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 ...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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The Dimock Center

Roxbury, MA
14 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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Beth Israel Lahey Health

Burlington, MA
3 days 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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Local area
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Element Care

Lynn, MA
3 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
17 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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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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Klaviyo

Boston, MA
2 days ago
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**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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Commonwealth Care Alliance

Boston, MA
4 days 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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Northern Bank

Woburn, MA
3 days 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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3 days per week

Jacobs

Boston, MA
17 hours 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... 
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Monday to Friday

Brigham & Women's Physicians Organization(BWPO)

Braintree, MA
2 days 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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Catalent Pharma Solutions

Chelsea, MA
3 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... 
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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... 
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Commonwealth Care Alliance

Boston, MA
2 days ago
 ...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 review of service requests that do not initially... 
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Prime Therapeutics

Boston, MA
17 hours ago
 ...pride in the level of service and safety we provide! As a General Utility Worker on our team of other service stars, you'll take on the...  ...is clean and in working condition; reports any issues to management * Performs other light maintenance and custodial tasks * Maintains... 
Flexible hours
Afternoon shift

Aramark Corp.

Boston, MA
2 days 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... 
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Full time
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Sodexo S A

East Boston, MA
18 hours ago
 ...ready to build your career on Solid Ground? Join the leader in utility construction and get yourself a solid career with solid pay!...  ...job description is subject to change at any time. It reflects management's assignment of essential functions, and does not exclude or restrict... 
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Centuri Group, Inc.

Somerville, MA
16 hours agonew
 ...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... 
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New Leaf Energy, Inc.

Boston, MA
17 hours 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
3 days ago