Manager, Health Plan Provider Relations (Massachusetts)
Molina Healthcare 4.4
Molina Healthcare job in Boston, MA
*****Employee for this role must reside in Massachusetts or surrounding state***** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans.
**Job Duties**
Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries.
- In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members.
- Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards.
- Manages and directs the Provider Service staff including hiring, training and evaluating performance.
- Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies.
- Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards.
- Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website).
- Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized.
- Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues.
- Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan.
- Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives.
- Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends.
- Develops and implements strategies to reduce member access grievances with contracted providers.
- Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program
- 15-30% travel, mostly daytime, throughout Massachusetts.
**Job Qualifications**
**REQUIRED EDUCATION** :
Bachelor's Degree in Health or Business related field or equivalent experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
- 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products
- 5+ years previous managed healthcare experience.
- Previous experience with community agencies and providers.
- Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc.
- Experience with preparing and presenting formal presentations.
- 2+ years in a direct or matrix leadership position
- Min. 2 years experience managing/supervising employees.
**PREFERRED EDUCATION** :
Master's Degree in Health or Business related field
**PREFERRED EXPERIENCE** :
- 5-7 years managed healthcare administration experience.
- Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals).
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $76,425 - $149,028 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$76.4k-149k yearly 14d ago
Looking for a job?
Let Zippia find it for you.
Manager, Health Plan Provider Relations (Massachusetts)
Molina Healthcare Inc. 4.4
Molina Healthcare Inc. job in Plymouth, MA
* Employee for this role must reside in Massachusetts or surrounding state* Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans.
Job Duties
Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries.
* In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members.
* Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards.
* Manages and directs the Provider Service staff including hiring, training and evaluating performance.
* Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies.
* Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards.
* Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website).
* Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized.
* Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues.
* Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan.
* Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives.
* Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends.
* Develops and implements strategies to reduce member access grievances with contracted providers.
* Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program
* 15-30% travel, mostly daytime, throughout Massachusetts.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree in Health or Business related field or equivalent experience.
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
* 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products
* 5+ years previous managed healthcare experience.
* Previous experience with community agencies and providers.
* Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc.
* Experience with preparing and presenting formal presentations.
* 2+ years in a direct or matrix leadership position
* Min. 2 years experience managing/supervising employees.
PREFERRED EDUCATION:
Master's Degree in Health or Business related field
PREFERRED EXPERIENCE:
* 5-7 years managed healthcare administration experience.
* Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals).
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $76,425 - $149,028 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$76.4k-149k yearly 15d ago
Registered Nurse (RN) - Clinical Support Specialist - $33+ per hour
Tenet Massachusetts 4.5
Framingham, MA job
The Registered Nurse Clinical Support Specialist at Tenet Massachusetts provides nursing education and support across multiple healthcare facilities to enhance staff competence and patient care quality. Responsibilities include developing and implementing educational programs, mentoring nursing staff, and participating in quality improvement initiatives. This role requires a bachelor's degree in nursing, relevant certifications, and experience in acute care settings.
Tenet Massachusetts is seeking a Registered Nurse (RN) Clinical Support Specialist for a nursing job in Framingham, Massachusetts.
Job Description & Requirements
Specialty: Clinical Support Specialist
Discipline: RN
Duration: Ongoing
36 hours per week
Shift: 12 hours
Employment Type: Staff
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Position Summary:
Under the guidance of the Market Education Director, the Nursing Educator collaborates with facility/market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate, and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her assigned units while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to, orientation, continuing education, and in-services. Other services may include, but are not limited to, process, performance and service-delivery consultation, and contributions to the organization through councils, committees, and workgroups.
Job Responsibilities:
Supports the educational needs for assigned units/clinics including classroom, clinical experiences, and learning technologies. Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. Ensures all program/course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational, and learning theory consistent with Tenet endorsed philosophy and direction. Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities; delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. Participates in continuing education provider unit learning. Evaluates nursing education activities, which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. Assists in development of clinical policies and procedures as requested. Provides guidance, resources, and knowledge for professional growth of others. Mentors colleagues, other nurses, students, and others as appropriate. Participates in quality performance improvement activities. Performs other duties as assigned/required. Medical/Surgical Services - Covers Services but not limited to: Surgery/Ortho; Inpatient Rehab; Wound; Bariatrics; Vein and Liver Clinics; Adult Infusion Clinical; Lab. Accountable for the Projects, such as but not limited to: BLS; Accucheck; and Fall Prevention Program.
Qualifications:
Education:
Required: Bachelor's degree in nursing, nursing education, or related specialty
Experience:
Preferred: 1 year of nursing experience in an acute care setting
Certifications:
Required: Current state licenses and certifications
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Tenet Mass Job ID #. Posted job title: RN Clinical Educator FT Days
About Tenet Massachusetts
Facilities:
Saint Vincent Hospital - Worcester, MA
MetroWest Medical Center - Framingham, MA
Leonard Morse Hospital - Natick, MA (part of MWMC)
MA - SVH
Tenet's Saint Vincent Hospital has been providing high-quality health care to Worcester and the surrounding communities for more than 125 years. At Saint Vincent Hospital, we believe you should have access to the treatments you need without having to travel far from home. We are proud to have been the first hospital in central Massachusetts to offer robotically assisted surgical procedures and minimally invasive, computer-assisted joint replacements. Among the distinctions that we have received include our designations as a Blue Distinction Center for
Cardiac Services, Bariatric Surgery, and both Knee and Hip Replacement. We continue to be leaders in state-of-the-art treatments like our CyberKnife Radiosurgery, and our Cardiac Rehabilitation Program which offers a unique, specialized approach to overcoming heart health challenges. Healthgrades awarded Saint Vincent Hospital #1 in Cardiology in the state and one of America's 100 Best Hospitals for Coronary Intervention in 2023 and 2024, which puts Saint Vincent Hospital in the top 5% of hospitals nationwide for coronary intervention. At Saint Vincent Hospital, you can grow your career skills through a wide range of specialties, and help support the overall health of our community.
MA - MWMC
Tenet's MetroWest Medical Center has been serving the community since we opened as the first public medical facility in Framingham in 1893. MetroWest Medical Center is comprised of Framingham Union Hospital and Leonard Morse Hospital, a unique behavioral health specialty center located in Natick dedicated to the mental health of our community. At Framingham Union Hospital, you'll find comprehensive health care services for your entire family including 24-hour
emergency care, advanced cardiac care, high-tech cancer treatments, and advanced maternity care including our Special Care Level IIB nursery and high risky pregnancy care. MetroWest Medical Center was recognized by the Joint Commission with a Gold Seal of Approval, a symbol of quality that reflects our commitment to meeting performance standards and providing safe and effective patient care. Our skilled cardiac team has been recognized as one of Healthgrades' America's 100 best hospitals for Coronary Intervention and ranked among the top 5% in the nation for coronary interventional procedures in 2023. At MetroWest Medical Center, you can grow your career skills and be a vital member of our team dedicated to improving the health of our community.
Benefits
Medical benefits
Dental benefits
401k retirement plan
Keywords:
Registered Nurse, Clinical Support Specialist, Nursing Educator, Healthcare Education, Acute Care Nursing, Patient Care, Medical Staff Training, Nursing Mentorship, Healthcare Quality Improvement, Staff Development
$36k-44k yearly est. 2d ago
Director of Real-Time Decisioning Platform
Humana Inc. 4.8
Boston, MA job
A healthcare service provider is seeking a Director for its Next Best Action (NBA) Platform to lead the architecture of a real-time decisioning platform. This role demands a seasoned leader with at least 12 years of software engineering experience, expertise in real-time APIs, and a strong track record in machine learning integration. The ideal candidate will guide cross-functional teams and ensure decision outputs are traceable and compliant with regulations. This position offers a salary range of $189,400 to $260,500 annually, along with competitive benefits and a bonus incentive plan.
#J-18808-Ljbffr
$189.4k-260.5k yearly 2d ago
Medical Patient Service Rep
Healthfirst Family Care Center 4.0
Fall River, MA job
*****Position includes a $1,000 signing bonus, 3.2 weeks of paid time off, 3 personal days, and 11.5 paid holidays!!
Exciting opportunity to join a fast-paced medical team within a growing federally qualified community health center. HealthFirst Family Care Center, Inc. “The Heart of Our Community” provides comprehensive services including adult/pediatric medical care, health education, health assessment and screenings, gynecology, cardiology, behavioral health, substance use treatment, and adult/pediatric dental care. We are currently seeking a motivated, Full-Time (40 Hours Per Week) Medical Patient Service Rep that enjoys working with culturally diverse children and families in providing comprehensive patient care.
Medical Patient Service Rep Summary:
The Medical Patient Service Rep position is responsible for registering existing and new patients according to policies and procedures that facilitate patient flow, patient information, co-payment collection, insurance verification; provide reception, patient registration and Medical Records services that support the operation of the health center; answer incoming phone calls utilizing Health Center policies to solve patient issues and directing calls as needed.
Schedule:
Mon - Fri: 8-4:30pm or 8:30-5pm
Rotating Saturdays 9:00 am - 1:00 pm
Pay Range:
$20.50 - $23.50 per hour
Required Qualifications:
Must submit a CORI release form and demonstrate proof of being free from disqualifying information.
Must have a minimum of a High School Diploma or equivalent.
Health Information, Medical Office or Medical Secretary certificate preferred.
Experience working with Electronic Medical Records preferred.
Experience working in a healthcare environment within reception or registration is a strong plus.
Bilingual skills (English, Spanish/Portuguese) preferred.
Competencies:
The Medical Patient Service Rep must have a high level of customer service and a positive approach to work with patients. Projects positive attitude about the department and the health center, and offers services to ensure positive experience.
Ability to maintain an organized work area and work collaboratively as a member of a team.
Must possess excellent oral and written communication skills and time management skills to effectively communicate with patients.
Ability to handle confidential information in a professional manner.
Works well under pressure to manage stressful situations.
Uses sound judgment and confidence.
Ability to multi- task.
Detail-oriented and accurate.
All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.
Benefits for the Medical Patient Service Rep include: $1,000 signing bonus, 3.2 weeks of paid time off, 3 personal days, and 11.5 paid holidays; reimbursable licensing fees and continuing education credits; employee discounts, tuition reimbursement, and referral program; employer contributed health, dental, vision, life insurance, long term disability and retirement contributions; voluntary flexible spending accounts and disability/critical illness coverage.
Learn more about us by checking out our website and company video.
HealthFirst Family Care Center, Inc. is proud to be an Equal Opportunity Employer (EOE)
HealthFirst strives to eliminate discrimination and to hire applicants of diverse backgrounds, cultures and thoughts. HealthFirst does not discriminate against any individual on the basis of race, color, national origin, religion, sex, age, disability, genetic information, or any other protected characteristic.
Salary Description $20.50 - $23.50 per hour
$20.5-23.5 hourly 60d+ ago
Actuarial Principal - Financial Planning and Analysis
Humana Inc. 4.8
Boston, MA job
Become a part of our caring community and help us put health first
Join Humana's Financial Planning & Analysis team, part of the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuarial Analytics/Forecasting Principal role offers flexibility in responsibilities, significant exposure to senior leadership, and strong potential for upward mobility.
We seek candidates who are willing to think creatively, challenge assumptions, voice opinions on key drivers and ranges, and contribute to a culture of continuous improvement and healthy debate.
The Actuarial Analytics/Forecasting Principal analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long‑term financial and competitive position. The Actuarial Analytics/Forecasting Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.
The Actuarial Analytics/Forecasting Principal ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost‑effective resolutions for data anomalies. Works with senior executives to develop and drive segment or enterprise‑wide functional strategies. Advises one or more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise.
Use your skills to make an impact Required Qualifications
Bachelor's degree, in some instances a Master's or Doctorate's degree
10 or more years of technical experience
2-5 years of project/people leadership
FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
MAAA
Strong communication skills
Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Medicare Advantage pricing and forecasting experience
Experience working with aggregate financials across insurance products or enterprise‑level financial planning
Demonstrated ability to challenge existing assumptions and propose creative solutions
Additional Information
Humana is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status.
For more information on Humana careers, please visit Humana Careers (********************************
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$156,600 - $215,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole‑person well‑being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities.
Application Deadline: 01-30-2026
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
#J-18808-Ljbffr
$156.6k-215.4k yearly 1d ago
Lead Material Handler
McKesson 4.6
Northborough, MA job
Shipping Lead, Northborough Operations Hours: 1:00 PM - Completion (Monday - Friday) Scope: Oversee Shipping functions for both Bulk and LUM outbound freight to ensure quality and delivery to our customers. Responsibilities: Coordinate and assist in the daily completion of the Shipping Department.
Assist and support shipping clerks with day-to-day communication on route change and dispatch time
Help improve processes to ensure your team member is put in the position to get 100%.
Manage team's indirect time and break times based on workflow.
Monitor and ensure proper processes and timely submission of all routes.
Ensure proper safety and housekeeping expectations are enforced daily
Experience with power equipment (forklift, stock picker, walkie rider) helpful, but not required selected candidate will be trained to operate all equipment. Must be willing to learn.
Inspecting and ensuring quality and accuracy for all shipping goods.
Assure the team follows all RF processes and guidelines
Lifting of heavy/light weight items safely
Performing daily housekeeping tasks, daily equipment inspection completed, and daily pallet Audits.
Maintain an organized work area while adhering to all McKesson safety rules and regulations
Maintain a professional and positive demeanor while interacting with both internal (put away, picking, inventory…etc.) and external customers (drivers, sales…etc.)
Create a Schedule for all Linehaul Drivers' runs and
Maintain pallet area for minimal dock area congestion
Assist the leadership teams throughout all departments in improvement projects as assigned
Perform other duties as necessary or assigned.
Career Level - IC - Operations Support - O4
Additional Information
All your information will be kept confidential according to EEO guidelines.
$42k-50k yearly est. 3d ago
Associate BioMed Tech
McKesson 4.6
Stoughton, MA job
Schedule Monday through Friday 8:30am to 5pm
Specific Responsibilities:
Will perform PM's and minor repairs on a variety of biomedical equipment.
·Will mentor and assist PM technicians Will identify training needs for self
·Will assure the service area is clean and orderly, providing a safe environment for service personnel
·Will assure accurate database entry and reports
·Expected to meet production goals set for department
·Will participate in department on call rotation
Qualifications (Education, Experience, Skills and Abilities)
High school diploma or equivalent.
Typically requires 1+ years of related Experience.
:·Basic troubleshooting ability
·Some knowledge of various hospital / homecare medical equipment
·Excellent customer communication skills
·Computer literate with an understanding of database operations
·Understanding of and ability to operate basic electronic test equipment
·Basic knowledge of electronics, electricity, electro-mechanical, fluidics, pneumatics and hydraulic theories and practices
.·Associate degree in an electronic field, preferably biomedical, or a combination of education and experience
·Strong work ethic and focus on quality work
·Must be organized.
·Ability to communicate with all levels of personnel
·Strong attention to detail, ability to maintain focus with intermittent distractions
·Strong organization and time management skills
·Professionalism and mature sense of accountability
Additional InformationAll your information will be kept confidential according to EEO guidelines.
$69k-104k yearly est. 60d+ ago
Operations Supervisor
McKesson 4.6
Northborough, MA job
Join our team of leaders to begin a rewarding career. Schedule Mon-Fri 11am to complete Current Need We are seeking an Operations Supervisor to join our team in Northborough, MA. This position is responsible for the Case pick department. Responsible for a variety of tasks including picking, housekeeping, safety, customer satisfaction, employee morale, and engagement
May evaluate current procedures and practices for accomplishing department objectives and develop and implement improved procedures and practices.
Gives work direction, resolves problems, and sets deadlines to ensure timely completion of work
Ensures associate safety and builds a positive collaborative team
Continuous development of direct reports, including coaching, direct feedback, and written evaluations
Minimum Requirements
4+ years operational experience
2+ years managerial experience
2+ years experience in a DC/warehouse setting
Critical Skills
2+ years experience working as a supervisor, trainer or leader of a department or group
4+ years experience working in a warehouse/distribution/transportation environment
Proficient with MS Office (Excel, Word and Outlook)
Additional Knowledge & Skills
Experience with WMS systems
LMS experience preferred
Preferred performance management experience
Experience as a diverse people leader with proven results
RF equipment experience preferred
Ability to work autonomously
Powered Industrial equipment certification preferred
Excellent organizational skills
Strong problem solving skills
Excellent time manager
Critical thinker
Excellent written and verbal communication skills
Ability to multi-task
Conflict resolution experience preferred
Attention to detail
Analytical mindset
Team building skill set
Education
4-year degree or equivalent experience
Physical Requirements
General Warehouse/Distribution Center environment
The ability to walk 5-7 miles per day and be on the floor 85% of the day
Benefits & Company Statement
McKesson believes superior performance - individual and team - that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it's flexible enough to meet the different needs of our diverse employee population.
We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.
But we can't do it without you. Every single McKesson employee contributes to our mission-whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our company-and of healthcare. At McKesson, you'll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that's vital to us all.
McKesson is an equal opportunity and affirmative action employer - minorities/females/veterans/persons with disabilities.
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
Career Level - Manager - M1
Career Level
Manager-M1
McKesson is an Equal Opportunity/Affirmative Action employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by
Additional Information
All your information will be kept confidential according to EEO guidelines.
$76k-108k yearly est. 3d ago
Director of Workforce Capacity Strategy
Humana Inc. 4.8
Boston, MA job
A healthcare company seeks a Director of Workforce Capacity Planning to lead strategic workforce capacity initiatives across various operations. The ideal candidate will have extensive experience in workforce management and management roles. Responsibilities include developing capacity plans, demand forecasting, and communicating analysis insights effectively. The role offers competitive compensation in the range of $168,000 - $231,000 per year, along with a bonus incentive plan. Join us to make a real impact on patient care and consumer experiences.
#J-18808-Ljbffr
$168k-231k yearly 1d ago
Dental Assistant Paid Training Opportunity
Healthfirst Family Care Center 4.0
Fall River, MA job
Exciting opportunity to learn new skills and be paid at the same time. HealthFirst Family Care Center, Inc. is offering a full-time, in person, paid Dental Assistant training program which includes both classroom and clinical training thanks to a workforce pipeline fund. Classes offered virtually through CareerStep will prepare a learner to earn a Massachusetts Dental Assistant license. Hands-on training days will provide opportunities for observing as well as learning to prepare for dental procedures, maintaining and updating patient charts, and assisting with dentistry techniques. Participants must commit to 10 weeks of in-person paid course work and a 6-month paid internship to be completed at HealthFirst. Upon acceptance into the program, students will be required to sign a 2-year work commitment. Candidates must submit a resume that includes a brief statement explaining why you are interested in becoming a dental assistant.
*Note: Successful completion of the program and internship does not guarantee employment.
Schedule:
Mon-Fri 8:00 am - 4:30 pm
Please note classes start on Monday, February 2nd (subject to change)
Required Qualifications:
Must be 18 years or older
High School diploma or equivalent is required
Must submit a resume that includes a brief statement explaining why you are interested in becoming a dental assistant
Provide 3 references and possess a clear background free of criminal offenses
Competencies:
The Dental Assistant trainee must have a high level of customer service and a positive approach to working with patients. Projects a positive attitude about the department and the health center and offers services to ensure positive experience
Ability to maintain an organized work area and work collaboratively as a member of a team
Must possess excellent oral and written communication skills and time management skills to effectively communicate with patients
Ability to handle confidential information in a professional manner and in accordance with HIPAA guidelines.
Work well under pressure to manage stressful situations
Use sound judgment and display confidence
Ability to multi- task
Detail-oriented and accurate
Able to sit at a computer for an extended period of time
All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.
Learn more about us by checking out our website and company video.
HealthFirst Family Care Center, Inc. is proud to be an Equal Opportunity Employer (EOE)
HealthFirst strives to eliminate discrimination and to hire applicants of diverse backgrounds, cultures and thoughts. HealthFirst does not discriminate against any individual on the basis of race, color, national origin, religion, sex, age, disability, genetic information, or any other protected characteristic.
Salary Description $15 an hour
$15 hourly 60d+ ago
Behavioral Health Counselor Psych FT Days
Tenet Healthcare 4.5
Worcester, MA job
Up to $20,000 Sign-on Bonus Based on Eligibility
Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
Position Summary:
Primarily responsible for monitoring services and providing community support services and therapeutic services. The BHC uses a basic knowledge of diagnostic characteristics, symptomology of primary mental illness and knowledge of medications, side effects and benefits to provide services in a person-centered, supportive, community-based environment. The LPC is monitored by periodic supervision.
Qualifications:
Education:
Required: Master's degree in Psychology, Social Work, or related field.
Experience:
Required: If a new graduate, supervised-post graduate counseling experience (internship) with specified direct client contact under the supervision of a board-approved supervisor. Otherwise, 1 year of experience.
Certifications:
Required: Licensed Professional Counselor (LPC).
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
$32k-38k yearly est. Auto-Apply 60d+ ago
Senior Specialist, Provider Contracts HP
Molina Healthcare 4.4
Molina Healthcare job in Lowell, MA
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting/re-contracting of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system requirements of customers as it pertains to contracting and network management.
**Job Duties**
This role supports assigned contracts with VBC providers that result in high quality and cost-effective care. Maintains tracking system and publishes reports according to departmental procedures. Contracting/re-contracting of VBCs, issue escalations and Joint Operating Committees on exception.
- Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC contracting.
- Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance.
- Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's.
- Clearly and professionally communicates VBC contract terms to VBC providers.
- Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
- Communicates proactively with other departments to ensure effective and efficient business results.
- Trains and monitors newly hired Contract Specialist(s).
- Participates in other VBC related special projects as directed.
- Limited team travel once to twice annually.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed care, or other health care field.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**
- 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups.
- 1-3 Years Managed Care experience
**PREFERRED EXPERIENCE** :
Provider facing experience and knowledge of integrated delivery systems, hospitals and groups (specialty and ancillary) highly desirable. Experience generating financial reporting to meet regulatory requirements. Ohio based candidate desired; however, not required.
Pay Range: $30.37 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$30.4-61.8 hourly 60d+ ago
Informaticist
Humana 4.8
Boston, MA job
**Become a part of our caring community and help us put health first** The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher quality, lower cost of care, and improved health outcomes. Provider Analytics develops and applies actionable analytics and insights, which are integral to business needs, to drive informed provider network strategy and is looking for an Informaticist 2 to join their team.
The Informaticist 2:
+ Designs and constructs models to estimate impact of contractual changes tied to ancillary and industry leading innovative care delivery models
+ Collates, models, interprets and analyzes data in order to identify, explain, and influence variances and trends
+ Explains variances and trends and enhances modeling techniques
+ Utilizes multiple data sources such as SQL, Power BI, Excel, etc., to create advanced analytics to facilitate contracting initiatives
+ Uses a consultative approach to collaborate effectively with the markets, and other customers, building productive cross-functional relationships
+ Extracts historical data, performs data mining, develops insights to drive provider contracting strategy and reimbursement terms for National Ancillary Contracting
+ Develops tools and automates processes to model financial implications of ancillary contracted rate changes, including changes in capitated arrangements
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 3+ years of demonstrated healthcare analytical experience
+ 1+ years SQL experience
+ 1+ years' experience in data visualization (ie. Power BI, Tableau, etc.)
+ Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends
+ Experience in managing data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues
+ Possess a working knowledge and understand department, segment and organizational strategy
**Preferred Qualifications**
+ Bachelor's Degree in analytics or related field
+ Advanced Degree
+ Understanding of healthcare membership, claims, and other data sources used to evaluate cost and other key financial and quality metrics
**Additional Information**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-LM1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$73,400 - $100,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-21-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$73.4k-100.1k yearly 6d ago
Family Medicine Physician
Healthfirst Family Care Center, Inc. 4.0
Fall River, MA job
We believe physicians should be happy in their work life and personal life, so we aim at providing a good work/life balance on top of providing competitive wages and benefits. Salary Range: $220,000 - $250,000 annually Benefits: * National Health Service Corp or Mass League of CHC Loan Repayment Program
* 4 weeks of PTO, 11.5 paid holidays, and 3 personal days
* 75% Employer Paid Medical, Dental and Vision Insurance
* 100% Employer Paid Life Insurance
* 100% Employer Paid Long Term Disability
* 3% Retirement Contribution with no vesting schedule
* Flexible Spending Accounts
* 100% Malpractice Coverage
* CME Reimbursement & 1 week off for CME
* License, Certificate and Application Reimbursement
* No Hospital Rounding
* On-call services through triage company
* 32 base clinical hours
* Department of Certified Medical Interpreters
* J-1/H1B VISA assistance
* Employee discounts, tuition reimbursement, and referral program
About HealthFirst Family Care Center, Inc.
HealthFirst Family Care Center, Inc is a Federally Qualified Health Center that serves the community of Fall River. HealthFirst is committed to having an environment of learning, so we work with MD students from Brown Medical School. Additionally, we take NP students from UMass Dartmouth, UMass Boston, Simmons College, Mass College of Pharmacy and Health Sciences, Salve Regina, Frontier University, Yale University, and Regis College.
Services Provided:
* Adult Medicine
* Pediatric Medicine
* Adult & Pediatric Dental Care
* Care Management of Chronic Disease
* Opioid and Alcohol Recovery (OAR) Program
* Behavioral Health/Psychiatry
* Sexual and Reproductive Health
* Nutrition Counseling
* Medical Interpreter Services
* Patient Benefits
* Fall River WIC Program
* GYN onsite
* Onsite 340B Pharmacy, lab and physical therapy
The Family Medicine Physician position is responsible for seeing adults and children for acute and chronic care as follows:
* Well child exams
* Routine health maintenance visits for all age groups
* Acute care for adults and children (uncomplicated)
* Women's health care and contraception
* GYN/Family planning examinations
* Gynecological problems (uncomplicated)
HealthFirst Family Care Center, Inc. is proud to be an Equal Opportunity Employer (EOE)
HealthFirst strives to eliminate discrimination and to hire applicants of diverse backgrounds, cultures and thoughts. HealthFirst does not discriminate against any individual on the basis of race, color, national origin, religion, sex, age, disability, genetic information, or any other protected characteristic.
$220k-250k yearly 59d ago
Administrative Assistant/ Data Entry/ Customer Service
Molina Healthcare 4.4
Molina Healthcare job in Boston, MA
We are seeking a friendly, responsible, and well organized candidate for a full time Administrative Assistant position that will begin immediately.The Administrative Assistant/ Data Entry/ Customer Service/Office Administrative Assistant. is the point of contact in our office and requires great customer service skills so we are looking for candidates who enjoy customer service, are professional, and would be comfortable in a challenging but supportive work environment. Our Administrative Assistant is responsible for working effectively with the center team to provide services to our clients such as attending walk in sales, taking payments and etc, which consists up to six lines. Office management, clerical support and maintaining the appearance of the front office among other duties are included. This position will be Monday-Friday with a Saturday a month during our busy season. Computer Literacy is required and customer service experience is a plus.
The ideal candidate will possess great closing skills, prospecting skills, negotiation skills, presentation skills, and great customer service.
For immediate consideration, please respond to this (office_****************)
$36k-41k yearly est. Easy Apply 60d+ ago
Hand Therapist
Tenet Healthcare 4.5
Worcester, MA job
Evaluates, plans, and implements specific treatment programs for individual patients according to the principles and practices of a certified hand therapist (OT). Functions as an interdisciplinary team member providing patient assessment/re-assessment, direct patient care, and individualized care planning/implementation.
Required:
Education: Master's or Doctorate degree in Occupational therapy
Licensure/Certification: State Licensure
Preferred:
Experience: 2 years as a practicing OT in a healthcare setting; 1 year experience with hand therapy clientele.
Education: Certified Hand Therapist Licensure or significant preparation for CHT certification.
NEW HIGHER RATES!
We are looking for a Certified Hand Therapist to join our team for this Per Diem opportunity!
Responds to physician orders for occupational therapist.
Administers and interprets tests and measurements of patients.
Reviews patient charts and progress prior to treatment and modifies treatment plan accordingly.
Develops functional goals based on patient and/or family expectations.
Develops, improves, and restores functional mobility, seeking to return patient to highest level of independence.
Seeks clarification of physician orders as needed.
Performs other related duties as assigned
$31k-44k yearly est. Auto-Apply 11h ago
Market VP, Professional Practice and Pharmacy Compliance
Humana Inc. 4.8
Boston, MA job
Become a part of our caring community and help us put health first
The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell Pharmacy, encompassing Traditional, Specialty, and Community pharmacies throughout the United States. The Market Vice President makes certain the pharmacy and its operations comply with all applicable federal, state and local laws and regulations, as well as ensuring internal policies and procedures meet or exceed industry standards, , and are followed and communicated timely to all affected employees. The Market Vice President will work collaboratively with operational, legal, compliance, and engineering stakeholders to accomplish business initiatives while ensuring pharmacy practice compliance.
The Market Vice President will serve as a subject matter expert in pharmacy practice compliance with extensive knowledge in regulations of Boards of Pharmacy, DEA, FDA, and other applicable healthcare and pharmacy regulatory agencies. The Market Vice President will report directly to the SVP of CenterWell Pharmacy/CenterWell Specialty Pharmacy and will lead a team consisting of Pharmacists-In-Charge, Directors, and Professionals to ensure pharmacy practice compliance. This position can be located anywhere within the lower 48 states and does not require relocation, however travel to pharmacies, industry conferences, and internal meetings is required.
Key Responsibilities
Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations.
Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy)
Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies.
Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly
Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance
Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained.
Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.)
Oversees team responsible for pharmacy management system user access
Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed.
Sets and ensures consistent application of additional internal standards to help a company stand out in the industry
Verifies legality and compliance of pharmacy practice related items
Responsible for oversight of training and education programs and conducts audits to monitor compliance
Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations
Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy
Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas
Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent
Required Qualifications
Bachelor's degree in Pharmacy or PharmD.
Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy
Active pharmacist license for the state of employment
Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment
5 or more years of management/people leadership experience
Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.)
Working knowledge of privacy and HIPAA regulations and USP guidance
Experience in providing guidance for clinical operational aspects of pharmacy
Ability to manage clinical decision-making aspects within the pharmacy
Ability to participate in federal prescription programs
Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Use your skills to make an impact Preferred Qualifications
Master's degree
Additional Information
Travel
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 02-28-2026
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
#J-18808-Ljbffr
$99k-123k yearly est. 2d ago
Pediatric Floor LPN
Healthfirst Family Care Center 4.0
Fall River, MA job
Exciting opportunity to join a fast-paced medical team within a growing federally qualified community health center. HealthFirst Family Care Center, Inc. “The Heart of Our Community” provides comprehensive services including adult/pediatric medical care, health education, health assessment and screenings, gynecology, cardiology, behavioral health, substance use treatment, and adult/pediatric dental care.
Pediatric Floor LPN Summary:
We are currently seeking a Full-Time Pediatric Floor LPN that enjoys working with culturally diverse children and families in providing comprehensive patient care. Under the direction of the Medical Floor Manager, the Floor LPN will be responsible for rooming patients both in person and virtually, vital sign assessment, point of care testing; patient assessment and advisement to provider of any abnormal findings; triage; communication with patients via telephone, conveying results and messages, assisting with prior authorizations; prescription refills; ensure labs, test results and hospital records are accessible to the provider; and ensure patient encounter and procedures performed are documented accurately in the EMR, and assist primary care provider in all aspects of patient care including examinations and procedures.
Pay Range:
$31.25
-
$38.00 per hour
Schedule:
Mon, Tues, Wed, Fri: 7:30 am
-
6:00 pm; Thurs: OFF
Rotating Saturdays 9:00 am - 1:00 pm
Required Qualifications:
License to practice as a Licensed Practical Nurse (LPN) from the Commonwealth of Massachusetts
2+ years of experience as an LPN in a Community Health Center is a strong plus
Current certification in BLS/CPR
Current and complete credentialing as required by licensing boards and agencies
Bi-lingual/tri-lingual skills preferred (English, Spanish, and Portuguese)
Experience with an Electronic Medical Record (EMR) required
Familiarity and ability to work with diversity of cultural/socio-economic backgrounds
General knowledge of cultural backgrounds of patients to be served
Must submit a CORI release form and demonstrate proof of being free from disqualifying information
Competencies:
The Licensed Practical Nurse (LPN) must have a high level of customer service and a positive approach to work with patients. Projects positive attitude about the department and the health center, and offers services to ensure positive experience
Ability to maintain an organized work area and work collaboratively as a member of a team
Must possess excellent oral and written communication skills and time management skills to effectively communicate with patient
Ability to handle confidential information in a professional manner
Works well under pressure to manage stressful situations
Uses sound judgment and confidence
Detail-oriented and accurate
All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.
Benefits for the Licensed Practical Nurse (LPN) include: four-day work week, 3.2 weeks of paid time off, 3 personal days, and 11.5 paid holidays; reimbursable licensing fees and continuing education credits; employee discounts, tuition reimbursement, and referral program; employer contributed health, dental, vision, life insurance, long term disability and retirement contributions; voluntary flexible spending accounts and disability/critical illness coverage.
Learn more about us by checking out our website and company video.
HealthFirst Family Care Center, Inc. is proud to be an Equal Opportunity Employer (EOE)
HealthFirst strives to eliminate discrimination and to hire applicants of diverse backgrounds, cultures and thoughts. HealthFirst does not discriminate against any individual on the basis of race, color, national origin, religion, sex, age, disability, genetic information, or any other protected characteristic.
Salary Description $31.25 - $38.00 per hour
$31.3-38 hourly 8d ago
Behavioral Health Medical Assistant/Patient Service Rep
Healthfirst Family Care Center, Inc. 4.0
Fall River, MA job
Exciting opportunity to join a fast-paced medical team within a growing federally qualified community health center. HealthFirst Family Care Center, Inc. "The Heart of Our Community" provides comprehensive services including adult/pediatric medical care, health education, health assessment and screenings, gynecology, cardiology, behavioral health, substance use treatment, and adult/pediatric dental care. We are currently seeking a motivated, Full-Time (40 Hours Per Week) Behavioral Health Medical Assistant/Patient Service Rep that enjoys working with culturally diverse children and families in providing comprehensive patient care.
Behavioral Health Medical Assistant/Patient Service Rep Summary:
This position is responsible for patient assessment, treatment, and general care for the patients' visit; vital signs processing; assist primary care provider in all aspects of patient care including examinations, and procedures; registering existing and new patients according to policies and procedures that facilitate patient flow, patient information, co-payment collection, insurance verification; provide reception, patient registration and Medical Records services that support the operation of the health center; answer incoming phone calls.
Schedule:
Mon - Thurs: 8:00 am - 5:30 pm
Fri: 8:00 am - 12:00 pm
Pay Range:
$21.31 - $24.13 per hour
Required Qualifications:
* Successful completion of a Medical Assistant Program required.
* High School Diploma or equivalent.
* Health Information, Medical Office or Medical Secretary certificate preferred.
* Maintain current certification in CPR at the healthcare provider level of the American Heart Association.
* Experience with Electronic Medical Records (EMR), specifically EPIC, preferred.
* Bilingual skills (English, Spanish/Portuguese) preferred.
* Must submit a CORI release form and demonstrate proof of being free from disqualifying information.
Competencies:
* High level of customer service and a positive approach to work with patients. Projects positive attitude about the department and the health center, and offers services to ensure positive experience.
* Ability to maintain an organized work area and work collaboratively as a member of a team.
* Must possess excellent oral and written communication skills and time management skills to effectively communicate with patients.
* Ability to handle confidential information in a professional manner.
* Works well under pressure to manage stressful situations.
* Uses sound judgment and confidence.
* Ability to multi- task.
* Detail-oriented and accurate.
All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.
Benefits include: 3.2 weeks of paid time off, 3 personal days, and 11.5 paid holidays; reimbursable licensing fees and continuing education credits; employee discounts, tuition reimbursement, and referral program; employer contributed health, dental, vision, life insurance, long term disability and retirement contributions; voluntary flexible spending accounts and disability/critical illness coverage.
Learn more about us by checking out our website and company video.
HealthFirst Family Care Center, Inc. is proud to be an Equal Opportunity Employer (EOE)
HealthFirst strives to eliminate discrimination and to hire applicants of diverse backgrounds, cultures and thoughts. HealthFirst does not discriminate against any individual on the basis of race, color, national origin, religion, sex, age, disability, genetic information, or any other protected characteristic.