BMC HealthNet Plan jobs in Boston, MA

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Manager of Care Management
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Manager of Care Management is responsible for managing the day-to-day operation of the Care Management teams including hiring, scheduling,
Sponsored by Boston Medical Center HealthNet Plan
Manager of Care Management ACO
BMC HealthNet Plan and Well Sense - Boston, MA
Experience in an ACO or health plan environment. Inpatient to outpatient transitions), and participating in both telephonic and in-person care plan meetings for...
Sponsored by Boston Medical Center HealthNet Plan
Director of Quality Improvement and Program Management
BMC HealthNet Plan and Well Sense - Boston, MA
Leads all Plan activities in application for NCQA re-accreditation and addition of new products to current accreditation....
Sponsored by Boston Medical Center HealthNet Plan

Regional Contract Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Regional Contract Manager facilitates development, implementation and management of cost-effective provider networks in his/her assigned

Vendor Oversight Program Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Demonstrated ability to successfully plan, organize and manage projects. The Program Manager leads efforts in developing, promoting, and facilitating all...

Executive Director

BMC HealthNet Plan and Well Sense - Boston, MA
Promptly resolve any issues related to the SCO Program Contract identified either by the Plan, EOHHS, or CMS....

Manager of Operational Quality Assurance

BMC HealthNet Plan and Well Sense - Boston, MA
Demonstrated ability to successfully plan, organize and manage projects. The Manager of Operational Quality Assurance develops, manages, and coordinates...

Manager of Care Management

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Manager of Care Management is responsible for managing the day-to-day operation of the Care Management teams including hiring, scheduling,

Prior Authorization Clinician Supervisor

BMC HealthNet Plan and Well Sense - Boston, MA
Demonstrated ability to successfully plan, organize and manage projects. The Prior Authorization Clinical Supervisor is responsible for the daily supervision...

Prior Authorization Specialist I

BMC HealthNet Plan and Well Sense - Boston, MA
Experience with Health Plan Utilization / Claims departments. Responsible for screening prior-authorization and coordination of specialized services requests in...

Assistant General Counsel

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Under the supervision of the Deputy General Counsel, the Assistant General Counsel assists in providing in-house legal services to BMCHP.

Clinical Vendor Coordinator

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Clinical Vendor Coordinator is responsible for the oversight of the clinical vendor reporting. This includes all clinical vendors except

Claims Quality Assurance Auditor II

BMC HealthNet Plan and Well Sense - Boston, MA
Maintain a comprehensive understanding of Plan benefits, policies, procedures, and claims processing guidelines....
Business Systems Analyst II
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Business Systems Analyst’s role is to collaborate on design, develop, and launch efficient business and operations systems in support of
Sponsored by Boston Medical Center HealthNet Plan
Operations Trainer
BMC HealthNet Plan and Well Sense - Boston, MA
Demonstrated ability to successfully plan, organize and manage projects. The Operations Trainer develops a wide variety of training programs and materials to...
Sponsored by Boston Medical Center HealthNet Plan

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