- 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
- Athena Health Care Systems (Rockland, MA)
- We are hiring a full-time Admissions Coordinator to join our dynamic care team at South Shore Rehabilitation & Skilled Care Center in Rockland! Hourly pay ... you to grow within the company. As the Admissions Coordinator , you assist in planning, organizing, implementing, evaluating, and...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Humana (Boston, MA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization **Work-At-Home Requirements** To ensure Home or ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration … 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
- 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
- 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
- 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