Bmc Healthnet Plan jobs in Boston, MA

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Prior Authorization Specialist I
BMC HealthNet Plan and Well Sense - Boston, MA
Experience with FACETS or other healthcare database. Experience with Health Plan Utilization / Claims departments. Customer service experience. Competencies...
Sponsored by Boston Medical Center HealthNet Plan - 10 days ago
Health Data Analyst II
BMC HealthNet Plan and Well Sense - Boston, MA
budget to actual analysis. Develops and implements plans to measure and report on corporate-wide health... analysis of health plan data. Regular and reliable...
Sponsored by Boston Medical Center HealthNet Plan - 30+ days ago

Member Services Representative

BMC HealthNet Plan and Well Sense - Boston, MA
High school diploma or GED is required. Bachelor's Degree or equivalent experience is desirable. One year of Customer Service Experience required....
Boston Medical Center HealthNet Plan - 16 days ago - save job - block - email - more...

Enrollment Representative

BMC HealthNet Plan and Well Sense - Boston, MA
Associate degree or equivalent combination of education, training, and work experience is required. 2 or more years experience in an administrative, clerical...
Boston Medical Center HealthNet Plan - 4 days ago - save job - block - email - more...

Prior Authorization Specialist I

BMC HealthNet Plan and Well Sense - Boston, MA
Preferred/Desirable:. Maintains current knowledge of network resources for referral and linkage to member’s and provider’s needs....
Boston Medical Center HealthNet Plan - 10 days ago - save job - block - email - more...

Marketing Coordinator Member Acqusition

BMC HealthNet Plan and Well Sense - Boston, MA
A minimum of one year’s experience working in the field of marketing and communications. development and delivery of materials for use by the Community Outreach...
Boston Medical Center HealthNet Plan - 3 days ago - save job - block - email - more...

Appeals and Grievance Specialist

BMC HealthNet Plan and Well Sense - Boston, MA
Ability to work in both team and independent settings at all levels of the organization. Good customer service skills essential....
Boston Medical Center HealthNet Plan - 11 days ago - save job - block - email - more...

Administrative Assistant

BMC HealthNet Plan and Well Sense - Boston, MA
Ability to work OT during peak periods. Interviews callers to determine needs and makes proper referrals;....
Boston Medical Center HealthNet Plan - 9 days ago - save job - block - email - more...

ACC Medical Specialist

BMC HealthNet Plan and Well Sense - Boston, MA
Associate’s degree in Healthcare, Nursing, Social Work or a related area or equivalent relevant work experience is required....
Boston Medical Center HealthNet Plan - 10 days ago - save job - block - email - more...

Coordination of Benefits Specialist

BMC HealthNet Plan and Well Sense - Boston, MA
Bachelor’s Degree in Business, Healthcare Administration or related fields;. or an equivalent combination of education, training, and experience is required....
Boston Medical Center HealthNet Plan - 9 days ago - save job - block - email - more...

Coding Analyst

BMC HealthNet Plan and Well Sense - Boston, MA
an RHIA (Registered Health Information Administrator through AHIMA);. He/She will provide business support to all departments in the proper use, code compliance...
Boston Medical Center HealthNet Plan - 10 days ago - save job - block - email - more...

Payment Policy Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Experience working with industry standard methods of payment including DRG, APC, RVU, etc. As directed by the department manager, he/she will project manage...
Boston Medical Center HealthNet Plan - 10 days ago - save job - block - email - more...
Appeals and Grievance Specialist
BMC HealthNet Plan and Well Sense - Boston, MA
departments within the Plan. Ensures compliance with... departments to create and implement improvement plans. Regular and reliable attendance is an essential...
Sponsored by Boston Medical Center HealthNet Plan - 11 days ago
Managed Care Analyst (MSO)
BMC HealthNet Plan and Well Sense - Boston, MA
3-5 years of Physician Organization and/or health plan experience Expert in utilizing Access and/or Excel... trustworthiness to represent BMC MSO to internal and...
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...
Sponsored by Boston Medical Center HealthNet Plan - 15 days ago
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