Bmc Healthnet Plan jobs in Boston, MA

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Service Desk Analyst I
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Service Desk Analyst I provides entry level technical support for BMCHP End Users. The analyst is required to answer calls, open and escalate
Sponsored by Boston Medical Center HealthNet Plan - 17 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 - 4 days ago

Data Analyst

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Job Summary: Under the direction of the Manager of Project Management Operational Analysis, the Data Analyst position is responsible for
Boston Medical Center HealthNet Plan - 16 hours 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 - 4 days ago - save job - email - more...

IT Configuration Analyst

BMC HealthNet Plan and Well Sense - Boston, MA
Assists with test plan development efforts and coordinates user acceptance testing when required. The IT Configuration Analyst (IT CA) is responsible for...
Boston Medical Center HealthNet Plan - 16 hours ago - save job - email - more...

Clinical Vendor Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Reviews reports with input from Plan subjuect matter experts as needed. Leads ongoing meetings ( e.g. Clinical, Operations) with Plan staff and vendor staff....
Boston Medical Center HealthNet Plan - 4 days ago - save job - email - more...

Senior QA Specialist Systems Configuration

BMC HealthNet Plan and Well Sense - Boston, MA
Knolwedge of health plan claims processing, system configuration and testing. Implements a front-end testing plan for large and small system updates....
Boston Medical Center HealthNet Plan - 16 hours ago - save job - email - more...

Clinical Vendor Coordinator

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Clinical Vendor Coordinator is responsible for the oversight of the clinical vendor reporting. This includes all clinical vendors except
Boston Medical Center HealthNet Plan - 17 days ago - save job - email - more...

Credentialing Coordinator II

BMC HealthNet Plan and Well Sense - Boston, MA
Represents Plan at Collaborative meetings. Assures file is complete per Plan policies,. 4 or more years of credentialing experience in a health plan or a...
Boston Medical Center HealthNet Plan - 28 days ago - save job - email - more...

Coding Validation Program Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Coding Validation Program Manager manages the Coding Validation program in the Clinical Informatics Department including achieving defined
Boston Medical Center HealthNet Plan - 27 days ago - save job - email - more...

Public Partnerships Program Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Knowledge of Medicaid, Affordable Care Act, Qualified Health Plans, Medicare and Managed Care. The Public Partnerships Program Manager will manage the process...
Boston Medical Center HealthNet Plan - 25 days ago - save job - email - more...

Senior Regional Contract Manager

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Job Summary: The Senior Regional Contract Manager is responsible for the development, implementation and management of cost-effective provider
Boston Medical Center HealthNet Plan - 25 days ago - save job - email - more...
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 - 3 days ago
Director of Quality Improvement and Program Management
BMC HealthNet Plan and Well Sense - Boston, MA
Oversees analysis of data, root cause analysis, plans for improvement, technical support to Plan managers, and re-measurement activities to assess performance...
Sponsored by Boston Medical Center HealthNet Plan - 30+ days ago
Credentialing Coordinator II
BMC HealthNet Plan and Well Sense - Boston, MA
Represents Plan at Collaborative meetings. Assures file is complete per Plan policies,. 4 or more years of credentialing experience in a health plan or a...
Sponsored by Boston Medical Center HealthNet Plan - 28 days ago

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