...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 out in three payments. You will receive... 
Suggested
Full time
Local area
Relocation bonus
Shift work
Afternoon shift

Beth Israel Lahey Health

Burlington, MA
3 days ago
 ...salary: $60.00 - 72.26 per hour work hours: 9 to 5 education: Doctorate responsibilities: The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and the Promotional Material Review Team (PMRT). The Medical... 
Suggested
Hourly pay
Contract work
Work experience placement

Randstad

Cambridge, MA
3 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... 
Suggested
Work experience placement

Northern Bank

Woburn, MA
5 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... 
Suggested
Monday to Friday

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
4 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... 
Suggested
Hourly pay
Shift work
Monday to Friday

The Dimock Center

Roxbury, MA
11 days ago
 ...We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI - REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical review of... 
Suggested
Remote job
Work experience placement
Internship
Local area

Prime Therapeutics

Boston, MA
3 days ago
 ...Quality Assurance Reviewer Associate I (Remote) #24-319 {{jcity}}{{jstate}} Legal & Compliance Why This Role is Important to Us Position Summary: Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews... 
Suggested
Remote job
Immediate start

Commonwealth Care Alliance Inc.

Boston, MA
5 hours 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... 
Suggested
Contract work
Work experience placement
Remote job
Shift work

Galderma S.A.

Boston, MA
5 days ago
 ...thousands of families for free through their corporate sponsored benefit. One important aspect of this benefit is the expert review of college application essays. Our Essay Reviewers provide detailed evaluation and constructive feedback to prospective students,... 
Suggested
Remote job
Hourly pay
Temporary work
Part time
Work from home
Home office

Bright Horizons Family Solutions

Newton, MA
4 days ago
 ...verbal responses with minimal supervision, including Clinical Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced medical information / clinical expertise for assigned products to... 
Suggested
Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift

Takeda Pharmaceutical Company Limited

Lexington, MA
3 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... 
Suggested
Holiday work
Full time
Flexible hours

Gosnold

Stoughton, MA
7 days ago
**Why This Role is Important to Us:** The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in... 
Suggested
Remote job
Local area
Home office

Commonwealth Care Alliance

Boston, MA
2 days ago
 ...com to see how we empower creators to own their own destiny. We're seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using engineering principles and data-driven strategies to precisely... 
Suggested
Remote job
Hourly pay
Holiday work
Gangs
Flexible hours

Klaviyo

Boston, MA
3 days ago
 ...payer validation of medical necessity recommendations, as requested Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested Decision-Making Authority: Responsible for collaborating with the... 
Suggested
Part time
Shift work

Beth Israel Lahey Health

Burlington, MA
5 days ago

$145.27k - $185.03k

A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team This not-for-profit acute care hospital is a respected healthcare facility with a long-standing... 
Suggested
Local area

Clinical Management Consultants

Framingham, MA
2 days ago
Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, diversity and teamwork, excellence and innovation consistently in their...

Partners Healthcare System

Belmont, MA
2 days ago
 ...Statement of Duties This position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include professional and technical work in planning, including project review, plan review for zoning consistency, assignment... 
Full time
Contract work
For contractors
Local area
Outdoor
Flexible hours
Afternoon shift

City of Somerville

Somerville, MA
3 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... 
Holiday work
Permanent employment
Full time
Part time
Local area
Overseas
Trial period
Flexible hours
Rotating shift
Monday to Friday

Ministry of Justice

Boston, MA
5 days ago
Medicare Advantage Claims Review Specialist Location Hybrid remote in Somerville, MA : Medicare Advantage Claims Review Specialist - (3271103) This is a hybrid role requiring an onsite presence in the office in Assembly Row, Somerville one day each quarter and when... 
Full time
Remote job
Shift work
Day shift

Mass General Brigham Health Plan

Somerville, MA
17 minutes 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... 
Remote job
Hourly pay
Full time
Flexible hours

Dauntless Discovery

Boston, MA
22 days ago
Skills: Thorougness Individuals need to review scanned document for clarity and orientation. RATE: $14.23 - $17.21 Per Hour On W2 Required / Desired Skills thorougness: Required
Hourly pay
Contract work

Dutech Systems, inc

Boston, MA
a month ago
 ...their assignment, with no exception. Program: Child and Adult Care Food Program Positions Available: After-School Food Program Reviewer Commitment Date: August 21, 2023 - June 30, 2024 [program start and end dates are subject to change] Job Description The... 
Hourly pay
Temporary work
Saturday
Monday to Friday
Boston, MA
18 days ago
 ...Position Overview At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG... 
Local area

Zelis Healthcare, LLC

Boston, MA
2 days ago
 ...The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally recognized good documentation practices as well as to the study protocol... 
Full time
Boston, MA
10 days ago
**Overview** Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement. Established in 1946, with headquarters in Arlington, Virginia, AIR is... 
Contract work
Immediate start
Remote job
Shift work

American Institutes for Research

Waltham, MA
2 days ago
 ...Job Description The Role In this role, you will support QC Labs with review of test records. Heres What Youll Do Review executed QC test records for product release and environmental monitoring. Additional duties may be assigned Heres What Youll Need... 
Contract work
Sunday
Afternoon shift

Planet Group

Norwood, MA
1 day ago
Description Overview: Within the Finance Department, the Financial Review is a dedicated and independent function in charge of permanent controls on accounting and financial information. The Financial Review is a key component of the Enterprise Risk Management framework... 
Permanent employment
Temporary work
For contractors
Work experience placement

Natixis Global Asset Management

Boston, MA
more than 2 months ago
 ...Seasonal Flu Vaccine is required if working during flu season (September 15-April 30th). Must be fully vaccinated (exemptions are reviewed on a very limited basis). 1 Year Home Care experience. Ability to travel to cases as assigned. Patients may range in age from birth... 
Contract work
Seasonal work
Shift work

Trusted Health

Newton Highlands, MA
4 days ago
 ...appropriate personnel. Obtains additional patient information as needed; including updated demographic and insurance information. Reviews patient charts to ensure proper documentation and information are enclosed in accordance with practice guidelines. Acquires... 
Full time
Local area
Flexible hours

MCR Chiropractic

Newton Highlands, MA
27 days ago
 ...range of asset classes and global markets. **Role Description** We are seeking an Associate to join the iShares Communications Review team. This team is tasked with the review and approval of ETF marketing and communications. The Associate will and work closely with... 
Apprenticeship
Flexible hours
1 day per week

BlackRock

Boston, MA
3 days ago