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Senior Manager - Payment Policy and Network Coding

Blue Cross Blue Shield of Massachusetts
Located in Ohio
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Job Ref: R06868 Employer: Blue Cross Blue Shield of Massachusetts Sector: ...
Details
Summary
About the job:
Health Insurance Qualifications: Part Qualified Actuary Senior Qualified Actuary Software: Cognos Job Type: Full Time Salary and Benefits: $120,600 - $147,400 per year Remote: No Location Country: United States State/Province/County: Massachusetts - MA City: Boston Post Code: 02199 Map: ( Show on map ) Description Ready to help us transform healthcare? Bring your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Certified Professional Coder
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Mental Health Clinical Care Manager- Medicare Advantage

Blue Cross Blue Shield Massachusetts
Hingham, MA
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Ready to help us transform healthcare? Bring your true colors to blue. - - ...
Details
Summary
About the job:
Continually assess and evaluate member and family needs utilizing strong communication skills, critical thinking, clinical knowledge, data, and tools. - Promote member compliance with treatment plan, encourage shared decision-making, and set appropriate goals to promote optimal member outcomes. - Interpret and apply case management criteria, processes, policies, and regulatory standards to create, follow and appropriately document comprehensive care management plans. - Review medication list and educate members with...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Mental Health and Substance Abuse Social Workers
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Licensed Clinical Social Worker
National Committee for Quality Assurance
Licensed Independent Clinical Social Worker
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
1

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Salary: Upper Income Jobs ($50K-$79K)
Company Name: Blue Cross Blue Shield of Massachusetts
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