- Commonwealth Care Alliance (Boston, MA)
- …+ English EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... of training initiatives, coordination of Peer to Peer reviews with MDs, and preparation of case samples for audit...case samples for audit review. This position works collaboratively with the AG Representatives and Management to support the… more
- Commonwealth Care Alliance (Boston, MA)
- …office environment EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... Care Triage Nurse also acts as the primary liaison with Care Partnership when communicating care management needs. The...may assist the APC (Advanced Practice Clinician) or physician with lab orders, referrals, and scheduling urgent care visits… more
- Lundbeck (Springfield, MA)
- …. _Lundbeck is committed to working with and providing reasonable accommodations to ... candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries include:...disabled veterans and other individuals with disabilities during our employment application process. If, because… more
- Commonwealth Care Alliance (Boston, MA)
- …to adjust focus EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... services to dually eligible CCA members, a group of individuals with significant medical, behavioral, and social complexities that require intensive support.… more
- Commonwealth Care Alliance (Boston, MA)
- …Coding Certification EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... Medical Policy Director is an independent contributor who works in partnership with medical leadership and cross-functionally in the organization. The Medical Policy… more
- Commonwealth Care Alliance (Boston, MA)
- …* bilingual preferred EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements * Provides decision-making guidance to clinical… more
- Commonwealth Care Alliance (Boston, MA)
- …have):** + English EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... risk scoring, and revenue optimization. The Developer will work cross-functionally with analytics, IT, operations, and vendor teams to support and enhance… more
- Commonwealth Care Alliance (Boston, MA)
- …in Spanish preferred EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... timely resolution of all grievances and appeals and ensures compliance with regulations. Additionally, this position is responsible for timely investigation and… more
- Commonwealth Care Alliance (Boston, MA)
- …Teams, Outlook, Excel EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon ... Specialist II is responsible for ensuring CCA's operational compliance with state and federal healthcare regulations, particularly MassHealth (Massachusetts… more
- Commonwealth Care Alliance (Boston, MA)
- …is a plus.** EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/ Disabled Please note employment with CCA is contingent upon acceptable ... + Analyze MassHealth and Medicare claim reimbursements to ensure compliance with contractual terms, state and federal regulations, and internal payment policies.… more