)
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  • Senior Program Manager, Government Services…

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... Twitter and LinkedIn. **Brief Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is… more
    Fallon Health (01/08/25)
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  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining to FWA investigations Compare to information submitted on… more
    Fallon Health (11/09/24)
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  • CBHC Psychiatrist

    Advocates (Framingham, MA)
    …other members of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and ... board eligible, if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). + Current, valid, unrestricted… more
    Advocates (12/19/24)
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  • CBHC Child and Adolescent Psychiatrist

    Advocates (Framingham, MA)
    …other members of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and ... board eligible, if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). + Current, valid, unrestricted… more
    Advocates (11/02/24)
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  • Associate Chief Nursing Officer - Emergency…

    Beth Israel Lahey Health (Burlington, MA)
    …process improvement + Develops performance improvement programs in association with the appropriate medical director (s) and surgical members of the medical ... financial resources and develops business plan in collaboration with CNO and Chair/ Medical Director + Articulates business model and translates into operational… more
    Beth Israel Lahey Health (12/10/24)
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  • Program Assistant, Rehab - Full time - Days

    Covenant Health (Nashua, NH)
    …the telephone triage of all calls forwarded to the rehabilitation center. Assists Medical Director with authorizations for Botox. Responsible for accurate & ... experience as it relates to the position. Summary Under the supervision of the Program Director , the Program Assistant has the responsibility and accountability for… more
    Covenant Health (12/25/24)
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  • Clinical Coordinator, Eligible for Sign on Bonus!

    Tufts Medicine (Lowell, MA)
    …+ Communicates regularly with Clinical Managers as well as with the Clinical Director when issues arise relative to clinical practice or other performance related ... working knowledge of all regulations;Has a working knowledge of the Medicare Conditions of Participation; and Assisting with individual caseload reviews or… more
    Tufts Medicine (01/14/25)
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  • Home Care Nurse-RN-Summit Eldercare

    Fallon Health (Leominster, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief Summary of Purpose:** ... monthly nurses' notes and health care teaching in the medical record. + Participates in training and orientation of...necessary by the Clinical Nurse Manager and or Site Director . + Assumes the role of the primary nurse,… more
    Fallon Health (12/06/24)
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  • Manager, Home Care-Summit Eldercare Grove Steet

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief Summary of purpose:** ... data collection and quality surveillance as required. + Collaborates with the Site Director to establish goals and objectives related to home care services. +… more
    Fallon Health (01/01/25)
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  • Professional Coding Auditor and Educator

    Tufts Medicine (Burlington, MA)
    …for providers. **Job Description** **Minimum Qualifications** **:** 1. Associates degree in medical record technology. 2. Completion of Certified Medical Coding ... Program or two years of professional coding certification with courses in Medical Terminology, Anatomy & Physiology and/or extensive training in physician coding 3.… more
    Tufts Medicine (01/14/25)
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  • Authorization Coordinator - $23.50/hr

    Fallon Health (Worcester, MA)
    …and provides direction and support. + Works with Department Supervisors, Manager and/or Director , or Clinical Staff including the Medical Directors to resolve ... 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
    Fallon Health (01/01/25)
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  • Registered Dietitian- No Nights No Weekends - PACE…

    Fallon Health (Leominster, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose** ... : Under the direction of the SE Site Director , the Dietitian is responsible for the provision and coordination of nutritional care of patients. Evaluates and… more
    Fallon Health (11/20/24)
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  • Care Team Supervisor

    Elara Caring (Worcester, MA)
    …package + Comprehensive onboarding and mentorship + Opportunities for advancement + Medical , dental, and vision benefits, 401K match and paid time off for ... in fast-paced office is preferred + Working knowledge of Medicare /Medicaid, home care benefits, and applicable state policies and...You will report to the Coordination Team Lead, Branch Director , or Alternate Branch Administrator. _This is not a… more
    Elara Caring (01/01/25)
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