- Point32Health (Canton, MA)
- …expected to identify opportunities to improve customer service and efficiency. The Member Services Representative is expected to take responsibility for ... enjoy the important work we do every day in service to our members, partners, colleagues and communities. To...the general direction of the Call Center Supervisor, the Member Services Representative is responsible… more
- Elevance Health (Hingham, MA)
- …NGS and/or Elevance Health office locations listed on this requisition. **National Government Services ** is a proud member of Elevance Health's family of brands. ... **SCA Provider Enrollment Representative I** **Locations:** This is a virtual role;... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal… more
- Evolent Health (Boston, MA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Our customer service team offers candidates the opportunity to make a meaningful impact by providing ... learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes. **Collaboration Opportunities:** +… more
- Conviva (Boston, MA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Inbound Contacts Representative represents the company by addressing incoming telephone, digital, or written… more
- Merck (Boston, MA)
- …with a driven, customer-focused and collaborative team. As an Oncology Sales Representative /Specialist, you will be a key member partnering with customers ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. **Qualifications:** **Minimum Requirements:** +… more
- Highmark Health (Boston, MA)
- …Committee (URAC), Pennsylvania Department of Health, Department of Labor, the Center for Medicare and Medicaid Services (CMS) and state specific regulations. * ... for medical management decisions. Cases requiring physician review are provider and member requests, received from Medical Management & Policy (MM&P) and Member… more
- Fallon Health (Framingham, MA)
- …**About Fallon Health** Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. ... health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care...we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and… more
- HealthEdge Software Inc (Boston, MA)
- …govern them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services ), URAC (Utilization Review Accreditation Commission) ... engineers, and healthcare industry experts ensure our patented technology works in service of the person-to-person connections that make healthcare work best. The… more
- Commonwealth Care Alliance (Boston, MA)
- …to: quality; regulatory affairs/compliance; clinical, operations, pharmacy, dental, reporting, and member services . - Supports the Senior Appeals & Grievance ... Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age,… more
- North Shore Community Health (Peabody, MA)
- …of the Primary Care Team (PCT) as a leader and an engaged team member . The Organization North Shore Community Health (NSCH) is a highly accomplished community health ... strong commitment to excellence, NSCH provides: * Comprehensive primary care. * Dental services . * Behavioral health care. * Care management. * Pharmacy services… more
- HealthEdge Software Inc (Boston, MA)
- …digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your Impact** **: ** + Develop the product roadmap ... activities with key stakeholders including Customers, Account Executives, Sales, Professional Services , Support and Cloud Operations to create and deliver a great… more
- HealthEdge Software Inc (Boston, MA)
- …payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration ... digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + **Product Strategy and Vision:** Support… more