Search Results: 13,157 vacancies

 ...Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, diversity and teamwork, excellence and innovation consistently in their... 
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Partners Healthcare System

Belmont, MA
3 days ago
 ...well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Physician Clinical Reviewer, MRx - Oncology - REMOTE Job Description Summary Key member of the utilization management team, and provides timely medical... 
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Remote job
Work experience placement
Internship
Local area

Prime Therapeutics

Boston, MA
14 hours ago
 ...offering up to a $3,500 in signing bonuses for our Utilization Review positions. Emergency Room 3:00-11:30pm Important Details:...  ...outpatient) based on medical necessity. Actively seeks additional clinical documentation from the physician to optimize hospital... 
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Full time
Local area
Relocation bonus
Shift work
Afternoon shift

Beth Israel Lahey Health

Burlington, MA
14 hours ago
 ...healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and...  ...to appropriate guidelines. This position requires strong clinical and medical coding skills to review claims for medical necessity... 
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Hourly pay
Shift work
Night shift

Blue Cross Blue Shield of Massachusetts

Hingham, MA
14 hours ago
 ...South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to...  ...is on anticoagulation therapy and work with the appropriate clinics for plans for management of anticoagulation therapy and the procedure... 
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Monday to Friday

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
1 day ago
 ...Chemistry Data Reviewer / Quality Control Sample Management Associate Contract Duration 6+ months Pay rate up to $0.69 - $42.22/hr The Role Our client is seeking a contract role in Quality Control Sample Management Associate II based at their Norwood,... 
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Contract work
Day shift
Saturday

Global Technical Talent

Norwood, MA
4 days ago
 ...individuals, our programs literally save lives. The Utilization Reviewer in the Behavioral Health department is responsible for...  ...authorizations for all applicable coverage and for appropriate level of clinical care across the Substance Use Disorder treatment/Behavioral... 
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Hourly pay
Shift work
Monday to Friday

The Dimock Center

Roxbury, MA
8 days ago
 ...Job Title: Bioanalytical Data reviewer Job Location: Lexington, MA (Hybrid) Job Duration: 12 Months Job Description: Must haves: · Experience being responsible for quality control of all scientific data generated within the Nonclinical Pharmacology... 
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Integrated Resources, Inc

Lexington, MA
1 day ago
 ...salary: $60.00 - 72.26 per hour work hours: 9 to 5 education: Doctorate responsibilities: The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and the Promotional Material Review Team (PMRT). The Medical... 
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Hourly pay
Contract work
Work experience placement

Randstad

Cambridge, MA
14 hours ago
We are seeking a highly motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for conducting thorough analyses of financial statements and assessments for accuracy in loan presentations. The... 
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Work experience placement

Northern Bank

Woburn, MA
2 days ago

$36.46 - $57.29 per hour

 ...practice. Works with interdisciplinary leadership in assigned clinical service areas to define and oversee best practice standards. Monitors...  ...: hiring, termination, corrective action and performance reviews. • Assists in planning, monitoring, and/or managing budget in... 
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Full time
Traineeship
Work experience placement
Shift work

Beth Israel Deaconess Medical Center

Boston, MA
1 day ago
 ...Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested Decision...  ...activities Key responsibilities: Utilization review and inpatient clinical optimization: (include all utilization review, patient status,... 
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Part time
Shift work

Beth Israel Lahey Health

Burlington, MA
2 days ago
 ...include development of standard written and verbal responses with minimal supervision, including Clinical Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced medical information / clinical... 
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Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift

Takeda Pharmaceutical Company Limited

Lexington, MA
14 hours ago
 ...thousands of families for free through their corporate sponsored benefit. One important aspect of this benefit is the expert review of college application essays. Our Essay Reviewers provide detailed evaluation and constructive feedback to prospective students,... 
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Remote job
Hourly pay
Temporary work
Part time
Work from home
Home office

Bright Horizons Family Solutions

Newton, MA
2 days ago

$67.71 - $83.33 per hour

 ...Development Center Americas, Inc. is seeking a Senior Manager, Clinical Data Management in Lexington, MA with the following requirements...  ...) eCOA, IRT; Manage electronic Trial Master File (eTMF) QC review eg: Veeva Vault; Lead the Audit and Inspection/Submission Readiness... 
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Minimum wage
Holiday work
Full time
Temporary work
Local area
Remote job

Takeda Pharmaceutical

Lexington, MA
1 day ago
 ...to Us Position Summary: Reporting to the VP Quality Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally... 
Remote job
Immediate start

Commonwealth Care Alliance

Boston, MA
1 day ago
 ...Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Salem, Massachusetts. Job...  ...healthcare professionals whose adventure game is as strong as their clinical game. Those that want flexibility and high pay, we have the... 
Weekly pay
Holiday work
Shift work

Medical Solutions

Salem, MA
14 hours ago
 ...Job Description Job Description Job Summary: The DHR Reviewer/ Inspector will be responsible for product quality assurance activities. This includes interpretation and implementation of quality standards to routine manufacturing and product release activities.... 
Work experience placement
Afternoon shift

restor3d

Wilmington, MA
6 days ago
 ...com to see how we empower creators to own their own destiny. We're seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using engineering principles and data-driven strategies to precisely... 
Remote job
Hourly pay
Holiday work
Gangs
Flexible hours

Klaviyo

Boston, MA
1 day ago
 ...ultimate opportunity to gain new and challenging work experiences and create an unparalleled, direct impact. Job Title: Promotional Review Committee (PRC) Manager Location: Boston Job Description This position is part of the Marketing Operations team who... 
Contract work
Work experience placement
Remote job
Shift work

Galderma S.A.

Boston, MA
2 days ago