Why This Role is Important to Us CCA partners with the Commonwealth of Massachusetts to provide supportive temporary emergency shelter to families under the Executive Office of Housing and Livable Communities' Emergency Assistance program. Our shelter program is part of the Commonwealth's response to a rapidly growing number of unhoused families, including thousands of fa

include vendor oversight, member and provider experience management and improving program process' to ensure a seamless experience for program beneficiaries. This role requires a proactive, organized, and adaptable professional who can navigate complex interactions with vendors and provide exceptional indirect support to program beneficiaries. What You'll Be Doing Operatio

Why This Role is Important to Us The Manager, Privacy will play a key role in building, operationalizing and sustaining an effective and robust Privacy Program. Reporting to the Director, the role will ensure that the organization complies with relevant and applicable privacy laws, regulations, contractual requirements, and standards. The role will be responsible for deve

Why This Role is Important to Us The Director, Privacy will play a key role in building, operationalizing and sustaining an effective and robust Privacy Program. Reporting to the Chief Privacy Officer, the role will ensure that the organization complies with relevant and applicable privacy laws, regulations, contractual requirements, and standards. The role will be respon

Why This Role is Important to Us The CCA Advisor is tasked with working within the Provider Data FACETS team and partnering with our technology partners, claims and other business partners to understand and identify areas in need of process improvements and automation. The Advisor will assess and recommend improvements to operational process flows within the Provider Data

Why This Role is Important to Us Reporting to the Manager, Credentialing & Provider Data, the Provider Directory Manager will perform advanced technical provider directory services work within CCA. It will be the responsibility of the manager to conduct UAT and data analysis on a recurring basis to ensure data accuracy across all lines of business and markets. They will w

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible

Why This Role is Important to Us The Associate Device Management Administrator reports to the Sr. Manager, End User Services. The Associate Device Management Administrator deploys and supports Microsoft Modern Management platforms which includes Intune, SCCM, Windows Autopilot, Co management, MEM and Azure Portal. Including all cloud attached and on premises end user devi

Why This Role is Important to Us The FACETS Provider Data Management Analyst will perform a variety of duties to coordinate and support data management and data entry for the Provider Data Management systems and, depending on the role, FACETS. This will include collaboration with various teams within and outside of the department to effectively collect and process provide

Why This Role is Important to Us The FACETS Provider Data Management Analyst will perform a variety of duties to coordinate and support data management and data entry for the Provider Data Management systems and, depending on the role, FACETS. This will include collaboration with various teams within and outside of the department to effectively collect and process provide

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible

Why This Role is Important to Us The Sr. Associate, Executive IT Support provides concierge level desktop and mobile support to empower and enable CCA executives and their admins to work optimally. This highly visible role must meet enhanced service levels including 24/7 availability (Monday Friday) to resolve issues and provide implementation, maintenance, and end user s

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The Utilization Management (UM) Reviewer is responsi

Why This Role is Important to Us Supervisor & The Team Leader reports to the UM Manager. The Team Leader provides management,oversight and mentorship to team members and ensures that Team members are meeting quality and productivity standards. The Team Leader works in close collaboration with the manager and Director of the UM team. What You'll Be Doing Provide oversight,