Average salary: $112,500 /yearly

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 ...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... 
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Randstad

Cambridge, MA
3 days ago
 ...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... 
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Beth Israel Lahey Health

Burlington, 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
11 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... 
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Northern Bank

Woburn, MA
11 hours 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,... 
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Bright Horizons Family Solutions

Newton, MA
5 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... 
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Commonwealth Care Alliance Inc.

Boston, MA
16 hours 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... 
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Prime Therapeutics

Boston, MA
2 days ago
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 ...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
11 hours 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... 
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Takeda Pharmaceutical Company Limited

Lexington, MA
3 days ago
 ...Job Description Job Description Job Summary: The DHR Reviewer/ Inspector will be responsible for product quality assurance activities. This includes interpretation and implementation of quality standards to routine manufacturing and product release activities.... 
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restor3d

Wilmington, MA
9 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... 
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Klaviyo

Boston, MA
4 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... 
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Commonwealth Care Alliance

Boston, 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... 
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City of Somerville

Somerville, 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... 
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Beth Israel Lahey Health

Burlington, MA
11 hours ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Salem, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift... 
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Medical Solutions

Salem, MA
3 days ago
 ...Job Description Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Salem, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours... 
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Medical Solutions

Salem, MA
8 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
11 hours 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
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... 
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Mass General Brigham Health Plan

Somerville, MA
11 hours 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
22 days ago