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BMC HealthNet Plan Jobs
Jobs 1 to 8 of 8

BMC HealthNet Plan Jobs

Jobs 1 to 8 of 8

Boston, Massachusetts

Coordination of Benefits Specialist ApplyThe Coordination of Benefits (COB) Specialist is responsible for optimizing COB recovery efforts by identifying and investigating Boston Medical Center...

2016-12-014 days ago
Boston, Massachusetts

Prior Authorization Medical Clinician ApplyEvaluates and approves requested services using organizational policies or InterQual® screening criteria. Manages appropriate cases that require medical...

2016-12-014 days ago
Boston, Massachusetts

Senior Provider Relations Consultant ApplyResponsible for managing assigned territory of professional, institutional and ancillary provider types in order to enhance these relationships so that...

2016-12-014 days ago
Boston, Massachusetts

Director ACO Complex Case Management ApplyThe Director, Complex Care Management oversees the Complex Care Management program implementation and staff across the Boston Medical Center Health...

2016-12-015 days ago
Boston, Massachusetts

Prior Authorization Specialist I ApplyResponsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range...

2016-12-015 days ago
Boston, Massachusetts

Director of Risk Adjustment ApplyThe Director, Risk Adjustment will lead the risk adjustment program at Boston Medical Center Health System. In this role, the Director will be responsible for...

2016-12-016 days ago
Boston, Massachusetts

Appeals and Grievance Specialist ApplyThe Appeals and Grievance Specialist is responsible for managing the resolution process of medical and pharmacy member appeals and/or member generated...

2016-12-017 days ago
Boston, Massachusetts

Provider Enrollment Representative ApplyResponsible for accurate set up of provider records in order to assure proper payment for providers. Handles all implementation steps to enroll providers in...

2016-12-018 days ago
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