Managed Care Jobs in Boston, MA

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Ambulatory Services Representative Ii (per Diem Mo...

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The incumbent is responsible for coordinating all the functions and activities related to patient access including but not limited to: front end customer service patient registration insurance/coverage verification appointment scheduling charge entry billing and managed care and a v...

30+ days ago
Part-Time

Utilization Management Nurse Manager, Hybrid, 40 H...

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies regulatory requirements and payer guidelines w...

30+ days ago
Full Time

Utilization Management Nurse Manager, Hybrid, 40 H...

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies regulatory requirements and payer guidelines w...

30+ days ago
Full Time

Medical Director, Infection Control, Community Sit...

Mass General Brigham

profile Boston - USA

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

30+ days ago
Full Time

Provider Retention Leader, Dental Insurance

Guardian Life Insurance Company

profile Boston - USA

As the Provider Retention Leader you will be responsible for ensuring best-in-class service and support for the dentists that provide the greatest value to Guardians proprietary network resulting in important network continuity for our members. This role is vital to the Guardian network foundation o...

30+ days ago
Full Time

Ambulatory Service Rep Ii

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The incumbent is responsible for coordinating all the functions and activities related to patient access including but not limited to: front end customer service patient registration insurance/coverage verification appointment scheduling charge entry billing and managed care and a v...

30+ days ago
Full Time

Medical Director- Oncology Clinical Development

Gsk

profile Boston - USA

At GSK we have bold ambitions for patients aiming to positively impact the health of 2.5 billion people by the end of the decade. Our R&D focuses on discovering and delivering vaccines and medicines combining our understanding of the immune system with cutting-edge technology to transform peoples li...

30+ days ago
Full Time

Medical Assistant Co-op Student

Beth Israel Lahey Health

profile Boston - USA

When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.MEDICAL ASST CO-OPJob Description:MEDICAL ASST CO-OPJob DescriptionESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to):Escorts patients to exam rooms and provides direct patient...

30+ days ago
Full Time

Associate Director, Contracts And Pricing

Galderma

profile Boston - USA

Galderma is the emerging pure-play dermatology category leader present in approximately 90 countries. We deliver an innovative science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable Aesthetics Dermatologic...

30+ days ago
Contract

Associate Director, Contracts And Pricing

Galderma

profile Boston - USA

Galderma is the emerging pure-play dermatology category leader present in approximately 90 countries. We deliver an innovative science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable Aesthetics Dermatologic...

30+ days ago
Contract

Commercial Banker Emerging Middle Market Vice Pres...

Jpmorganchase

profile Boston - USA

DescriptionIf you are customer-focused enjoy building relationships and collaborating with a wide spectrum of partners toprovidestrategic financial advice to businesses a role as a Commercial Banker might be perfect for you.As a Commercial BankerinEmerging Middle Market Banking your role is to be th...

30+ days ago
Full Time

Medical Assistant Lead Ambulatory Float Pool

Beth Israel Lahey Health

profile Boston - USA

When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.This position works in the Ambulatory Float Pool as a Clinical Practice Assistant Lead and is assigned to departments that are short staffed. Assignments typically are 90 days. The CPA Lead al...

30+ days ago
Full Time

Vice President Of Delivery

Verndale

profile Boston - USA

About the Vice President of DeliveryThe Vice President of Delivery (VP of Delivery) is a senior leadership role responsible for driving excellence consistency and scalability across all client delivery functions. This leader oversees the Project Management Office (PMO and the broader delivery ecosys...

30+ days ago
Full Time

Senior Cystic Fibrosis Medical Science Liaison (at...

Vertex Pharmaceuticals

profile Boston - USA

Job DescriptionThe Medical Science Liaison (MSL) with support and guidance from peers and management will serveas a scientific liaison to the medical/academic community and is responsible for establishing andmaintaining relationships with Health Care Providers/Professionals (HCPs) to ensure the appr...

30+ days ago
Full Time

Senior Cystic Fibrosis Medical Science Liaison (at...

Vertex Pharmaceuticals

profile Boston - USA

Job DescriptionThe Medical Science Liaison (MSL) with support and guidance from peers and management will serveas a scientific liaison to the medical/academic community and is responsible for establishing andmaintaining relationships with Health Care Providers/Professionals (HCPs) to ensure the appr...

30+ days ago
Full Time

Senior Cystic Fibrosis Medical Science Liaison (at...

Vertex Pharmaceuticals

profile Boston - USA

Job DescriptionThe Senior Medical Science Liaison (Sr MSL) will serve as a scientific liaison to the medical/academic community and is responsible for establishing and maintaining relationships with Health Care Providers/Professionals (HCPs) to ensure the appropriate dissemination of clinical and sc...

30+ days ago
Full Time

Vice President Of Delivery

Verndale

profile Boston - USA

About the Vice President of DeliveryThe Vice President of Delivery (VP of Delivery) is a senior leadership role responsible for driving excellence consistency and scalability across all client delivery functions. This leader oversees the Project Management Office (PMO and the broader delivery ecosys...

30+ days ago
Full Time

Manager, Bh Services, Massachusetts Behavioral Hea...

Elevance Health

profile Boston - USA

Anticipated End Date:Position Title:Manager BH Services Massachusetts Behavioral Health Help LineJob Description:Manager Behavioral Health Services Massachusetts Behavioral Health Help Line Hours: Sun Thurs 4pm - 12:30amLocation: 200 State St. Boston Massachusetts 02109Virtual: This role enables as...

30+ days ago
Full Time

Boston Emergency Services Teamboston Ems Alternati...

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The Boston Emergency Services Team (BEST) Alternative Response Clinician will work jointly with Boston Emergency Medical Services (EMS) to provide direct services and patient-centered care to children adolescents and adults experiencing a behavioral health emergency or crisis. This...

30+ days ago
Part-Time

Executive Oncology Sales Specialist, Gu Boston, Ma...

Johnson & Johnson

profile Boston - USA

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...

30+ days ago
Full Time