• Sr. Business Intelligence Advisor

    Commonwealth Care Alliance (Boston, MA)
    …Experience:** + 3-5 years' experience required; health insurance industry experience preferred + Background in health care analytics or business intelligence + ... Matrix-Managed environment **Desired Experience:** + Health insurance industry experience preferred **Required Knowledge, Skills & Abilities:** + Ability to… more
    Commonwealth Care Alliance (07/18/25)
    - Related Jobs

  • Clinical Informaticist

    Commonwealth Care Alliance (Boston, MA)
    …in a technical or clinical field or strongly supporting work or academic experience preferred + NP, PA, RN, BH specialist or Pharmacy degree or licensure strongly ... preferred **Required Experience:** + 1-3 years of clinical informatics...and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants… more
    Commonwealth Care Alliance (06/25/25)
    - Related Jobs

  • Primary Care Triage Nurse

    Commonwealth Care Alliance (Boston, MA)
    …in nursing required **Desired Education:** + Bachelor's Degree in nursing preferred . **Required Experience:** Meaningful clinical experience including: + 3+ years' ... care and care management services. **Language(s):** + English + Bilingual Preferred **Other:** + Laptop, Monitor, Headset, phone, Microsoft office, ShoreTel, Skype… more
    Commonwealth Care Alliance (06/05/25)
    - Related Jobs

  • MassHealth Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    …* Master's in Health Administration, Public Policy, or a related field preferred . Required Experience (must have): * 5+ years in healthcare compliance, regulatory ... with TPA partners (eg, Cognizant) and submitting Facets configuration changes highly preferred . Desired Experience (nice to have): * Required Knowledge, Skills &… more
    Commonwealth Care Alliance (06/02/25)
    - Related Jobs

  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Associate's or Bachelor's degree in Health Administration, Finance, or related field preferred . + Certified Professional Coder (CPC) - AAPC + Certified Claims ... working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred . **Required Knowledge, Skills & Abilities (must have):** + Proficiency with… more
    Commonwealth Care Alliance (05/31/25)
    - Related Jobs

  • Sr. Care Coordinator, Fall River/New Bedford Area

    Commonwealth Care Alliance (Boston, MA)
    …working in health care + Experience with a Medicare Advantage population preferred . + Experience with Substance Use Disorders **Required Knowledge, Skills & ... Skills, Abilities & Language (nice to have):** + bilingual preferred EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled… more
    Commonwealth Care Alliance (05/23/25)
    - Related Jobs

  • Temporary, Primary Care Clinic Support Coordinator

    Commonwealth Care Alliance (Boston, MA)
    …(EMRs) **Required Language(s)** English **Desired Language(s)** + Bilingual in Spanish preferred + Bilingual in Hattian Creole, Brazilian Portuguese, Portuguese, or ... an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for… more
    Commonwealth Care Alliance (07/24/25)
    - Related Jobs

  • Director of State Government Affairs

    Commonwealth Care Alliance (Boston, MA)
    …field required **Desired Education (nice to have):** + Master's Degree preferred . **MA Health Enrollment** **(required if licensed in Massachusetts):** + No, ... an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for… more
    Commonwealth Care Alliance (07/22/25)
    - Related Jobs

  • Manager, Medical Policy

    Commonwealth Care Alliance (Boston, MA)
    …an accredited college or university, in nursing or a health-related field preferred **Desired Education:** + Masters in Public Health, Healthcare Administration, or ... an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for… more
    Commonwealth Care Alliance (05/31/25)
    - Related Jobs

  • Risk Adjustment Business Analyst

    Commonwealth Care Alliance (Boston, MA)
    …* Working knowledge of the provider-based healthcare industry and Risk Adjustment preferred . Required Language (must have): * English EEO is The Law Equal ... an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for… more
    Commonwealth Care Alliance (05/23/25)
    - Related Jobs