Search Results: 29,480 vacancies

 ...setting and are comfortable interacting with patients, as well as managing administrative responsibilities. The Dimock Center is a...  ...many individuals, our programs literally save lives. The Utilization Reviewer in the Behavioral Health department is responsible for... 
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Monday to Friday

The Dimock Center

Roxbury, MA
14 days ago
 ...disorders, and to promote lasting recovery. SUMMARY: The Utilization Review Specialist will perform utilization review of pre-...  ...FUNCTIONS/DUTIES/RESPONSIBILITIES: Working knowledge of managed care principles with preference for experience in dual diagnosis... 
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Holiday work
Full time
Flexible hours

Gosnold

Stoughton, MA
10 days ago
 ...play an active role in optimizing healthcare resource utilization, ensuring quality, patient care, and managing valuable organizational resources. The role will...  ...Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested... 
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Part time
Shift work

Beth Israel Lahey Health

Burlington, MA
3 days ago
 ...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 meets CMS compliance standards... 
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Holiday work
Full time
Local area
Monday to Friday

Element Care

Lynn, 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...
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Partners Healthcare System

Belmont, MA
10 hours ago
 ...HCPs) and consumers. You will proactively manage Medical Information activities for...  ...Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also...  ...as needed. Accountabilities: Utilizing advanced medical information /clinical expertise... 
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Night shift

Takeda Pharmaceutical Company Limited

Lexington, MA
1 day ago
 ...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 provides support... 
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Galderma S.A.

Boston, MA
3 days ago
 ...careers.klaviyo.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... 
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Gangs
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Klaviyo

Boston, MA
2 days ago
 ...colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims,...  ...with Provider Service, Claims, Network Management, Physician Review, and Medical and Payment...  ...: + Review pending claims utilizing sound clinical judgement, medical policy... 
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Hourly pay
Shift work
Night shift

Blue Cross Blue Shield of Massachusetts

Hingham, MA
1 day ago
**Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management (UM) functions for physical health services and long term services and supports to ensure achievement of business results while maintaining compliance... 
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Contract work
Local area

Commonwealth Care Alliance

Boston, MA
4 days ago
 ...Responsibilities: What you will get to do as a Dishwasher/Utility at Brightview? You'll wash and clean equipment and supplies so...  ...community (if relevant), certifications/training, etc. Brightview reviews and adjusts compensation ranges at least once a year.... 
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Hourly pay

Brightview Senior Living, LLC

Wakefield, MA
10 hours ago
 ...into tomorrow. Provides overall project management involving Data Collection Unit's (DCU's)...  ...(various municipalities and other utility companies in obtaining construction permits...  ...needed for all compliance/quality/integrity reviews. Develops project plans, scope of... 
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Holiday work
Full time
For contractors
Local area
Remote job
Relocation
3 days per week

Jacobs

Boston, MA
10 hours ago
 ...motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for...  ...by portfolio analysts, and assist the credit review manager in training new hires within the team. ESSENTIAL FUNCTIONS... 
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Work experience placement

Northern Bank

Woburn, MA
3 days ago
 ...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 service requests that do not initially meet... 
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Work experience placement
Internship
Local area

Prime Therapeutics

Boston, MA
10 hours ago
**We're hiring for a 2nd Shift Utilities Maintenance Technician to support process maintenance...  ..., and troubleshoot using a Building Management System (BMS). + Other duties as assigned...  ...career path and annual performance review and feedback process. + Medical, dental... 
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Holiday work
Full time
Local area
Worldwide
Shift work
Sunday
Afternoon shift

Catalent Pharma Solutions

Chelsea, MA
3 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 nurse will... 
Monday to Friday

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
2 days ago
 ...pharmaceutical/ biopharmaceutical company, all while maintaining full-time benefits. Key responsibilities: Provides a variety of review and analytical functions that occur in the Commercial Quality Control (CQC) Lab supporting the commercial reference standard... 
Full time
Contract work

Thermo Fisher Scientific Inc.

Boston, MA
1 day ago
 ...Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for...  ...results for communication to individual claim analysts, claim management, and aggregated data for executive leadership. Track results... 
Remote job
Immediate start

Commonwealth Care Alliance

Boston, MA
2 days ago
 ...Energy is seeking a Technical Director, Utility-Scale to join our growing team.In this...  ...area for this role is strategic program management in support of utility-scale development...  ...United States; Oversee the technical review, risk evaluation, and value engineering... 
For subcontractor
Local area
Immediate start
Remote job
Work from home
Flexible hours

New Leaf Energy, Inc.

Boston, MA
10 hours ago
 ...information, such as your job duties and employee benefits offered at the unit, during the interview process. What You'll Do: As a Utility Worker at Sodexo, you are a team unifier and solutions driver. Your dedication to team needs and client solutions will make an... 
Hourly pay
Holiday work
Full time
Flexible hours

Sodexo S A

East Boston, MA
11 hours ago