Why This Role is Important to Us The Provider Relations Specialist is responsible for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including primary care practices, sp

Why This Role is Important to Us Commonwealth Care Alliance (CCA) is thrilled once again to host its Summer Internship Program for clinical and non clinical departments!The Internship Program is open to undergraduate and graduate students from across the country. CCA Internships are a valuable way for students to obtain real world experience, gain exposure to a specific f

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Why This Role is Important to Us The Nurse Utilization Management (UM) Reviewer is responsible for day to day timely clinical and service authorization review for medical necessity and decision making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the area of service decisions and organizational determinations.

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Respond and effectively triage member phone calls in order to accurately and timely route to appropriate area Work with care management team to address the needs of members, caregivers and other CCA constituents Provide timely and accurate information regarding member benefits and services including Continuity of Care Meticulously document all member and prospective membe

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Why This Role is Important to Us As a key part of the Legal Department, the Assistant General Counsel, Director ("AGC") will work closely with and support various internal departments including operations, procurement, finance, and marketing, in addition to the Legal and Compliance teams in connection with various transactional and regulatory matters. The AGC will be a si

Why This Role is Important to Us Under direction of the Compliance Manager, , the primary focus of this position is the day to day coordination of oversight activities for CCA's First Tier, Downstream, Related Entities (FDR) and Medicaid Material Subcontractors (MS), also known as the FDR MS Program. This includes review of contract and policy documents, coordinating atte

Why This Role is Important to Us This is a key leadership role that will provide oversight of CCA's multi state Mail Operations. The Mail Operations Manager is responsible for being CCA's subject matter expert for all postage and mailing activities. The Mail Operations Manager ensures compliance with business requirements and with all US Postal Service regulations on post

Why This Role is Important to Us The Executive Administrator will serve as a critical contributor to the workings of the Chief Revenue and Growth officer and his direct reports including the connection and management of many critical components of the organization. In addition, the Executive Administrator will support the General Manager, Market Lead Massachusetts. What Y

Why This Role is Important to Us The Manager, Privacy will play a key role in building, operationalizing and sustaining an effective and robust Privacy Program. Reporting to the Director, the role will ensure that the organization complies with relevant and applicable privacy laws, regulations, contractual requirements, and standards. The role will be responsible for deve