Average salary: $68,250 /yearly

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 ...healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and...  ..., certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational... 
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Blue Cross Blue Shield of Massachusetts

Hingham, MA
4 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... 
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Randstad

Cambridge, MA
4 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... 
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Monday to Friday

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
9 hours ago
 ...** **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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Commonwealth Care Alliance

Boston, MA
4 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
1 day ago
 ...We do not lose sight of that. It fuels our passion and drives 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... 
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Prime Therapeutics

Boston, 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
12 days ago
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 ...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
8 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
9 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
6 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
4 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
1 day ago
 ...Food Program Positions Available: After-School Food Program Reviewer Commitment Date: August 21, 2023 - June 30, 2024 [program...  ...Reimbursement : Mileage will be reimbursed 62.5 cents per mile for travel between sites, based upon the completed mileage form and... 
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Boston, MA
19 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
1 day 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
23 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
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Dutech Systems, inc

Boston, MA
a month 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
3 days ago
 ...seeking an attorney to work on their contracts team. Candidates should have at least 2 years of experience negotiating, drafting and reviewing various contracts, including vendor, confidentiality and service contracts. Must be able to work independently with minimum... 

Consilio - Enterprise Talent Solutions

Norwell, MA
more than 2 months 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... 
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Natixis Global Asset Management

Boston, MA
more than 2 months 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... 
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Planet Group

Norwood, MA
2 days ago