• Job Description

  Req#: 5001024990806
  Employer Industry: Healthcare Services
  
  Why Consider this Job Opportunity:
  - Competitive salary up to $80,000
  - Opportunity for career advancement and growth within the organization
  - Work remotely from anywhere within the continental U.S.
  - Supportive and collaborative work environment
  - Chance to make a positive impact on program beneficiaries
  - Comprehensive benefits package including health insurance and retirement plans
  
  What to Expect (Job Responsibilities):
  - Efficiently manage day-to-day operations of the supplemental benefits program within the health plan
  - Collaborate with contracted vendors to ensure smooth execution of program services
  - Act as the point of contact for escalated inquiries, issues, and escalations
  - Analyze program data to identify trends, patterns, and areas for improvement
  - Develop and implement strategic plans for the enhancement and expansion of dental programs
  
  What is Required (Qualifications):
  - Bachelor's degree in a related field (healthcare management, business administration, etc.)
  - 3-5 years of experience in third party administration, pharmacy, health plan, or managed care environment
  - Proficient in oversight and management of programs and/or vendors
  - Experience in third party vendor management, contract negotiation, and issue resolution
  - Proficient in using office software (e.g., Microsoft Office, Excel)
  
  How to Stand Out (Preferred Qualifications):
  - Familiarity with Medicare/Medicaid regulations and guidelines
  - Strong analytical skills with the ability to interpret program and vendor performance data
  - Excellent interpersonal and communication skills
  - Detail-oriented and able to multitask effectively
  - Problem-solving mindset and ability to work well under pressure
  
  #HealthcareServices #ProgramManagement #RemoteWork #CareerOpportunity #CompetitivePay
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

  Based in Massachusetts, Commonwealth Care Alliance (CCA) is a not-for-profit, community-based healthcare organization dedicated to improving care for individuals who are dually eligible for MassHealth (Medicaid) and Medicare with complex medical, behavioral health and social needs, including persons with disabilities. CCA offers two health plans: Senior Care Options (HMO SNP), for individuals ages 65 and over who have Medicare and MassHealth Standard or only MassHealth Standard; and One Care, a Massachusetts demonstration program for dual eligible individuals ages 21 to 64. These comprehensive health plans provide all the services covered under Medicare and MassHealth, and other benefits as determined necessary by an inter-professional care team in conjunction with CCA’s preferred provider network. For four consecutive years, CCA’s One Care plan received a top consumer rating for quality and access in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) national survey of Medicare-Medicaid Plans (2016, 2017, 2018, and 2019), administered by the Centers for Medicare & Medicaid (CMS).

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