It’s 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. Job Summary. Responsible for the daily supervision and operations of the Prior Authorization Specialists. Develops training, trains staff, assigns work, implements policies and procedures, and resolves complex issues to ensure accurate a...
Job Summary. 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, preparing account reconciliations, and supporting internal and external audits. Positive and team oriented work ethic is critical to this role. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, nati...
It's 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. The Clinical Care Manager will perform as a Lead Care Manager responsible for the overall local integrated, holistic person-centered care management interventions for a member's physical health, behavioral health (BH) and psychosocial su...
It's 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. Job Summary. This position is responsible for accurate and timely research of all claim dispute inquiries, timely processing of adjustments and acts as a claims liaison between internal and external partners and helping with other Claims...
It's 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. Job Summary. The Operations Reporting and Performance Analyst (ORPA) plays an essential role in improving organizational effectiveness by analyzing operational data and identifying opportunities for learning and development. The OPRA col...
It’s 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. Job Summary. Under the direction of the Vice President of the Senior Vice President of Behavioral Health, the Director of BH Clinical Programs oversees the BH Care Management, BH Utilization Management and Clinical Programming teams. The...
It's 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. Job Summary. 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 behavioral health (BH) initiatives, iss...
It's 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. Job Summary. 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 work to ensure that goals and objectiv...
It's 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. The Senior Health Data Analyst applies specialized technical and analytic skill to produce analyses, reports, and applications to enhance the development and analysis of healthcare cost data and trends, while performing analytical and te...
It's 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. Job Summary. The Business Encounter Data Analyst is responsible for compiling and analyzing encounter data and understanding the claim impact of changes and decision to the business process to ensure that CMS and State Service Level Agre...
It's 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. Job Summary. Our Event Manager plays a key role in maintaining WellSense's commitment to community as a remote organization. In this role, you will plan, coordinate and execute WellSense organizational events for 1000 employees as well a...
It's 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. The Business Data Analyst - Customer Experience Specialist uses business data and statistical methods to provide customer insight and suggest areas and methods of improving the customer experience. Primarily focused on data and analytics...
