- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance tracking - ... learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Demonstrated skills in Excel and PowerPoint -… more
- Commonwealth Care Alliance (Boston, MA)
- …strong, collaborative relationships with provider partners serving dual-eligible ( Medicare -Medicaid) members. This role ensures providers are well-informed, engaged, ... also oversee corporate and business-as-usual (BAU) communications, support regulatory compliance , and champion digital innovation in provider engagement The Manager… more
- Commonwealth Care Alliance (Boston, MA)
- …plans in partnership with internal and external stakeholders. + Ensure compliance with all regulatory and contractual requirements related to LTSS provider ... **Required Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or knowledge of community based services… more
- Commonwealth Care Alliance (Boston, MA)
- …with key healthcare providers, optimizing network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance ... with provider engagement, delegation partnerships, provider services, contracting, quality, compliance , medical management, and analytics teams to advance provider… more
- Commonwealth Care Alliance (Boston, MA)
- …learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full support of independent ... relationships and collaborate effectively with internal and external stakeholders. - Proactive in identifying issues and developing effective solutions. - Adaptable… more
- CenterWell (Boston, MA)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): * 5+ years * Experience with Medicaid and Medicare products and programs * Value-based program oversight and performance tracking * ... learn new systems and databases that CCA implements. * Working knowledge of Medicare and Medicaid (MassHealth) * Demonstrated skills in Excel and PowerPoint *… more
- Commonwealth Care Alliance (Boston, MA)
- …with key healthcare providers, optimizing network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance ... with provider engagement, delegation partnerships, provider services, contracting, quality, compliance , medical management, and analytics teams to advance provider… more
- Commonwealth Care Alliance (Boston, MA)
- …learn new systems and databases that CCA implements. * Working knowledge of Medicare and Medicaid (MassHealth) * Familiarity with and full support of independent ... relationships and collaborate effectively with internal and external stakeholders. * Proactive in identifying issues and developing effective solutions. * Adaptable… more
- CenterWell (Boston, MA)
- …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent...a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage… more
