Boston Medical Center Healthnet Plan jobs
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Featured Job Postings from the Web
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| May 16 | Programmer Analyst II | Boston Medical Center Healthnet Plan | Boston, MA |
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Develops and supports business applications supporting BMCHP and helps define and analyze business requirements for applications. Under general supervision, analyzes and evaluates... more |
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| May 15 | Senior Quality & Training Specialist | Boston Medical Center Healthnet Plan | Boston, MA |
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Experience: Required: * A minimum of 3-5 years of customer service and or/call center expe ... Experience Required * A minimum of 3-5 years of customer service and or/call center experi... more |
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| May 11 | Claims Operations Trainer & Analyst | Boston Medical Center Healthnet Plan | Boston, MA |
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* Demonstrated ability to successfully plan, organize and manage projects * Detail oriented, excellent proof reading and editing skills. * Excellent interpersonal, communication... more |
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| May 09 | Provider Enrollment Supervisor | Boston Medical Center Healthnet Plan | Boston, MA |
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within the Department as well as to meet the Plan goal to improve the overall provider ... unique arrangements and ensuring the Plan accurately enrolls the providers with... more |
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| May 07 | Provider Enrollment Representative | Boston Medical Center Healthnet Plan | Boston, MA |
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of the unique arrangements and ensures the Plan enrolls providers with those ... needed to ensure operational compliance with Plan provider and database rules. * Develops... more |
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| May 07 | Business Intelligence Developer II | Boston Medical Center Healthnet Plan | Boston, MA |
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Under the direction of the Manager of Business Intelligence, the Business Intelligence Developer II position is responsible for developing standard reports that serve the needs of... more |
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| May 07 | NH Behavioral Health Program Director | Boston Medical Center Healthnet Plan | Manchester, NH |
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* Participates in implementation of key program initiatives such as improved BH / Medical Integration. * Analyzes data from multiple sources to identify and respond to trends and... more |
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| May 07 | Senior Business Configuration Analyst | Boston Medical Center Healthnet Plan | Boston, MA |
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approval * Assists with and approves test plan development efforts and coordinates user ... * Supports the implementation of new Plan product offerings and their... more |
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| May 07 | CM Select Clinician | Boston Medical Center Healthnet Plan | Boston, MA |
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medical non-clinicians, pharmacists, and medical directors. Works closely with Beacon ... policy in close collaboration with the Medical Director, Pharmacist, Beacon... more |
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| May 07 | Manager of Care Management | Boston Medical Center Healthnet Plan | Manchester, NH |
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achievement of department initiatives for medical cost management and NCQA ... and assist in the appropriateness of plan of care and to collaborate with... more |
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| May 07 | IT Data Analyst | Boston Medical Center Healthnet Plan | Boston, MA |
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initiatives/projects that require health plan data * Follows established SDLC, change ... * Demonstrated ability to successfully plan, organize and manage projects. * Detail... more |
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| May 07 | Medical Policy Manager | Boston Medical Center Healthnet Plan | Boston, MA |
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coordination and management of the Plan's medical policies. This includes ... medical policy and coordinating the Plans medical technology assessment process in... more |
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| May 03 | Senior IT Project Manager | Boston Medical Center Healthnet Plan | Boston, MA |
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expectations. Monitors progress according to plan, identifying and coordinating resolution of issues, reporting progress and escalating problems when necessary. Communicates... more |
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| May 02 | Claims Adjudicator | Boston Medical Center Healthnet Plan | Boston, MA |
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Skills, & Attributes * Working knowledge of medical terminology as well as CPT4, HCPCS and ICD9 coding sets andHIPAA regulations. * Knowledge of Microsoft Office and FACETS... more |
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| Apr 25 | Senior Provider Relations Representative | Boston Medical Center Healthnet Plan | Manchester, NH |
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enhance these relationships so that BMCHP (Plan) becomes their plan of choice. Serves as ... Key Functions/Responsibilities: * Represents Provider Relations and the Plan at external p... more |
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| Apr 25 | Regional Manager of Provider Relations | Boston Medical Center Healthnet Plan | Manchester, NH |
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Care Organization (ACO) and Patient Center Medical Home (PCMH) reporting and ... Provider Clinical Forums in conjunction with Plan Medical Directors. * Gathers and... more |
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| Apr 25 | Provider Relations Specialist | Boston Medical Center Healthnet Plan | Manchester, NH |
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interaction between a provider and BMCHP (Plan). Provides some specialized administrative support to department(s) staff and management at all levels requiring intermediate level... more |
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| Apr 19 | Provider Relations Representative | Boston Medical Center Healthnet Plan | New Bedford, MA |
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* Outreaches to providers according to Plan initiatives. * Analyzes operational ... * Facilitates problem resolution. Initiates Plan interdepartmental collaboration to... more |
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| Apr 18 | Prior Authorization Specialists Supervisor | Boston Medical Center Healthnet Plan | Boston, MA |
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achieving HS departmental initiatives for medical cost management and NCQA as they relate to the prior-authorization processes. * Collaborates with other department supervisors in... more |
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| Apr 18 | Project Manager III Clinical Affairs | Boston Medical Center Healthnet Plan | Boston, MA |
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communication plan, risk management plan, change management plan, issues log, ... * Demonstrated ability to successfully plan, organize, implement and manage projects... more |
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More Job Postings from the Web
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| May 12 | Senior Director of Financial Planning & Actuarial Services | Boston Medical Center Healthnet Plan | Boston, MA |
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Plans multiple products. This will include medical, actuarial and cost of care data ... and pricing strategies. Responsible for medical budget development including... more |
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| May 09 | Regional Contract Manager | Boston Medical Center Healthnet Plan | Boston, MA |
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(e.g., accountable care and patient centered medical home); * Proven negotiation skills with hospitals, Integrated Delivery Networks, physicians and ancillary service providers; *... more |
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| May 07 | Senior Provider Reimbursement Analyst | Boston Medical Center Healthnet Plan | Boston, MA |
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payment methodologies to be employed in Plan Contracting. Applies knowledge of coding ... as pay for performance, and their impact on medical costs. Key... more |
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| May 07 | Health Data Analyst I | Boston Medical Center Healthnet Plan | Boston, MA |
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* Supports the development of effective medical management programs/initiatives through an ... that require analysis of health plan data. * Regular and reliable attendance... more |
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| May 07 | Senior Medical Economics Analyst | Boston Medical Center Healthnet Plan | Boston, MA |
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* Supports the development of effective medical management programs/initiatives through an ... effectiveness of both internally developed medical management initiatives or externally... more |
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