- State of Massachusetts (Boston, MA)
- …final board authority in the administrative decision-making process. *Applicants for the Member , Board of Review position must complete a MassCareers ... **Job:** **Legal Services* **Organization:** **Department of Workforce Development* **Title:** * Member , Board of Review * **Location:**… more
- Fallon Health (Worcester, MA)
- …care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life ... compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake… more
- Brown University (Providence, RI)
- …BIRCH initiative (http://birch.brown.edu/) , Brown will soon be the main HRPP and Institutional Review Board (IRB) of record for Brown, Lifespan and Care New ... of the Human Research Protection Program (HRPP) and Institutional Review Board (IRB) policies and procedures related...limited supervision and also serve as a strong team member ; + Participation in continuing education and national and/or… more
- Veterans Affairs, Veterans Health Administration (Framingham, MA)
- …and no weekend or holiday duty. Key responsibilities include: Working as a member of the management team to provide oversight of practice management including direct ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. EDRP Authorized: Contact VHA EDRP Program Support,… more
- Boston University (Boston, MA)
- …generally accepted accounting principles (GAAP) and Financial Accounting Standard Board (FASB) standards, and state/federal requirements. The Controller oversees ... for internal and external financial reporting and regularly supports reporting to the Board of Trustees and relevant Board committees. This includes but is… more
- Tufts Medicine (Boston, MA)
- …other non-transplant applications. The ideal candidate should have an MD and board certified in Clinical Pathology or other relevant medical specialty; non-physician ... quality of services provided. + You will share with review and approval of test results/report, on-call duties, serve...medicine is a plus. + If a physician, be board certified in Clinical Pathology and licensed and/or eligible… more
- State of Massachusetts (Boston, MA)
- …counsel, as well as a key contributor to agency-wide policy decisions as a member of the senior leadership team. *About the Division:* The mission of the Division ... mergers, acquisitions, and formations for the Commissioner of Banks and the Board of Bank Incorporation. * Draft proposed legislation and regulation and handle… more
- RTX Corporation (Marlborough, MA)
- …Product Team (IPT) meetings, Program Change Control Board (PCCB), Risk & Opportunity Review Board (RORB), and Engineering Review Board (ERB). + ... (as applicable) + Support for Gates 0-11 activities, EAC review , program review , and risk and opportunity...risk/opportunity plans to meet program goals. + Be a member of the program office that participates in Integrated… more
- Highmark Health (Providence, RI)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include… more
- Beth Israel Lahey Health (Milton, MA)
- …of the Chief Physician Assistant, serves as a key clinical provider and team member in the treatment and management of the surgical patient in the pre, peri ... attending surgeons in a manner consistent with both the Board of Registration in Medicine regulations and hospital policy....develop a working diagnosis and treatment plan, with direct review by a physician. + Performs and interprets, at… more
- J&J Family of Companies (Raynham, MA)
- …as part of design transfer. + Supports activities related to the Material Review Board . + Conduct investigation, bounding, documentation, review and ... characterizations that lead to continuous / cost improvements. + Review /analyze the effectiveness of PDCA, Six Sigma, Kaizen, Lean...Condolence Leave - 30 days for an immediate family member : 5 days for an extended family member… more
- Parexel (Providence, RI)
- …drug treatments into the hands of those who need them most. You will be a member of a fantastic and cohesive global team with great mentors and work with small to ... related to assigned project/study. + Participate in the development and/or review of study documents, such as clinical protocols, Medical Monitoring Plans… more
- General Atomics (Boston, MA)
- …We are currently hiring a Senior Electrical Engineer (EE) who will be a key member within the GA-EMS Radar Technologies group in the Boston area. In this capacity, ... team to improve both manufacturability and producibility + Perform bench-level board measurements and data collections + Represent the company at technical… more
- Evolent (Providence, RI)
- …You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Evolent (Providence, RI)
- …the culture. **What You'll Be Doing:** As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Providence, RI)
- …As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Evolent (Providence, RI)
- …You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Brown University (Providence, RI)
- …BIRCH initiative (http://birch.brown.edu/) , Brown will soon be the main HRPP and Institutional Review Board (IRB) of record for Brown, Lifespan and Care New ... of the Human Research Protection Program (HRPP) and Institutional Review Board (IRB) policies and procedures related...limited supervision and also serve as a strong team member ; + Participation in continuing education and national and/or… more
- Evolent (Providence, RI)
- …Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- State of Massachusetts (Boston, MA)
- The MassDOT Bridge Technical Review Unit is looking for a Bridge Technical Reviewer. This position will be responsible for the review of all bridge projects in ... Bridge Division, and the Designer. This role oversees the review and approval of the bridge design process from...of a project to be submitted to the A&E Board for future reference. * Completes design bridge data… more