- Commonwealth Care Alliance (Boston, MA)
- …strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data analysis, to ensure delegated entities meet ... full management responsibility for all performance measure components, including end-to-end data collection, evaluation, and timely dissemination of reports to both… more
- Commonwealth Care Alliance (Boston, MA)
- …management, (c) coordination of onboarding and training of related CBO staff, (d) data review, reporting and analysis, and (e)assistance to these external ... in meetings/calls with ASAPs and LTSC Agencies - Performance reporting / data management support o Link with CCA's...that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full support of… more
- Commonwealth Care Alliance (Boston, MA)
- …and outcomes, and leads performance evaluation and improvement efforts. Through reporting , data analysis, and partnership management, the LTSS Program ... and data accuracy, including roster reconciliation, payment processes, and reporting . + Manage special projects related to program development, process redesign,… more
- Commonwealth Care Alliance (Boston, MA)
- …inquiries and facilitating collaborative discussions on improvement opportunities. **Performance Reporting & Data Management** + Partner with Quality ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
- Commonwealth Care Alliance (Boston, MA)
- …strong, collaborative relationships with provider partners serving dual-eligible (Medicare- Medicaid ) members. This role ensures providers are well-informed, engaged, ... facing staff apprised of messaging and timelines. + Present reporting and trends to the committee + Develop and...standards, and provider-friendly + Work with provider network and data management to influence how provider contact information is… more
- Commonwealth Care Alliance (Boston, MA)
- …in a matrixed environment. - Proficiency in Microsoft Office Suite; experience with data reporting tools preferred. - Ability to function independently and ... relationships with behavioral health providers and driving performance improvement through data insights, education, and partnership. This individual will serve as… more
- Commonwealth Care Alliance (Boston, MA)
- …- Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) and comfort with data dashboards or reporting tools. - Ability to lead and facilitate ... and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline provider… more
- Commonwealth Care Alliance (Boston, MA)
- …utilization management issues and concerns and corrective action plan activities and reporting . - Provides expert input to Finance regarding patterns of utilization ... delivery Required Knowledge, Skills & Abilities: - Medicare and Medicaid managed care experience - Demonstrated knowledge of federal...required for the role, and other external and internal data when establishing a salary level. In addition to… more
- Commonwealth Care Alliance (Boston, MA)
- …operational excellence to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior ... a best-in-class provider experience. + Utilize strategic planning and data -driven insights to identify opportunities for continuous improvement in provider… more
- Commonwealth Care Alliance (Boston, MA)
- …progress across the portfolio of strategic growth efforts - Helps build reporting and governance structures for initial oversight. Works to identify, escalate and ... field is a plus Desired Licensing (nice to have): - Project Management Professional (PMP) certification - Six Sigma or equivalent certification - Agile/scrum master… more
