- Sevita (Boston, MA)
- …Coordinates and executes pre- and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in ... the United States. Join us in work that matters. Summary The Senior Clinical Compliance Auditor is responsible for developing, auditing plans, and collaborating with… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Clinical Strategy team is a multi-disciplinary team focused on creating data-driven strategies to ... reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with internal and external stakeholders, such as … more
- Commonwealth Care Alliance (Boston, MA)
- …members and providers, working collaboratively with leaders accountable for delivering clinical care and provider networks and contracting. Reporting directly to the ... department and provides strategic direction and operational insight for CCA's Medicaid /Medicare Dual Eligible enrollees and MAPD Plan members. + Oversee Member… more