- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care ...Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... below based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS … more
- Commonwealth Care Alliance (Boston, MA)
- …more years of Home Health Care experience + 2 or more years of LTSS experience + 2 or more years working in a Medicare Advantage health Plan **Required ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Commonwealth Care Alliance (Boston, MA)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the ... of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan.… more
- Commonwealth Care Alliance (Springfield, MA)
- …including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, ... 024040 Clin Alli-HICM **Position Summary:** Commonwealth Care Alliance's (CCA) Community Intensive Care ...needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not… more
- Commonwealth Care Alliance (Springfield, MA)
- …including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, ... 024040 Clin Alli-HICM **Position Summary:** Commonwealth Care Alliance's (CCA) Community Intensive Care ...locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Commonwealth Care Alliance (Boston, MA)
- …for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, ... behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a...excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation… more
- Centene Corporation (Jacksonville, FL)
- …benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, St. Augustine/Hastings, ... FL.)** **Centene is seeking a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports ( LTSS ) team. This hybrid role… more
