Bmc Healthnet Plan jobs in Boston, MA

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Claims Adjudicator
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Responsible for the accurate and timely processing of claims. Must meet published quality and productivity standards. Also, responsible for
Sponsored by Boston Medical Center HealthNet Plan - 4 days ago
Contract Manager
BMC HealthNet Plan and Well Sense - Boston, MA
Demonstrated ability to plan, organize and manage modest projects successfully. 3+ years of Physician Organization, Hospital Finance and/or health plan...
Sponsored by Boston Medical Center HealthNet Plan - 30+ days ago

Claims Adjudicator

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Responsible for the accurate and timely processing of claims. Must meet published quality and productivity standards. Also, responsible for
Boston Medical Center HealthNet Plan - 4 days ago - save job - email - more...

Member Services Supervisor

BMC HealthNet Plan and Well Sense - Boston, MA
Demonstrated ability to successfully plan, organize and manage projects. The Member & Provider Services Supervisor is responsible for ensuring the delivery of...
Boston Medical Center HealthNet Plan - 4 days ago - save job - email - more...

Coordination of Benefits Specialist

BMC HealthNet Plan and Well Sense - Boston, MA
Net Plan (BMCHP) members for other insurance coverage. Investigates members for other insurance through phone calls, questionnaires, provider inquiries and...
Boston Medical Center HealthNet Plan - 9 days ago - save job - email - more...

Clinical Edit Payment Policy Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Chairs the CE/Coding Review sessions in support of ongoing Plan operations. Develops formal CE Exception Criteria with input from the CMO and other Plan...
Boston Medical Center HealthNet Plan - 4 days ago - save job - email - more...

Complex Care Clinician

BMC HealthNet Plan and Well Sense - Boston, MA
Collaboratively develops an individual care plan with the member focusing on the member’s goals and objectives, identifying strategies, supports and/or services...
Boston Medical Center HealthNet Plan - 14 days ago - save job - email - more...

Project Manager II

BMC HealthNet Plan and Well Sense - Boston, MA
Performs post implementation activities, including transition plans, lessons learned and project close-out....
Boston Medical Center HealthNet Plan - 18 days ago - save job - email - more...

Quality Assurance Analyst III

BMC HealthNet Plan and Well Sense - Boston, MA
Utilize test tools such as Quality Center’s requirements, test plan, test lab and defects modules. Participates and leads other analysts in all aspects of...
Boston Medical Center HealthNet Plan - 18 days ago - save job - email - more...

Member Services Representative

BMC HealthNet Plan and Well Sense - Boston, MA
Maintains knowledge of the Plan contracts and effectively interprets information related to BMCHP benefits. Our Member Services Representatives are responsible...
Boston Medical Center HealthNet Plan - 19 days ago - save job - email - more...

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...
Boston Medical Center HealthNet Plan - 30+ days ago - save job - email - more...

Prior Authorizations Clincian

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Evaluates and approves requested services using Organizational Policies or InterQual® screening criteria. Manages appropriate cases that may
Boston Medical Center HealthNet Plan - 30+ days ago - save job - email - more...
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
Sponsored by Boston Medical Center HealthNet Plan - 23 days ago
Provider Enrollment Representative
BMC HealthNet Plan and Well Sense - Boston, MA
Plan enrolls providers with those arrangements. Correctly from the beginning of their affiliation with the Plan....
Sponsored by Boston Medical Center HealthNet Plan - 30+ days ago
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...
Sponsored by Boston Medical Center HealthNet Plan - 30+ days ago

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