Medical Assistant Instructor Community College of Rhode IslandMedical Assistant InstructorLincoln, RIMinimum Qualifications: Current LPN, RN, RMA, CCMA, CMA or other appropriate healthcare license/credential in good standing with 5 years of experience in ambulatory care, primary care, specialist practice or other outpatient healthcare setting that utilizes medical assistant skills. The Medical Assistant Instructor works collaboratively with fellow instructors, teaching assistants, program leadership, and employer partners to ensure students receive a high-quality educational experience that prepares them for employment and long-term career success.
Payor Operations Specialist Lahey Hospital and Medical CenterPayor Operations SpecialistWakefield, MA$79,040–$93,600 / yearMS Office applications with advanced skills in Word, PowerPoint, Excel and Outlook required · Ability to verbally communicate complex concepts in English and escalate sensitive situations and conflicts · Ability to act as a team leader for Payor deliverable initiatives, creating a collaborative and respectful team environment and improving workflows. Serving Payor value based contract needs includes deliverable insight, contract opportunity evaluations, developing strong Payor partnerships, navigating and notification of Payor communications, consultation, Payor programs accountability, evaluations, and refinements.
Patient Access Representative II - Metrowest Medical Center Conifer Health SolutionsPatient Access Representative II - Metrowest Medical CenterTown of Framingham, Massachusetts$19.02–$28.53 / hourSecures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
Strategy& Health Services - Payor/Provider, Strategy Consulting Manager PricewaterhouseCoopers LLPStrategy& Health Services - Payor/Provider, Strategy Consulting ManagerBoston, MA$99,000–$232,000 / yearDemonstrates extensive-level abilities as a team leader, emphasizing the following areas: Possessing working experience in Payor operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.) to help payors and providers manage their medical costs, quality, and experience; Possessing working experience in Clinical Analytics, Medical Economics, and/or Population Health Analytics or working in collaboration with related functions; Possessing working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools); Possessing working knowledge and experience in software development, implementation, and optimization to accurately translate clinical and business requirements into engineering design documents and instructions; Possessing experience in project management and product development life cycle management specifically in healthcare product design and development to support care management and delivery workflows; Possessing understanding of global trends for health organizations utilizing pragmatic approaches to achieve sustainable financial functions, consumer experience, and operating models; Possessing experience managing and advising healthcare executive leadership or has direct experience from former position; and, Understanding Medicare Stars performance across different markets and helping to develop strategies and programs to match those needs. Demonstrates extensive leadership, strategic and creative thinking, problem solving, individual initiative, and the following abilities: Building productive and collaborative relationships with team members and proactively providing and seeking guidance, clarification and feedback; Managing a team to a successful project conclusion through problem solving global, enterprise-wide strategy issues; Building, maintaining, and utilizing networks of client relationships; Communicating cogently in an organized and knowledgeable manner in written and verbal formats; and, Conducting and managing market research and quantitative and qualitative analyses, including the timely synthesis of complex data into meaningful insights and the ability to readily grasp analytical frameworks and employ them effectively to either qualitative or quantitative evidence.
Chief Pharmacist- Atrius Health UnitedHealth Group Inc.Chief Pharmacist- Atrius HealthBoston, MA$112,700–$193,200 / yearPrimary Responsibilities: Leads and manages the daily operations of the department and prioritizes direction to ensure pharmacy success by executing strategy, motivating and inspiring team, maximizing contributions, executing daily tasks, supporting the team, and building rapport with clinicians, colleagues, clinical departments, and patients to improve Capture. Responsible to ensure pharmacists verify authenticity of prescriptions, resolve prescription discrepancies and clarifications, validate prescription order entry, proper labeling and filling of medication container and ensuring processes in place for accurate shipping and delivery.
NewChief Pharmacist - Atrius Health UnitedHealth Group Inc.Chief Pharmacist - Atrius HealthCambridge, MA$112,700–$193,200 / yearPrimary Responsibilities: Leads and manages the daily operations of the department and prioritizes direction to ensure pharmacy success by executing strategy, motivating and inspiring team, maximizing contributions, executing daily tasks, supporting the team, and building rapport with clinicians, colleagues, clinical departments, and patients to improve Capture. Responsible to ensure pharmacists verify authenticity of prescriptions, resolve prescription discrepancies and clarifications, validate prescription order entry, proper labeling and filling of medication container and ensuring processes in place for accurate shipping and delivery.
Physician Liaison / Outreach Coordinator OptiMindHealthPhysician Liaison / Outreach CoordinatorNewton, MA$20–$30 / hourContribute to the development of the organization, division, and corporate sales function and strategy by collaborating with appropriate individuals to develop and execute sales and retention strategies/plans for target markets and facility service lines with focus on delivering referral growth results in accordance with predetermined targets. . Evaluate, analyze, and interpret market demographics for both medical provider and patient populations (market share patterns; patient utilization data and medical provider referral trends) and both volume and financial contribution for market and facilities' service lines, in collaboration with leadership. .
Home Infusion Clinical Liaison (Hybrid) Boston Medical CenterHome Infusion Clinical Liaison (Hybrid)Randolph, MA$43.03–$62.50 / hourREQUIRED EDUCATION AND EXPERIENCE: Bachelor's degree in Nursing, Healthcare Administration, Business, Marketing, Life Sciences, or a related healthcare field, combined with 3-5 years of experience in home infusion, specialty pharmacy, healthcare business development, care coordination, or clinical liaison roles, is required, or an equivalent combination of education and experience. ESSENTIAL RESPONSIBILITIES / DUTIES: Drives referral development and business growth by establishing, maintaining, and expanding professional relationships with physicians, advanced practice providers, nursing leaders, case managers, discharge planners, home health agencies, affiliated provider networks, hospitals, and community partners to increase clinical utilization of Home Infusion services system-wide.
Associate/Associate Consultant, Clinical Outcome Assessment (COA) Strategy Consulting, Patient Centered Solutions (PCS) IQVIA Holdings IncAssociate/Associate Consultant, Clinical Outcome Assessment (COA) Strategy Consulting, Patient Centered Solutions (PCS)Boston, MA$58,700–$146,800 / yearProjects range in size, type, and across multiple disease areas, and include survey development, modification, and validation to support medical product development; strategic consulting for regulatory needs; exploratory analyses of existing data; literature review and gap analysis; and non-interventional studies with conceptualization, primary data collection, analysis, interpretation/synthesis, and dissemination phases. Key Responsibilities: Learn about survey research methods and qualitative and quantitative methods in healthcare research and assist scientific team members in conducting research projects to better understand how disease and treatment affects patients.