11/20 | Database Developer/Administrator As the Database Developer/Administrator, this individual will be responsible for closely working with application development and business intelligence teams to enhance the performance and functionality of existing databases and systems. The Database Developer/Administrator will also participate in the design and delivery of new database solutions in our developmen | Beacon Health St... | Woburn, MA, 0180... | | map | | | action |
11/18 | BEACON HEALTH STRATEGIES JOB TITLE: Credentialing Specialist The credentialing specialist is responsible of the credentialing of and re-credentialing of Beacon’s behavioral health network providers. This position’s primary function is to ensure all credentialing files for independent practitioners and facilities are accurate, complete, timely and meet NCQA and state regulatory standards. The posit | Beacon Health St... | Woburn, MA, 0180... | | map | | | action |
11/17 | BEACON HEALTH STRATEGIES Appeal Manager The Appeal Manager is responsible for the clinical operations of the denial and appeal processes for all contracts. PRIMARY RESPONSIBILITIES: 1. Maintenance of all medical necessity and administrative policies and procedures in collaboration with clinical managers and state compliance managers 2. Maintenance of all clinical and administrative letters, ensuri | Beacon Health St... | Woburn, MA, 0180... | | map | | | action |
11/06 | BEACON HEALTH STRATEGIES CBHI Specialist JOB DESCRIPTION: Responsible for triaging and managing of members referred to ICC who may be high risk, high utilizing, at significant clinical risk or under-utilizing services. Provide oversight to CBHI network providers. PRIMARY RESPONSIBILITIES 1. Manage ICC Members referred by CBHI providers 2. Managing, coordinating care, tracking and reporting of all a | Beacon Health St... | Woburn, MA, 0180... | | map | | | action |
11/06 | Utilization Review Clinician This position is located in Boston, Monday, Tuesday, Wednesday, Friday and Thursday in Woburn, MA. Authorizes and reviews utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity; Maintains phone coverage for Clinical Referral line on ACD | Beacon Health St... | Boston, MA | | map | | | action |
11/05 | As the Database Developer/Administrator, this individual will be responsible for closely working with application development and business intelligence teams to enhance the performance and functionality of existing databases and systems. The Database Developer/Administrator will also participate in the design and delivery of new database solutions in our development, test, and production environme | Beacon Health St... | Woburn, MA, 0180... | | map | | | action |
10/29 | BEACON HEALTH STRATEGIES JOB TITLE: Clinical/Quality Care Coordinator SUPERVISOR/REPORT TO: Quality Operations Manager JOB DESCRIPTION: The Clinical/Quality Care Coordinator supports the clinical and quality departments in a variety of functions focused on ensuring members have appropriate and timely access to care. The Clinical/Quality Care Coordinator works closely with members and providers, re | Beacon Health St... | Woburn, MA, 0180... | | map | | | action |
10/29 | Director of Network Operations REPORT TO: Vice President of Operations JOB DESCRIPTION: The Director of Network Operations is responsible for the network strategy and operations at Beacon Health Strategies, LLC, including setting department strategy and initiatives, provider credentialing and contracting, day-to-day operations, and ongoing collaboration with and support to Plans and other Beacon d | Beacon Health St... | Woburn, MA, 0180... | | map | | | action |
10/28 | BEACON HEALTH STRATEGIES Utilization Review Clinician JOB SUMMARY: Overnights and weekends part-time position Authorizes and reviews utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity; Maintains phone coverage for Clinical Referral line on ACD system; provides m | Beacon Health St... | Woburn, MA | | map | | | action |
10/27 | Job Title: Director of Technical Operations/IT Infrastructure Reports to: Chief Information Officer Job Description: Reporting to the Chief Information Officer, the Director of Technical Operations will oversee and actively manage all operational aspect of the IT infrastructure including LAN/WAN networks, servers, storage, email, file and print, databases, application servers, web servers, tape ba | Beacon Health St... | Woburn, MA | | map | | | action |