Part-Time

HIM Specialist

Multiple Teams

Posted on 8/29/2025

Commonwealth Care Alliance

Commonwealth Care Alliance

1,001-5,000 employees

Coordinated, person-centered health plans and care

No salary listed

Boston, MA, USA

Remote

Applicants residing in other states will not be considered at this time.

Category
Medical, Clinical & Veterinary (1)
Requirements
  • Associate degree or equivalent experience
  • 2 years’ experience in a medical office or equivalent combination of education and experience
  • Knowledge of medical terminology, anatomy and physiology, medical procedures, medications, and laboratory tests both one on one and in group settings
  • Ability to function in a fast paced setting with a variety of patients and staff
  • Attention to details and prompt follow up
  • Interest in professional growth
Responsibilities
  • Upload patient documentation into CCA’s electronic medical record (eCW)
  • Communicates any identified discrepancies in documentation or collected data to the HIM Manager
  • Communicates to HIM Manager any providers who are unwilling to send CCA requested clinical information
  • Gather and log data obtained or released by CCA for tracking and metrics
  • Obtain documentation from outside EMRs in preparation of HEDIS review, ACA and MDS assessments
  • Request and review paper records from external organizations if/when EMR is not accessible
  • Provide and obtain release of information documentation to and from members, clinicians, partnering organizations
  • Responsible for recording accurately and consistently in CCAs electronic medical record
  • Support clinical teams by obtaining medical record requests in a timely manner
  • Process Ad hoc telephone encounters and new enrollments within 48 hours
  • Other responsibilities and duties as assigned
Desired Qualifications
  • Secondary language is not required but a plus
Commonwealth Care Alliance

Commonwealth Care Alliance

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Commonwealth Care Alliance (CCA) is a Massachusetts-based healthcare services organization that creates tailored health plans and care delivery programs for people with the most significant needs. It provides comprehensive, integrated, and person-centered care by coordinating services among local staff, provider partners, and community organizations. Unlike many insurers, CCA focuses on high-need populations through an integrated care model and strong community partnerships. The company aims to improve health outcomes and care experiences for people with complex health needs by delivering coordinated, accessible care through its networks. It has been recognized as a Best Place to Work for Disability Inclusion (2024 Disability Equality Index), reflecting its commitment to inclusive workplace practices.

Company Size

1,001-5,000

Company Stage

Grant

Total Funding

$1.8M

Headquarters

Boston, Massachusetts

Founded

2003

Simplify Jobs

Simplify's Take

What believers are saying

  • CareSource acquisition provides operational scale and enhanced capabilities for member care coordination.
  • Winter Street Ventures investment fund identifies healthcare ventures improving outcomes and reducing costs.
  • New executive leadership strengthens operations: COO Cassel Kraft brings MassHealth 1115 waiver expertise.

What critics are saying

  • CareSource integration disrupts Massachusetts provider relationships, risking 50-70% member attrition within 12 months.
  • MassHealth regulators may reject out-of-state control, forcing SCO/One Care contract termination within 24 months.
  • Competitors capture dual-eligible members during CareSource transition disruptions, eroding market position.

What makes Commonwealth Care Alliance unique

  • Serves 50,000 dually-eligible Medicare-Medicaid members with complex needs in Massachusetts.
  • Operates integrated Senior Care Options and One Care plans with disability-competent clinical delivery.
  • Recognized as Best Place to Work for Disability Inclusion by 2023-2024 Disability Equality Index.

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Benefits

Remote Work Options

Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

1%

2 year growth

3%
Healthcare News
Mar 31st, 2026
Emily Bailey appointed commissioner of Massachusetts Department of Mental Health.

Emily Bailey appointed commissioner of Massachusetts Department of Mental Health. BOSTON - Massachusetts Secretary of Health and Human Services Dr. Kiame Mahaniah announced that Emily Bailey has been appointed commissioner of the Department of Mental Health (DMH) effective April 12. Bailey brings more than 20 years of leadership experience across state government, Medicaid, Medicare, commercial health plans, and community-based care. She has dedicated her career to transforming complex systems to deliver integrated, person-centered mental healthcare for individuals with mental health needs, disabilities, and social risk factors. Beth Lucas, who has served as acting commissioner since October, is returning to her prior role as deputy commissioner for Mental Health Services, where she will continue to oversee the DMH community service system. "Emily's extensive experience as a behavioral health leader combined with her deep compassion for our neighbors served by the Department of Mental Health will position the agency well to meet this moment of rising need for DMH's services," Mahaniah said. "Emily will further DMH's mission to support the continuum of mental healthcare needs across our state, from acute care for our state's most vulnerable children and adults with complex mental health needs, to upstream mental wellness and prevention that is so important, particularly for our young people." Bailey most recently served as senior vice president at Commonwealth Care Alliance, where she led clinical strategy, operations, and innovation for populations with complex medical and behavioral health needs. Her prior public sector leadership includes serving as chief of Behavioral Health at MassHealth, where she oversaw statewide behavioral health policy, program design, and implementation. She played a central role in major system reforms, including the launch of the Community Behavioral Health Centers and expansion of community-based crisis services. Bailey has also held executive roles at Point32Health and Carelon, where she led behavioral health strategy, population health initiatives, and cross-sector partnerships focused on improving outcomes, treatment access, and quality. Throughout her career, she has been a champion for reducing stigma, improving access to treatment, and improving the experience of interfacing with the mental health system. She is known for her collaborative leadership style, operational rigor, and ability to bring together state agencies, providers, advocates, and communities to drive meaningful, sustainable change. She holds a master of social work degree. "It is a profound honor to join the Department of Mental Health at a moment when the need for accessible, equitable mental healthcare has never been clearer," Bailey said." The department's dedicated staff and agency partners have driven meaningful progress in strengthening our behavioral health system, and I am committed to building on that work with urgency, partnership, and collaboration. I look forward to working alongside stakeholders across the Commonwealth to expand services, reduce barriers, and support individuals and families in every community."

The Business Journals
Apr 9th, 2025
Commonwealth Care Alliance Acquired by Ohio Company

Commonwealth Care Alliance has been acquired by an Ohio company. The acquisition is intended to ensure long-term sustainability for the insurer, which serves Massachusetts residents with complex care needs.

GlobeNewswire
Apr 9th, 2025
CareSource Acquires Commonwealth Care Alliance

CareSource, a nonprofit managed care organization, has completed its acquisition of Commonwealth Care Alliance (CCA), a nonprofit health care services organization in Massachusetts. CCA will continue operating its Senior Care Options and One Care plans under the CareSource Family of Brands. This partnership aims to enhance care for Massachusetts residents with complex health needs. CCA insures nearly 50,000 residents who are dually eligible for Medicare and Medicaid.

Lynn Journal
Sep 13th, 2024
Element Care appoints Douglas Thompson as New CEO

Element Care, a leading Program for All-Inclusive Care for the Elderly (PACE) and managed care provider for Senior Care Options (SCO) under a contract with Commonwealth Care Alliance, is pleased to announce the appointment of Douglas Thompson, MPP, as the organization's new Chief Executive Officer.

Business Wire
Aug 14th, 2024
Commonwealth Care Alliance Expands Provider Agreement with Beth Israel Lahey Health

CCA has been recognized as a "Best Place to Work for Disability Inclusion" by the 2023 & 2024 Disability Equality Index(R), the world's most comprehensive benchmarking tool for companies to measure disability workplace inclusion.

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