Why This Role is Important to Us The VP, Market Partnership Strategy & Performance is responsible for developing a thorough, multi year strategy across delegated providers, non delegated providers, and community organizations to deliver increasingly improved and predictable performance in the areas of quality, medical expense (MER), revenue management, best in class consu

Member Contact Center Provider Contact Center Contact Center Training and Quality Member Communications Enterprise wide Project Leadership (ad hoc) Supervision Exercised Yes. Direct reports include the Directors of the Member and Provider Call Centers, Manager of Training, and Director of Member Communications. Expectations for all employees Demonstrate integrity by worki

Why This Role is Important to Us CCA Primary Care NP/PAs provides comprehensive interdisciplinary primary care to Commonwealth Care Alliance (CCA) members. Interested candidates should have experience or interest in working with people who have complex physical, developmental, intellectual, and behavioral health conditions. The Primary Care NP/PA works closely with an int

Why This Role is Important to Us The Complex Care Hospitalist will provide acute care expertise for medically and socially complex individuals presenting to a partner emergency room and hospital, creating pathways to manage these members at home and directing treatment for patients with acute care needs in the community. The Complex Care Hospitalist will work in close col

Manage and oversee support engineers' and database administrators' day to day activities and projects, while providing subject matter expertise Manage IT staff with a collaborative, supportive, and developmental style Responsible for supervisory duties such as recruiting, hiring, firing, training, coaching, mentoring, directing/assigning with work, scheduling/approving ti

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) iCMP Plus ACO inter professional teams are responsible for providing primary care and care management to a specific panel of high risk, Medicaid ACO eligible, non CCA patients. This patient group is made up of individuals with significant medical, behavioral, and social complexities that require intensive

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 we're looking for Education Required Bachelor's Degree or equivalent experience Experience Required At

Why This Role is Important to Us CCA is an integrated care delivery organization that is expanding to support our mission to "improve the health and well being of people with significant needs by innovating, coordinating and providing the highest quality, individualized care." "Our vision is to lead the way in transforming the nation's healthcare for individuals with the

Why This Role is Important to Us Commonwealth Care Alliance is looking for a Marketing Operations Manager. As the Marketing Operations Manager, you will manage multiple projects simultaneously and ensure that all deadlines are met. You will also take the lead on delegating tasks through the company's project management system and managing the team's productivity, includin

Why This Role is Important to Us Boston Local Candidates Preferred or Desire to Relocate to Boston Approximately 8 days per month in Boston Office for Executive Team Collaboration via Core Leadership Schedule (No Travel Reimbursement for on site requirement) Reporting to the SVP of Clinical Operations with a dotted line to the SVP of Medical Services, the VP Medical Polic

Why This Role is Important to Us Under the direction of the Compliance Training, Education & Communications Manager, the primary focus of this position is to support compliance related programs such as internal Compliance Training, Education, and Communication, Conflict of Interest, Compliance Effectiveness program and others as developed. This position is also responsibl

Why This Role is Important to Us The Onboarding Specialist is the primary contact for members as they transition to a CCA health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's existing healthcare services that will continue and new service requests. The Specialist works to ensure that member needs are addressed through l

Why This Role is Important to Us The Medicare Copy writer will create direct response advertising materials, including direct mail, newsletters, print, television, radio, social media, website, and content. Job includes research, editing, critical thinking, and basic writing and creative skills. Must have excellent proofreading skills and the ability to review large quant

Why This Role is Important to Us The ideal candidate for the VP, Utilization Management Appeals & Grievances (VPUMAG) will be an experienced operations leader with a deep understanding of health plan medical/utilization management processes and strategies. The candidate will have a deep understanding of managed care and experience with government programs (Medicare/Medica

Why This Role is Important to Us Our healthcare system is under tremendous pressure as we face an unprecedented global pandemic, ever rising costs, and a lack of capacity and access to quality care. These challenging circumstances have emphasized the need for innovative care delivery models that go beyond the traditional methods of caring for patients. We should no longer