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....
Suggested
Hourly pay
Shift work
Night shift
$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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Full time
Work experience placement
Interim role
Immediate start
Shift work
$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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Full time
Shift work
...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...
Suggested
Hourly pay
Shift work
Monday to Friday
...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
Contract work
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
...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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Remote job
Immediate start
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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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Contract work
Work experience placement
Remote job
Shift work
$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...
Suggested
Full time
Part time
Immediate start
Relocation bonus
Shift work
Day shift
Monday to Friday
$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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Full time
Work experience placement
Immediate start
Relocation bonus
Shift work
Monday to Friday
...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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Remote job
Hourly pay
Holiday work
Gangs
Flexible hours
...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...
Suggested
Holiday work
Full time
Flexible hours
...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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Remote job
Work experience placement
Internship
Local area
...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...
Suggested
Hourly pay
Holiday work
For contractors
Immediate start
Gangs
Flexible hours
...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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For contractors
...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...
Remote job
Hourly pay
Full time
Flexible hours
...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...
...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,...
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...
Holiday work
Permanent employment
Full time
Part time
Local area
Overseas
Trial period
Flexible hours
Rotating shift
Monday to Friday
...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...
Local area