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Commonwealth Care Alliance
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Boston, Massachusetts
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required.
Strong acumen and understanding of healthcare, health insurance and managed health care ... Compliance Oversight department for Commonwealth Care Alliance (CCA). This position effectively leads our
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Commonwealth Care Alliance
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Boston, Massachusetts
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(SDOH) measures.The Manager of Provider and Facility Quality and Safety to improve the care we provide ... , reporting, and supporting facilities in improving the quality of care and member outcomes
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Commonwealth Care Alliance
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Boston, Massachusetts
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measures of program effectiveness.
Performs other duties as assigned.
Demonstrate integrity by ... and enforce CCA’s Code of Conduct
Promote and enforce CCA’s compliance program
Adhere to CCA
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Commonwealth Care Alliance
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Boston, Massachusetts
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equivalent work experience
3-5 years of experience
Managed Care experience (preferably ... verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity
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Commonwealth Care Alliance
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Boston, Massachusetts
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Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal ... specializing in Network Analytics, Network Finance, and Value-Based Care (VBC) Contracting, this position play
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Commonwealth Care Alliance
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Boston, Massachusetts
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coaching focused on self-care management, wellness, and care coordination. The residents can be members of ... information and coordination of care.
Maintain all necessary clinical documentation in identified
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Commonwealth Care Alliance
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Cerritos, California
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). Internships are expected to be full-time through the duration of the program.
What We're Looking For ... **Why This Role is Important to Us:
Commonwealth Care Alliance (CCA) is thrilled once
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Commonwealth Care Alliance
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Boston, Massachusetts
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part of a team responsible for the clinical, behavioral health, and care coordination related to serious illness for their panel of members. Responsibilities include: care coordination with internal and
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Commonwealth Care Alliance
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Boston, Massachusetts
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evaluation and improvement efforts and leads a variety of administrative tasks supporting day-to-day program ... program related initiatives.
This is a versatile role with exposure to multiple areas of the
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Commonwealth Care Alliance
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Boston, Massachusetts
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Program. This includes review of contract and policy documents, coordinating attestations, regular ... to needs of the program, Medicare, or Medicaid.
Coordinates, with the Compliance Manager
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Commonwealth Care Alliance
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Boston, Massachusetts
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Livable Communities' Emergency Assistance program. Our shelter program is part of the Commonwealth ... maintain program-wide files of these resources, and promote their use by the team. Build partnerships with
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Commonwealth Care Alliance
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Boston, Massachusetts
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an effective Internal Audit Program
Contribute towards the maintenance and enhancement of an effective Compliance Monitoring Program
Contribute towards the maintenance and enhancement of an
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Commonwealth Care Alliance
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Boston, Massachusetts
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applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care ... conducting and managing Health Care Fraud, Waste and Abuse investigation and prevention activities under the
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Commonwealth Care Alliance
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Boston, Massachusetts
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Maintains documentation of Privacy Program
Communicates changes in regulatory issues to senior ... :
Initial training of all employees related to the privacy program
Privacy training to all members of
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Commonwealth Care Alliance
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Boston, Massachusetts
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Livable Communities’ Emergency Assistance program. Our shelter program is part of the Commonwealth’s ... operation of the family emergency shelter program. They will schedule and organize meetings, develop program
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Commonwealth Care Alliance
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Boston, Massachusetts
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ORGANIZATIONAL DEVELOPMENT OF PRIVACY PROGRAM
Develops and maintains all Privacy policies and ...
Maintains documentation of Privacy Program
Communicates changes in regulatory issues to senior
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Commonwealth Care Alliance
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Boston, Massachusetts
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Support Program Managers and Senior Project Manages in the development of proposed project business cases ... maintain project plans that conform to program standard methodology, including the definition of
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Commonwealth Care Alliance
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Boston, Massachusetts
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, delivery and evaluation of care and service offerings through services provided by CCA's affiliate ... :
Knowledge of types of health care providers and their operations.
Proven track record collaborating
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Commonwealth Care Alliance
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Springfield, Massachusetts
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) serves as leader of medical care delivery for Commonwealth Care Alliance members on an Interdisciplinary Care Team (IDT) of skilled clinicians. The C-APC works within CCA's unique and rewarding care delivery
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Commonwealth Care Alliance
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Boston, Massachusetts
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, standards, and required set of activities. The ERM Program will be a highly effective, right-sized, and fit-for-purpose program and set of annual activities that facilitate the strong, clear, and effective
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Commonwealth Care Alliance
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Boston, Massachusetts
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works with network providers on management of unplanned care and cost variances.
4) Provides medical ...
Fellowship in Geriatrics or Hospice and Palliative Medicine
Expert knowledge of public payer health care
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Commonwealth Care Alliance
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Boston, Massachusetts
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applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care ... manager will function as the IT lead for a portfolio of projects, building a matrixed team of cross
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Commonwealth Care Alliance
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Farmington Hills, Michigan
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a set of provider types, such as hospitals, PHOs, primary care or specialty physicians, behavioral ... in Medicare and Medicaid health care reimbursement methodologies.
Knowledge of ICD-10 and
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Commonwealth Care Alliance
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Boston, Massachusetts
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Livable Communities’ Emergency Assistance program. Our shelter program is part of the Commonwealth’s ... to improve performance. Partner with vendors to hire, train, and direct the work of shelter program
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Commonwealth Care Alliance
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Boston, Massachusetts
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Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal ... best practice and direct IT strategy in support of the overall business strategy.
The product
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Commonwealth Care Alliance
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Boston, Massachusetts
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Livable Communities' Emergency Assistance program. Our shelter program is part of the Commonwealth ... shelter program. The Site Manager is responsible for the oversight of all daily operations of case
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