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Founded by Brigham and Women’s Hospital 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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Strong knowledge of and/or experience with government programs regulatory, operational, financial, and clinical requirements for the delivery of health insurance and managed care products and services, including Medicare, Medicaid, MMP, LTSS, SNP, Duals, CHIP and behavioral health, as well as the associated and relevant federal, state and local regulatory entities.
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The Primary Health Care (PHC) portfolio at Ariadne Labs contains multiple interconnected projects, including the PHC Performance Initiative (PHCPI) which aims to catalyze improvement in PHC in low and middle-income countries through more and better measurement, country engagement and effective knowledge management.
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Compass Healthcare Consulting & Placement is conducting a search for a Full Time Remote - NYS LMSW Social Work Care Manager for our client a Managed Long Term Care Plan. Qualified candidates will have a NYS LMSW and prior LMSW Care Management experience from a Managed Long Term Care Plan (MLTC.
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The CareBridge Long Term Services and Supports (LTSS) Clinical Assessor collaborates with Managed Care Organizations (MCOs) to support persons receiving home and community-based services.
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The LTSS Clinical Assessor performs telephonic, and virtual assessments to identify participants’ needs including consideration of health history, functional abilities, environmental safety, and social support and provides recommendations to MCOs for type and hours of supportive services required.
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As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. All positions will be placed in inpatient or long term care units.
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The MRI technologist will act and work both independently and in collaboration with Radiologists, the Lead Imaging Specialist, Associate Director Radiology and fellow technologists to ensure the efficiency and effectiveness of exams while constantly providing comfort and safety to patients in order to achieve the highest diagnostic imaging quality possible.
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Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Partners HealthCare 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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Collaborate and communicate with the enrollee's other medical, behavioral health and home-based providers regarding changes in services, hospitalizations, and other care needs and goalsObtain required Prior Authorization from Managed Care Plan (ACOs, MCOs) for relevant and necessary services.
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Must have 4 years of experience ensuring expatriate tax, immigration and social security requirements are managed in accordance with legislative requirements. You’ll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
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Are you ready to experience different care environments, bring your talent to this specialized team, and join us in driving medicine forward? Brigham and Women's Faulkner Hospital. Our Enterprise Certified Registered Nurse Anesthetist Pool is a highly skilled group of CRNAs who stabilize clinical operations across our system.
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We serve a wide range of clients that includes state governments; health care providers such as health systems, specialized hospitals, medical groups, pharmacy chains, and long-term and post-acute care providers; managed care plans and insurers; life sciences companies; regional health information organizations; telehealth and digital health companies; and labor unions representing health care workers.
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This person should be familiar with and able to discuss different segments of market access, contracting strategies and tactics, understand the various types of managed care contracting and be able to determine the potential value of a contracting opportunity.
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Ideal candidates will have demonstrated experience in Medicaid issues, such as coverage, reimbursement, managed care delivery systems, or demonstration projects under section 1115 of the Social Security Act. Candidates without such experience are nonetheless encouraged to apply if they have a strong interest in and willingness to learn about Medicaid, particularly if they have experience with the federal Administrative Procedure Act.
$225,000 - $295,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago
managed care jobs in Boston, MA
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