BMC HealthNet Plan jobs in Boston, MA

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Administrative Support
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Performs basic/routine clerical and administrative support including photocopying, faxing, mailings, material preparation, sorting, coding,
Sponsored by Boston Medical Center HealthNet Plan
Prior Authorization Specialist
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...
Sponsored by Boston Medical Center HealthNet Plan
EDI Analyst II
BMC HealthNet Plan and Well Sense - Boston, MA
Definition of requirements for applications supporting the HealthNet Plan. Provides mid-level development and support for Electronic Data Interchange (EDI)...
Sponsored by Boston Medical Center HealthNet Plan

Director of Enterprise Information Management

BMC HealthNet Plan and Well Sense - Boston, MA
Create the plan for introducing and integrating new analytics/data tools into the organization, by collaborating with various business units to identify and...

Data Warehouse Developer II

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Job Summary: The Data Warehouse Developer 2 is a mid-level technical position responsible for designing and maintaining the Business

Provider Enrollment Representative

BMC HealthNet Plan and Well Sense - Boston, MA
Provides system analysis support as needed to ensure operational compliance with Plan provider and database rules....

Programmer Analyst III

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Develops and supports business applications supporting BMCHP and helps define and analyze business requirements for applications. Under

Vice President and Deputy General Counsel

BMC HealthNet Plan and Well Sense - Boston, MA
Prepares and submits filings for the Plan as needed. The Vice President and Deputy General Counsel reports to the Chief Legal Officer and is responsible for...

Utilization Management Program Coordinator

BMC HealthNet Plan and Well Sense - Boston, MA
Identify and review all regulatory reporting specifications that apply to appeals and grievances and specific regulatory UM reporting (including working with...

Member Enrollment Representative I

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Member Enrollment Representative performs a variety of specific functions associated with enrollment to facilitate accurate enrollment

Director of Payment Policy Strategy and Claim Editing

BMC HealthNet Plan and Well Sense - Boston, MA
Ensures consistency between Plan materials, and system payment rules. Works with Plan departments to understand business needs relative to transaction rule...

Prior Authorization Specialist

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...

Medical Management Project and Analytics Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Develops and maintains project documentation including, at minimum, a project charter, project checklist, project plan, project team directory, communication...
Senior Business Configuration Analyst
BMC HealthNet Plan and Well Sense - Boston, MA
Supports the implementation of new Plan product offerings and their implementation. Assists with and approves test plan development efforts and coordinates user...
Sponsored by Boston Medical Center HealthNet Plan
Customer Care Representative
BMC HealthNet Plan and Well Sense - Boston, MA
Maintains knowledge of the Plan contracts and effectively interprets information related to BMCHP benefits. After completing the initial required training, each...
Sponsored by Boston Medical Center HealthNet Plan

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