Office Manager jobs at BMC HealthNet Plan in Boston, Massachusetts

Customer service focused, hands-on Manager of Application Development & Support with responsibility for the overall application architecture, implementation, and management of all business-critical IT business applications. Manages the team of programmer analysts who build and support business applications, including those designed and built by the Plan and those that are purchased, as well as ext...
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Under the direction of the Director of Pharmacy Services, the Pharmacy Contract Manager manages the Pharmacy Benefit Manager (PBM) contract, PBM contract addendums/amendments, and specialty pharmacy contract(s), including periodic Requests for Proposal and Information (RFPs and RFIs), contract administration, and compliance monitoring. Ensures internal compliance with contractual and regulatory re...
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The Clinical Affairs Project Manager III is responsible for managing high visibility, complex projects for the clinical service areas of the Office of Clinical Affairs. Projects often require considerable resources and high levels of functional integration. Responsible for project prioritization, initiation, planning, management and closure. Must be familiar with system scope, project management d...
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Responsible for the coordinated management of multiple large-scale, critical or complex projects. The Is Project Manager III is responsible for overseeing all aspects of project work to ensure that goals and objectives are accomplished within the constraints of the budget, schedule, and stakeholder expectations. Monitors progress according to plan, identifying and coordinating resolution of issues...
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Performs a variety of diverse and complex telephonic and face-to-face care management responsibilities in addition to training new staff. Will act as the medical clinician link within a specialized care management team along side medical non-clinicians, pharmacists, and medical directors. Works closely with Beacon Behavioral Health staff to co-manage complex members. Medical lead for the team in c...
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The Senior QA Specialist participates in all aspects of testing. This includes reviewing requirements, writing and executing test cases to ensure applications meet requirements. This position will also develop and execute the automation test suites for the regression of applications as it relates to Facets configuration efforts as well as supporting test procedures for downstream ancillary program...
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Under the direction of the Manager of Quality and Testing, the Configuration Data Analyst position is responsible for developing standard SQL queries to research BMCHP claims data to produce reports on payment accuracy. This position must understand business requirements as well as logical and physical data models in order to build high quality, standard reports. Key Functions/Responsibilities: Re...
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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 curren...
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Reporting to the Manager of HR Business Partnership, the Human Resources Business Partner (HRBP) is responsible for developing a talent strategy with the senior leadership of assigned business units. A talent strategy is a plan with short and long term goals designed to optimally organize, recruit, retain, develop and reward employees to achieve the overall department business strategy. The HRBP r...
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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 curren...
full job description