PA Specialists Supervisor
Charlestown, MA
Responsible for the daily supervision and operations of the Prior Authorization Specialists. Develops training, trains staff, assigns work, implements policies and procedures, and resolv...

Investment Staff Accountant
Boston, MA
The Staff Accountant is a key member of the Accounting team and works closely with all members of the team in meeting close deadlines, working with various general ledger modules, prepar...

Operations Reporting and Performance Analyst (Learning and Development)
Boston, MA
The Operations Reporting and Performance Analyst (ORPA) plays an essential role in improving organizational effectiveness by analyzing operational data and identifying opportunities for...

Care Manager - Pediatric
Manchester, NH
Manages a panel of high risk, medically, behaviorally and socially complex members Administer Comprehensive Assessment, medication reconciliation, convene local care teams, develop, docu...

Manager of Hospital and Physician Contracts
Boston, MA
The WellSense Health Plan Manager of Hospital and Physician Contracts is responsible for the development, implementation and management of a cost effective provider network, maintaining...

Manager of Ancillary Contracts
Boston, MA
The WellSense Plan Manager of Ancillary Contracts is responsible for the development, implementation and management of a cost effective provider network, maintaining complex and geograph...

Health Data Analyst III
Boston, MA
Position Health Data Analyst III (2 positions available) Location Charlestown (Boston), MA. Report to main office in Charlestown, MA. Eligible to work remotely from anywhere in the U.S....

Director of BH Network Strategy
Boston, MA
Reporting to the Director of BH and LTSS Network Strategy, in this highly visible role, the Manager of Behavioral Health Network is responsible for contracting the entire BH Network for...

Senior Director of BH Clinical Programs
Boston, MA
Under the direction of the Vice President of the Senior Vice President of Behavioral Health, the Senior Director of BH Clinical Programs oversees the BH Care Management, BH Utilization M...

Manager of Actuarial Services
Boston, MA
Leads the rate development process by providing analyses and recommendations on benefit design, rating factors, trend picks, and projection of future claim cost. Oversees regulatory rate...

Behavioral Health Program Manager
Boston, MA
At the direction of the Manager of Behavioral Health Operations, the Behavioral Health (BH) Program Manager, New Hampshire (NH) is responsible for leading and resolving high visibility b...

Senior IT Project Manager
Boston, MA
Responsible for the coordinated management of multiple large scale, critical or complex projects. The Senior IT Project Manager (PM) is responsible for overseeing all aspects of project...

Senior Healthcare Analyst
Boston, MA
Uses SAS and/or SQL coding to pull claims and membership data to support involved healthcare analytics Supports the development of effective medical management programs/initiatives throu...

Licensed Behavioral Health Clinician
Manchester, NH
The Licensed Behavioral Health Clinician provides care management services at facilities, in the community and telephonically for WellSense members receiving behavioral health (BH) and s...

Manager of Healthcare Analytics
Boston, MA
The Manager of Healthcare Analytics is responsible for financial analysis, measurement, and contract compliance as it relates to WellSense's Clinical Vendors. Working closely with Financ...