Healthcare Contract Specialist Jobs in Sherborn

Medical Billing Sales Specialist SERVICES: Medical Billing Service for ... at $250.00 for each signed contract, then a fixed 10% residual ... sales offices, payment for services contract, payment contract..

... 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,..

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 ..

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 ..

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 ..

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 ..

... 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..

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 ..

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 ..

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 ..

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 ..

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 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 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 ..

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 ..

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 ..

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 ..

... 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..

Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..

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 ..

Healthy Transitions Supported Employment/Education Specialist (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of ..