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Network Health jobs in Medford, MA

Intake Coordinator

Watertown, MA 02472
Position requires daily contact, by telephone, with network providers and their office staff, hospital contacts and Tufts Health Plan internal departments....
Desired Experience: Customer Service

Vice President of Behavioral Health

Watertown, MA 02472
Experience in behavioral health service delivery, provider relations, regulatory/compliance, with a fundamental knowledge of health care delivery systems,...
Desired Experience: Supervising Experience, Driver's License, Behavioral Health, Management Experience

Behavioral Health Call Center Coordinator

Watertown, MA 02472
Coordinates outpatient requests for and processes authorizations of out of network Mental Health and Substance use services:....
Desired Experience: NCQA Standards, Behavioral Health, Windows

Complex Claims Processor II, Public Plans

Watertown, MA 02472
Interacts positively with all Network Health Departments. The Senior Adjudicator functions as a claim department subject matter expert with regard to performing...
Desired Experience: Microsoft Word

Customer Service Rep- Commercial Provider Services

Watertown, MA 02472
Interacts with other THP staff, particularly in the areas of Claims, Fee and Reimbursement, Allied Health, and Network Contracting to resolve customer inquires...
Desired Experience: Medical Terminology, Call Center

Credentialing Supervisor

Watertown, MA 02472
Or equivalent in health care or related field required. Three to five years of experience in a health care setting required....
Desired Experience: Supervising Experience

Provider Group Manager - ACO

Watertown, MA 02472
Knowledge of the managed care/ health care industry preferred. That an employee encounters while working at Tufts Health Plan is considered confidential....

Clinical Outpatient Reviewer - PT

Watertown, MA 02472
Communicates frequently through the day with in network and non-network physicians, practices, facilities and/or allied health providers....
Desired Experience: Managed Care

Risk Adjustment Consultant

Watertown, MA 02472
Previous experience working in strategy implementation, analytical and process improvement in the health care / health insurance sector either for a health plan...

Business Analyst II - Risk Adjustment

Watertown, MA 02472
Previous experience working in an analytical role in the health care / health insurance sector or management consultancy preferred....
Desired Experience: Microsoft Powerpoint, SAS, Excel, Microsoft Office, SQL
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