Managed Care Jobs in Springfield (MA)
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Search Results - Managed Care Jobs in Springfield (MA)
Prisma Health-Springfield (MA)
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
Universal Background Screening-Springfield (MA)
Managed Care, Education, and Professional Services.
About the Role
The Account Executive is responsible for selling Universal Background Screening’s employment screening, drug testing, and occupational health solutions to organizations. The primary focus...
mindmatch.ai -
UnitedHealth Group-Springfield (MA)
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
Activate Care-Springfield (MA)
assessments for a managed care health plan's dually eligible members. The field based role specializes in conducting timely, accurate assessments and documenting findings, then handing off to the health plan's care management team.
This is assessment...
workable.com -
Abbott-Springfield (MA)
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
Activate Care-Springfield (MA)
homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. The role specializes in conducting timely, accurate assessments and documenting findings, then handing off to the health plan's...
workable.com -
Merck Sharp & Dohme (MSD)-Springfield (MA)
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
UnitedHealth Group-Springfield (MA)
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
SCAN Health Plan-Springfield (MA)
and corrective actions
• Actively support SCAN’s vision and goals
• Other duties as assigned
Key requirements
• Bachelor's Degree or equivalent experience
• 2+ years in managed care, healthcare, or case management
• 2+ years experience with seniors and remote...
SCAN Health Plan-Springfield (MA)
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
Sedgwick-Springfield (MA)
with emphasis on data analysis or planning
• Knowledge of project management and insurance-related procedures or managed care systems (preferred)
• Strong Excel/data analysis skills
• Excellent verbal and written communication, including presentations
• PC...
UnitedHealth Group-Springfield (MA)
determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...
Pennant Group-Springfield (MA)
Responsibilities
• Oversee full-cycle accounts receivable for assigned communities
• Audit AR functions for accuracy and compliance
• Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
• Prepare AR, Medicaid, and managed care...
Devoted Health-Springfield (MA)
Active BLS certification at hire
• Comfort delivering care via video telehealth and using electronic documentation systems
• Familiarity with managed care models (preferred)
• Experience with Medicare populations and older adults (preferred)
• Experience...
CSpring-Springfield (MA)
of experience with Medicaid or public-sector healthcare programs
• 3+ years of experience writing SQL to analyze data in relational databases or data warehouses
• Understanding of Fee for Service and managed care claim adjudication
• Basic understanding of CMS...
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