Commonwealth Care Alliance

 
Displaying 1 - 15 of 75 Jobs.
 
Supervisor, Enrollment (Remote)
Boston, MA
Under the supervision of the Enrollment Director, the Supervisor, Enrollment provides leadership for, and direct supervision of, the Enrollment Specialists, Retention Specialists, and Re...

Supervisor, Enrollment
Boston, MA
Under the supervision of the Enrollment Director, the Supervisor, Enrollment provides leadership for, and direct supervision of, the Enrollment Specialists, Retention Specialists, and Re...

Sr. Manager, External Audit & CAP Remediation - Remote
Boston, MA
Why This Role is Important to Us Under direction of the Sr. Director of Regulatory & External Audits, the primary focus areas of this position includes managing external audits and resul...

Senior Manager, IT Quality Assurance (Remote)
Boston, MA
Why This Role is Important to Us The Senior Manager, IT Quality Assurance is part of the Business Solutions team responsible for QA testing, product management and solutions delivery. Th...

Quality Assurance Reviewer Associate I (Remote)
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...

Quality Assurance Reviewer Associate I (Remote)
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...

Provider Service Representative II (Remote)
Boston, MA
The Provider Services Department provides a single point of contact for questions, problem solving, and access to care, for providers on behalf of members of the Senior Care Options (SCO...

Provider Service Representative II (Remote)
Boston, MA
Interface with CCA's provider departments including credentialing, PDM, Provider Relations and Contracting Answer critical incoming phone calls from providers and respond to inquiries, c...

FWA Investigator Coder Sr. Associate (Remote)
Boston, MA
The FWA Investigator Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit (SIU). The position reports directly to the Sr. Director, Fraud,...

Quality Assurance Reviewer Associate I (Remote)
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...

Quality Assurance Reviewer Associate I (Remote)
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...

Director, Quality & Control Assurance (Remote)
Boston, MA
The Director, Quality & Control Assurance reports to the VP of Quality & Control Assurance is responsible for providing strategic leadership and oversight for the Quality & Control Assur...

Director, Medicare Compliance - Remote
Boston, MA
Why This Role is Important to Us The Director of Regulatory Compliance works directly with the Vice President Health Plan Regulatory Compliance/National Medicare Compliance Officer to de...

Sr. Manager, Medicare Compliance - Remote
Boston, MA
System Administrator for GRC System System Administrator for GRC System Develop reports within the system for distribution among the organization Identify and scope needed system enhance...

Sr. Analyst, Medicare Compliance - Remote
Boston, MA
Why This Role is Important to Us The primary focus areas of this position is managing compliance issues and regulatory responses including Corrective Action Plan (CAP) monitoring, invest...