- 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
- 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
- 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 (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
- 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 (Quincy, MA)
- …promote health, well-being, independence, and quality of life. The Contract Management and Operations (CM&O) team is part of the Office of Accountable Care ... assigned accounts, including the management of audits, response to Centers for Medicare and Medicaid Services (CMS) questions and coordinating with various subject… more
- State of Massachusetts (Framingham, MA)
- …Coordinate the collection and compilation of financial information related to payroll operations by working with the staff Internal Auditor IV: HRIS Specialist and ... rejects, insufficient funds, Intergovernmental encumbrances), and chargeback forms for Medicare tax, unemployment, worker's compensation and universal health. MINIMUM… more