...developmental disabilities, or substance use disorders. For many individuals, our programs literally save lives. The Utilization Reviewer in the Behavioral Health department is responsible for obtaining initial and concurrent insurance authorizations for all... 
Suggested
Hourly pay
Shift work
Monday to Friday

The Dimock Center

Roxbury, MA
13 days ago
 ...healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and...  ...in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a... 
Suggested
Hourly pay
Shift work
Night shift

Blue Cross Blue Shield of Massachusetts

Hingham, MA
22 hours ago
 ...offering up to a $3,500 in signing bonuses for our Utilization Review positions. Emergency Room 3:00-11:30pm Important Details:...  ...concurrent reviews as directed in the hospitals Utilization Review Plan and review of medical records to ensure criteria for admission... 
Suggested
Full time
Local area
Relocation bonus
Shift work
Afternoon shift

Beth Israel Lahey Health

Burlington, MA
22 hours ago
 ...and contributing to the development of individualized education plans (IEPs). Requirements: Master's or Doctoral degree in School...  ...Participate in multidisciplinary team meetings to develop and review individualized education plans (IEPs)  Provide crisis intervention... 
Suggested
Full time

The Stepping Stones Group

Roxbury, MA
3 days ago
 ...process improvement initiatives. Assist the Director of Home Care and Team Managers in planning, organizing, implementing, monitoring, and evaluating monthly plans. # Review monthly reports. # Conduct audits, ensuring adherence to performance standards. # Ensure... 
Suggested
Local area
Immediate start

Central Boston Elder Services Inc

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

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
1 day ago
 ...time benefits. Key responsibilities: Provides a variety of review and analytical functions that occur in the Commercial Quality...  ...records and adhere to cGMP/GDP expectations * May participate in planning, implementing, or reviewing method validations and/or method... 
Suggested
Full time
Contract work

Thermo Fisher Scientific Inc.

Boston, MA
1 day 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... 
Suggested
Work experience placement

Northern Bank

Woburn, MA
2 days ago
 ...coverage. Contributes to and supports department Strategic Planning. Ensures maintenance of equipment, evaluates new equipment,...  ...Programs and prepares reports for Quality Improvement Program (QuIP) reviews. Maintains updated Policy and Procedure Manuals and ensures... 
Suggested
Full time
Relocation bonus

Meritore

Roxbury, MA
5 days ago
 ...Quality Assurance Reviewer Associate I (Remote) #24-319 {{jcity}}{{jstate}} Legal & Compliance Why This Role is Important to...  ...Market Prominence (Enrollment system) Knowledge of Medicare plans (MAPD, DSNP, etc.) and processes Understanding of Dual Eligibility... 
Suggested
Remote job
Immediate start

Commonwealth Care Alliance Inc.

Boston, MA
3 days ago
About the job Wealth Planning Associate Wealth Planning Associate (Remote Options) National Wealth Management firm is looking...  ...creative solutions Analyze client investment portfolios Review prior meeting notes and correspondence to complete meeting agendas... 
Suggested
Remote job

SDL Search Partners

Boston, MA
3 days ago
 ...Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced...  ...eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage,... 
Suggested
Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift

Takeda Pharmaceutical Company Limited

Lexington, MA
22 hours 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... 
Suggested
Hourly pay
Contract work
Work experience placement

Randstad US

Norwood, MA
1 day ago
 ...create an unparalleled, direct impact. Job Title: Promotional Review Committee (PRC) Manager Location: Boston Job Description...  ...Key Responsibilities Own and develop a 90-day PRC review plan by collaborating across brand/function with all contributing parties... 
Suggested
Contract work
Work experience placement
Remote job
Shift work

Galderma S.A.

Boston, MA
2 days ago
 ...agreements. Overview: Position Purpose : Performs complex planning engineering activities for the Commission, under the Planning...  .... Responsible for applying engineering principles for the review of specialized studies and for the systematic analysis of water... 
Suggested
For contractors
Work experience placement
For subcontractor
Seasonal work
Immediate start
Outdoor
Weekend work

Boston Water and Sewer Commission

Boston, MA
1 day ago
 ...re seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using...  ...partners across Klaviyo Partner with our Risk & Trust leadership to plan, oversee, and drive execution of our Risk & Trust projects and... 
Remote job
Hourly pay
Holiday work
Gangs
Flexible hours

Klaviyo

Boston, MA
1 day ago
 ...Same Day Care Educate patients and parents in oral hygiene instruction Assess the dental condition and needs of patients and review patients' medical history Responsible for adhering to all government regulations and company standards Guide parents and patients... 
Holiday work
Full time
Part time
Local area
Relocation bonus
Flexible hours
Day shift
Saturday

Cortland Dental & Braces - a Benevis company

Roxbury, MA
5 hours agonew
 ...Director of Merchandise Planning & Allocation Location: Needham, MA Job Advert Description As the Director of Merchandise...  ...representative for Americas region on sales forecast in budget reviews, and monthly financial projection reviews. + Pushes for operational... 
Local area

Clarks Shoes

Needham, MA
4 days ago
 ...America) Under the direction of the Executive Director, Financial Planning and Analysis, the Director will be responsible for the...  ...or risks. 5) Analyzes capital and business plan requests, and reviews the financial impact of these requests, including, but not limited... 
Full time
Temporary work
Flexible hours
Shift work

Beth Israel Lahey Health

Charlestown, MA
4 days ago
 ...Senior Vice President, Financial Planning & Analysis About the Company Innovative IT services & consulting organization Industry Computer Software Type Privately Held, VC-backed Founded 2004 Employees 501-1000 Categories Information Technology... 

Confidential

Boston, MA
2 days ago
 ...responsible for directing and expanding sales of mutual funds, CIT's and sub-advised portfolio products in employer-sponsored retirement plans offered through the workplace. The Workplace Retirement Sales team works closely with other channels within US Distribution (... 
Local area
Flexible hours

Franklin Templeton

Boston, MA
1 day ago
 ...-discipline and personal organization, you are client-focused, and you have good interpersonal skills. The Senior SAP Demand & Planning Consultant plays a key role on the delivery team that is accountable for meeting the scope, timeline and milestone expectations set... 
Permanent employment
Full time
Contract work
Local area
Remote job

Teamwork Corporate

Boston, MA
5 days ago
 ...Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested Decision-...  ...services provided. - Assess the appropriateness of treatment plans and interventions in accordance with clinical guidelines and best... 
Part time
Shift work

Beth Israel Lahey Health

Burlington, MA
2 days ago
 ...Closing date 3 Jun 2024 Reference 20240510 Senior Planning Policy Officer Bovey Tracey, Newton Abbot (with travel across...  ...plans. Youll oversee the progress of the Development Plan, reviewing policies and actions including the maintenance of statutory registers... 
Holiday work
Permanent employment
Full time
For contractors
Local area
Flexible hours

The Planner Jobs Redactive Publishing Limited

Newton, MA
2 days ago
 ...letter with your application Tufts University Advancement seeks a dynamic, experienced professional to serve as Director, Gift Planning. Tufts University Advancement Division (UA) is a comprehensive development and alumni engagement enterprise with a staff... 
Full time
Local area
Afternoon shift

Tufts University

Medford, MA
22 hours ago
 ...work closely with the care team in devising both individual care plans for individual patients, as well as maintain a broader systems...  ...identified patient populations at high risk. 2. Laboratory and Image Review – Review and sign off all laboratory and imaging results from... 
Holiday work
Contract work

The Dimock Center

Roxbury, MA
22 days ago
About the job Materials Planning Manager TruRoots was created with a clear vision...to nourish our families, community, and planet from root to fruit. Grounded in our unmistakable legacy of passion, integrity, and quality-you-can-taste, TruRoots Company is committed... 
Work experience placement

TruRoots Company

Dedham, MA
2 days ago
 ...Description Job Description The Utilization Management (UM) Review RN is responsible for day-to-day timely clinical and service...  ...Provides decision-making guidance to clinical teams on service planning as needed. Works closely with RN Case managers & Medical Director... 
Holiday work
Full time
Local area
Monday to Friday

Element Care

Lynn, MA
2 days ago
 ...MA is looking to hire an experienced and talented full-time Planning Manager . Do you have a strong planning background with a successful...  ...involvement in hiring, personnel matters, performance reviews, and staff mentorship ~ Experience delivering community transportation... 
Full time
Flexible hours
3 days per week

Toole Design

Boston, MA
3 days ago
 ...to transmission expansion, enabling the world to access the very lowest cost renewable power. THE ROLE: The Transmission Planning Engineer will be responsible for building and leading power flow studies representing VEIR's superconductors for our growing customer... 
Remote job
Long distance

VEIR

Woburn, MA
1 day ago