Commonwealth Care Alliance


Mission-based and person-centered, CCA is focused on sustainable and evidence-based healthcare breakthroughs that improve the health and well-being of people with significant needs. This includes advocating for affordable, high-quality, and cost-effective healthcare policies that lead to healthcare equity for individuals who need it most. In 2021, CCA began a multi-year, mission-aligned geographic diversification growth strategy to extend its proven care model throughout the United States.
In 2022, CCA was named a Best Place to Work for Disability Inclusion on the 2022 Disability Equality Index® (DEI) by the American Association of People with Disabilities and Disability:IN.
Search among Commonwealth Care Alliance jobs
Jobs: 51 - 60 of 68 |

Appeals and Grievances Program Advisor
Boston, Massachusetts
011540 CCA-Appeals & Grievances Position Summary: Appeals and Grievances Program Advisor monitors and supports the operations and compliance of the Appeals and Grievances department through many NCQA and other related quality program activi...
17d
Job Type | Full Time |

Clinical RN Nurse Appeals Lead
Boston, Massachusetts
011540 CCA-Appeals & Grievances Position Summary: Investigate and resolve medical necessity member appeals. Ensure compliance with state and federal guidelines, including Centers for Medicare and Medicaid Services requirements. Maintain all...
17d
Job Type | Full Time |

Boston, Massachusetts
025010 Clin Alli-CCAPC Position Summary: The Primary Care Triage Nurse functions as a key part of the primary care team through health maintenance and chronic disease management, care coordination, and triage within the RN scope of practice...
18d
Job Type | Full Time |

Medicare/Medicaid Claims Reimbursement Specialist
Boston, Massachusetts
011250 CCA-Claims Job Description Position Summary: Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements within the scope...
18d
Job Type | Full Time |

MassHealth Regulatory Compliance & Audits Specialist
Boston, Massachusetts
011250 CCA-Claims This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this time. Position Summary: Reporting to the Director, Claims Operations & Quality As...
18d
Job Type | Full Time |

Medical Front Desk Receptionist
Boston, Massachusetts
025010 Clin Alli-CCAPC Position Summary CCA Primary Care provides primary care for complex patients with disabilities and frail elders in their home, virtually, or at one of our clinic locations. We are an interdisciplinary care team consis...
19d
Job Type | Full Time |

Medicare/Medicaid Claims Editing Specialist
Boston, Massachusetts
011250 CCA-Claims Hiring for One Year Term Position Summary: Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ...
20d
Job Type | Full Time |

Sr. Advisor, Clinical Applications Training
Boston, Massachusetts
013420 CCA-Clin Edu and Apps Training Position Summary: Reporting to the Clinical Applications Training Manager, the Sr. Advisor, Clinical Applications Training functions as an expert EHR consultant, trainer, educator, and evaluator respons...
20d
Job Type | Full Time |

Utilization Review Medical Director
Boston, Massachusetts
023520 Clin Alli-Physicians Group Position Summary: Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the Utilization Review Medical Director will be responsible for providing leadership and subject matter e...
20d
Job Type | Full Time |

Temporary Clinical Assessment RN, Northern Boston to Malden
Wakefield, Massachusetts
023430 Clin Alli-Clin Assessment & CP Position Summary: Commonwealth Care Alliance's (CCA) Assessment unit conducts initial and ongoing face-to-face assessments for CCA enrollees. The Unit is also responsible for evaluating the accuracy and...
21d
Job Type | Temporary |