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Health New England Jobs & Careers

8 Jobs Found

Health New England
Position Summary Provide superior customer service to members, providers, and employer groups. Providing quality customer service has a direct impact on maintaining existing membership and gaining new membership. Member Services Representative •......
Health New England
Position Summary The Provider Claims Representative acts as Health New England’s liaison to our provider community. The purpose of this position is to interact with provider offices regarding claim status, claim history and verification of adjudi......
Health New England
Position Summary Deliver utilization management (UM) and coordination of care services to members in compliance with current accreditation requirements and quality standards, and within the scope of the members’ benefit package and per HNE polici......
Health New England
Position Summary This position is responsible for providing quantitative as well as qualitative analysis of clinical and financial data to support corporate wide strategic decision-making. The position provides advanced analytical and reporting s......
Health New England
Position Summary The Quality Management Data Analyst position is responsible for providing a comprehensive approach to gathering, analyzing, and reporting data on Quality and HEDIS/Stars metrics. The role assists with decision-making while suppor......
Health New England
Position Summary Management of Claims Department including the claims adjudication process for Commercial, Government Programs and IDN lines of business, AWD workflow, COB and Subrogation and Provider Call Center. Work with the Claims Analytics a......
Health New England
Position Summary Assist with the administration, maintenance and support of all production and test SQL Server/Datawarehouse databases. Design, develop and execute Datawarehouse queries and reports based on the customer-defined requirements. Assi......