WellSense Health Plan

 
Displaying 1 - 15 of 33 Jobs.
 
Investment Staff Accountant
Boston, MA
The Staff Accountant is a key member of the Accounting team and works closely with all members of the team in meeting close deadlines, working with various general ledger modules, prepar...

Operations and Reporting Analyst (Learning and Development)
Boston, MA
The Operations Reporting and Performance Analyst (ORPA) plays an essential role in improving organizational effectiveness by analyzing operational data and identifying opportunities for...

Claims Resolution Specialist
Boston, MA
This position is responsible for accurate and timely research of all claim dispute inquiries, timely processing of adjustments and acts as a claims liaison between internal and external...

Care Manager - Pediatric
Manchester, NH
Manages a panel of high risk, medically, behaviorally and socially complex members Administer Comprehensive Assessment, medication reconciliation, convene local care teams, develop, docu...

Operations Manager, Network Management
Boston, MA
Reporting to the Director of Contracting, the Operations Manager leads and oversees the reports, audits and other issues concerning all provider contracts, including any pertinent change...

Manager of Hospital and Physician Contracts
Boston, MA
The WellSense Health Plan Manager of Hospital and Physician Contracts is responsible for the development, implementation and management of a cost effective provider network, maintaining...

Manager of Ancillary Contracts
Boston, MA
The WellSense Plan Manager of Ancillary Contracts is responsible for the development, implementation and management of a cost effective provider network, maintaining complex and geograph...

Sr. Workforce Planning Analyst
Boston, MA
Provide short and long term forecasts for various contact centers and departments Including inbound and outbound calls, emails, faxes, chats, written correspondence, claims, enrollment f...

Health Data Analyst III
Boston, MA
Position Health Data Analyst III (2 positions available) Location Charlestown (Boston), MA. Report to main office in Charlestown, MA. Eligible to work remotely from anywhere in the U.S....

Director of BH Network Strategy
Boston, MA
Reporting to the Vice President of Network Strategy, the Director of Behavioral Health Network Strategy is responsible for contract strategy and execution for WellSense Health Plan's beh...

Senior Director of BH Clinical Programs
Boston, MA
Under the direction of the Vice President of the Senior Vice President of Behavioral Health, the Senior Director of BH Clinical Programs oversees the BH Care Management, BH Utilization M...

Senior Director Data Scientist, Data Quality and AI
Boston, MA
Strategy and Vision Contribute to the development and articulation of a comprehensive AI/ML and automation strategy aligned with the overall business objectives, with a particular focus...

Configuration Analyst III - Senior Level
Boston, MA
The Configuration Analyst III is a senior analyst that is responsible for configuring and maintaining the Cognizant/Trizetto Facets system. The analyst will function as a senior member o...

Configuration Analyst II
Boston, MA
The Configuration Analyst II is a key contributor that is responsible for configuring and maintaining the Cognizant/Trizetto Facets system. This position demands a unique blend of critic...

Manager of Actuarial Services
Boston, MA
Leads the rate development process by providing analyses and recommendations on benefit design, rating factors, trend picks, and projection of future claim cost. Oversees regulatory rate...