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Manager of Care Management

The Manager of Care Management is responsible for managing the day to day operation of the Care Management teams, including hiring, scheduling, coaching, development and evaluation of employee performance. In addition to the day to day responsibilities, the Manager will work in conjunction with the Director of Care Management on a variety of critical tasks including the management of one or more focused clinical initiatives.

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Recent Job Openings

Claims Adjudicator - Boston, MA
Description: Job Description Responsible for the accurate and timely processing of claims. Must meet published quality and productivity standards. Also, responsible for simple adjustments to previously processed claims. Key Functions & Responsibilities: Evaluates and processes claims in accordance with company policies and procedures according to productivity and quality standards. Interprets and processes routine and less complex...
Reference Code: 2012733
Nurse Care Clinician - New Bedford, MA
Description: Job Description Completes clinical assessments on each member to determine the educational health needs based on their disease process, and to monitor their level of adherence. Provides and promotes self-management support including care integration for members enrolled in the population based program. Leads the interdisciplinary team in the development and implementation of the care plan to enhance the members overall he...
Reference Code: 2012736
Coding Compliance Auditor - Boston, MA
Description: Job Description Job Summary: The Coding & Compliance Auditor performs complex operational and financial audits of provider claims using established work processes and job aides. The Auditor also mentors less experienced staff. Extensive knowledge of claim processing and BMCHP policies is required. This position also requires a working knowledge of medical terminology and coding skills to evaluate accuracy of charges a...
Reference Code: 2012737
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