1 - 10 of 40

boston medical center jobs


  • Project Manager Trainer

    Boston Medical Center Healthnet Plan

    - Boston, MA

    Job Summary: The Provider Relations Project Manager/Trainer works on multiple and diverse projects and programs of various size, scope, impact, and significant complexity. He/She...

    13 days ago from Boston Medical Center HealthNet Plan
  • Coding Compliance Auditor

    NEW

    Boston Medical Center Healthnet Plan

    - Boston, MA

    is required. * Intermediate knowledge of medical terminology, CPT, ICD9,HCPCS coding * ... system preferred * Prior Auditing and or/Medical Record review expereince...

    2 days ago from Boston Medical Center HealthNet Plan
  • Nurse Care Clinician

    NEW

    Boston Medical Center Healthnet Plan

    - New Bedford, MA

    Completes clinical assessments on each member to determine the educational health needs based on their disease process, and to monitor their level of adherence. Provides and...

    3 days ago from Boston Medical Center HealthNet Plan
  • Provider Relations Specialist

    Boston Medical Center Healthnet Plan

    - Boston, MA

    Job Summary: Supports Provider Relations Team by addressing issues that arise related to the daily network management of the interaction between a Provider and the Plan. Provides...

    9 days ago from Boston Medical Center HealthNet Plan
  • Claims Adjudicator

    Boston Medical Center Healthnet Plan

    - Boston, MA

    Skills, & Attributes * Working knowledge of medical terminology as well as CPT4, HCPCS and ICD9 coding sets andHIPAA regulations. * Knowledge of Microsoft Office and FACETS...

    9 days ago from Boston Medical Center HealthNet Plan
  • Temp HEDIS RN Medical Record Reviewer

    Boston Medical Center Healthnet Plan

    - Manchester, NH

    Key Functions/Responsibilities: * Reviews and abstracts paper and electronic medical recor ... Experience: Minimum 3 years of HEDIS medical record review experience. Experience...

    27 days ago from Boston Medical Center HealthNet Plan
  • Documentation & Content Coordinator

    Boston Medical Center Healthnet Plan

    - Boston, MA

    The Documentation and Content Coordinator documents and maintains written internal communications for use within the Operations division. The Coordinator ensures that critical...

    20 days ago from Boston Medical Center HealthNet Plan
  • Director of Quality Improvement and Program Management

    Boston Medical Center Healthnet Plan

    - Boston, MA

    utilization management program, select medical management vendors, member appeals and ... improvement, utilization management and medical management vendor expertise to...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Complex Care Clinician

    Boston Medical Center Healthnet Plan

    - Boston, MA

    * Completes documentation in the medical management information system [CCMS] in a timely manner and in keeping with contractual requirements, internal policy and NCQA...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Utilization Management Program Manager

    Boston Medical Center Healthnet Plan

    - Boston, MA

    data for under/over utilization * Assist Medical Policy Manager with inter-rater ... with Medicaid recipients * Prior medical or behavioral health management...

    30+ days ago from Boston Medical Center HealthNet Plan
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