Tufts Health Plan - Watertown, MA
Summary: Plans, designs and executes a broad range of analytic projects related to clinical programs and healthcare experience trends in support of program operations, pricing, sales and provider engagement initiatives. Day-to-day work is a combination of new projects, maintainin...
Sales Systems Business Consultant
Tufts Health Plan - Watertown, MA
The Sales Systems Business Consultant manages, on behalf of the Sales department, the technology aspects of company-wide or department specific projects. The SSBC coordinates business and technical support and provides technical sales-related consultation throughout project lifec...
Tufts Health Plan - Watertown, MA
The Manager of the Precertification department is responsible for the review process of prior authorization and benefit determination for all THP products. She/he is responsible for the day to day management of the Plan's operations related to prior authorization of select outpat...
Tufts Health Plan - Watertown, MA
Under the administrative direction of the Manager of the Precertification Department, the Supervisor is responsible for the direct supervision of all daily Precertification Department activities performed by the Clinical, analytical and support staff within his/her team and monit...
Tufts Health Plan - Watertown, MA
Currently the Medicare Care Management division of Clinical Services is planning for additional support to meet the needs of senior members and providers. As a result, there is a need for new positions that will function as Complex Care Case Managers. The Complex Care Case Manage...
Tufts Health Plan - Watertown, MA
Under the general direction of the Director of Sales, the Manager, SP Field Sales is responsible for oversight of the Medicare Preferred Field Sales team. This includes the development and implementation of sales strategies to ensure that enrollment goals are achieved. This inclu...
Tufts Health Plan - Watertown, MA
Provides technical leadership across multiple platforms to achieve end-to-end integrated systems that align with organizational goals and objectives. Drives and facilitates the development of enterprise solutions across multiple technologies and architectures. Design POCs (proof ...
Tufts Health Plan - Watertown, MA
Provides technical leadership across multiple platforms to achieve end-to-end integrated systems that align with organizational goals and objectives. Drives and facilitates the development of enterprise solutions across multiple technologies and architectures. Design POCs (proof ...
Tufts Health Plan - Watertown, MA
Under the administrative direction of the Manager of the Precertification Department, the Supervisor is responsible for the direct supervision of all daily Precertification Department operational activities performed by the analytical and support staff within his/her team and mon...
Tufts Health Plan - Watertown, MA
Under the general direction of the Governance and Corporate Administration Manager, performs various administrative duties for members of the Senior Management Group. Incumbents are professionals with five or more years prior administrative experience at a corporate / senior leve...
Tufts Health Plan - Watertown, MA
Under direction of the Senior Program Manager, the Business Implementation Program Manager II is responsible for projects and initiatives that support the US Family Health Plan program. Tufts Health Plan serves as plan administrator for the US Family Health Plan, a Department of ...
Tufts Health Plan - Watertown, MA
Under the administrative direction of the Supervisor of Mental Health Clinical Programs, the Mental Health Case Manager assists Tufts Health Plan to monitor and manage mental health and substance abuse services provided to covered members. The Case Manager acts as a resource and ...
Budgeting & Financial Planning Analyst Lead
Tufts Health Plan - Watertown, MA
This position will report to the Assistant Vice President of Budgeting & Financial Planning. The responsibilities of the position and the position's exposure within the company will be dynamic. This position will participate in the development of the annual business plan and fore...
Tufts Health Plan - Watertown, MA
Under the supervision of the Supervisor of Mechanical Services, the Facilities Technician 1st Class (Electrician) will lead or assist with all appropriate support tasks related to facility operations, with emphasis on building electrical systems. Schedules and leads others in the...
Tufts Health Plan - Watertown, MA
The Relationship Manager collaborates with other members of the department, IS and the Business to identify problems and needs of the organization, collect, analyze, and document business requirements, information system recommendations, and process improvement recommendations. T...
Director, Product Planning & Strategy
Tufts Health Plan - Watertown, MA
Working closely with the Director of Marketing and the Business Planning and Strategy department the Director is responsible for facilitating, coordinating and leading strategic analysis, planning, and product development activities for Medicare Preferred. Functions as the senior...
Tufts Health Plan - Watertown, MA
Under the oversight of the Risk Adjustment Director and direction of department managers, this individual would work with the risk adjustment department supporting them with advanced administrative needs to create efficiencies in day to day operations. This individual will perfor...
Tufts Health Plan - Watertown, MA
Under the direction of the Manager or Analytical Manager, the Health Care Analyst II will participate in the development, implementation and dissemination of new and/or existing evaluation and management reporting projects related to network utilization, cost, risk, and clinical ...
Tufts Health Plan - Watertown, MA
Perform various administrative duties for the CIO and Sr. Vice President of Operations, and VP of IS. Incumbents are seasoned with ten or more years prior administrative experience. Responsibilities are defined below. Incumbents are required to plan, organize, and prioritize work...
Tufts Health Plan - Watertown, MA
Currently the Medicare Care Management division of Clinical Services is planning for additional support to meet the needs of senior members and providers. As a result, there is a need for new positions that will function as Complex Care Case Managers. The Complex Care Case Manage...