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Temporary LTSS Service Authorization Specialist
Commonwealth Care Alliance
-
Boston, MA
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
Email Job
Posted 4 days ago
Licensed Practical Nurse (LPN) Primary Care - Springfield
Commonwealth Care Alliance
-
Springfield, MA
Why This Role is Important to Us Provides support in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, health history, and measurement of vital signs, preparing the patient for examination, and implementing patient treatment plans and therapies. Supports the care team in the overall co
Email Job
Posted 5 days ago
Hybrid - Community Advanced Practice Clinician
Commonwealth Care Alliance
-
Springfield, MA
Why This Role is Important to Us The Community Advanced Practice Clinician (C APC) serves as leader of medical care delivery for Commonwealth Care Alliance members on an Interdisciplinary Care Team (IDT) of skilled clinicians. The C APC works within CCA's unique and rewarding care delivery model by conducting routine and episodic care of dually eligible members with high
Email Job
Posted 5 days ago
Provider Enrollment Specialist (Remote)
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Provider Enrollment Specialist facilitates the paperwork and timely follow through of all required CCA and CCC employed clinician licenses, registrations, hospital affiliations and insurance enrollments including, but not limited to, state license, DEA & MCSR renewals, NPI registration, CAQH applications, Medicare & MassHealth enrollme
Email Job
Posted 5 days ago
Sr. Director, Third Party Compliance Oversight
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Senior Director, Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations, and leads the Third Party Compliance Oversight department for Commonwealth Care Alliance (CCA). This position effectively leads our Third Party Compliance Oversight programs which includes monitoring and eva
Email Job
Posted 5 days ago
Sr. Director, Corporate Compliance & Ethics
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Senior Director, Corporate Compliance & Ethics reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations, and leads the compliance & ethics programs for Commonwealth Care Alliance (CCA). This position effectively leads our Corporate Compliance & Ethics programs which include Code of Conduct and corporate ethics adm
Email Job
Posted 5 days ago
Sr. Manager, Corporate Compliance & Ethics
Commonwealth Care Alliance
-
Boston, MA
The Sr. Manager, Corporate Compliance & Ethics manages the day to day activities of the corporate compliance & ethics program for Commonwealth Care Alliance (CCA). The position manages CCA's Corporate Compliance & Ethics programs which include Code of Conduct and corporate ethics administration; corporate investigations; compliance and ethics training, communications, edu
Email Job
Posted 5 days ago
Sr. Associate Investigator, Compliance & Ethics
Commonwealth Care Alliance
-
Boston, MA
The Senior Investigator, Corporate Compliance & Ethics is responsible for managing and conducting investigations into concerns or reports of violations of the CCA Code of Conduct, policies and procedures and applicable laws and regulations. The position will be responsible for investigating issues and concerns reported to the Corporate Compliance & Ethics Department, incl
Email Job
Posted 5 days ago
Housing Navigation Liaison - Emergency Family Shelters - Eastern Mass
Commonwealth Care Alliance
-
Boston, MA
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
Email Job
Posted 5 days ago
Service Center Project Manager
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Project Manager is a key project delivery role in the Service Center Business Operations team responsible for delivering projects based on department and corporate priorities. The successful candidate will lead projects by leveraging strong project management skill, leadership, influence, communication, and negotiation based on well es
Email Job
Posted 5 days ago
Sr. Associate, Internal Audit
Commonwealth Care Alliance
-
Boston, MA
Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source programs above and recommended Present updates and reports as requested. Provide support to team members or manager when requested. Other duties as assigned. Secondary Responsibilities Contribute towards the overall Department Regulatory Affairs and Compliance infra
Email Job
Posted 5 days ago
Licensed Practical Nurse (LPN) - Primary Care
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us Provides support in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, health history, and measurement of vital signs, preparing the patient for examination, and implementing patient treatment plans and therapies. Supports the care team in the overall co
Email Job
Posted 5 days ago
Associate Investigator, FWA-SIU
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation and prevention activities under the general direction of the Director or designee. Supervision Exercised No What You'll Be Doing Plan, organize, and execute investigations or audits utilizing document review, witnes
Email Job
Posted 5 days ago
Human Resources Business Partner Director
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Human Resources Business Partner Director is responsible for providing professional consultative HR guidance and delivery of HR Business Partner services to Commonwealth Care Alliance geographically assigned business unit/s, leaders, and management teams through effective strategic architecting and tactical delivery of the human resour
Email Job
Posted 5 days ago
Associate Device Management Administrator (Remote)
Commonwealth Care Alliance
-
Boston, MA
Why This Role is Important to Us The Associate Device Management Administrator reports to the Sr. Manager, End User Services. The Associate Device Management Administrator deploys and supports Microsoft Modern Management platforms which includes Intune, SCCM, Windows Autopilot, Co management, MEM and Azure Portal. Including all cloud attached and on premises end user devi
Email Job
Posted 6 days ago
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