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Why This Role is Important to Us The Vice President for Provider Network Strategy and Contracting RI (the VP) is responsible for building and maintaining a provider network aligned with the strategic growth objectives of the organization. Reporting to the General Manager, Health Plans, the VP leads Provider Contracting and Provider Relations. The VP leads the execution of reimbursement strategie
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Why This Role is Important to Us Join Commonwealth Care Alliance's Virtual Care Team as a Program Manager to identify, deploy, evaluate, and scale Virtual Care programs, products, and technologies that address the complex care needs of our members and the operational needs of our organization. The Program Manager will gain deep experience at the forefront of virtual care innovation and will deve
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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 Utilization Management (UM) Reviewer is responsible for day to day timely
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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 Utilization Management (UM) Reviewer is responsible for day to day timely
Posted Today
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 Utilization Management (UM) Reviewer is responsible for day to day timely
Posted Today
Why This Role is Important to Us At Commonwealth Care Alliance (CCA), our vision is to lead the way in transforming the nation's healthcare for individuals with the most significant needs. If being part of a team and working on combined solutions for patients matters to you...keep reading. We may have something to talk about. At CCA, your role matters. You'll be joining an organization that is m
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Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing longitudinal care coordination and care management to a dedicated panel of dually eligible CCA members, a group of individuals with significant medical, behavioral, and social complexities that require intensive clinical support. The Care Partner provides, care management, and
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Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing longitudinal care coordination and care management to a dedicated panel of dually eligible CCA members, a group of individuals with significant medical, behavioral, and social complexities that require intensive clinical support. The Care Partner provides, care management, and c
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Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing longitudinal care coordination and care management to a dedicated panel of dually eligible CCA members, a group of individuals with significant medical, behavioral, and social complexities that require intensive clinical support. The Care Partner provides, care management, and c
Posted Today
Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing longitudinal care coordination and care management to a dedicated panel of dually eligible CCA members, a group of individuals with significant medical, behavioral, and social complexities that require intensive clinical support. The Care Partner provides, care management, and c
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Why This Role is Important to Us Do you want to make a difference in healthcare? Do you want to be a catalyst for growth in a rapidly expanding organization? Join Commonwealth Care Alliance's Strategic Finance Team to support CCA's next leg of mission driven impact. The Strategic Finance intern will immediately become an important contributor, helping to drive forward a range of fast paced, exte
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Why This Role is Important to Us As a subject matter expert, the senior financial system analyst supports the annual budget process by producing reports and templates as needed with the use of the Prophix Budgeting System. Responsible for optimal utilization of the budgeting system and is the point of contact for system related queries and requests. Acts as a system training resource for interna
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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 Service Authorization Specialist is responsible for providing accurate, p
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Why This Role is Important to Us The Server Administrator Level I works in conjunction with the Sr. Systems Administrator and shares responsibility for the specification, selection, installation, configuration, system management, and operation of all server hardware and software for the Commonwealth Care Alliance/Commonwealth Community Care. The Server Administrator Level I works as part of the
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Provide project management support to Sales related workgroups and committees including developing agendas, taking minutes, documenting action steps, communication and follow up with members of group Independently work with other business areas and provide skill set (not limited to data analysis, report development, data visualizations) Drive and engage cross functional work groups in order to ful
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