Healthcare Contract Specialist Jobs in Brookline

... Job Information Deloitte C&M - Healthcare - Customer Strategy & Applied ... Manager in Boston Massachusetts Senior Manager/Specialist Lead, Healthcare Customer Strategy In the current ... to precisely reflect..

Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Boston Massachusetts Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

Job Information Humana Medical Director - National Medicare Team in Boston Massachusetts Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

PURPOSE AND SCOPE: The Procurement Analyst uses analytical and quantitative methods to understand, predict, inform, and enhance processes. The analyst will assemble data, analyze performance, identify problems, and develop recommendations. Partners ..

Job Information Humana FP&A Lead, Medicaid Market in Boston Massachusetts Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

Mental Health and Wellbeing Officer (Chelsea) Morley College London Location: Chelsea, London Salary: £17,361.60 to £18,493.80 (includes LWA) (pro rata to the full time salary of £28,936 - £30,823) Hours: Part ..

... Manager, the Admitting Department Appeals Specialist is responsible for assisting with ... Patient Access Manager, the Appeals Specialist also monitors Huron and EPIC ... management of payer contractions and..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Suffolk University is pleased to announce an opening for a Staff Psychologist (Multicultural Specialist) to join the Counseling Services team in our integrated Counseling, Health & Wellness Center.u00A0 This position will ..

Hueman is currently hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Framingham, Massachusetts. This position offers certified Nurse Practitioners ..

General Summary: The Division of Cardiovascular Medicine is seeking a highly motivated research administration professional to join a team of administrators managing a growing research program. Reporting to and working closely ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana UM Medical Director - Conviva in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Boston Massachusetts Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..

GENERAL SUMMARY/ OVERVIEW STATEMENT: Summarize the nature and level of work performed. With general oversight from Administrative Manager for Research and the Director of the Steele Lab, incumbent is responsible for ..

Hueman is currently hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Lowell, Massachusetts. This position offers certified Nurse Practitioners ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..