- Commonwealth Care Alliance (Boston, MA)
- …does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point of contact ... * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal teams as needed.… more
- Commonwealth Care Alliance (Boston, MA)
- …brand standards, and provider-friendly + Work with provider network and data management to influence how provider contact information is managed, stored and updated. ... with the network and drive performance improvements. + Lead the planning, project management , and execution of annual and ongoing updates to the Provider Manual,… more
- Commonwealth Care Alliance (Boston, MA)
- 024450 Clin Alli-Care Management **Position Summary:** Commonwealth Care Alliance 's (CCA) Clinical Care Manager is a registered nurse or other independently ... health clinician responsible for providing intensive monitoring, follow-up and clinical care management to a panel of health plan members with complex medical,… more
- Cambridge Health Alliance (Cambridge, MA)
- …CHA Cambridge Hospital **Work Days:** M-F 830-5PM **Category:** Professional and Management **Department:** Dept of OB Gyn **Job Type:** Full time **Work ... **Union Name:** Non Union **About CHA Obstetrics & Gynecology** Cambridge Health Alliance (CHA) is a vibrant, mission-driven health system committed to providing… more
- Cambridge Health Alliance (Malden, MA)
- …administrative portions of the software applications leveraged by Cambridge Health Alliance in conducting daily operations under the direction of the ... + Bachelor's degree in a healthcare-related field, Information Systems, or Business Management . Equivalent relevant experience may be considered in lieu of a degree.… more
- Commonwealth Care Alliance (Springfield, MA)
- 023430 Clin Alli-Clin Assessment & CP **Position Summary:** Commonwealth Care Alliance 's (CCA) Assessment unit conducts initial and ongoing face-to-face assessments ... + Understanding of how to use electronic health record systems and /or care management platforms to ensure accurate documentation. + Willing and able to pivot to… more
- Commonwealth Care Alliance (Boston, MA)
- …for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance 's (CCA) provider community. In this highly visible field position, ... own work to meet deadlines. + Work collaboratively with Provider Network Management staff to ensure an adequate and appropriate provider network. Participate in… more
- Commonwealth Care Alliance (Boston, MA)
- …remote role with the expectation of working according to Commonwealth Care Alliance 's standard operating hours of 8:30am-5pm Monday-Friday. **Member Facing:** ☒ NO: ... (must have):** + Bachelor's degree or equivalent experience within healthcare project management , HEDIS and STARs measures, population health, and the health plan… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance… more
- Cambridge Health Alliance (Cambridge, MA)
- …liaison with other Nurse Managers at the other two Cambridge Health Alliance hospitals. As necessary, the OSM interprets department policies and procedures, ... and weekend hours. Ability to multitask, responding to all critical care situations, management of pt. flow, and general overview of all hospital departments when… more