- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will support the ObGyn Department at Beth Israel ... Deaconess Medical Center in Boston, MA. The Managed Care Coordinator role is a hybrid work model, promoting a balance between on-site and remote work. Once… more
- Beth Israel Lahey Health (Wakefield, MA)
- …and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator 's Responsibilities are:** 1. Work collaboratively with ... taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests… more
- East Boston Neighborhood Health Center (Revere, MA)
- …required. Must have the ability to understand and interpret various managed care insurance benefits and guidelines. Schedule: Monday-Friday, 8:00AM-5:00PM ... AND RESPONSIBILITIES: + Maximize reimbursement to the health center from various managed care payors by scheduling specialty appointments appropriately, and… more
- Bear Mountain Health Care (Boston, MA)
- …checks received by the facility + Maintains Resident Trust accounts + Attends Medicare and Managed Care Meetings + Completes Rep Payee forms + Updates PCC with ... and other facility staff. Possess special interest in working with long-term care residents and the elderly. The ability to plan, organize, develop, implement,… more
- Cardinal Health (Boston, MA)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- Highmark Health (Boston, MA)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... retail pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …based on this data. + Implement prevention & engagement strategies in collusion with Care Coordinator . + Provide health coaching for groups of enrollees or ... unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston.… more
- Fallon Health (Quincy, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... access to reliable transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or community social service agency… more
- Option Care Health (Boston, MA)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... clinicians as well as medical office staff (ie biologics coordinator ) to appropriately promote Option Care Health...(ie biologics coordinator ) to appropriately promote Option Care Health IG Complete +, share and interpret clinical… more
- Beth Israel Lahey Health (Winchester, MA)
- …experience. + At least one year of experience with a healthcare or managed care organization necessary. + Strong interpersonal, organizational and customer ... referral database under the direction of the Performance Improvement Coordinator . **Job Description:** **Qualifications** **Education/Experience Required:** + Associate's degree… more
- CVS Health (Boston, MA)
- …**Preferred Qualifications** - Case Management and discharge planning experience. - Managed Care experience. **Education** Bachelor's degree or non-licensed ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Beth Israel Lahey Health (Boston, MA)
- …referral and authorization rules and related policies for multiple insurance and managed care payers, including transplant-specific policies; maintains record of ... of the program to assist in the safe delivery of patient care . Additional support staff of the Heart Transplant department includes administrative assistants,… more
- Beth Israel Lahey Health (Brookline, MA)
- …management by tracking and monitoring individual processand outcome measures for eligible managed care and Medicare patients who have chronic diseases such ... **Job Description:** **Job Summary:** Reports to: Practice Manager or Ambulatory Practice Coordinator with input from assigned physician(s), nurses or other health … more