Managed Care Jobs in Massachusetts
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Search Results - Managed Care Jobs in Massachusetts
Humana Inc-Boston
a PharmD and substantial experience in pharmacy and managed care. This is a great opportunity for those looking to make a significant impact in healthcare while enjoying competitive benefits and a supportive work environment.
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Healthcare Nursing of Mobile-Boston
of healthcare regulatory standards, licensing, and operations, particularly in managed care environments.
• Proven experience leading clinical services in diverse cultural and linguistic settings.
• Sensitivity to the unique needs of diverse patient...
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Humana Inc-Boston
communication skills and familiarity with the managed care industry. The position involves independent decision-making and occasional travel for training or meetings.
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Healthcare Nursing of Mobile-Boston
of healthcare regulatory standards, licensing, and operations, particularly in managed care environments.
• Proven experience leading clinical services in diverse cultural and linguistic settings.
• Sensitivity to the unique needs of diverse patient...
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Harbor Health Services, Inc.-Mattapan
a managed care environment. Additionally, the Director of UM ensures that collaborative relationships are maintained with external entities (e.g., government agencies, vendors, providers, etc.) to ensure that objectives are aligned, strategies...
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mindmatch.ai -
Healthcare Nursing of Mobile-Springfield (MA)
of healthcare regulatory standards, licensing, and operations, particularly in managed care environments.
• Proven experience leading clinical services in diverse cultural and linguistic settings.
• Sensitivity to the unique needs of diverse patient...
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Integrity Healthcare...-Taunton (MA)
in specialty.
• Licensed (or eligible for licensure) to practice medicine in Massachusetts.
Preferred Experience
• Prior experience in a primary care or community health setting.
• Familiarity with electronic medical records and managed care systems...
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First Connect Health-Melrose (MA)
Expertise in discharge planning, care coordination, and transitions of care
✔ Knowledge of Medicare, Medicaid, Managed Care, and third-party payor. requirements
✔ Proficient in EPIC EMR
✔ Experience in Trauma Level II and acute care settings
✔ Available...
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Palm Health Resources-Chestnut Hill (MA)
Responsibilities:
• Deliver unparalleled psychiatric care to inpatients, partial hospital patients, and outpatients.
• Collaborate effectively with a team of highly trained physicians and clinical staff.
• Engage with managed care companies, demonstrating...
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Sigma Systems, Inc.-Chelsea (MA)
of demographic and fiscal information according to medical center policies and procedures and utilizing hospital computer systems.
• Confirms prior authorizations, referrals and pre-certifications for patient's insurance and managed care plan.
• Collects required...
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CSI Companies-Marlborough (MA)
inventory maintenance for Schedule II drugs
Requirements
• Active Massachusetts Pharmacist license
• Doctoral Degree or higher
• Ability to pass a background check and drug test
• Highly Preferred Large corporation experience
• Health plan / managed care...
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Healthcare Nursing of Mobile-Springfield (MA)
of healthcare regulatory standards, licensing, and operations, particularly in managed care environments.
• Proven experience leading clinical services in diverse cultural and linguistic settings.
• Sensitivity to the unique needs of diverse patient...
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Humana Inc-Boston
of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity ranging from moderate to substantial...
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appcast.io -
Healthcare Nursing of Mobile-Springfield (MA)
of healthcare regulatory standards, licensing, and operations, particularly in managed care environments.
• Proven experience leading clinical services in diverse cultural and linguistic settings.
• Sensitivity to the unique needs of diverse patient...
Read more
Mass General Brigham - Internal Travel-Salem (MA)
and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities...
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