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Hybrid Registerd Nurse (RN) or BH Care Partner- Case Manager - Ludlow and surrou
Commonwealth Care Alliance
-
Springfield, MA
Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing comprehensive care coordination and care management to CCA members from one or more CCA benefit programs. The Care Partner provides care management, and care coordination to a defined panel of CCA members and is the primary clinical and care management p
Email Job
Posted Today
Provider Contract Manager
Commonwealth Care Alliance
-
Farmington Hills, MI
Why This Role is Important to Us The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial arrangements with providers that ensure CCA members have superior access to the highest quality, cost effective providers of healthcare services. What You'll Be Doing Develop, negotiate and maintain provider contracts for
Email Job
Posted Today
Site Manager, Emergency Shelters - Onsite Sharon, MA
Commonwealth Care Alliance
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Boston, MA
Why This Role is Important to Us CCA partners with the Commonwealth of Massachusetts to provide supportive temporary emergency shelter to families under the Executive Office of Housing and Livable Communities' Emergency Assistance program. Our shelter program is part of the Commonwealth's response to a rapidly growing number of unhoused families, including thousands of fa
Email Job
Posted 1 day ago
Director of Utilization Management Inpatient Remote in Massachusetts
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Director, Inpatient Utilization Management (UM), leads and manages all utilization management (UM) functions for all inpatient level of care to ensure achievement of business results while maintaining compliance with all contract requirements, state and federal regulatory requirements and all applicable accreditation standards. In addi
Email Job
Posted 1 day ago
Director, Medicare Compliance - Remote
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Director of Medicare Compliance works directly with the Vice President Medicare Compliance/National Medicare Compliance Officer to develop and maintain an effective Health Plan Regulatory Compliance Program. This position is responsible for leading the development, implementation, and ongoing maintenance of elements of an effective Com
Email Job
Posted 1 day ago
Temporary LTSS Service Authorization Specialist
Commonwealth Care Alliance
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Boston, MA
Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation 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. The LTSS Service Authorization Specialist is respons
Email Job
Posted 1 day ago
Community Health Worker I (CHW) - Dorchester - Hybrid
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for addressing health related social needs (HRSN) and social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO) plans. Community Health Workers (CHWs) are key members of interdisciplinary care management teams and
Email Job
Posted 1 day ago
Community Health Worker II (CHW II)- Hybrid - Dorchester
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for addressing health related social needs (HRSN) and social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO) plans. Community Health Workers (CHWs) are key members of interdisciplinary care management teams and
Email Job
Posted 1 day ago
Community Health Worker II (CHW II) - Hybrid - Quincy Metro South
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for addressing health related social needs (HRSN) and social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO) plans. Community Health Workers (CHWs) are key members of interdisciplinary care management teams and
Email Job
Posted 1 day ago
Hyrbid - Registered Nurse (RN) Care Partner Case Manager - Boston
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing comprehensive care coordination and care management to CCA members from one or more CCA benefit programs. The Care Partner provides care management, and care coordination to a defined panel of CCA members and is the primary clinical and care management p
Email Job
Posted 2 days ago
Provider Services Representative (Remote)
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Provider Services Department provides a single point of contact for questions, problem solving, and access to care, for providers on behalf of members of the Senior Care Options (SCO) and One Care Programs. The Provider Services Representative (PSR) position is responsible for providing accurate, prompt, and courteous service in respon
Email Job
Posted 2 days ago
Lead Solution Architect (Remote)
Commonwealth Care Alliance
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Boston, MA
Reporting to the Senior Director of Solution Architecture. Supervision Exercised No, this position does not have direct reports. The role requires an equal balance of technical expertise, gained through current, hands on involvement in developing real world systems, and excellent interpersonal skills allied with the ability to quickly develop strong working relationships
Email Job
Posted 2 days ago
Senior Product Owner (Ancillary & Pharmacy IT)(Remote)
Commonwealth Care Alliance
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Boston, MA
Support IT communications Review documentation and provide feedback on quality and accuracy Research new ways to conduct business operations Research new technologies and its applicability Provide ideas to resolve risks and issues to IT leadership team Participate in learning and development Maintain active career development plan What We're Looking For Education Bachelor
Email Job
Posted 2 days ago
IT Portfolio Manager of Ancillary & Pharmacy Services (Remote)
Commonwealth Care Alliance
-
Boston, MA
Develop and maintain relationships with IT, business units and vendors to identify potential opportunities (projects and programs) to improve business operations, and deliver business outcomes. Consult with business unit's and review IT usage, services, technology, and department specific projects. Identify, forecast and develop IT needs. Establish subject matter expertis
Email Job
Posted 2 days ago
Vice President of Customer Experience -instED
Commonwealth Care Alliance
-
Boston, MA
instED's Vice President of Customer Experience is a key member of instED's management team reporting directly to the CEO. This position is responsible for driving and managing adoption of instED's clinical services across all existing and new clients and managing the customer satisfaction across all constituents. Supervision Exercised Yes, which includes but is not limite
Email Job
Posted 3 days ago
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