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WellSense Health Plan jobs

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MANAGER OF CLINICAL PHARMACY OPERATIONS

Full-time remote work. Competitive salaries. Excellent benefits. Supervises all Pharmacy Operations Clinical Pharmacists. Oversee the day-to-day responsibilities of the Clinical Pharmacists, including the prior authorization activ...

CompanyWellsense Health Plan
AddressRemote
CategoryInformation Technology
Salary$138K - $175K a year
Job typeFull-time
Date Posted 5 days ago See detail

Manager of Clinical Pharmacy Operations

Wellsense Health Plan

Remote

$138K - $175K a year

Full-time remote work. Competitive salaries. Excellent benefits. Supervises all Pharmacy Operations Clinical Pharmacists. Oversee the day-to-day responsibilities of the Clinical Pharmacists, including the prior authorization activ...

Manager Clinical Audit

Wellsense Health Plan

Remote - Oregon, United States

Oversees Clinical Audit program of both internal and external entities responsible for reviewing medical record documentation to ensure all reimbursement to providers is accurately adhering to coding regulations, reimbursement pol...

Consumer Insights Analyst

Wellsense Health Plan

Remote - Oregon, United States

Work is normally performed remotely with occasional travel to Boston office for in-person meetings and strategy sessions. No or very limited physical effort required. No or very limited exposure to physical risk. ....

Manager of Clinical Pharmacy Operations

Wellsense Health Plan

Remote - Oregon, United States

Supervises all Pharmacy Operations Clinical Pharmacists. Oversee the day-to-day responsibilities of the Clinical Pharmacists, including the prior authorization activities for both pharmacy and medical benefits. Monitor pharmacy op...

Health Data Analyst II

Wellsense Health Plan

Remote

$68.9K - $87.2K a year

Full-time remote work. Competitive salaries. Excellent benefits. Leads the development and analysis of medical expense and utilization trend report to inform key strategic initiatives to support corporate goals. Supports the devel...

Social Worker Care Manager, SCO

Wellsense Health Plan

Remote - Oregon, United States

Full-time remote work. Competitive salaries. Excellent benefits. Documents and completes clinical assessments and coordination of care in the medical management information system in a timely manner that meets regulatory and accre...

Member Service Representatives - Work from Home

Wellsense Health Plan

Nashville, TN

$19.50 an hour

Full-time remote work. WellSense Health Plan is only able to employ in the following states: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Mi...

Consumer Insights Analyst

Wellsense Health Plan

Remote

$57.1K - $72.3K a year

Full-time remote work. Competitive salaries. Excellent benefits. Conducts Consumer Research to inform the Plan on what drives prospect behavior. Coordinates member advisory board for multiple product lines and shares insights with...

Instructional Designer

Wellsense Health Plan

Remote - Oregon, United States

None. General supervision is received weekly or as needed. Associates degree or equivalent experience is mandatory; Bachelors degree is preferred. 1-2 years of experience in instructional design with a basic understanding of adu...

Sr. Manager of Compliance, Health Equity

Wellsense Health Plan

Remote

$92.1K - $117K a year

Full-time remote work. Competitive salaries. Excellent benefits. Assists in annual Health Equity analysis on prioritized populations and helps lead WellSense Health Plan advocacy efforts externally. Performs and manages risk asses...

Manager of Healthcare Analytics

Wellsense Health Plan

Remote

$92.5K - $117K a year

Full-time remote work. Competitive salaries. Maintain financial relationships with Clinical Vendors responsible for managed care benefits. Assist with negotiations of revised and new financial terms as needed to support WellSense...

Nurse Care Manager (Senior Care Product) – Field Based

Wellsense Health Plan

Charlestown, MA

ResponsibilitiesIts an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.We...

Clinical Pharmacist II

Wellsense Health Plan

Remote

$105K - $133K a year

Full-time remote work. Competitive salaries. Excellent benefits. Works in conjunction with the pharmacy management team on quality improvement initiatives that are targeted towards quality incentives, regulatory performance standa...

Vice President of Network Strategy Operations

Wellsense Health Plan

Remote - Oregon, United States

Partners with Chief Operating Officer and the executive leadership team to develop Network strategy and build trust and a rapport with WellSense colleagues, Boston Medical Center Health System colleagues, external providers, and r...

Event Planning Manager

Wellsense Health Plan

Boston, MA

$83.3K - $106K a year

Full-time remote work. Competitive salaries. Excellent benefits. Manage events and meetings for departments within the company including leadership, Community Engagement andother ad hoc request Support employee engagement initiati...

Event Planning Manager

Wellsense Health Plan

Charlestown, MA

ResponsibilitiesIts an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.Jo...

Strategic IT Sourcing Manager

Wellsense Health Plan

Boston, MA

ResponsibilitiesIts an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.Jo...

Nurse Practitioner

Wellsense Health Plan

Boston, MA

ResponsibilitiesThe Boston Medical Center Section of General Internal Medicine is seeking an NP to provide primary care while also working with the WellSense Health Plan Senior Care Options Care Management team.This is an exciting...

COB Specialist

WellSense Health Plan

Remote

$47.3K - $59.9K a year

Full-time remote work. Competitive salaries. Excellent benefits. Responds to provider and member phone calls and correspondence including but not limited to claim adjustments requests, appeals, corrected claims, timely filings and...