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Member Services Representative
BMC HealthNet Plan and Well Sense - Manchester, NH
Job Description Our Member Services Representatives are responsible for providing accurate and thorough information on Plan benefits, eligibility and
Sponsored by Boston Medical Center HealthNet Plan
Senior Business Configuration Analyst
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Senior Business Configuration Analyst (Sr. BCA) is responsible for gathering requirements from internal clients, providing business and
Sponsored by Boston Medical Center HealthNet Plan
Vice President of Network Management
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Job Summary: Reporting to the Chief Financial Officer, The Vice President of Network Management provides leadership for all activities
Sponsored by Boston Medical Center HealthNet Plan

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

ACC Clinician

BMC HealthNet Plan and Well Sense - New Bedford, MA
Job Description Functions as the liaison for hospital staff, PCP, other healthcare team members and BMCHP staff telephonically. Educates network providers on

EMS Telecommunicator

WVU Healthcare 7 reviews - Morgantown, WV 26506
HealthNet Aeromedical Policy and WV OEMS guidelines. 2.4 Provides a heading a distance to the HealthNet. 2.0 Functions as the communication specialist for the...

Enrollment Representative

Molina Healthcare 159 reviews - Reston, VA
Accurately process HealthNet Eligibility Tracking Forms (ETFs) and PCP transfers. Serve as a liaison between Molina its members and Providers....

Senior Provider Relations Consultant

BMC HealthNet Plan and Well Sense - Manchester, NH
Job Description Responsible for managing assigned territory of professional, institutional and ancillary provider types in order to enhance these

WVU-Emergency Medical Services (EMS) Telecommunicator

West Virginia University Hospitals 18 reviews - Morgantown, WV
HealthNet Aeromedical Policy and WV OEMS guidelines. 2.4 Provides a heading a distance to the HealthNet. 2.0 Functions as the communication specialist for the...

Coordination of Benefits Specialist

BMC HealthNet Plan and Well Sense - Boston, MA
The Coordination of Benefits (COB) Specialist is responsible for optimizing COB recovery efforts by identifying and investigating Boston Medical Center...

Investigator Special Investigations Unit

BMC HealthNet Plan and Well Sense - Manchester, NH
Job Description Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and

Prior Authorization Specialist I

BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program,

HealthNet Development Consultant

Indiana University Health 92 reviews - Indianapolis, IN
Works in conjunction with HealthNet Development/Marketing team, the HealthNet President/CEO and other HealthNet leadership, the HealthNet Board of Directors and...
Manager of Credentialing
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description Reporting to the Director of Provider Network Operations and in compliance with the Massachusetts Board of Registration in Medicine, New
Sponsored by Boston Medical Center HealthNet Plan
EDI Analyst II
BMC HealthNet Plan and Well Sense - Boston, MA
Definition of requirements for applications supporting the HealthNet Plan. Provides mid-level development and support for Electronic Data Interchange (EDI)...
Sponsored by Boston Medical Center HealthNet Plan

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