Why This Role is Important to Us CCA partners with the Commonwealth of Massachusetts to provide supportive temporary emergency shelter to families under the Executive Office of Housing and Livable Communities' Emergency Assistance program. Our shelter program is part of the Commonwealth's response to a rapidly growing number of unhoused families, including thousands of fa

Why This Role is Important to Us The Director, Inpatient Utilization Management (UM), leads and manages all utilization management (UM) functions for all inpatient level of care to ensure achievement of business results while maintaining compliance with all contract requirements, state and federal regulatory requirements and all applicable accreditation standards. In addi

Why This Role is Important to Us The Director of Medicare Compliance works directly with the Vice President Medicare Compliance/National Medicare Compliance Officer to develop and maintain an effective Health Plan Regulatory Compliance Program. This position is responsible for leading the development, implementation, and ongoing maintenance of elements of an effective Com

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The LTSS Service Authorization Specialist is respons

Why This Role is Important to Us Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for addressing health related social needs (HRSN) and social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO) plans. Community Health Workers (CHWs) are key members of interdisciplinary care management teams and

Why This Role is Important to Us Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for addressing health related social needs (HRSN) and social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO) plans. Community Health Workers (CHWs) are key members of interdisciplinary care management teams and

Why This Role is Important to Us Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for addressing health related social needs (HRSN) and social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO) plans. Community Health Workers (CHWs) are key members of interdisciplinary care management teams and

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing comprehensive care coordination and care management to CCA members from one or more CCA benefit programs. The Care Partner provides care management, and care coordination to a defined panel of CCA members and is the primary clinical and care management p

Why This Role is Important to Us The Provider Services Department provides a single point of contact for questions, problem solving, and access to care, for providers on behalf of members of the Senior Care Options (SCO) and One Care Programs. The Provider Services Representative (PSR) position is responsible for providing accurate, prompt, and courteous service in respon

Reporting to the Senior Director of Solution Architecture. Supervision Exercised No, this position does not have direct reports. The role requires an equal balance of technical expertise, gained through current, hands on involvement in developing real world systems, and excellent interpersonal skills allied with the ability to quickly develop strong working relationships

Support IT communications Review documentation and provide feedback on quality and accuracy Research new ways to conduct business operations Research new technologies and its applicability Provide ideas to resolve risks and issues to IT leadership team Participate in learning and development Maintain active career development plan What We're Looking For Education Bachelor

Develop and maintain relationships with IT, business units and vendors to identify potential opportunities (projects and programs) to improve business operations, and deliver business outcomes. Consult with business unit's and review IT usage, services, technology, and department specific projects. Identify, forecast and develop IT needs. Establish subject matter expertis

instED's Vice President of Customer Experience is a key member of instED's management team reporting directly to the CEO. This position is responsible for driving and managing adoption of instED's clinical services across all existing and new clients and managing the customer satisfaction across all constituents. Supervision Exercised Yes, which includes but is not limite

Why This Role is Important to Us The Program Analyst is responsible for performance evaluation and improvement efforts and leads a variety of administrative tasks supporting day to day program operations and development. The Analyst will manage performance reporting for all eight Health Home provider entities and will lead performance improvement planning when needed. Thi

Why This Role is Important to Us The instED Marketing Specialist Manager will be responsible for building and growing our brand with customers and prospects as well as maximizing the utilization of instED's in home urgent care services by our customers (e.g. health plans and risk bearing provider organizations) and their constituents (patients, members, and providers). To