Why This Role is Important to Us Commonwealth Care Alliance (CCA) is thrilled once again to host its Summer Internship Program for clinical and non clinical departments!The Internship Program is open to undergraduate and graduate students from across the country. CCA Internships are a valuable way for students to obtain real world experience, gain exposure to a specific f

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 quality, convenient, and cost effective advanced urgent care within the home in order to prevent avoidable Emergency Department utilization. This is a part time position. 6 12 hour shifts,

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 care and professionalism. Recruit, hire, onboard, and coach new VMCs clinicians as our operations continue to grow. Using a data driven staffing management system, optimize staffing to sup

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 and executing quality measurement and improvement programs and is responsible for managing and implementing key population health and network quality initiatives to achieve high performance

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

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 LTSS Service Authorization Specialist is respons

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 LTSS Service Authorization Specialist is respons

Why This Role is Important to Us Provides support in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, health history, and measurement of vital signs, preparing the patient for examination, and implementing patient treatment plans and therapies. Supports the care team in the overall co

Why This Role is Important to Us The Community Advanced Practice Clinician (C APC) serves as leader of medical care delivery for Commonwealth Care Alliance members on an Interdisciplinary Care Team (IDT) of skilled clinicians. The C APC works within CCA's unique and rewarding care delivery model by conducting routine and episodic care of dually eligible members with high

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, registrations, hospital affiliations and insurance enrollments including, but not limited to, state license, DEA & MCSR renewals, NPI registration, CAQH applications, Medicare & MassHealth enrollme

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 Party Compliance Oversight department for Commonwealth Care Alliance (CCA). This position effectively leads our Third Party Compliance Oversight programs which includes monitoring and eva

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 compliance & ethics programs for Commonwealth Care Alliance (CCA). This position effectively leads our Corporate Compliance & Ethics programs which include Code of Conduct and corporate ethics adm

The Sr. Manager, Corporate Compliance & Ethics manages the day to day activities of the corporate compliance & ethics program for Commonwealth Care Alliance (CCA). The position manages CCA's Corporate Compliance & Ethics programs which include Code of Conduct and corporate ethics administration; corporate investigations; compliance and ethics training, communications, edu

The Senior Investigator, Corporate Compliance & Ethics is responsible for managing and conducting investigations into concerns or reports of violations of the CCA Code of Conduct, policies and procedures and applicable laws and regulations. The position will be responsible for investigating issues and concerns reported to the Corporate Compliance & Ethics Department, incl

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