WellSense Health Plan

 
Displaying 16 - 25 of 25 Jobs.
 
Nurse Care Manager (Senior Care Product) - Field Based
Boston, MA
Manages a panel of high risk, medically complex members Completes timely initial and on going face to face comprehensive assessments with Member to evaluate Member's medical, behavioral...

Manager of Healthcare Analytics
Boston, MA
The Manager of Healthcare Analytics is responsible for financial analysis, measurement, and contract compliance as it relates to WellSense's Clinical Vendors. Working closely with Financ...

Event Planning Manager
Boston, MA
Our Event Manager plays a key role in maintaining WellSense's commitment to community as a remote organization. In this role, you will plan, coordinate and execute WellSense organization...

Business Encounter Data Analyst
Boston, MA
The Business Encounter Data Analyst is responsible for compiling and analyzing encounter data and understanding the claim impact of changes and decision to the business process to ensure...

Manager Clinical Audit
Boston, MA
The Manager Clinical Audit provides oversight and leadership of the Clinical Audit Team within the Payment Integrity Department. The Clinical Audit team performs detailed medical record...

Customer Service Trainer
Boston, MA
The Operations Trainer role is pivotal in elevating new and existing employee's performance and capabilities through classroom and virtual training sessions. The role primarily supports...

Business Data Analyst - Customer Experience Specialist
Boston, MA
Monitors actual FCR and NPS performance against corporate targets; presents findings; proactively investigates and communicates explanations for variation and conducts root cause analysi...

Licensed Behavioral Health Clinician
Manchester, NH
The Licensed Behavioral Health Clinician provides care management services at facilities, in the community and telephonically for WellSense members receiving behavioral health (BH) and s...

Product Manager, ACA & Commercial Plans
Boston, MA
Reporting to the VP, ACA & Commercial Product Management, Public Plans division, the Product Manager serves as the business lead for ACA product operations and project execution as well...

Provider Relations Consultant (Boston/Northeast MA) - $5,000 sign on bonus!
Boston, MA
Investigate, document, track and assist with claims resolution Interact with various operational departments to assure accurate and timely payment of claims in accordance with WellSense...