Average salary: $93,741 /yearly

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  • Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective... 
    Suggested

    Pharmacy Careers

    Worcester, MA
    15 hours ago
  • $21.16 - $31.71 per hour

     ...Job Summary Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement...  ...for the coordination of benefits (COB) team. Phones or utilizes other insurance company portals to validate state, vendor, and... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office

    Massachusetts Staffing

    Worcester, MA
    15 hours ago
  •  ...Join Our National Team as a Reviewer! Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 300+ franchise locations across North America, seeks a Reviewer... 
    Suggested
    Work at office
    Local area
    Remote work
    Work from home
    Home office

    Paul Davis Restoration

    Worcester, MA
    3 days ago
  •  ...Seasonal Tax Reviewer (Remote) Seasonal/Temporary Hours Expected: 9:00 AM- 6:00 PM (EST, CST, MST, PST). This full-time position...  ...but not required) ~ Ability to work in a paperless environment utilizing multiple software applications. ~ Excellent attention to... 
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    Remote job
    Full time
    Temporary work
    Seasonal work
    Local area

    1-800 ACCOUNTANT

    Worcester, MA
    4 days ago
  • $27 - $28.5 per hour

     ...Quality Review And Audit Analyst Immediate need for a talented Quality Review and Audit Analyst. This is a 03 months contract opportunity with long-term potential and is located in U.S (Remote). Pay Range: $27 - $28.50/hour. Employee benefits include, but are not limited... 
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    Contract work
    Immediate start
    Remote work

    Pyramid Consulting

    Worcester, MA
    3 days ago
  • $40k - $52.3k

     ...UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs...  ...Onehome. Responsibilities include: Manages NLP's for chart reviews for the nursing team Builds and pends authorizations for review... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Work at office
    Remote work
    Home office
    Monday to Friday

    Humana

    Worcester, MA
    3 days ago
  • Associate Data Review, Quality Control - BioSpace Location: Worcester, MA (Marlborough, MA available) Job Description The Quality Associate supports the Quality Function that they are responsible for within Operations. This could include: Incoming Quality Assurance of... 
    Suggested
    Temporary work

    BioSpace

    Worcester, MA
    1 day ago
  •  ...clinical findings and present rationale for decisions to medical professionals and members at the appropriate level for understanding Review the entire medical record for accuracy, and appropriate clinical treatment Communicate findings of audits to client, and community... 
    Suggested
    Casual work
    Work at office
    Remote work

    Optum

    Worcester, MA
    4 days ago
  • $18.4 per hour

     ...Location: Worcester State College We are hiring immediately for a full time FOOD SERVICE UTILITY position. Location: Worcester State College - 486 Chandler Street, Worcester, Massachusetts 01602. Note: online applications accepted only. Schedule: Full time... 
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    Hourly pay
    Full time
    Temporary work
    Part time
    Summer holiday
    Local area
    Immediate start
    Remote work
    Flexible hours
    Night shift
    Weekend work

    Compass Group

    Worcester, MA
    5 days ago
  • $17 per hour

     ...We are hiring immediately for a full time FOOD SERVICE UTILITY  position. Location : Saint Vincent Hospital - 123 Summer Street, Worcester, MA 01608 Note: online applications accepted only . Schedule : Full Time: Monday - Friday, 7:30 am-4:00 pm and 12:0... 
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    Hourly pay
    Full time
    Part time
    Summer work
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
    Rotating shift

    Compass Group

    Worcester, MA
    14 days ago
  •  ...Hours) \n Position Summary: Performs diagnostic procedures utilizing radiation detection and imaging equipment. Provides quality...  ...required exams; sends studies to reading station for radiologist review, completes all associated documentation. \n Qualifications... 
    Suggested
    Local area
    Relocation package
    Shift work
    Afternoon shift

    Tenet Massachusetts

    Worcester, MA
    27 days ago
  •  ...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient’s resources and right...  ...-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g )... 
    Suggested
    Work at office
    Local area
    Relocation package

    Saint Vincent Hospital

    Worcester, MA
    10 days ago
  •  ...near the intersection of Route 495 and Route 9. The hospital operates 24/7 with multiple shifts available. Job Description The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and... 
    Suggested
    Full time
    Monday to Friday
    Shift work

    Westborough Behavioral Healthcare Hospital

    Westborough, MA
    4 days ago
  •  ...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient’s resources and right...  ...-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g )... 
    Suggested
    Work at office
    Local area
    Relocation package
    Shift work

    Tenet Massachusetts

    Worcester, MA
    11 days ago
  •  ...our website, please only use  or  Additionally, our recruiters utilize email addresses with the @lifestance.com  domain. Other websites...  ...should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official... 
    Suggested
    Relocation package
    Flexible hours

    LifeStance Health

    Worcester, MA
    14 days ago
  • $106.77k - $144.91k

     ...Accountants, and other potential witnesses to financial activities Utilize electronic databases to identify assets, documents, and other...  ...services in Section 3 Preferred qualifications: Experience reviewing and understanding medical records and knowledge of medical billing... 
    Full time
    Work experience placement
    Interim role
    Work at office
    Local area
    Flexible hours

    CGS Federal (Contact Government Services)

    Worcester, MA
    15 hours ago
  •  ...Enters orders into entry system according to standard procedure. Utilizes down time procedures when indicated. 4. Duplicates reports,...  ...to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands... 
    Full time
    Work at office
    Immediate start
    Relocation package
    Shift work
    Weekend work
    Afternoon shift

    UMass Memorial Health

    Worcester, MA
    10 hours ago
  •  ...organism genomic databases and tools for batch sequence analysis utilizing these resources. Interpret and present study results in...  ...experience 1-3 years of related experience Co-authorships on peer-reviewed publications are strongly suggested but not required Strong background... 
    Full time
    Local area
    Shift work

    University of Massachusetts Medical School

    Worcester, MA
    1 day ago
  •  ...responsibilities include ensuring that the Applicant Tracking System is utilized per company guidelines. Ensures that all full time and part...  ...Must be at least 18 years of age. Satisfactory performance reviews. Strong communication skills. Ability to manage others and... 
    Full time
    Part time
    Local area
    Shift work

    Northeast Grocery

    Worcester, MA
    15 hours ago
  • $18.5 - $42 per hour

     ...reporting adverse reaction events per public health requirements + Reviewing and collecting patient information; tracking and documenting...  ...communication to interact with patients and colleagues + Utilize active listening by giving full attention to what others are saying... 
    Work experience placement
    Internship
    Local area
    Work from home
    Flexible hours
    Shift work
    Night shift

    CVS Health

    Worcester, MA
    2 days ago
  •  ...orders. Transcribe physician’s orders promptly and accurately. Review patient records daily to assure accuracy and completeness....  ...knowledge of restorative nursing and rehabilitation policies and utilizes appropriately. Must possess the ability to make independent decisions... 
    Hourly pay
    Weekly pay
    Full time
    Part time
    Flexible hours
    Shift work
    Weekend work

    Litchfield Woods

    Worcester, MA
    1 day ago
  •  ...dermatologic conditions - biopsies - removal of lesions - and utilization of Telederm services. Qualifications To qualify for this position...  ...Loan Repayment Services program office after complete review of the EDRP application Learn more EDRP Authorized: Former EDRP... 
    Full time
    Contract work
    Freelance
    Work at office
    Local area
    Monday to Friday

    Direct Jobs

    Worcester, MA
    1 day ago
  • $20 - $26 per hour

     ...make a meaningful impact and thrive in a positive, respectful workplace. Responsibilities Review assignments to determine case objectives and develop or follow action plans Utilize various surveillance equipment and technology Perform surveillance and activity checks,... 
    Hourly pay
    Weekly pay
    Full time
    Flexible hours
    Night shift

    Frasco

    Worcester, MA
    2 days ago
  •  ...experiments and may be responsible for a single research project Utilize all software relevant to experiment and equipment used...  ..., may modify protocols with the approval of the PI or designee Review literature, publications and grants relevant to assigned projects... 
    Work at office
    Shift work

    UMass Med School

    Worcester, MA
    3 days ago
  •  ...dermatologic conditions - biopsies - removal of lesions - and utilization of Telederm services. Qualifications To qualify for this...  ...Education Loan Repayment Services program office after complete review of the EDRP application Learn more EDRP Authorized:... 
    Full time
    Contract work
    Freelance
    Work at office
    Local area
    Monday to Friday

    U.S. Department of Veterans Affairs

    Worcester, MA
    4 days ago
  • $85k - $105k

     ...to relevant stakeholders, making recommendations as needed and utilizing technical solutions for deeper data analysis. Analyze business...  ...in analyzing financial and business metrics. Regularly review and interpret key financial metrics, addressing significant changes... 
    Work at office
    Work from home
    Flexible hours

    Raven Ridge

    Worcester, MA
    4 days ago
  •  ...challenges of energy delivery system operation and development. Utilize various computer programs for data and information gathering,...  ...locations of the project area and apply to all of the above. Review and/or specify PLC‑based systems and integrate into proposed or... 
    Work at office
    Night shift
    Weekend work

    Cornerstone Energy Services Inc.

    Worcester, MA
    4 days ago
  •  ...legal administrative tasks. Responsibilities: Draft and review a variety of legal documents and correspondence with a high level...  ...to inquiries and coordinating necessary follow-ups. Utilize case management software to track and update case information,... 
    Long term contract
    Part time

    Massachusetts Staffing

    Worcester, MA
    1 day ago
  •  ...prescriptive authority. In accordance with Rule 848 IAC 5-1-1 - Initial Authority to Prescribe Legend Drugs. Ensure that drug utilization reviews are appropriately conducted and documented as outlined in the policy and procedure manual and to specifically indicate the... 
    Full time
    Work experience placement
    Flexible hours
    1 day per week

    Boca Recovery Center

    Worcester, MA
    15 hours ago
  • $12 per hour

     ...orders. Transcribe physician’s orders promptly and accurately. Review patient records daily to assure accuracy and completeness....  ...knowledge of restorative nursing and rehabilitation policies and utilize them appropriately. Must possess the ability to make independent... 
    Hourly pay
    Weekly pay
    Shift work

    Athenahhc

    Worcester, MA
    15 hours ago