Skip to main content
X

Get jobs by email for this search

By continuing you agree to Monster's Privacy policy, Terms of use and use of cookies.

Tufts Health Plan Jobs & Careers

162 Jobs Found

Tufts Health Plan
The Business Systems Analyst collaborates with other members of the department, IS and the Business to identify problems and needs of the organization, collect, analyze, and document business requirements, information system recommendations, and pro......
Tufts Health Plan
Assist in coordination of workflow for the Behavioral Health Clinical Management Team. Work with all members of the Clinical Operations team (which includes Utilization Review, Case Management, Disease Management, Quality Management) helping to supp......
Tufts Health Plan
Under the general supervision of the manager, the responsibilities for this position will primarily be the development and refinement of the analysis and reconciliation for member eligibility and payment records. Additionally, this position will ens......
Tufts Health Plan
Working within the framework of established operating procedures, this position is accountable for the administration of client accounts and system data security. This position is also responsible for the creation and maintenance of administrative d......
Tufts Health Plan
EDUCATION: (Minimum education & certifications required) EXPERIENCE: (Years of experience) * 5-10 years management experience. Preferred candidate has managed diverse project groups and staff roles including external contractors * Minimum o......
Tufts Health Plan
Qualifications (Minimum education & experience level required): Minimum of 1year direct work experience in a inventory control or purchasing and procurement Familiarity and technical competence with asset management software and/or inventory-t......
Tufts Health Plan
EDUCATION: (Minimum education & certifications required) BS in Finance, Accounting, or Healthcare Management required. EXPERIENCE: (Years of experience) Minimum of 2 years' experience demonstrating strong analytic, data mining and financial......
Tufts Health Plan
This position will be responsible for a variety of tasks under the Provider Reporting Team including data maintenance, financial modeling and data analysis pertaining to the Senior Product line under the direction of the Manager, Provider Reporting ......
Tufts Health Plan
EDUCATION: The position requires a Bachelor's Degree with a Master's degree strongly preferred. EXPERIENCE: This position requires a minimum of 5-7 years in a managed health care environment with a thorough knowledge of the health care mark......
Tufts Health Plan
The Sr. Manager of TMP Application Development is responsible for the delivery and support of all Medicare Preferred applications. This includes core source system processing as well as all surround systems that interface with the core system. This ......
Tufts Health Plan
The position is characterized by a high degree of responsibility, creativity, vision, accountability, technical aptitude and diplomacy. Under the general direction of the Manager of Asset Support, the Asset Specialist (IT Asset Specialist) performs ......
Tufts Health Plan
The position of Contract Manager, in the Network Contracting and Performance Management department, serves as the primary point of contact with providers to negotiate contracts with network physicians and hospitals. This individual is the primary le......
Tufts Health Plan
EDUCATION: (Minimum education & certifications required) * BA or BS or equivalent work experience required EXPERIENCE: (Years of experience) * Four to six years client service experience, preferably in health care operations and/or sales or......
Tufts Health Plan
Under direction of the Chief Medical Officer, the Program Manager is responsible for managingthe assessment, planning, implementation, and tracking of medical cost savings initiatives that support the Tufts Health Public Plans (THPP) Medical Trend M......
Tufts Health Plan
JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES EDUCATION: Bachelor's Degree required, preferably in health care or business/financial analysis. Master's Degree in Business Administration or other advanced degree strongly preferred. EXPER......
Tufts Health Plan
EDUCATION: (Minimum education & certifications required) *Requires a Bachelor's Degree with a Master's degree preferred EXPERIENCE: (Years of experience) *10 or more year's business or industry experience. 8 + years of program management ex......
Tufts Health Plan
Qualifications (Minimum education & experience level required): * 5 years' experience in a corporate facilities or property management environment with 3 -- 5 years' experience in commercial audio visual installations including projectors, projec......
Tufts Health Plan
The Medicaid Compliance Business Partner is responsible for compliance oversight of the following Tufts Health Plan and Tufts Health Public Plans products: Together/Medicaid MCO product, Unify/ MMP, and Senior Care Options/SNP, including operational......
Tufts Health Plan
Under the supervision of the Manager of Real Estate and Facility Operations or Lead Maintenance Services Technician, leads or assists in all appropriate support and operational tasks related to facility maintenance operations, with particular emphas......
Tufts Health Plan
The Implementation Manager is a high-profile individual contributor playing a key role in pre- and post-sales implementations. To succeed in the role, the incumbent must leverage strong communication and leadership skills in interactions with intern......
Tufts Health Plan
Under direction of the VP, Claim Operations, the Senior Program Manager will be responsible for the development, implementation and management of complex medical trend management programs for all Tufts Health Plan product divisions. These involve th......
Tufts Health Plan
EDUCATION: (Minimum education & certifications required) *Bachelor's Degree or equivalent experience and education required. *Health care, public policy, legal or business degree experience preferred. *Certification in Health Care Complianc......
Tufts Health Plan
EDUCATION: (Minimum education & certifications required) Master's Degree in related field or equivalent education / training EXPERIENCE: (Years of experience) 4+ years of responsible healthcare actuarial / analytic experience 2+ years of......
Tufts Health Plan
EDUCATION: Bachelor's degree required. MBA preferred EXPERIENCE: 5-7 years' experience in roles of increasing independence and responsibility, with a minimum of 5 years' experience in corporate strategy, management consulting, or other rele......
Tufts Health Plan
Knowledge requirements: Associates Degree or equivalent relevant work experience is required; Bachelor's Degree is preferred. Two plus years of experience in a business environment required, managed care/health industry environment experience pre......
Tufts Health Plan
Under direction of the Product Manager, the Project Manager is responsible for the assessment, planning, coordination and implementation of regulatory and product related projects that support the Tufts Health Public Plans (THPP) Product Management ......
Tufts Health Plan
THIS IS A FIELD BASED POSITION COVERING SUFFOLK COUNTY The case manager will ensure that Tufts Health Public Plans (THPP) members receive timely case management/population/disease management interventions as established by the clinical affairs team.......
Tufts Health Plan
Education: RN; Bachelors Degree preferred, CCM preferred. Skills/Experience: Skill and proficiency in applying highly technical principles, concepts, and techniques that are central to the nursing profession. Skill in assessing, planning......
Tufts Health Plan
This position reports directly to the Director of Corporate Strategy. The Corporate Strategy team shapes the strategic direction of the company, with a focus on identifying and leading enterprise-level initiatives and new business opportunities. The......
Tufts Health Plan
Under the direction of the Manager, the UR and LTSS Review Coordinator is responsible for the daily management of non-clinical review functions including LTSS, supporting the clinical staff in achieving service levels and turnaround times. The Revie......
Tufts Health Plan
JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES EDUCATION: Bachelors Degree required, preferably in health care management, business or related field. EXPERIENCE: Five to eight years of combined experience in a business environment, prefe......
Tufts Health Plan
EDUCATION: (Minimum educations & certifications required) Associates Degree in Business Management preferred EXPERIENCE: (Years of experience) Minimum of 7 years prior corporate/senior level administrative experience SKILL REQUIREMENTS: ......