- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Under direction of the Director of Medicare Compliance , the primary focus areas of this position include development and ... to regulators + Submit materials to regulators + Coordinate attestations from Senior Leadership for submission ** Compliance Regulatory Guidance Distribution** +… more
- Commonwealth Care Alliance (Boston, MA)
- … (CHC) preferred + 5 or more years direct work experience inregulatory affairs and/or compliance in Medicare or Medicaid required + 5 or more years of managerial ... Role is Important to Us:** Under direction of the Sr . Director of Regulatory & External Audits, the primary...external regulatory agencies including but limited to Centers for Medicare & Medicaid Services (CMS), Mass Health, Departments of… more
- Commonwealth Care Alliance (Boston, MA)
- …Partner with Senior Director of Operations, and Paramedic Network Delivery Manager around medic performance and periodic trainings and/or case reviews. + Oversee ... unnecessary ED visits 88% of the time** . The Sr . Medical Director, InstED is a key clinical leader...presentation and/or media opportunities. + As backup to the Senior Director of Operations, Customer Support Manager ,… more
- Commonwealth Care Alliance (Boston, MA)
- …Department Regulatory Affairs and Compliance infrastructure at CCA. + Promote compliance in CCA's business operations with all Medicare and Medicaid ... Program + Contribute towards the maintenance and enhancement of an effective Compliance Monitoring Program + Contribute towards the maintenance and enhancement of an… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety ... Manager is responsible for designing and executing quality measurement...achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid- Medicare Plan withhold measures,… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Lead Compliance Program Manager will be responsible for development, ... well as external stakeholders including government regulators and auditors. The Lead Compliance Program Manager will be responsible for collaborating with… more
- Beth Israel Lahey Health (Boston, MA)
- …of the Associate Director of the Clinical Trials Office (CTO), the Senior Contracting Specialist works with investigators, clinical trial coordinators and industrial ... clinical research agreements in accordance with BIDMC' institutional policies. The Senior Contracting Specialist provides orientation, training and mentoring to CTO… more
- Commonwealth Care Alliance (Boston, MA)
- …Direct Reports Include the Director of Member Service, Director of Provider Service, Senior Director of Member Communications, Manager of Training and Quality, ... Director of Business Strategy and Technology, Director of Member Experience and Improvement, Senior Director of Consumer Affairs, and the Director and Senior … more
- State of Massachusetts (Boston, MA)
- …as well as other state and federal entities such as the Centers for Medicare and Medicaid Services, State Auditor's Office, and Office of Inspector General. The ... and abuse, including identification and implementation of best practices, reporting compliance , claims data analysis, development of key performance indicators, and… more
- Commonwealth Care Alliance (Boston, MA)
- …programs. 3) In collaboration with their supervisor and Market General Manager , works with external stakeholders including network providers and facilities to ... leadership, creates and implements programs that improve the health of the senior dual eligible and MAPD population, including for dementia, chronic disease… more