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CAREERBUILDER APPLY
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Full-Time

The focus of this position is to adjudicate, investigate and resolve claim issues for Network Health. Must have experience with ICD9, CPT Codes and HCFA 1500. Experience with workers compensation, TPA, slip and fall a plus. PRINCIPAL DUTIES AND RESPONSIBI...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time

Under the direction of the Director, Pharmacy Operations, Compliance and Strategy, the Planner/Senior Consultant supports the development and implementation of a mid to long-range strategic plan consistent with the goals and operating priorities of the or...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time | Pay: $110k - $140k/year

RESPONSIBILITIES: Kforce has a client seeking a Sr. Manager, Technical Accounting & SEC Reporting in Watertown, MA. Essential Functions: Evaluate and document accounting and operational considerations Research new accounting guidance Maintain and update a...

Watertown, MA

Nearby

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CAREERBUILDER APPLY

Part-Time

Under the administrative direction of the Clinical Manager, the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects of member care for a panel of frail elderly, while working within a healthcare team. The NCM direct...

Watertown, MA

Nearby

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CAREERBUILDER APPLY

Full-Time

Under direction of the Provider Services Call Center Supervisor, the Provider Services Representative is responsible for providing accurate and thorough information on THP benefits, claims, eligibility, and policies to providers, prospective providers, an...

Watertown, MA

Nearby

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CAREERBUILDER APPLY
3d
3 days ago

Full-Time

 This position supports Large Group in the achievement of account retention and profitability goals, and to meet or exceed enrollment targets for membership. This role also supports activities promoting strategic relationship building with customers thro...

Watertown, MA

Nearby

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CAREERBUILDER APPLY
3d
3 days ago

Full-Time | Pay: $90k - $110k/year

RESPONSIBILITIES: Kforce has a client seeking an Accounting Manager in Watertown, Massachusetts (MA). Essential Functions: Oversee the preparation of financial statements Responsible for the accuracy and completeness of accounting records Manage the finan...

Watertown, MA

Nearby

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CAREERBUILDER APPLY

Full-Time

The Analyst, Corporate Strategy position reports to the Director, Corporate Strategy, who is responsible for leading Tufts Health Plan's efforts to look for market expansion and business diversification opportunities. The Market Expansion goal is to evalu...

Watertown, MA

Nearby

CAREERBUILDER APPLY
3d
3 days ago

Full-Time | Pay: $85k - $120k/year

This position is open as of 4/30/2017. Senior DevOps Engineer - Great Benefits + Flexible Scheduling! If you're a DevOps Engineer with Windows + scripting experience, please read on! We're an industry leading powerhouse looking for a DevOps Engineer to br...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time

Under the administrative direction of the Supervisor of Mental Health, the Behavioral Health Service Coordinator performs a variety of functions for the Behavioral Health Programs. The Service Coordinator facilitates and coordinates the registration of Tu...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time

A Senior Database Administrator (Senior DBA) is responsible for ensuring high effective use, availability, integrity, security, and value of corporate data resources. The Senior DBA accomplishes this by deploying an optimized database infrastructure that...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time

The Medical Director for Pediatrics is a physician executive who shall report to the CMO Tufts Health Public Plans, but have direct accountability to the Director of Medical Affairs for enterprise transactional work; supporting the Commercial, Public Plan...

Watertown, MA

Nearby

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CAREERBUILDER APPLY

Full-Time

The Program Manager is responsible for key departmental functions related to the compliance programs for Medicare and Medicaid products. Major responsibilities include compliance program development, implementation and performance monitoring and reporting...

Watertown, MA

Nearby

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CAREERBUILDER APPLY
7d
7 days ago

Full-Time

Under the direction of the managing editor, the Communications Writer is responsible for helping to develop marketing communications and responses to governmental requests for proposals (RFPs) for Tufts Health Plan Public Plans (THPP), writing to the full...

Watertown, MA

Nearby

CAREERBUILDER APPLY
1w
1 week ago

Full-Time

JOB SUMMARY: Under direction, manage all aspects of assigned project(s). In this role, the individual will work with department liaisons and may also work with project team members as required for the purpose of executing project requirements and meeting...

Watertown, MA

Nearby

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CAREERBUILDER APPLY

Full-Time

Applies knowledge of programming techniques, data analysis and development technologies to create components that provide a solution that performs in accordance with the design specifications and architecture standards. This position specifically supports...

Watertown, MA

Nearby

CAREERBUILDER APPLY
2w
2 weeks ago

Contractor

Our client is an innovative healthcare technology company seeking an Executive Assistant to support their CLO in a highly visible position! This person would provide executive level support and is responsible for scheduling and calendar maintenance in Out...

Watertown, MA

Nearby

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CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

This multifaceted position allows the individual to participate in all aspects of projects from planning, designing, implementing, and presenting findings. Projects support the goal of providing a value based product that is competitively priced and incre...

Watertown, MA

Nearby

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CAREERBUILDER APPLY

Full-Time

The Director, Procurement & Strategic Sourcing will serve as a key member of the Finance leadership team and will be responsible for developing and leading a world-class procurement and vendor management function for Tufts Health Plan, executing strategic...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time

The Director Sales reports to the VP, Sales and Client Services. This role is responsible for the direction and management of new business sales and business development activities for the sales team in our MA and NH markets. This includes but is not limi...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time

Under the direction of the Vice President Financial Planning and Performance, the Director is responsible for ongoing financial planning & analysis and business performance measurement for Tufts Health Plan, Public Plans (Medicaid). This includes financia...

Watertown, MA

Nearby

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Under the direction of the Director, Clinical Pharmacy & Utilization Management, and in collaboration with the Clinical Pharmacy Team members, the Pharmacy Support Specialist is responsible for the creation, maintenance, submission, and posting of formula...

Watertown, MA

Nearby

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Do you want to bring ideas to life? Join us and make it happen. Senior Project Manager, Corporate Program Management Office Join us to bring innovative ideas to life. If you want to bring your passion for organizing, inspiring teams and moving projects fo...

Watertown, MA

Nearby

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CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

The business analyst provides leadership and support to staff within the THP MP Membership Operations department, consistently overseeing routine deliverables independently, and identifying and escalating issues appropriately. The individual must consiste...

Watertown, MA

Nearby

CAREERBUILDER APPLY

Full-Time

Under the direction of the Manager of Quality Measurement and Reporting for Tufts Health Public Plans (THPP), the Health Care Analyst II will participate in the development, implementation and dissemination of new and/or existing evaluation and management...

Watertown, MA

Nearby

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