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Tufts Health Plan IT Jobs

140 Jobs Found

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......
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......
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......
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......
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......
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......
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......
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......
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......
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......
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......
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......
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......
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......
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......
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 ......
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.......
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......