- 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
- Athena Health Care Systems (Marlborough, MA)
- …Activities Assistant, you assist the Director of Therapeutic Recreation and/or Memory Care Program Coordinator in planning, organizing, developing, and directing ... of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow...apply. Athena Health Care Systems and its managed centers follow federal and state mandatory guidelines regarding… 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