Specialist, Provider Network Administration (Massachusetts)

01752 Marlborough, Massachusetts Molina Healthcare

Posted 3 days ago

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Job Description

JOB DESCRIPTION

Job Summary

Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.

KNOWLEDGE/SKILLS/ABILITIES

  • Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.

  • Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.

  • Audits loaded provider records for quality and financial accuracy and provides documented feedback.

  • Assists in configuration issues with Corporate team members.

  • Assists in training current staff and new hires as necessary.

  • Conducts or participates in special projects as requested.

JOB QUALIFICATIONS

Required Education

Associate degree in Business or equivalent combination of education and experience

Required Experience

  • Min. 3 years managed care experience

  • Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.

  • Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.

Preferred Education

Bachelor's Degree

Preferred Experience

  • 3+ years Provider Claims and/or Provider Network Administration experience

  • Experience in Medical Terminology, CPT, ICD-9 codes, etc.

  • Access and Excel - intermediate skill level (or higher)

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: $20.74 - $42.2 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Specialist, Provider Network Administration (Massachusetts)

01752 Marlborough, Massachusetts Molina Healthcare

Posted 1 day ago

Job Viewed

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Job Description

**JOB DESCRIPTION**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
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: $20.74 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Travel Nurse RN - Administration / Management - $2,840 to $3,040 per week in Concord, MA

01742 Concord, Massachusetts TravelNurseSource

Posted today

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Job Description

TravelNurseSource is working with Titan Medical Group to find a qualified Admin/Mgmt RN in Concord, Massachusetts, 01742!

Pay Information
$2,840 to $,040 per week

About The Position
Travel Nurse RN - L&D/Management/UM/QA

Weekly Gross Pay: 2840 - 3040

Location: Concord, MA, United States

Start date:

Assignment length: 13 Weeks weeks

Minimum years of experience: 2 - previous travel experience is not required

Job type: Traveler

Shift: Day (3x12)

Certifications: BCLS/BLS/NRP

Titan Medical is looking for travelers to fill a Travel L&D position for a 13 week assignment in Concord, MA! Call Titan for additional details.

EXPPLAT

About Titan Medical Group

We Take Care of You.

While the availability of medical technicians and professionals becomes increasingly limited, there seems to be no shortage of staffing firms. That’s why Titan Medical works hard to distinguish itself through our responsiveness, our candidates and our attentiveness to your individual needs. When we say, “We take care of you.” We mean it – both to the medical professionals we represent and the healthcare organizations that rely on us for quality candidates.

Founded by experienced medical professional recruiters and healthcare human resource professionals, Titan Medical was created as an alternative to other staffing resources. We found that by focusing on the needs of the individuals we served, we were able to attract higher quality candidates and clients in need of their services.

It’s a risk that paid off, making Titan Medical one of the leading medical professional staffing firms in the country. Our candidates include the very best in the fields of radiation oncology, rehabilitation, respiratory care, radiology services, nursing and medical laboratory have to offer. Our clients represent the broad diversity of the healthcare industry today – from leading national and regional healthcare centers to traditional hospitals, specialty care clinics and other centers of care.

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Clinical Social Worker LICSW (Family Medical and Community Health Administration) - 40 hours, days

01601 Worcester, Massachusetts UMass Memorial Health Care

Posted today

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Job Description

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Exempt

Schedule Details:

Monday through Friday

Scheduled Hours:

8-4:30

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

34000 - 3100 Family Medical and Community Health Administration

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Performs a variety of duties involving patient assessment, psychotherapy and coordination of services. Collaborates as a member of inter-disciplinary treatment team for the development and delivery of treatment plan and discharge plans for patients.

I. Major Responsibilities:

1. Conducts intake interviews with patients and families to develop psychosocial evaluations.

2. Participates in team planning of treatment during initial interview and coordinates team meeting on a daily basis.

3. Provides psycho-social assessments and treatments, individual and group education/therapy to include dual diagnosis cases and all associated social work services.

4. Serves as a primary clinician for individual therapy, couples and family therapy.

5. Works with outpatient providers to coordinate treatment planning.

6. Documents all information obtained in evaluation, assessment, consultation, referral and disposition to comply with regulatory requirements, as well as ensuring best possible patient outcome.

7. Coordinates discharge planning which includes the assessment of housing, benefits and treatment needs. Plays key role in case management.

8. Acts as liaison with community and government agencies and develop referral network as directed.

II. Position Qualifications:

License/Certification/Education:

Required:

1. Masters degree in Social Work.

2. Current Massachusetts Licensed Clinical Social Worker (LICSW) licensure.

Experience/Skills:

Required:

1. One to three years of social work experience

2. Demonstrated ability in psychosocial assessment, knowledge of community resources, crisis intervention skills, ability in discharge planning, and ability to work with a multidisciplinary team.

3. Data compilation and analysis skills.

4. Excellent written and communications skills.

5. Basic computer skills.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

III. Physical Demands and Environmental Conditions:

Position requires work indoors most often in an office environment. However, work may also include monitoring patients' movements and activities resulting in the need for rapid physical response to unsafe patient movements. This includes standing, walking, running, reaching, bending, lifting, and stooping.

ADDENDUM FOR FORMER CLINICAL SOCIAL WORKER OUTPATIENT POSITION

Position Summary:

Provides psychosocial assessment and a full range of social services to patients with chronic diseases and their families. Assists in planning, development, implementation and evaluation of funded programs.

Major Responsibilities:

1. Provides psychosocial assessment, crisis intervention, and counseling to patients and their families. Documents evaluations and interventions in medical record.

2. Facilitates referral for psychiatric services. Facilitates access to and coordinates delivery of social services, including financial assistance, health insurance, medication reimbursement, transportation, housing, extended care, home care, hospice, and community-based services.

3. Provides information and referral to specialized intervention programs, including substance abuse, detoxification, and rehabilitation.

4. Organizes and facilitates family meetings, interagency conferences, and groups/workshops for patients and their families, as well as staff psychosocial and multicultural development programs

5. Provides social service consultation, information, and education to medical, psychiatric, and social service providers within the medical center and community.

6. May represent clinic as member of community-based advocacy and funding programs.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at We will make every effort to respond to your request for disability assistance as soon as possible.
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Data Entry Clerk

01824 Chelmsford, Massachusetts Kelly Services

Posted 1 day ago

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Job Description

For those who want to keep growing, learning, and evolving. We at Kelly® hear you, and we're here for you! We're seeking a Data Entry Clerk to work at a premier service depot in Chelmsford, MA. Sound good? Take a closer look below. You owe it to yourself to consider this great new opportunity.
**Salary/Pay Rate/Compensation:**
$22/hour
**Shift** 7:00 am -3:15 pm
**Why you should apply to be a Data Entry Clerk:**
- Join a reputable service depot that values precision and quality in life-saving devices.
- Work in a regulated environment with a strong commitment to safety and compliance.
- Enjoy a collaborative workplace that fosters professional growth and development.
- Benefit from opportunities to enhance your computer skills and learn multiple software systems.
**What's a typical day as a Data Entry Clerk? You'll be:**
- Performing data entry tasks with a focus on accuracy and attention to detail, reporting to the Service Depot Coordinator.
- Maneuvering multiple software systems, including Oracle and MES, to input and manage data efficiently.
- Communicating effectively with team members to ensure data integrity and compliance with FDA regulations.
**This job might be an outstanding fit if you:**
- Have excellent computer skills with experience in data entry and proficiency in software systems.
- Possess strong attention to detail and the ability to work in a highly regulated environment.
- Exhibit average or above-average communication skills, both written and verbal.
**What happens next**
Once you apply, you'll proceed to next steps if your skills and experience look like a good fit. But don't worry-even if this position doesn't work out, you're still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.
Helping you discover what's next in your career is what we're all about, so let's get to work. Apply to be a Data Entry Clerk today!
**#GRACE**
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here ( for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
Get a complete career fit with Kelly ® .
You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.
About Kelly
Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.
Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.
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Work From Home (Remote) Data Entry Position

Fitchburg, Massachusetts Maxion Research

Posted 2 days ago

Job Viewed

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Job Description

Join Our Part-Time Research Studies Today!

Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity is for you.

Why Choose Us?

You have the flexibility to work either from home or in-person, with the option to choose what suits you best. This is an excellent chance to balance your personal life while contributing to important research, all while getting paid.

What You Can Earn:

- **Up to $250/hr** for single-session studies.

- **Up to $3,000** for multi-session studies.

- Multiple payment options including PayPal, direct checks, and virtual gift cards.

- Additional opportunities to earn bonuses and rewards.

What You'll Be Doing:

- Participate in focus groups, clinical trials, or online studies by following simple, clear instructions.

- Engage in research focus groups, providing valuable insights.

- Review and complete written studies, offering honest feedback.

- Test products and services, sharing your thoughts and experiences.

What We Need From You:

- A working camera on your smartphone or a webcam on your computer is recommended.

- Reliable internet connection for seamless participation.

- Enthusiasm to fully engage in one or more topics of interest.

- Ability to follow written and oral instructions accurately.

- Must be at least 16 years old.

- Basic English proficiency in both writing and speaking.

- Access to a computer, phone, or tablet with internet for certain tasks.

- A quiet, distraction-free workspace.

- Self-motivation to work independently and efficiently.

- Willingness to learn and develop skills for remote work success.

What You'll Enjoy:

- Participate in online and in-person discussions without any commute if working remotely.

- No minimum hours—work part-time on your schedule.

- Receive free product samples from our partners and sponsors in exchange for your feedback.

- Be the first to test and experience products before they hit the market.

- Flexibility to work from home and create your ideal work-life balance.

Who Should Apply?

Whether you're looking for part-time, short-term work or simply want to earn extra cash, this role is open to everyone. No previous experience is necessary, and we welcome applicants from all backgrounds.

Apply now and secure your spot in our next research study while positions are still available!

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Work From Home (Remote) Data Entry Position

Worcester, Massachusetts Maxion Research

Posted 2 days ago

Job Viewed

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Job Description

Join Our Part-Time Research Studies Today!

Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity is for you.

Why Choose Us?

You have the flexibility to work either from home or in-person, with the option to choose what suits you best. This is an excellent chance to balance your personal life while contributing to important research, all while getting paid.

What You Can Earn:

- **Up to $250/hr** for single-session studies.

- **Up to $3,000** for multi-session studies.

- Multiple payment options including PayPal, direct checks, and virtual gift cards.

- Additional opportunities to earn bonuses and rewards.

What You'll Be Doing:

- Participate in focus groups, clinical trials, or online studies by following simple, clear instructions.

- Engage in research focus groups, providing valuable insights.

- Review and complete written studies, offering honest feedback.

- Test products and services, sharing your thoughts and experiences.

What We Need From You:

- A working camera on your smartphone or a webcam on your computer is recommended.

- Reliable internet connection for seamless participation.

- Enthusiasm to fully engage in one or more topics of interest.

- Ability to follow written and oral instructions accurately.

- Must be at least 16 years old.

- Basic English proficiency in both writing and speaking.

- Access to a computer, phone, or tablet with internet for certain tasks.

- A quiet, distraction-free workspace.

- Self-motivation to work independently and efficiently.

- Willingness to learn and develop skills for remote work success.

What You'll Enjoy:

- Participate in online and in-person discussions without any commute if working remotely.

- No minimum hours—work part-time on your schedule.

- Receive free product samples from our partners and sponsors in exchange for your feedback.

- Be the first to test and experience products before they hit the market.

- Flexibility to work from home and create your ideal work-life balance.

Who Should Apply?

Whether you're looking for part-time, short-term work or simply want to earn extra cash, this role is open to everyone. No previous experience is necessary, and we welcome applicants from all backgrounds.

Apply now and secure your spot in our next research study while positions are still available!

View Now
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About the latest Administration Jobs in Leominster !

Work From Home (Remote) Data Entry Position

Marlborough, Massachusetts Maxion Research

Posted 2 days ago

Job Viewed

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Job Description

Join Our Part-Time Research Studies Today!

Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity is for you.

Why Choose Us?

You have the flexibility to work either from home or in-person, with the option to choose what suits you best. This is an excellent chance to balance your personal life while contributing to important research, all while getting paid.

What You Can Earn:

- **Up to $250/hr** for single-session studies.

- **Up to $3,000** for multi-session studies.

- Multiple payment options including PayPal, direct checks, and virtual gift cards.

- Additional opportunities to earn bonuses and rewards.

What You'll Be Doing:

- Participate in focus groups, clinical trials, or online studies by following simple, clear instructions.

- Engage in research focus groups, providing valuable insights.

- Review and complete written studies, offering honest feedback.

- Test products and services, sharing your thoughts and experiences.

What We Need From You:

- A working camera on your smartphone or a webcam on your computer is recommended.

- Reliable internet connection for seamless participation.

- Enthusiasm to fully engage in one or more topics of interest.

- Ability to follow written and oral instructions accurately.

- Must be at least 16 years old.

- Basic English proficiency in both writing and speaking.

- Access to a computer, phone, or tablet with internet for certain tasks.

- A quiet, distraction-free workspace.

- Self-motivation to work independently and efficiently.

- Willingness to learn and develop skills for remote work success.

What You'll Enjoy:

- Participate in online and in-person discussions without any commute if working remotely.

- No minimum hours—work part-time on your schedule.

- Receive free product samples from our partners and sponsors in exchange for your feedback.

- Be the first to test and experience products before they hit the market.

- Flexibility to work from home and create your ideal work-life balance.

Who Should Apply?

Whether you're looking for part-time, short-term work or simply want to earn extra cash, this role is open to everyone. No previous experience is necessary, and we welcome applicants from all backgrounds.

Apply now and secure your spot in our next research study while positions are still available!

View Now

Work From Home (Remote) Data Entry Position

Leominster, Massachusetts Maxion Research

Posted 2 days ago

Job Viewed

Tap Again To Close

Job Description

Join Our Part-Time Research Studies Today!

Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity is for you.

Why Choose Us?

You have the flexibility to work either from home or in-person, with the option to choose what suits you best. This is an excellent chance to balance your personal life while contributing to important research, all while getting paid.

What You Can Earn:

- **Up to $250/hr** for single-session studies.

- **Up to $3,000** for multi-session studies.

- Multiple payment options including PayPal, direct checks, and virtual gift cards.

- Additional opportunities to earn bonuses and rewards.

What You'll Be Doing:

- Participate in focus groups, clinical trials, or online studies by following simple, clear instructions.

- Engage in research focus groups, providing valuable insights.

- Review and complete written studies, offering honest feedback.

- Test products and services, sharing your thoughts and experiences.

What We Need From You:

- A working camera on your smartphone or a webcam on your computer is recommended.

- Reliable internet connection for seamless participation.

- Enthusiasm to fully engage in one or more topics of interest.

- Ability to follow written and oral instructions accurately.

- Must be at least 16 years old.

- Basic English proficiency in both writing and speaking.

- Access to a computer, phone, or tablet with internet for certain tasks.

- A quiet, distraction-free workspace.

- Self-motivation to work independently and efficiently.

- Willingness to learn and develop skills for remote work success.

What You'll Enjoy:

- Participate in online and in-person discussions without any commute if working remotely.

- No minimum hours—work part-time on your schedule.

- Receive free product samples from our partners and sponsors in exchange for your feedback.

- Be the first to test and experience products before they hit the market.

- Flexibility to work from home and create your ideal work-life balance.

Who Should Apply?

Whether you're looking for part-time, short-term work or simply want to earn extra cash, this role is open to everyone. No previous experience is necessary, and we welcome applicants from all backgrounds.

Apply now and secure your spot in our next research study while positions are still available!

View Now
 

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