- Commonwealth Care Alliance (Boston, MA)
- …of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network , with a focus on ... determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality … more
- Commonwealth Care Alliance (Boston, MA)
- …operations, utilization management, and quality programs as they relate to provider satisfaction and network performance. - Experience with change management ... quality , compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The Provider… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Facilitate Communications Team in content creation as the subject matter expert for provider network + Maintain inventory of all provider communications ... all letters, emails and newsletters are compliant, uniform to CCA brand standards, and provider -friendly + Work with provider network and data management to… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting, the Senior Provider Contract ... ensure CCA members have superior access to the highest quality , cost-effective providers of healthcare services. Essential Duties &...Duties & Responsibilities: + Develop, negotiate, manage and maintain provider contracts for a set of provider … more
- ValSource, Inc. (Worcester, MA)
- …expertise to lead teams through Safety assessments (PHA, HAZOP and LOPA) and Quality assessments (Development of CIP/SIP strategy , Automation development and GMP ... support exciting GMP Drug Substance and Drug Product capital projects throughout our network and specifically in our Northeast Region (Greater Boston area). This is… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the ... data analysis, to ensure delegated entities meet contractual, regulatory, and quality standards that optimize member outcomes and operational efficiency. This… more
- Commonwealth Care Alliance (Boston, MA)
- …working with providers. Ensures integration of utilization management functions with network strategy , vendor relationship management and claims processing. ... standards in improvement to promote the development of a high quality team.collaboration with the broader clinical organization. - Ensures that utilization… more
- Jobleads-US (Boston, MA)
- …project planning, market and candidate research, the production of high- quality client deliverables, business development, and knowledge management. The Executive ... aspects of projects by identifying and developing a rigorous approach and strategy (eg, priority targets through market research, utilizing data tools, and scoping… more
- Commonwealth Care Alliance (Springfield, MA)
- …mental illness (SPMI) + Occasional long-term bridge therapy for members awaiting network referral for Behavioral Health Provider + Support in identifying, ... The SBHC ensures that a defined panel of patients receives the highest quality community-based within the context of a patient centric individualized plan of care.… more
- Jobleads-US (Boston, MA)
- …connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories. EY provides equal ... Join EY and help to build a better working world. Our objective is to provide clients with a unique business perspective on how to leverage SAP technology to enhance… more
