Average salary: $95,000 /yearly

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 ...Ready to help us transform healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines.... 
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Blue Cross Blue Shield of Massachusetts

Hingham, MA
2 days ago

$35k - $50k

 ...lives. Location: 480 Pleasant Street Watertown, MA The Medical Assistant provides high quality, direct patient care in a team-...  ...patient on visit reason, updates medication and allergy lists, reviews screening questions (i.e. PHQ-9), acts as liaison between... 
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Mount Auburn Hospital

Cambridge, MA
1 day ago

$35k - $45k

 ...courteous, helpful manner by phone and in person. In addition to medical assisting, provides administrative tasks as needed, including...  ...sterilized, stocked and within expiration dates. Performs initial review of medication lists in the electronic medical record for final... 
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Beth Israel Deaconess Medical Center

Boston, MA
1 day ago
 ...individuals, our programs literally save lives. The Utilization Reviewer in the Behavioral Health department is responsible for...  ...health/substance use utilization review process -Understanding of medical necessity and evidence-based practices -Able to organize/structure... 
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The Dimock Center

Roxbury, MA
15 days 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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Thermo Fisher Scientific Inc.

Boston, 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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Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
3 days ago
 ...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
3 days ago
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 ...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
4 days ago

$34k - $48k

 ...Surgical Specialities Clinic, working onsite at Beth Israel Deaconess Medical Center in Boston, MA. This is a 40hr/week position and is...  ...queuing prescriptions for renewal and performing the initial review of medication listings for accuracy in the electronic medical record... 
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Beth Israel Deaconess Medical Center

Boston, MA
1 day ago

$32k - $45k

 ...Job Type: Regular Scheduled Hours: 40 Work Shift: Day (United States of America)Under the direction of the Physician, the Medical Assistant performs a variety of patient care, technical and administrative duties to support the work of the Physician and to facilitate... 
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New England Baptist Hospital

Boston, MA
1 day 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
3 days ago
 ...and to promote lasting recovery. SUMMARY: The Utilization Review Specialist will perform utilization review of pre-certification...  ...Shield health and dental insurance ~ Vision insurance ~ Medical and dependent care flexible spending accounts ~ Generous paid... 
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Gosnold

Stoughton, MA
11 days ago
 ...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 review of service requests that do not initially meet the... 
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Prime Therapeutics

Boston, MA
2 days ago
 ...creators to own their own destiny. Why You Should Join the Reviews Team Reviews is a new offering at Klaviyo that provides our...  ...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
 ...The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal...  ...hire. You must upload your vaccine documentation or request a medical or religious exemption (instructions). For further information... 
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Boston University

Boston, MA
3 days 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
6 hours agonew
 ...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
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
4 days ago
86819 - SFO Reviewing and Investigations Manager Number of jobs available 1 Detail of reserve list 12 Months Region East Midlands City/Town Boston , Buxton , Chesterfield , Coalville , Derby , Grantham , Leicester , Lincoln , Loughborough , Mansfield , Nottingham... 
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Ministry of Justice

Boston, MA
4 days ago
 ...Position Overview At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user...  ...Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment... 
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Zelis Healthcare, LLC

Boston, MA
1 day ago