• Database Developer (Healthcare / Risk Adjustment)

    Commonwealth Care Alliance (Boston, MA)
    011260 CCA-Revenue Cycle Management **Position Summary:** Reporting to the Director of Encounter Data Management within the Revenue Cycle Department, the Risk ... and maintenance of data systems and tools that support Commonwealth Care Alliance 's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs.… more
    Commonwealth Care Alliance (06/25/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a ... scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
    Commonwealth Care Alliance (08/31/25)
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  • Manager, Consumer Participation & Engagement

    Commonwealth Care Alliance (Boston, MA)
    …their needs is an unmet opportunity.** **Under the direction of the Director Consumer Participation and Engagement, the Manager of Consumer Participation and ... well as external advocates. The Manager works with the Director of Consumer Engagement to help CCA and as...of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered… more
    Commonwealth Care Alliance (07/16/25)
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  • Primary Care Triage Nurse

    Commonwealth Care Alliance (Boston, MA)
    …under the general supervision of the Primary Care Manager and Clinical Director . **Supervision Exercised:** + None **Essential Duties and Responsibilities:** + Act ... and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions… more
    Commonwealth Care Alliance (09/04/25)
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  • MassHealth Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    …will not be considered at this time._** Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. ... and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions… more
    Commonwealth Care Alliance (09/01/25)
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  • SR Business Analyst (Clinical Operations)

    Commonwealth Care Alliance (Boston, MA)
    …compliance. The Senior Business Analyst, Clinical Operations reports to the Director , Clinical Operations Support. This role will provide significant BA support ... and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions… more
    Commonwealth Care Alliance (08/28/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. ... and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions… more
    Commonwealth Care Alliance (08/26/25)
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  • Engagement Center Associate

    Commonwealth Care Alliance (Springfield, MA)
    …Engagement Center. The Associate, Engagement Center will focus on: 1) Supporting the Director and Manager in organizing and managing programming and flow in the ... and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions… more
    Commonwealth Care Alliance (07/03/25)
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  • Director , Medical Information & Review

    Takeda Pharmaceuticals (Lexington, MA)
    …needs; develops appropriate joint Medical Review policies/processes; collaborates with Sr Director , Medical Information and Review and alliance partner in ... is true to the best of my knowledge. **Job Description** **OBJECTIVES** **:** The Director , Medical Information & Review will work closely with the Sr Director ,… more
    Takeda Pharmaceuticals (08/15/25)
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  • Medical Director , Clinical Science, NS…

    Takeda Pharmaceuticals (Cambridge, MA)
    …inspire you and empower you to shine? Join us as a Medical Director , Clinical Science, Neuroscience TAU- Respiratory/Sleep Disorder in our Cambridge, MA office. At ... a vital contributor to our inspiring, bold mission. **POSITION OBJECTIVES:** The Medical Director + leads and drives strategy for clinical studies within the overall… more
    Takeda Pharmaceuticals (07/16/25)
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