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About Clinical Quality

You have choices when it comes to the work you do, and our organization offers many opportunities in Clinical Quality. Our Clinical Quality team manages and coordinates all activities relating to the development and management of quality improvement and accreditation activities, including NCQA. And the work you do as a member of our team will be rewarded with competitive compensation and a full range of benefits designed to provide you with healthy lifestyle choices. Here you’ll have the resources and support to improve the lives of the people and the community around you. If you want to work for an organization that is committed to its employees and to the people they serve, join us with a job in Clinical Quality today.

Recent Job Openings

Prior Authorization Specialist I - Boston, MA
Description: Job Description Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost effective and appropriate healthcare delivery. Maintains current knowled...
Reference Code: 2012642
Manager of Utilization Management - Boston, MA
Description: Job Description The Manager of Utilization Management (UM) is responsible for managing the day to day operation of the New Hampshire Acute Care Coordination (ACC) and Prior Authorization (PA) teams, including hiring, scheduling, coaching, development and evaluation of employee performance. Analysis of available data to measure individual and team performance, clinical program performance, team processes and compliance are...
Reference Code: 2012549
Nurse Care Clinician Sunny Start Program - Boston, MA
Description: Job Description Job Summary: Completes clinical assessments on each pregnant/postpartum member to determine the educational health needs based on their pregnancy/disease process, and to monitor their level of adherence. Provides and promotes self-management support including care integration for members enrolled in the Sunny Start program. Leads the interdisciplinary team in the development and implementation of the care ...
Reference Code: 2012666
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