Displaying 16 - 30 of 66 Jobs.
FWA Investigator Coder Sr. Associate (Remote)
Boston, MA
The FWA Investigator Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit (SIU). The position reports directly to the Sr. Director, Fraud,...
Boston, MA
The FWA Investigator Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit (SIU). The position reports directly to the Sr. Director, Fraud,...
Quality Assurance Reviewer Associate I (Remote)
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...
Quality Assurance Reviewer Associate I (Remote)
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...
Boston, MA
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance wit...
Director, Quality & Control Assurance (Remote)
Boston, MA
The Director, Quality & Control Assurance reports to the VP of Quality & Control Assurance is responsible for providing strategic leadership and oversight for the Quality & Control Assur...
Boston, MA
The Director, Quality & Control Assurance reports to the VP of Quality & Control Assurance is responsible for providing strategic leadership and oversight for the Quality & Control Assur...
Director, Medicare Compliance - Remote
Boston, MA
Why This Role is Important to Us The Director of Regulatory Compliance works directly with the Vice President Health Plan Regulatory Compliance/National Medicare Compliance Officer to de...
Boston, MA
Why This Role is Important to Us The Director of Regulatory Compliance works directly with the Vice President Health Plan Regulatory Compliance/National Medicare Compliance Officer to de...
Sr. Manager, Medicare Compliance - Remote
Boston, MA
System Administrator for GRC System System Administrator for GRC System Develop reports within the system for distribution among the organization Identify and scope needed system enhance...
Boston, MA
System Administrator for GRC System System Administrator for GRC System Develop reports within the system for distribution among the organization Identify and scope needed system enhance...
Remote - Healthcare Privacy Specialist
Boston, MA
Why This Role is Important to Us The Privacy Analyst will play a key role in building, operationalizing and sustaining an effective and robust Privacy Program. Reporting to the Manager,...
Boston, MA
Why This Role is Important to Us The Privacy Analyst will play a key role in building, operationalizing and sustaining an effective and robust Privacy Program. Reporting to the Manager,...
Supervisor, Health Information Management (Remote)
Boston, MA
The Health Information Management (HIM) Supervisor is responsible for the daily planning and monitoring of department operations, staffing and coordinating tasks to ensure timely complet...
Boston, MA
The Health Information Management (HIM) Supervisor is responsible for the daily planning and monitoring of department operations, staffing and coordinating tasks to ensure timely complet...
HIM Specialist (Part Time) (Remote)
Boston, MA
Why This Role is Important to Us Under the guidance of the Manager of Health Information Management, the HIM Specialist I is responsible for following processes to ensure compliant relea...
Boston, MA
Why This Role is Important to Us Under the guidance of the Manager of Health Information Management, the HIM Specialist I is responsible for following processes to ensure compliant relea...
Virtual Medical Control Provider
Boston, MA
Why This Role is Important to Us The instED Virtual Medical Control Physician is a specially trained physician that provides remote monitoring and clinical direction in support of high q...
Boston, MA
Why This Role is Important to Us The instED Virtual Medical Control Physician is a specially trained physician that provides remote monitoring and clinical direction in support of high q...
Manager MA/RI Network Quality and CCA Provider and Facility Quality & Safety
Boston, MA
Why This Role is Important to Us Reporting to the Sr Director, Quality Performance and Value Based Care, the Provider and Facility Quality & Safety Manager is responsible for designing a...
Boston, MA
Why This Role is Important to Us Reporting to the Sr Director, Quality Performance and Value Based Care, the Provider and Facility Quality & Safety Manager is responsible for designing a...
Sr. Medical Director, instED
Boston, MA
Support and manage team of 23+ Virtual Medical Control (VMC) clinicians, made up of physicians (EM/FM/IM) and NPs, especially staffing, scheduling, recruiting, and overseeing quality of...
Boston, MA
Support and manage team of 23+ Virtual Medical Control (VMC) clinicians, made up of physicians (EM/FM/IM) and NPs, especially staffing, scheduling, recruiting, and overseeing quality of...
Provider Enrollment Specialist (Remote)
Boston, MA
Why This Role is Important to Us The Provider Enrollment Specialist facilitates the paperwork and timely follow through of all required CCA and CCC employed clinician licenses, registrat...
Boston, MA
Why This Role is Important to Us The Provider Enrollment Specialist facilitates the paperwork and timely follow through of all required CCA and CCC employed clinician licenses, registrat...
Sr. Director, Third Party Compliance Oversight
Boston, MA
Why This Role is Important to Us The Senior Director, Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations, and leads the Third...
Boston, MA
Why This Role is Important to Us The Senior Director, Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations, and leads the Third...
Sr. Director, Corporate Compliance & Ethics
Boston, MA
Why This Role is Important to Us The Senior Director, Corporate Compliance & Ethics reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations, and leads the complian...
Boston, MA
Why This Role is Important to Us The Senior Director, Corporate Compliance & Ethics reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations, and leads the complian...