tufts health plan jobs in Watertown, MA

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Healthcare Information Services Practice Consultant II
New England Quality Care Alliance 4 reviews - Braintree, MA
Develops and manages critical elements of the PCMH project as assigned, including developing project management plans, providing updates and management...
Sponsored by New England Quality Care Alliance - 30+ days ago
CPD Clinical Educator
Tufts Medical Center 93 reviews - Boston, MA
Identifies skill sets and follows up with appropriate plans. Associates degree in Allied Health, Science or related Field, required....
Sponsored by Tufts Medical Center - 21 days ago
Utilization Reviewer - Behavioral Health
MetroWest Leonard Morse Hospital 27 reviews - Natick, MA
Must have prior experience working in UR and strong working knowledge of the behavioral health system. Analyzes specific utilization problems, and plans and...
Sponsored by MetroWest Medical Center - 30+ days ago

Program Manager

Tufts Health Plan 65 reviews - Watertown, MA
That an employee encounters while working at Tufts Health Plan is considered confidential. Previous experience working in project management, analytical and...

Clinician Reviewer II

Tufts Health Plan 65 reviews - Watertown, MA
That an employee encounters while working at Tufts Health Plan is considered confidential. Under the direction of the Precertification Supervisor, the Clinician...

Sr. Manager, Clinical Quality and Patient Safety

Tufts Health Plan 65 reviews - Watertown, MA
That an employee encounters while working at Tufts Health Plan is considered confidential. The Senior Manager, develops, coordinates and implements quality...

Member Services Representative

Tufts Health Plan 65 reviews - Watertown, MA
That an employee encounters while working at Tufts Health Plan is considered confidential. Under the general direction of TMP Customer Relations Member...

Quality Nurse Reviewer

Tufts Health Plan 65 reviews - Watertown, MA
Regular interface with various levels of Tufts Health Plan leadership, staff and providers. Participates in departmental, interdepartmental meetings, and other...

Quality and Accreditation Monitoring Specialist

Tufts Health Plan 65 reviews - Watertown, MA
That an employee encounters while working at Tufts Health Plan is considered confidential. Established to ensure compliance with federal regulatory regulations,...

Nurse Case Manager for Senior Care Options

Tufts Health Plan 65 reviews - Watertown, MA
Proficient in computer use, the Internet, and health information technology required. The NCM directly interfaces with physicians, other members of the primary...

Manager, Finance Planning and Reporting

Tufts Health Plan 65 reviews - Watertown, MA
That an employee encounters while working at Tufts Health Plan is considered confidential. The Financial Planning & Performance team at Tufts Health Plan is...

Appeals and Grievance Specialst for Commercial Products

Tufts Health Plan 65 reviews - Watertown, MA
That an employee encounters while working at Tufts Health Plan is considered confidential. The employee must have the ability to learn and apply Tufts Health...

Administrative Assistant III

Tufts Health Plan 65 reviews - Watertown, MA
Proficiency preferred for Tufts Health Plan applicants in CCMS, Tahp. That an employee encounters while working at Tufts Health Plan is considered confidential....
Provider Relations Specialist PNA
Tufts Medical Center 93 reviews - Boston, MA
Maintains thorough understanding of NCQA, Mass Health and state credentialing standards. Serves as contact with outsourced vendor and with Credentialing...
Sponsored by Tufts Medical Center - 30+ days ago
HIS Integration Analyst
New England Quality Care Alliance 4 reviews - Braintree, MA
Execute project work plan and assist client team members to meet goals. Travel to NEQCA and other local practices, hospitals, payers and health care service...
Sponsored by New England Quality Care Alliance - 30+ days ago

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Company with tufts health plan jobs
NEQCA is a network of community and academic physicians in MA dedicated to providing comprehensive, high quality, and affordable care.