- Commonwealth Care Alliance (Boston, MA)
- …and the Appeals and Grievances team in a number of ways to ensure compliance on activities related to member complaints in the organization and improve the member ... facilitate timely resolution of all grievances and appeals and ensures compliance with regulations. Additionally, this position is responsible for timely… more
- Prime Therapeutics (Boston, MA)
- …in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse ... issues and maintains confidentiality and compliance with HIPAA privacyrequirements and applicable state and federal regulations. **Responsibilities** + FRAUD, WASTE… more