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Nurse Care Clinician
Boston Medical Center Healthnet Plan - Springfield, MA
Define a care plan which complements the physician treatment plan ... successes and challenges. Reevaluates care plan and modifies as needed based on member...
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Provider Enrollment Representative - new
Boston Medical Center Healthnet Plan - Boston, MA
of the unique arrangements and ensures the Plan enrolls providers with those ... needed to ensure operational compliance with Plan provider and database rules. * Develops...
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Senior Medical Economics Analyst
Boston Medical Center Healthnet Plan - Boston, MA
* Supports the development of effective medical management programs/initiatives through an ... effectiveness of both internally developed medical management initiatives or externally...
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Provider Appeals Coordinator - new
Boston Medical Center Healthnet Plan - Boston, MA
documentation and the resolution process of medical claims appeals and ensuring ... and appeals required. * Knowledge of Medical Coding, Medical terminology, CPT ICD9...
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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
team to ensure that the Customer Care Center provides members and providers with ... development. * Oversees the Customer Care Center departments Intranet page, training...
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Claims Operations Trainer & Analyst - new
Boston Medical Center Healthnet Plan - Boston, MA
* Demonstrated ability to successfully plan, organize and manage projects * Detail oriented, excellent proof reading and editing skills. * Excellent interpersonal, communication...
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Medical Policy Manager
Boston Medical Center Healthnet Plan - Boston, MA
coordination and management of the Plan's medical policies. This includes ... medical policy and coordinating the Plans medical technology assessment process in...
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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 ... The Customer Care Center/CRU Supervisor works in close collaboration with the CCC/CRU mana...
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