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Provider Enrollment Representative - new
Boston Medical Center Healthnet Plan - Boston, MA
Responsible for accurate set up of provider records in order to assure proper payment for providers. Handles all implementation steps to enroll providers in the Plan to ensure...
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Provider Appeals Coordinator - new
Boston Medical Center Healthnet Plan - Boston, MA
The Provider Appeals Coordinator is responsible for managing the overall coordination, investigation, documentation and the resolution process of medical claims appeals and...
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Business Intelligence Developer II - new
Boston Medical Center Healthnet Plan - Boston, MA
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...
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Customer Care Trainer - new
Boston Medical Center Healthnet Plan - Boston, MA
The Customer Care Trainer develops a wide variety of complex training programs and materials to support the Customer Care Center. Researches, develops, and delivers in house...
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Claims Operations Trainer & Analyst - new
Boston Medical Center Healthnet Plan - Boston, MA
Develops a wide variety of complex training programs and materials to support the Claims and Provider Appeals Department. Researches, develops and delivers in house training...
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Medical Policy Manager
Boston Medical Center Healthnet Plan - Boston, MA
In collaboration with the Medical Directors and the Office of Clinical Affairs, the Medical Policy Manager is responsible for the overall development, coordination and management...
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Business Systems Analyst III
Boston Medical Center Healthnet Plan - Boston, MA
The Business Systems Analyst III (BSA III) is responsible for defining and documenting business systems requirements and ensuring technology solutions enhance and support the...
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Member Service Supervisor
Boston Medical Center Healthnet Plan - Boston, MA
The Customer Care Center (CCC)/ Claims Resolution Unit (CRU) Supervisor is responsible for ensuring the delivery of outstanding customer service resolving issues and delivering...
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Portfolio Manager
Boston Medical Center Healthnet Plan - Boston, MA
Responsible for overseeing and evaluating the project portfolio against current business priorities and ensure transparency into portfolio performance. Responsible for managing...
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Product Implementation Director
Boston Medical Center Healthnet Plan - Boston, MA
The Product Implementation Director implements new product lines or high visibility, complex, enterprise-wide system solutions by overseeing all aspects of project work to ensure...
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