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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

Manager of Inpatient Utilization Management - Boston or New Bedford, MA
Description: Job Description Job Summary: The Manager of Inpatient Utilization Management (UM) is responsible for managing the day to day operation of the Inpatient UM team, including hiring, scheduling, coaching, development and evaluation of employee performance. Positions reporting to the manager include our Inpatient UM Clinicians and Inpatient UM Specialists. The Manager will analyze available data to measure individual and team ...
Reference Code: 2012757
Clinical Vendor Manager - Boston, MA
Description: Job Description Job Summary: Accountable for all aspects of moderately complex, high visibility medical management vendors. Requires functional integration company wide. The Clinical Vendor Manager is responsible for the overall management of assigned medical management vendors including but not limited to: Plan liaison, ongoing communication with vendor, delegation oversight, and managerial reporting requirements, proble...
Reference Code: 2012751
Prior Authorization Specialist I - Boston, MA
Description: Job Description Job Summary: 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 cu...
Reference Code: 2012752
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