- UpvoteDownvoteShare Job
- Suggest Revision
A minimum of three (3) years of prior work experience in healthcare, consulting, or the healthcare industry such as health plan finance, accounting, audit, managed care, or healthcare operations with a health plan focus.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
The Steward network includes more than 25 urgent care centers, 42 preferred skilled nursing facilities, substantial behavioral health services, over 7,300 beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
- Suggest Revision
8 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting.
RemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Key areas include but are not limited to: Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment policy, Medicaid managed care programs, value-based purchasing and alternative payment models, long-term services and supports, behavioral health, maternal and child health, measures of delivery and quality of services for beneficiaries, and outcomes of innovative programs and policies.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
$225,000 - $295,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
CareerStaff Unlimited, LLC (“CareerStaff”) is a renowned industry leader in healthcare staffing, managed services, and workforce solutions. Maintain a high quality of nursing care for individuals with psychiatric and mental health illnesses.
Part-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, more than 7,000 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Are valued members of the care team that are focused on helping patients with medically complex conditions regain their quality of life. CareerStaff Unlimited partners with companies around the country to raise the bar in healthcare by setting new standards for quality care and personalized service.
$2,500 a weekPart-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Manage the data exchanges between POPS and other organizations including but not limited to EOHHS, UMASS, Managed Care Entities, and various contracted entities to ensure quality and completeness.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Serve as a daily point of contact and as an organizational resource for APG patients, families, specialty practices, physicians and support staff on APG managed care related issues. Work collaboratively with APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's, BIDMC's and BIDPO's contractual rules and agreements for multiple managed care insurance payers.
$20 - $25 an hourExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
- Suggest Revision
The Business Analyst (BA) will work on our established Member, Managed care, and/or Claims and Provider Reimbursement functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community.
ExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Allegheny Health Network
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
That means support, services, and resources that also take care of your holistic health and wellbeing. The CoE is broadening our service catalog to encompass technical support for Request for Proposal (RFP) processes, catering to both internal and partner-managed RFPs. The roleThe key objective of this role is a role of a technical Solution Consultant supporting customers and partner with the technical aspects of RFPs. Key Responsibilities.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of post-acute provider referral and admitting processes, Medicare and managed care reimbursement. This role oversees the inpatient admission process, trains, and develops the hospital-wide liaison teams, Spaulding community liaisons, and Spaulding Regional Directors of Continuing Care. As a senior leader the role serves as a key link between Spaulding Senior Leadership and MGB (Mass General Brigham) Case Management Leadership, facilitating smoother admissions and resolving challenging cases.
ExpandApply NowActive JobUpdated Yesterday
managed care jobs in Boston, MA
FEATURED BLOG POSTS
Building a Candidate Pipeline Through Internships
Building a candidate pipeline through a great internship program for local college students and recent graduates at local universities is a great and cost-effective way to attract and retain top talent. By offering meaningful and impactful work experiences, regular feedback, coaching, and mentorship, you can create a positive internship experience that will make your organization a sought-after destination for future employees. This not only benefits the organization in the short-term but also in the long-term, as you'll have a pool of well-trained and experienced candidates who may be interested in full-time employment once they graduate. Furthermore, building relationships with local universities and college students can increase brand awareness and build a positive reputation for your organization in the local community.
Hiring Transparency
Transparency in hiring refers to the open and honest communication and information sharing that takes place between employers and job candidates. It encompasses all aspects of the hiring process, from posting job descriptions to providing feedback on performance during and after the interview process. In today's job market, hiring transparency has become increasingly important for both employers and candidates alike.
What is a W-9 and How to Fill One Out
When you began working for yourself, you probably didn’t account for the tax reporting work that will fall on your shoulders each year. If you’re a freelancer, independent contractor, or business owner, filing your taxes is not as simple as uploading your W-2 form into some online tax preparation software. Most self-employed people need to complete a W-9 as a step for accurately reporting their earnings to the IRS. Below, you can learn how to fill out a W-9 and when to submit it.
7 Importances of Organizational Culture and How to Build It
The world of work has drastically changed in the past few years. Where a good salary and a nice office might have been enough to attract talent in the past, employees today expect flexibility, growth opportunities, and a healthy work environment. In fact, 77% of applicants say they’d consider a company’s culture before applying for a job.
Collaborative Recruiting: The Key to a Better Talent Acquisition Strategy
Talent acquisition is a multi-stage process where candidates undergo various application steps before getting hired. The unfortunate reality is that it is a labor-intense system, with the hiring manager and recruiter often handling all of the work on their own. Ask any one of them, and you will hear about the overabundance of applications and the demanding task of filtering through them to find the best candidates. The quality of talent suffers under the weight of all that work on one person's hands. It's not easy, but as many companies are starting to realize, there is a better way. The future of talent acquisition lies in collaborative recruiting!
4 Talent Acquisition Trends Going Into 2023
For better or worse, a side effect of the COVID-19 pandemic was a marked shift in talent acquisition practices worldwide. With the struggle to retain talent that began in 2020, companies have had to rethink recruitment strategies. The result has been new talent acquisition trends that are well on their way to becoming commonplace. These are the practices that are going to become even more widespread going into 2023.
Why is Professionalism Important & How to Be Professional
You might have heard the word professionalism thrown around in the workplace, but do you know what it means? And do you know how to maintain professionalism no matter the circumstances?