Search Results: 16,994 vacancies

**Why This Role is Important 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... 
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Commonwealth Care Alliance

Boston, MA
7 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... 
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Randstad US

Norwood, MA
1 day 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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Element Care

Lynn, MA
2 days ago
 ...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
7 hours ago
 ...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 SSEC.The incumbent is responsible... 
Quality
Monday to Friday

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
1 day ago
 ...decentralized clinical trial services. Your determination to deliver quality and accuracy will improve health outcomes that people and...  ...time benefits. Key responsibilities: Provides a variety of review and analytical functions that occur in the Commercial Quality... 
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Full time
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Thermo Fisher Scientific Inc.

Boston, MA
12 hours ago
Business Title: 103024 | Quality Systems Specialist Location: Cambridge, MA 02142 Job Type: Contract (7 Months) Note: Parking will not be reimbursed by the ;Nearby garage parking is available for roughly $420/month.
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The Accuro Group

Cambridge, MA
17 days ago
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 ...opportunities? Affinity Recruiting is looking for an experienced Quality Engineer for an amazing and growing company in Norwood, MA!...  ...as JMP, All Clear, Minitab, etc.) Duties of the position: Review supporting manufacturing documentation to ensure it contains necessary... 
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Affinity Recruiting

Norwood, MA
17 days ago
 ...decision we make. **Job Posting Title** Physician Clinical Reviewer- GI - REMOTE **Job Description Summary** Key member of the...  ...managed care organizations, experience with cost benefit analysis, quality assurance and the continuous quality improvement process is... 
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Prime Therapeutics

Boston, MA
4 days ago
 ...Job Description WiTricity is seeking an experienced Design Quality Engineer at our Watertown, MA headquarters to join our Global Engineering...  ...compliance, safety, and cybersecurity requirements. Plan, review and verify with product development teams on design... 
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WiTricity

Watertown, MA
10 days ago
 ...seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using...  ...team at Klaviyo to create a holistic view of risk based on high quality data about our assets, weaknesses, threats, and safeguards (controls... 
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Klaviyo

Boston, MA
1 day ago
 ...Chief Quality Officer About the Company Pioneering government agency driving national legislative actions for societal improvement Industry Government Administration Type Government Agency Founded 1788 Employees 10,001+ Categories Government... 
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Confidential

Boston, MA
3 hours agonew
 ...Executive Director, Quality About the Company Innovative biopharmaceutical company Industry Pharmaceuticals Type Privately Held Founded 2016 Employees 51-200 Categories Pharmaceuticals Health Care Biotechnology Academic Research... 
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Confidential

Boston, MA
2 days ago
 ...responsible for ensuring the effectiveness and fulfilment of Ultra's Quality Policy, which is to comply fully in the conduct of the This...  ...process audits Attend Quality Management Meetings & Program Reviews (as required) Assist in developing/maintaining PFMEAs &... 
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Ultra

Braintree, MA
3 days ago
 ...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... 
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The Dimock Center

Roxbury, MA
13 days 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... 
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Galderma S.A.

Boston, MA
2 days ago
 ...mission to support people and families affected by these disorders, and to promote lasting recovery. SUMMARY: The Utilization Review Specialist will perform utilization review of pre-certification and concurrent clinical utilization reviews with insurance... 
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Gosnold

Stoughton, MA
9 days ago
 ...Job Description Summary As a Quality Control Specialist I working for Taylor Morrison you will support and assist the quality control...  ...in preparing loan production files for the Pre and Post QC review in accordance with the QC program and accepted agency guidelines... 
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Taylor Morrison

Wellesley, MA
13 hours ago
 ...The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal...  ...Must be willing to develop knowledge and skills associated with quality systems based research. Preferred experience: Experience in... 
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Boston University

Boston, MA
1 day ago
 ...Executive Director, Quality Assurance About the Company Innovative biopharmaceutical company Industry Biotechnology Type Public Company Founded 1996 Employees 201-500 Categories Biopharma Biotechnology Genetics Health Care Medical... 
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Confidential

Boston, MA
1 day ago