RN Clinical Review Manager, Utilization & Quality Leadership
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Massachusetts is seeking a Manager, Clinical Review to direct the utilization review team for Commercial plans in Hingham, MA. You will lead clinical staff, drive a comprehensive UM strategy, and ensure care is medically necessary, high quality, and cost-effective. The role emphasizes regulatory compliance, NCQA standards, and data-driven performance improvements. A nursing or clinical background with leadership experience is required, with licensure in MA within six #J-18808-Ljbffr Blue Cross Blue Shield of Massachusetts
Vacancy posted 1 day ago
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