- Fallon Health (Worcester, MA)
- …Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is compliant with all quality ... Massachusetts Division of Medicaid (MassHealth) or Senior Care Options (Navicare). The Senior Program Manager takes the lead on documentation and reporting to… more
- Molina Healthcare (Worcester, MA)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Fallon Health (Worcester, MA)
- …of government -sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. Learn ... their leadership of the Fraud, Waste and Abuse (FWA) program . The FWA Manager will be responsiblefor...monitoring trends/schemes. + Develop customized fraud plans to meet contract and federal requirements. + Oversee the reporting of… more
- Fallon Health (Worcester, MA)
- …of government -sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. Learn ... knowledge at a complex level.. Thorough understanding of authorizations, benefits, contracts , enrollment and fee schedules. Ensures member and provider satisfaction… more
- Fallon Health (Worcester, MA)
- …of government -sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. Learn ... summary of purpose** : Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers… more
- CDM Smith (Worcester, MA)
- …the US Government for over 30 years and holds multiple contract vehicles to provide consulting, planning, studies, engineering, design, and construction. The ... business network (client decision-makers and teaming partners). * Serving as capture manager for proposal efforts to include managing and communicating amongst a… more
- Fallon Health (Worcester, MA)
- …of government -sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. Learn ... to provider inquiries and work closely with Provider Relations, Contract Managers, and other internal departments to resolve issues… more
- CDM Smith (Worcester, MA)
- …Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal candidate: * Assists with the scheduling of deployed ... travel is required. **Preferred Qualifications:** * Experience with Federal Government travel requirements. * Experience reviewing expense reports. **EEO… more