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 - 30+ days ago
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 - 30+ days ago

Contracting Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Develops and administers hospital, ancillary, Behavioral Health and physician contracting initiatives to successfully grow and maintain BMCHP's network....
Boston Medical Center HealthNet Plan - 3 days ago - save job - block - email - more...

Member Services Representative

BMC HealthNet Plan and Well Sense - Boston, MA
Our Member Services Representatives are responsible for providing accurate and thorough information on Plan benefits, eligibility and enrollment policies to...
Boston Medical Center HealthNet Plan - 6 days ago - save job - block - email - more...

IT Environment Manager

BMC HealthNet Plan and Well Sense - Boston, MA
The Environment Manager is responsible for ensuring successful coordination and deployment of BMCHP third party and custom built applications and interfaces...
Boston Medical Center HealthNet Plan - 3 days ago - save job - block - email - more...

Senior Regional Contracting Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Ensures all contract terms and conditions comply with financial and legal requirements of BMCHP and its regulatory entities (e.g., Mass....
Boston Medical Center HealthNet Plan - 3 days ago - save job - block - email - more...

Prior Authorization Clinician

BMC HealthNet Plan and Well Sense - Boston, MA
Refers all cases that do not meet criteria to the BMCHP Medical Director for final determination. Identifies members who could benefit from care management...
Boston Medical Center HealthNet Plan - 7 days ago - save job - block - email - more...

Credentialing Program Coordinator

BMC HealthNet Plan and Well Sense - Boston, MA
Health and state requirements and BMCHP internal processes. Conducts annual delegation audits at each of the delegation sites in the network....
Boston Medical Center HealthNet Plan - 17 days ago - save job - block - email - more...

Senior Contract\Program Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Contract/Program Manager serves as the internal subject matter expert with respect to the Program compliance and serves as the BMCHP liaison with the...
Boston Medical Center HealthNet Plan - 3 days ago - save job - block - email - more...

Application Support Coordinator

BMC HealthNet Plan and Well Sense - Boston, MA
Provides support of the business applications, processes and interfaces to exchange data used by the BMCHP business areas....
Boston Medical Center HealthNet Plan - 10 days ago - save job - block - email - more...

IT Trainer

BMC HealthNet Plan and Well Sense - Boston, MA
Keeps up to date with relevant systems and software used at BMCHP. Designs and delivers complex training programs in a variety of settings, included but not...
Boston Medical Center HealthNet Plan - 13 days ago - save job - block - email - more...

Manager of Utilization Management

BMC HealthNet Plan and Well Sense - Boston, MA
5 years RN experience with either prior authorization, utilization review, and/or discharge planning. 3 years related RN experience in an acute care or health...
Boston Medical Center HealthNet Plan - 9 days ago - save job - block - email - more...
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 - 30+ days ago
Contracting Manager
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Develops and administers hospital, ancillary, Behavioral Health and physician contracting initiatives to successfully grow and maintain BMCHP's...
Sponsored by Boston Medical Center HealthNet Plan - 3 days ago
IT Environment Manager
BMC HealthNet Plan and Well Sense - Boston, MA
Ensures that deployment plans are developed in... for the environment and deployment function for the Plan including deployment to production Manage all non...
Sponsored by Boston Medical Center HealthNet Plan - 3 days ago

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