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Prime Therapeutics
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Boston, Massachusetts
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Clinical Program Manager Remote
Job Description
This Clinical Program Manager opening is ... utility player/SME of the department.
The Clinical Program Manager is responsible for the management
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East Boston Neighborhood Health Center
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East Boston, Massachusetts
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account!
Current Employees of NeighborHealth - Please use our internal careers ... and dental claims to Medicaid, Medicare, other third party payors and patients. This position is
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Takeda Pharmaceuticals
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Boston, Massachusetts
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Manager of Payer Contracting. Where you will lead the development and implementation of assigned Payer and PBM contracts with an emphasis on drafting and editing complex agreements for Commercial and Medicare
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CVS Health
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Boston, Massachusetts
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.
Job Description Summary
The primary responsibility of the Medicare Part B Operations Coordinator is to support activities related to Medicare Part B end-to-end claims processing. The Coordinator
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Humana
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Boston, Massachusetts
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Senior Data Manager acquires, cleans and develops datasets from internal and external sources to support ... other teams to ensure all aspects of data needs are taken into account.
Coordinate the completion
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HealthEdge Software Inc
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Boston, Massachusetts
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Overview
Position Overview:
As a Senior Product Manager, within theclaimsvalue ... key stakeholders including Customers, Account Executives, Sales, Professional Services, Support and
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Merck
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Boston, Massachusetts
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collaborating with the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.
**Position Qualifications
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Community Care Cooperative
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Boston, Massachusetts
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Title: Manager, Care Management Reports to: Director, Clinical
Operations Classification: Manager ... partners.
Job Summary: The Manager of Care Management is responsible for daily
management of the C3 Care
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UnitedHealth Group
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Boston, Massachusetts
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**policy expertise and consultation on issues pertaining to Medicaid, Medicare, integration of Medicaid and Medicare, managed care, long term supports and services. You would be accountable for developing and
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Commonwealth Care Alliance
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Boston, Massachusetts
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Medicare and Medicaid managed care experience
Demonstrated knowledge of federal and state regulations ...
Experience with managing clinical services for Medicaid/Medicare patients
Demonstrated ability to lead
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Blue Cross Blue Shield of Massachusetts
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Boston, Massachusetts
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Medicare new sales, retention, growth and account management strategies and business plans including, long ... , Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership
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Prime Therapeutics
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Boston, Massachusetts
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problems and issues.
If supporting Medicare Part D, will be responsible for implementing CMS ... Structure**
Reports to Manager or Sr Director in the Finance department
Responsibilities
3
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Blue Cross Blue Shield of Massachusetts
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Boston, Massachusetts
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implementing Medicare and Federal Employee Program (FEP) products that result in achieving membership and ... includes: Direct Pay Medicare (Medicare Advantage Prescription Drug Plan, Medicare Supplement Plans
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Takeda Pharmaceuticals
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Boston, Massachusetts
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: Medicare national (Centers for Medicare & Medicaid Services [CMS]), Medicaid (state and managed), Medicare Part B regional carriers, Medicare Part C managed care, Medicare Part D drug plans, all third party
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Humana
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Boston, Massachusetts
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Become a part of our caring community and help us put health first
The Group Medicare ... proposals (RFPs)/request for renewals (RFRs).
The Group Medicare Proposal Development/Contract Review
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Humana
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Boston, Massachusetts
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need, when they need it. These efforts are leading to a better quality of life for people with Medicare
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Humana
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Boston, Massachusetts
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(typically 10+ years) in the insurance brokerage industry, with a significant focus on Medicare products and ... qualifications and personal attributes are also sought:
In-depth knowledge of Medicare regulations, market
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Cardinal Health
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Boston, Massachusetts
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professional communication
Clear knowledge of Medicare (A, B, C, D)
1-2 years of Pharmacy and/or ... -being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA
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Highmark Health
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Boston, Massachusetts
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), Pennsylvania Department of Health, Department of Labor, the Center for Medicare and Medicaid Services (CMS) and
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Elevance Health
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Boston, Massachusetts
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or related Medicare experience; or any combination of education and experience which would provide an ... as primarily virtual by the hiring manager, associates are required to work at an Elevance Health
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Accenture
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Boston, Massachusetts
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reinvention.
As a Medicare Operations Compliance Manager , your primary ... compliance program for Medicare Advantage Plans, including the development of policies, procedures, and
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Blue Cross Blue Shield of Massachusetts
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Boston, Massachusetts
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compliance for the Medicare and Federal Employee programs related to FWA and respond to Compliance, CMS and ... , waste and abuse schemes.
Support the Medicare compliance program by overseeing Medicare fraud
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Public Consulting Group
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Boston, Massachusetts
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Responsibilities**
Provide strong leadership on all Medicare/Medicaid cost settlement and supplemental payment ... relevant Medicare or other government program regulations.
Develop a comprehensive understanding of
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CVS Health
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Boston, Massachusetts
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consultative clinical support to Account Management in support of Key Clients as assigned.
The Medical ... commercial clients, governmental (Medicare/Medicaid) programs and individual client requested coverage
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Amazon
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Boston, Massachusetts
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is hiring a Finance Manager (FM) for our Senior Health Value Based Care position. Finance is critical ... in Medicare or other government funded health insurance to support our internal and external
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Highmark Health
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Boston, Massachusetts
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, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across ... Organization are met and to optimize outcomes. Collaborates with the company's Medicare Advantage matrixed
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Deloitte
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Boston, Massachusetts
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a career in Deloitte's Human Capital practice.
The wage range for this role takes into account ... Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types
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Deloitte
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Boston, Massachusetts
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Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various ... into account the wide range of factors that are considered in making compensation decisions including
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State of Massachusetts
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Boston, Massachusetts
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payers, as well as other state and federal entities such as the Centers for Medicare and Medicaid ... communication skills. * Excellent manager and developer of skills. * Entrepreneurial mindset; ability to
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Humana
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Boston, Massachusetts
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they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid
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