• Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …**Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be ... based on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES (Claims Editing System)… more
    Commonwealth Care Alliance (08/26/25)
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  • Software Engineer

    Commonwealth Care Alliance (Boston, MA)
    …+ Azure Service Bus for messaging. + Azure Key Vault for secrets management . + Application Insights for monitoring and logging. + Azure Container Instances or ... or Terraform). + Docker containerization basics. + Experience with Azure API Management . + Contract testing (Pact or similar). **Soft Skills** + Problem-solving… more
    Commonwealth Care Alliance (10/29/25)
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  • Senior Provider Contract Manager

    Commonwealth Care Alliance (Boston, MA)
    …other departments whose functions are necessary to the development, implementation and management of the provider arrangements. + Lead and/or participate in cross ... managed care setting with specific background in contract negotiations and management . + Specific background in complex managed care provider contracting including… more
    Commonwealth Care Alliance (10/18/25)
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  • Manager, Consumer Participation & Engagement

    Commonwealth Care Alliance (Boston, MA)
    …facilitator both virtually and in person** **Outstanding communication and relationship management skills required** **Ability to identify key insights and ideas ... excellent written and verbal skills; good listener** **Excellent organizational and project management skills** **Must have a passion for CCAs mission and operate… more
    Commonwealth Care Alliance (10/15/25)
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  • MassHealth & Medicare Regulatory Compliance…

    Commonwealth Care Alliance (Boston, MA)
    …and track all regulatory inquiries, escalations, and resolutions. Change Request Management & System Configuration * Draft detailed ServiceNow change requests in ... have): * Facets (Core Claims Platform) * ServiceNow (Change Request Management ) * Salesforce (Dispute/Compliance Tracking) * Microsoft Teams, Outlook, Excel… more
    Commonwealth Care Alliance (09/01/25)
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  • Patient Access Associate

    Cambridge Health Alliance (Everett, MA)
    …of changes in insurance plan requirements that pertain to the referral management and point of service collection requirements. They will communicate any changes ... preferred In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based… more
    Cambridge Health Alliance (10/30/25)
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  • Inpatient Admissions Coordinator

    Cambridge Health Alliance (Everett, MA)
    …Behavioral Health resources preferred. Experience in patient flow and bed management **Education/Training** : High School Graduate Proficiency with Microsoft Office ... of EMTALA In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based… more
    Cambridge Health Alliance (10/30/25)
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  • Sales Senior Manager, instED

    Commonwealth Care Alliance (Boston, MA)
    …operations in emerging markets + Strong understanding of sales cycle management , pipeline development, and performance tracking + Proficiency with CRM platforms ... + English **Compensation Range/Target:** **$116,080 - $174,120** Commonwealth Care Alliance takes into consideration a combination of a candidate's education,… more
    Commonwealth Care Alliance (10/24/25)
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  • Orthopedic Medical Assistant - Full Time

    Cambridge Health Alliance (Cambridge, MA)
    …well child visits, vaccine booster visits), Participating in proactive population management of chronic diseases by generating MyCHArt messages, sending templated ... preferred In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based… more
    Cambridge Health Alliance (10/14/25)
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  • Business Analyst (Process Improvement / Clinical…

    Commonwealth Care Alliance (Boston, MA)
    …to prior authorizations. **Process Improvement** + Partners with Clinical Operations management to develop and review workflows, to streamline processes and increase ... bilingual preferred. **Compensation Range/Target: $64,000 - $96,000** Commonwealth Care Alliance takes into consideration a combination of a candidate's education,… more
    Commonwealth Care Alliance (08/28/25)
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