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Boston Medical Center Healthnet Plan jobs

Viewing 1 - 10 of 68 jobs

  • Complex Care Clinician

    Boston Medical Center Healthnet Plan - Springfield, MA

    interdisciplinary team [both internal and external to the plan] and works closely with Beacon Health Strategies to ... care providers. * Completes documentation in the medical management information system [CCMS] in a timely manner and...

    2 days ago from Boston Medical Center HealthNet Plan

  • Medical Policy Program Coordinator

    Boston Medical Center Healthnet Plan - Boston, MA

    all administrative functions associated with Internal Medical Policies, including both the direct production and ... Key Functions/Responsibilities: * Develops accurate and complete Applicable Code list for new Internal Medical Policies...

    3 days ago from Boston Medical Center HealthNet Plan

  • Special Investigations Unit Coordinator

    Boston Medical Center Healthnet Plan - Boston, MA

    working with medical records * Minimum of 2 years of medical billing, claims processing, or auditing experience ... Preferred/Desirable * Basic medical terminology, CPT/HCPCS/ICD9 coding Experience * Minimum of 2 years experience as an...

    3 days ago from Boston Medical Center HealthNet Plan

  • Provider Services Representative

    Boston Medical Center Healthnet Plan - Boston, MA

    Maintains current knowledge of BMCHP and Well Sense Health Plan benefits, provider network development and contract issues, HIPAA regulations, Massachusetts and New Hampshire Medicaid regulations, as well as industry standards for claims...

    4 days ago from Boston Medical Center HealthNet Plan

  • Boston Medical Center HealthNet Plan WHAT MAT...

    Pittsfield, MA

    Boston Medical Center HealthNet Plan WHAT MATTERS MOST TO YOU We re Hiring RN Care Managers in our Springfield Office ... please visit jobs bmchp org springfield BMC HealthNet Plan is an Equal Opportunity Employer committed to...

    30+ days ago from Geebo

  • Senior Regional Contracting Manager

    BMC Healthnet Plan - Boston, MA

    and strategy (e.g., accountable care and patient centered medical home); Proven negotiation skills with hospitals, Integrated Delivery Networks, physicians and ancillary service providers; Proven skill in critical thinking and strategic...

    23 hours ago from IHispano

  • Nurse Care Clinician

    Boston Medical Center Healthnet Plan - Springfield, MA

    disease management for members with specific chronic medical conditions. Through the use of assessments, ... care providers. * Completes documentation in the medical management information system [CCMS] in a timely manner...

    9 days ago from Boston Medical Center HealthNet Plan

  • Manager of Clinical Vendor Management and OCA Project Management

    Boston Medical Center Healthnet Plan - Boston, MA

    contacts. * Demonstrated ability to successfully plan, organize, implement and manage projects within a health care setting. * Strong analytical and clinical problem solving skills. * Knowledge of analytics, metrics, and an ability to...

    3 days ago from Boston Medical Center HealthNet Plan

  • Director of Quality Improvement and Program Management

    Boston Medical Center Healthnet Plan - Boston, MA

    relating to the development and management of the Plan’s utilization management program, select medical ... Key Functions/Responsibilities: * Designs, implements and leads the Plan’s continuous quality improvement infrastructure...

    6 days ago from Boston Medical Center HealthNet Plan

  • Member Services Representative

    Boston Medical Center Healthnet Plan - Boston, MA

    for providing accurate and thorough information on Plan benefits, eligibility and enrollment policies to ... and problems * Maintains knowledge of the Plan contracts and effectively interprets information related to BMCHP...

    19 days ago from Boston Medical Center HealthNet Plan

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