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What we're looking for Description What you'll be doing Description
Posted Today
Why This Role is Important to Us The Member Services Department provides a single point of contact for questions, problem solving, and access to care, for members of the Senior Care Options (SCO) and One Care Programs and all those involved in CCA members' care. The Member Service Representative (MSR) is responsible to provide a best in class service experience to all con
Posted Today
Why This Role is Important to Us The Sr. Project Partner is a key project delivery leadership role in the Strategic Partnerships & Performance Market Development Team responsible for delivering high profile, cross functional projects based on corporate priorities. The successful candidate will demonstrate project leadership by leveraging strong project management skill, l
Posted Today
Why This Role is Important to Us The Sr. Specialist II, Health Plan Quality is responsible for the STAR performance including HEDIS Quality Measures for the health plan. The purpose of this position is to improve CCA publicly reported STAR and other key quality performance indicators. This position partners with providers to support in office improvement efforts aimed at
Posted Today
Why This Role is Important to Us Reporting to the Manager, HR Service Center, at Commonwealth Care Alliance (CCA), the HR Specialist is primarily responsible for data entry and approval actions in the ADP Human Resources Information System (HRIS) across multiple HR functions. This position will also be involved in various other HR Operations responsibilities and/or HR pro
Posted 1 day ago
Why This Role is Important to Us This position serves as a senior member of CCA's public affairs team leading a team of regional directors and analysts to continue the development and execution of CCA's strategic state government affairs program one that ensures strong relationships and persuasive advocacy with legislators, regulators and government leaders and their staf
Posted 1 day ago
Why This Role is Important to Us The VP, ACO Performance & Growth is responsible for developing a thorough, multi year strategy to achieve growth and performance goals of CCA's ACO business line. The VP, will work across ACO participants and key stakeholders to continue to improve care for beneficiaries, delivering increasingly improved and predictable performance in the
Posted 3 days ago
Why This Role is Important to Us Commonwealth Care Alliance is seeking a licensed, master's levels clinician to work at our Crisis Stabilization Unit. As a leader on an interdisciplinary care team, the CCS Clinician provides direct services and varied administrative supports to CCA members admitted to the unit. The CCS is an integral part of a continuum of Acute Behaviora
Posted 3 days ago
Why This Role is Important to Us At Commonwealth Care Alliance (CCA), our vision is to lead the way in transforming the nation's healthcare for individuals with the most significant needs. If being part of a team and working on combined solutions for patients matters to you...keep reading. We may have something to talk about. The Community Behavioral Health Clinician ensu
Posted 3 days ago
Why This Role is Important to Us Reporting to the Chief Compliance & Ethics Officer, the Vice President, Chief Privacy & Security Officer ("CPSO") serves as the enterprise wide subject matter expert on privacy law and regulation. The CPSO oversees and manages the strategy, planning, implementation, oversight, auditing, monitoring, and ongoing operation of CCA's privacy an
Posted 4 days ago
Why This Role is Important to Us The Paralegal provides contracting, litigation, regulatory, transactional, administrative, and other necessary support to all levels of the Legal Affairs Department. The Paralegal is accountable for ensuring good recordkeeping practices and appropriate administrative and office practices are in place to support the efficient operation of t
Posted 4 days ago
Why This Role is Important to Us The Associate, Compliance Revenue Cycle/Claims reports to the Manager, Compliance Revenue Cycle/Claims Audits & Investigations and assists with implementing the Revenue Cycle/Claims Compliance Program segment of the compliance department. The Associate performs investigations and audits of medical record documentation to determine if the d
Posted 4 days ago
Why This Role is Important to Us The Member Services Department provides a single point of contact for questions, problem solving, and access to care, for members of the Senior Care Options (SCO) and One Care Programs and all those involved in CCA members' care. The Member Service Representative (MSR) is responsible to provide a best in class service experience to all con
Posted 4 days ago
Why This Role is Important to Us This position supports CCA in implementing and enhancing a COSO Internal Control Integrated Framework. The position reports to the CAP Program Manager, within the Internal Audit function. The primary functions of this position are to Provide education and guidance to management on control development, maintenance, enhancement, documentatio
Posted 4 days ago
Why This Role is Important to Us The Community Behavioral Health Clinician ensures that a CCA enrollees receive the highest quality behavioral health care within the context of a member centric individualized plan of care. The Community BHC has the opportunity to use evidence, clinical skills, education, and training to influence the clinical outcomes of CCA's members by
Posted 4 days ago
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