Manager Healthcare Payer Jobs in Somerville

ABC Home Healthcare is a growing family owned home care company serving 28 communities in the North Shore, Metro Boston, and Merrimack Valley and Cape Ann areas for over 14 years. ..

... Clinical Analytics and Trend Program Manager in Boston Massachusetts Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

Job DescriptionnRegistered Nurse(RN) / Travel / Case ManagernRegistered Nurse Case ManagernType: Registered Nurse (RN) nConcord, MAnMAS Medical Staffing is currently seeking a(n) Registered Nurse (RN) professional with Registered Nurse (Case Manager) ..

... Join Genesis as a Unit Manager/Director - RN where within an ... values and policies of Genesis HealthCare and in accordance with accepted ... action when necessary. Why Genesis?Genesis..

... experience by increasing focus on healthcare services.OperationsResponsible for assisting pharmacist in ... of a pharmacist assists with healthcare service offerings including administering vaccines, ... the direction of the Pharmacy..

Sign on Bonus! New Competitive Wages! Genesis is a leading provider of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Boston Massachusetts Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

Job Information Humana Manager, Utilization Management RN - Remote ... in Boston Massachusetts Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

The Case Manager, as a member of the health care team,collaborates to enhance the delivery of patient care services along thecontinuum of care. The Case Managermeets patient's needs efficiently and expeditiously ..

Job Information Humana Lead Product Manager - Healthcare API in Boston Massachusetts Description ... Massachusetts Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Boston Massachusetts Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

**Job ID** 2022-159914 **JOB OVERVIEW** **_No certification or license? Talk to us. We have internal training programs that once completed, may qualify you for this position._** **_To learn more about our ..

General Summary / Overview Statement Directs daily operations of ambulatory pharmacy services. Works closely with the Director of Ambulatory Pharmacy to grow the ambulatory service line Provides oversight of collaborative drug ..

... Bonus! New Competitive Wages! Genesis HealthCare is one of the nation's ... the nation's leading providers of healthcare services from short-term to long-term ... management team as a Unit..

Job Information Kindred at Home RN Clinical Manager $25,000 Sign on Bonus in Boston Massachusetts $25,000 sign-on Bonus Available Position located in Sandwich, MA The Clinical Manager coordinates and oversees all ..

... Join Genesis as a Unit Manager/Director - RN where within an ... values and policies of Genesis HealthCare and in accordance with accepted ... action when necessary. Why Genesis?Genesis..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

... 10,000.00 New Competitive Wages! Genesis HealthCare is one of the nation's ... the nation's leading providers of healthcare services from short-term to long-term ... management team as a Unit..