- Master's Degree in health or business field
- 5+ years of experience in medical management clinical review processes. (STARS, HEDIS etc)
- Exceptional managerial experience.
- Strong experience working in health plans with Medicare programs.
- Ability and willingness to be office-based/onsite in Boston for the role.
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Clinical Service Coordinator
1 week ago
Medically Home Boston, United StatesMedically Home operates a decentralized care model for patients with serious, complex or high-risk illnesses in partnership with health systems to safely care for their patients at home, across the care continuum, including hospital-level care. Medically Home provides health syst ...
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clinical service coordinator
1 week ago
Medically Home Boston, MA , USA, United StatesMedically Home operates a decentralized care model for patients with serious, complex or high-risk illnesses in partnership with health systems to safely care for their patients at home, across the care continuum, including hospital-level care. Medically Home provides health syst ...
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Clinical Service Coordinator
1 week ago
Medically Home Boston, United StatesMedically Home operates a decentralized care model for patients with serious, complex or high-risk illnesses in partnership with health systems to safely care for their patients at home, across the care continuum, including hospital-level care. Medically Home provides health syst ...
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Clinical Service Coordinator
2 weeks ago
Medically Home Boston, United StatesMedically Home operates a decentralized care model for patients with serious, complex or high-risk illnesses in partnership with health systems to safely care for their patients at home, across the care continuum, including hospital-level care. Medically Home provides health syst ...
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Senior Director of Clinical Services
2 weeks ago
King & Bishop Boston, United StatesThe Senior Director of Clinical Services assumes responsibility for the day-to-day operations and oversight of the Clinical division within an inner-city agency, ensuring strict adherence to all relevant State and Federal regulations. This role will have direct supervision of the ...
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Senior Director of Clinical Services
2 weeks ago
King & Bishop Boston, United StatesThe Senior Director of Clinical Services assumes responsibility for the day-to-day operations and oversight of the Clinical division within an inner-city agency, ensuring strict adherence to all relevant State and Federal regulations. This role will have direct supervision of the ...
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CHRN Manager of Clinical Services
2 weeks ago
Boston Public Health Commission Boston, United StatesRESPONSIBILITIES AND COMPETENCIES Rights, Confidentiality, and Ethics Functions Complete training in and comply with all Rights, Confidentiality, and Ethics policies. Demonstrate respect for and awareness of cultural differences. Compliance with ethi Clinical, Manager, RN, Progra ...
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Vice President of Clinical Services
2 weeks ago
Avalon Executive Search, LLC Boston, United StatesAmazing opportunity to join a growing health plan to lead the development and implementation of clinical operations programs and procedures. This executive will also create and maintain a strong compliance culture with the clinical team. They will also help grow and develop a cli ...
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Vice President of Clinical Services
1 week ago
Avalon Executive Search, LLC Boston, United StatesAmazing opportunity to join a growing health plan to lead the development and implementation of clinical operations programs and procedures. This executive will also create and maintain a strong compliance culture with the clinical team. They will also help grow and develop a cli ...
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Partners Healthcare System Boston, United StatesMassachusetts General Hospital is currently seeking highly motivated candidates to join our critical care and complex care services teams. · This position is a split position: 60% of service to ICU patients and 40% of service to Complex Care Service patients on a weekly basis. · ...
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Ortho Service Leader, RN
2 days ago
Tufts Medicine Careers Boston, United States Full timeWe're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. · Job Profile Summary · This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focus ...
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Outpatient Psychiatrist
1 week ago
LifeStance Health Boston, United StatesAt LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. E ...
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Travel Nurse RN
22 hours ago
Titan Nurse Staffing Boston, MA, United StatesTitan Nurse Staffing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Boston, Massachusetts. · Job Description & Requirements · Specialty: OR - Operating Room · Discipline: RN · Start Date: ASAP · Duration: 13 weeks · 36 hours per week · Shift: 12 hour ...
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Licensed Vocational Nurse
1 day ago
Favorite Healthcare Staffing Boston, United StatesJob Description · Job DescriptionAt Favorite Healthcare Staffing, we aspire to learn what thrills you about being a healthcare professional. Our exceptional recruiters thrive on the challenge of discovering the perfect position for you. From day one, your dedicated recruiter has ...
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Registered Nurse, RN
2 days ago
Tufts Medical Center Careers Boston, United States Full timeWe're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. · Tufts Medical Center is recognized by the ANCC Magnet Recognition Program for excellence in nursing. Magnet recognition is the highest and most prestigious credential a health ...
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OB GYN Ambulatory Nurse Manager
2 days ago
Tufts Medical Center Careers Boston, United States Full timeWe're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. · Job Profile Summary · This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses ...
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Radiologic Technologist
1 week ago
Favorite Healthcare Staffing Boston, United StatesJob Description Job Description An established clinic in East Boston, MA is currently seeking to add a Radiologic Technologist to join their team full-timeCheck out the details below: · Title: Radiologic Technologist · Job Type: Permanent / Direct Hire · Setting: Radiology ...
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Travel Nurse RN
2 days ago
MedPro Healthcare Staffing Boston, MA, United StatesMedPro Healthcare Staffing is seeking a travel nurse RN Oncology for a travel nursing job in Boston, Massachusetts. · Job Description & Requirements · Specialty: Oncology · Discipline: RN · Start Date: 06/10/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours · Employ ...
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Ultrasound Technologist II
2 days ago
Tufts Medicine Careers Boston, United States Full timeWe're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. · Job Profile Summary · This role focuses on using various imaging techniques and practices to aid in the diagnosis and treatment of patients. In addition, this role focuses o ...
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Travel Nurse RN
2 days ago
Supplemental Health Care Boston, MA, United StatesSupplemental Health Care is seeking a travel nurse RN Infusion for a travel nursing job in Boston, Massachusetts. · Job Description & Requirements · Specialty: Infusion · Discipline: RN · Start Date: ASAP · Duration: 13 weeks · Employment Type: Travel · Job Description: · Supplem ...
Vice President of Clinical Services - Boston, United States - Avalon Executive Search, LLC
1 week ago
Description
Amazing opportunity to join a growing health plan to lead the development and implementation of clinical operations programs and procedures. This executive will also create and maintain a strong compliance culture with the clinical team. They will also help grow and develop a clinical team in operations, financial acumen, utilization management, risk adjustment, HEDIS and STARs program.
Requirements: