Neighborhood Health Plan Jobs in Massachusetts

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22 Neighborhood Health Plan jobs in Massachusetts found on Monster.

Jobs 1 to 20 of 22
Summary: Neighborhood Health Plan (NHP) is currently seeking an Account Manager for the Sales department. The Account Manager is responsible for all aspects of account management while maintaining positive and productive customer relationships. Primary Responsibilities: Act as a customer advocate in providing assistance to resolve customer's issues and problems Responds to calls from members, empl...
Summary: We currently have an exciting opportunity for a special Nurse Practitioner to join Community Medical Alliance (CMA), a premier nurse practitioner clinical practice affiliated with Neighborhood Health Plan, dedicated to improving the health and quality of life of people with disabilities, chronic diseases and complex health care needs. We have an opening for a nurse practitioner in the Wor...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Care Manager to ensure members with specialized needs receive the care they need. The Care Manager will assess, plan, implement, and evaluate care plans for members. He/she will collaborate with other NHP clinical teams and outside providers to develop a comprehensive approach to care co...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Health Plan Benefits Administrator . The Health Plan Benefits Administrator works with the Benefits Administration Team to support the accurate and effective implementation of benefits across all products including but not limited to: Participating in a cross-functional business decision...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking a highly skilled Clinical Support Coordinator . The Coordinator is responsible for providing support to the Care Managers (CM) and processing medical authorizations in accordance with established contractual, benefit and clinical policies and guidelines. The primary accountabilities of the position include the researc...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Director of Project & Process Management . Reporting to the Vice President of Business Development, the Director will provide a central focus of leadership, management and coordination for NHP's project and process management functions. The Director will be responsible for leading and en...
Summary: Exciting opportunity for a special Pediatric Nurse Practitioner to join Community Medical Alliance (CMA) at Neighborhood Health Plan, a premier nurse practitioner clinical practice dedicated to improving the health and quality of children with disabilities and complex health needs. We currently have an opening for a Pediatric Nurse Practitioner to cover central Massachusetts (Worcester ar...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Behavioral Health Program Manager . NHP provides for the delivery of behavioral health services to its members through a contract with Beacon Health Strategies (Beacon), a managed behavioral healthcare organization. The Director of Behavioral Health provides oversight of its behavioral h...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Senior Healthcare Analyst . The Analyst provides value-added analytic support in the development and monitoring of standard and ad hoc cost and utilization reporting, the identification and understanding of trends and patterns of utilization, and the evaluation of clinical/medical manage...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Senior Configuration Business Analyst. Reporting to the Business Systems Configuration Manager, this position is responsible for the modifications to and/or implementation of new and complex configurations to the computer system. Primary Responsibilities: Support the managed care transac...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Senior Provider Relations Representative . The Senior Representative serves as the primary liaison in contract and operational matters for a network of providers including but not limited to primary care sites, specialty providers and hospital facilities. S/he is responsible to strengthe...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Onsite Care Manager with strong pediatric and adult clinical experience. The Onsite Care Manager will assess, plan, implement, and evaluate care plans for NHP members. He/she will collaborate with social care managers, as well as behavioral health care managers, to develop a comprehensiv...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking a Pharmacy Associate . The Pharmacy Associate functions as a team member of the pharmacy department. The responsibilities focus on review of provider and member requests for pharmacy program overrides. Additionally, the Pharmacy Associate actively participates in a variety of pharmacy related projects. Primary Respons...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Care Manager to ensure members with specialized needs receive the care they need. The Care Manager will assess, plan, implement, and evaluate care plans for members. He/she will collaborate with other NHP clinical teams and outside providers to develop a comprehensive approach to care co...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Business Analyst . The Business Analyst will play an important role in the systems development life cycle assuring all impacted processes and systems are evaluated to deliver robust solutions. The Business Analyst will be responsible for developing business requirements and related rules...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Senior Underwriting Analyst to support the pricing and underwriting of NHP's commercial account business. Primary Responsibilities: Data retrieval, analysis, and development of pricing formulas and factors, and implementation of pricing formulas in rating models Applying pricing formulas...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Operations Training Specialist . This role will design, develop, deliver, evaluate and improve end user training and documentation for all NHP's Operations Department staff. Primary Responsibilities: Develop training curriculums for each of the Departments within Operations. Design train...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Manager of Medical Economics—Contract Finance Team . The Manager leads a team of analysts in providing value-added analytic support to Provider Network Management (PNM) in meeting NHP's strategic objectives. S/he possesses in-depth knowledge of contracting and various payment models, ris...
Summary: The Claim Reviewer is responsible for the adjudication of claims adhering to NHP current administrative policies and procedures, clinical guidelines, unbundling software and other system edits. The reviewer will adjudicate the claims by reviewing hospital and/or physician contracts, fee schedules, and current billing guidelines. This requires an in-depth review of authorizations including...
Summary: Neighborhood Health Plan (NHP), located in Boston, is currently seeking an experienced, highly skilled Policy & Payment Specialist . The Policy & Payment Specialist is responsible for the research of industry and regulatory medical coding requirements as it relates to NHP's payment guidelines and fee schedule development. This position will be responsible for writing and publishing provid...

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