- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with providers to develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to ... quality incentive programs, as well as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for an assigned portfolio of… more
- Sumitomo Pharma (Boston, MA)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …including but not limited to charge capture, charge description master maintenance, payer contract management, and billing compliance. * Estimates net patient ... job, you're making a difference in people's lives.** The Manager of Net Revenue will play a crucial role...financial reporting. * Ensure compliance with healthcare financial regulations, payer contracts , and accounting standards. * Stay… more
- Children's Hospital Boston (Boston, MA)
- …(PO) at Boston Children's Hospital. This Physician Pricing, Reimbursement and Analytics Manager will: + Analyze PO managed care contracts and identify ... proposed pricing strategy recommendations. + Monitor and value impact of Payer 's payment policies and provide guidance to adjust contracting reimbursement to… more
- HealthEdge Software Inc (Boston, MA)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Beth Israel Lahey Health (Cambridge, MA)
- …patients with Kiosk check-in as needed. + Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... waiting area, securing all confidential patient information. + Identifies payer medical necessity determination before services are rendered. Informs departments… more
- Beth Israel Lahey Health (Burlington, MA)
- …improvements related to orders and/or documentation and makes recommendations to Manager and/or the perspective departments with high volume/high dollar values. 3. ... denials. 7. Initiates corrected claims and appeals according to payer guidelines. 8. Responds to incoming payer ...Keeps informed of all federal, state and managed care contract regulations. 12. Acts as a mentor and provides… more
- Acosta Group (North Andover, MA)
- **DESCRIPTION** The Business Manager Assistant Specialists will be responsible for customer creation, client financial tools, trade and reconciliation, order and ... and support. All necessary functions required to support the Business Manager and client in sales supporting assignments. This individual must demonstrate… more
- HealthEdge Software Inc (Boston, MA)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more
- Beth Israel Lahey Health (Cambridge, MA)
- …patients with Kiosk check-in as needed. + Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . + Efficiently registers patients, capturing and verifying all required information… more
- Beth Israel Lahey Health (Winchester, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . **Pre-Registration:** 17. Efficiently registers patients, capturing and verifying all… more
- Beth Israel Lahey Health (Burlington, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . **Pre-Registration:** 17. Efficiently registers patients, capturing and verifying all… more