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 - 6 days ago
Coding Analyst
BMC HealthNet Plan and Well Sense - Boston, MA
as well as evaluate Plan specific policies that are... the overall project – with the Data Consortium, and BMC provider groups. Key Functions/Responsibilities...
Sponsored by Boston Medical Center HealthNet Plan - 21 days ago

Health Data Analyst I

BMC HealthNet Plan and Well Sense - Boston, MA
Bachelor’s Degree in Finance, Health Care Administration, or related field. At least 1 year of experience in managed care data analysis and reporting....
Boston Medical Center HealthNet Plan - 1 day ago - save job - 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 - 15 days ago - save job - 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 - 6 days ago - save job - 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 - 20 days ago - save job - email - more...

Provider Enrollment Representative

BMC HealthNet Plan and Well Sense - Boston, MA
Ability to work as a team member, to manage multiple tasks, to be flexible, and to work independently and possess excellent organizational and problem solving...
Boston Medical Center HealthNet Plan - 22 days ago - save job - 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 - 22 days ago - save job - email - more...

Quality Program Specialist (MSO)

BMC HealthNet Plan and Well Sense - Boston, MA
Excellent verbal and written communication skills. Retrieve metric data from each of the commercial insurers and organize by clinical site....
Boston Medical Center HealthNet Plan - 4 days ago - save job - email - more...

ACC Clinician

BMC HealthNet Plan and Well Sense - Boston, MA
Bachelors Degree in Nursing or Nursing School Degree with equivalent relevant work. experience. and network resources....
Boston Medical Center HealthNet Plan - 7 days ago - save job - 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 - 20 days ago - save job - 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 - 14 days ago - save job - email - more...
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 - 1 day ago
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 - 22 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 - 26 days ago
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