Tufts Health Plan Jobs

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Show:  All Results Last 7 Days
2 days ago

Medical Director – new

Tufts Health Plan Concord, NH

The Medical Director for Commercial Products will be a physician with an active New Hampshire and/or Massachusetts license and active board… HealtheCareers

28 days ago

Associate General Counsel

Tuft & Associates Chicago, IL

The Society of Thoracic Surgeons (STS) has an immediate opening for an Associate General Counsel. The individual chosen will report to the Executive… jobsradar.com

13 days ago

Outpatient Utilization Review RN

Tufts Health Plan Medford, MA

The Outpatient Utilization Review RN Onsite will ensure that the Tufts Health Public Plans (THPP) member population receive timely concurrent review… DisabledPerson

13 days ago

Manager, Medical Record Acquisition & Retention

Tufts Health Plan Medford, MA

The Manager of Medical Record Acquisition and Retention has responsibility for ensuring the quality and timeliness of the medical record retrieval… DisabledPerson

13 days ago

Health Care Analyst II - SAS Specialist

Tufts Health Plan Watertown, MA

Secondarily, this role will involve applying SAS expertise and analytic skills to support code conversions, data warehouse testing, automation of… DisabledPerson

13 days ago

Complex Claims Adj Processor

Tufts Health Plan Watertown, MA

Process complex claims adjustments as assigned by supervisor: * Review complex adjustment request to determine if re-adjudication of claim is… DisabledPerson

13 days ago

Review Coordinator

Tufts Health Plan Medford, MA

Under the direction of the Manager, the Medical Manager Review Coordinator triages all short stay inpatient admission requests to the appropriate… DisabledPerson

13 days ago

Appeals and Grievances Coordinator

Tufts Health Plan Watertown, MA

include, but are not limited to: timely distribution and classification of cases gathering information on behalf of the specialists with external… DisabledPerson

Tufts Health Plan Reviews

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James Roosevelt Jr.
61 Ratings
  • They like to shift the blame

    • Work/Life Balance
    • Culture & Values
    • Career Opportunities
    • Comp & Benefits
    • Senior Management
    Former Employee - Anonymous Employee
    Former Employee - Anonymous Employee
    Doesn't Recommend
    Negative Outlook
    Approves of CEO


    Your co-workers tend to be friendly. They give you ample opportunities to learn new skills, even the basics like Word/Excel/Access. The pay is pretty good.


    For Medicare Preferred, they like to shift blame on delays to those that don't have any control over aspects being delayed. This tended to be upper management within the division. The lack of communication between departments causes issues for those on the front lines. Claims processing is archaic, and that leads to issues with members and providers.

    Advice to Management

    Complete replacement from directors downward for all supervisory positions. Invest updated claims processing software.

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