• Medicare Part B

    CVS Health (Boston, MA)
    …more personal, convenient and affordable. **Job Description Summary** The primary responsibility of the Medicare Part B Operations Coordinator is to ... of pharmacy and medical claims to Third Party Insurers. **Position Summary:** As a Medicare Part B Operations Coordinator, you will support the Revenue… more
    CVS Health (10/26/24)
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  • Integrated Care Operations Manager

    State of Massachusetts (Boston, MA)
    …for Medicare and Medicaid (dual eligibles). The Integrated Care Operations Manager, reporting to the Special Projects and Operations Manager,isresponsible ... and program initiatives for Integrated Care. The Integrated Care Operations Manager willassistin creating, manipulating, anddisseminatingseveral recurring reports. This… more
    State of Massachusetts (10/24/24)
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  • Government Programs Operations Process…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …protections from privacy laws or policy. 3. Support our Medicare Enrollment teams ( Medicare Advantage, Medex, and our Part D PDP teams) by cross training on ... the following persona(s) only: Resident (On-Site Only) What we need The Medicare Processor Control Associate will support areas within Government Programs … more
    Blue Cross Blue Shield of Massachusetts (10/25/24)
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  • Clinical Pharmacist Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …maintain compliance with all regulatory requirements. + Support product portfolio, including Medicare Part D which includes rotational weekend and holiday ... providers via phone and fax for the Retail Pharmacy, Medicare Advantage Part D, Home Infusion Therapy,...Care Dosing program implementation and management. + Support Pharmacy Operations analysts in executing day-to-day approvals and denials in… more
    Blue Cross Blue Shield of Massachusetts (11/06/24)
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  • Center Director

    State of Massachusetts (Fall River, MA)
    …Services, the Center Director provides leadership and oversight of day-to-day operations of the Inpatient Unit, Partial Hospital, Outpatient, Adult Community ... duties are a general summary and not all inclusive):_* * Manages the day-to-day operations of CMHC including clinical oversight and support to meet the needs of the… more
    State of Massachusetts (11/06/24)
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  • Program Manager for Primary Care Strategy & Data

    State of Massachusetts (Boston, MA)
    …data analyst, quantitative specialist, and project manager to support program operations , technical implementation, and improvement of MassHealth's new primary care ... the Accountable Care and Behavioral HealthPolicy team focused on payment operations , technical design and implementation of the primary care sub-capitation program.… more
    State of Massachusetts (10/25/24)
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