Search Results: 25,162 vacancies

 ...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... 
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Commonwealth Care Alliance

Boston, MA
17 hours ago
 ...seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using...  ...applicable law. This role is eligible for benefits, including: medical, dental and vision coverage, health savings accounts, flexible... 
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Klaviyo

Boston, MA
1 day ago
 ...this position is to deliver high-quality, balanced and timely medical and scientific information regarding specific products and serve...  ...Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced... 
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Takeda Pharmaceutical Company Limited

Lexington, MA
17 hours ago
 ...Job Description Job Description The Utilization Management (UM) Review RN is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Review Nurse has a key role in ensuring CCA... 
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Full time
Local area
Monday to Friday

Element Care

Lynn, MA
2 days ago
 ...success. Under the direction of the department manager, the Medical Assistant will be assisting the team in referral management for...  ...assist with patient needs. What's in it for you? Fully remote position - Work from the comfort of your own home in cozy... 
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CareHarmony LLC

Boston, MA
4 days ago
 ...Hours:** 40 **Work Shift:** Evening (United States of America) Lahey Hospital and Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Emergency Room 3:00-11:30pm Important Details: Signing Bonuses are paid... 
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Full time
Local area
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Afternoon shift

Beth Israel Lahey Health

Burlington, MA
17 hours ago
 ...Experienced Document Review Attorney – Remote Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline.  Please apply to get on... 
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Dauntless Discovery

Boston, MA
24 days 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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Northern Bank

Woburn, MA
2 days ago
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care taking place at the... 
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Monday to Friday

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
1 day ago
 ...pharmaceutical/ biopharmaceutical company, all while maintaining full-time benefits. Key responsibilities: Provides a variety of review and analytical functions that occur in the Commercial Quality Control (CQC) Lab supporting the commercial reference standard... 
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Full time
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Thermo Fisher Scientific Inc.

Boston, MA
22 hours ago
 ...times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA... 
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Sharecare, Inc.

Boston, MA
1 day ago
 ...make. **Job Posting Title** Director Financial Modeling - Medical Pharmacy - Remote **Job Description** The Director of Financial Modeling...  ...and reporting to Prime management + Conduct performance reviews, quarterly check-ins and staff 1:1s to guide performance... 
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Prime Therapeutics

Boston, MA
4 days ago
 ...create an unparalleled, direct impact. Job Title: Promotional Review Committee (PRC) Manager Location: Boston Job Description...  ...key business events (product launches, label updates, POAs, medical congresses, etc.) setting specific event submission deadlines and... 
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Galderma S.A.

Boston, MA
2 days ago
 ...quality control, bioassay data reviewer. + norwood , massachusetts + posted march 27, 2024 **job details** summary + $45 - $50 per hour + contract + bachelor degree + category life, physical, and social science occupations + reference47779 job details... 
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Randstad US

Norwood, MA
1 day ago
 ...peoples lives.** Position Summary: Reporting directly to the Chief Medical Officer (CMO), the Physician Advisor will play an active role...  ...Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested Decision... 
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Part time
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Beth Israel Lahey Health

Burlington, MA
2 days ago
 ...Medical Director About the Company Industry leader in the health & wellness industry & innovative managed care Industry Insurance...  ...work within regulatory compliance. The Medical Director will review medical records, engage in discussions with external providers,... 

Confidential

Boston, MA
2 days ago
 ...Medical Director About the Company Top-tier life insurance & annuity provider Industry Insurance Type Privately Held...  ...analysis, and referrals, as well as input on contestable claim reviews. The Medical Director will play a key part in training and developing... 

Confidential

Boston, MA
13 hours agonew
 ...important aspect of this benefit is the expert review of college application essays. Our Essay...  ...flexible Part Time hours in a fully remote capacity. This role is temporary ,...  ...along with information on the Family and Medical Leave Act (FMLA) and Employee Polygraph Protection... 
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Bright Horizons Family Solutions

Newton, MA
7 days ago
 ...Job Description Job Description Are you a driven Medical Affairs Leader seeking a new challenge in a fully remote position? Beacon Therapeutics invites you to apply for the Associate Director or Director Medical Affairs role. Here, you can showcase your expertise... 
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Beacon Therapeutics (USA) Inc

Cambridge, MA
2 days ago
 ...Company Description Medical Device (Pain Mgt) Job Description Accountabilities: Reports to the National Director of Govt. Sales, role is accountable to close accounts qualified by Inside Sales through In-Services (demonstrations and negotiation), prior to handoff... 
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Blake Smith Staffing LLC

Boston, MA
1 day ago