- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The RoleThe Pharmacy Support Associate is a critical member of the Pharmacy ... for pharmacy interventions, ensuring they get personalized and effective support . The associate will triage member issues and concerns, facilitating… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in the measurement of program objectives and outcomes. This role will ... your true colors to blue. The Role The Clinical Pharmacist, Medicare Clinical Programs is responsible for providing comprehensive medication management services… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Need As a core member of the Government Programs Star Performance team, the Medicare Stars Analyst provides ongoing analytic support to the development and ... the health plan's best in class 5-star strategy. In collaboration with the VP, Medicare Stars, this person will work with key stakeholders from across the company,… more
- Humana (Boston, MA)
- …necessary to support optimal value based care in accordance with Medicare and Humana policy. **Use your skills to make an impact** **Required Qualifications:** ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... community and help us put health first** The Rx Clinical Programs Pharmacy Technician Representative 2 supports Pharmacists and patients by executing programs… more
- Merck (Boston, MA)
- …reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related access processes, including benefit ... **Job Description** Associate Director, Field Access Management The Associate...Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry… more
- Humana (Boston, MA)
- … benefit manager. Humana's CenterWell Marketing organization is hiring a Senior Marketing Associate (Senior Product Marketer) to support the growth of CenterWell ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- CenterWell (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Boston, MA)
- …limited to: + Microsoft Office Suite (Word, Excel, Outlook) + Clinical decision support tools (eg, Micromedex, Lexicomp) + Pharmacy benefit management (PBM) ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, etc. within their scope.… more
- Humana (Boston, MA)
- … support the adoption of modernized analytics across CenterWell Pharmacy . This includes supporting the identification of opportunities, establishing operational ... Data Analyst, reporting to the Director, Pharmacy Digital Performance within Pharmacy Digital, include: + Support the transition to modernized analytics +… more
- Humana (Boston, MA)
- …improving consumer experiences **Preferred Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- CenterWell (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... + Coordinate, review, and analyze documentation and data entry supporting Medicare , Medicaid, and commercial payer requirements to ensure accurate and timely… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience in data analysis...of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data… more
- CenterWell (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... and monitoring the Tele Sales Agents who are responsible for converting Medicare eligible callers to patients. The Care Delivery Call Quality Professional is… more
- CenterWell (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF,… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... across our diverse healthcare sectors, including Primary Care, Home Health, Pharmacy , and Integrated Health. Your expertise will directly impact patient care,… more
- Humana (Boston, MA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... for defining and executing integrated solutions that connect care delivery, pharmacy , home health, and insurance into a cohesive ecosystem, ultimately improving… more
- CVS Health (Boston, MA)
- …**Position Summary** As a Senior Manager of Client Operations within the Pharmacy Services (PS) Digital, Data, Analytics & Technology (DDAT) organization, you will ... pivotal in ensuring operational excellence across all Lines of Business-Commercial, Medicare , Medicaid, and affiliated clients-by acting as a strategic liaison… more