- Beth Israel Lahey Health (Burlington, MA)
- …resource allocation - Serves as physician expert and provide support to utilization review team regarding utilization decisions pertaining to commercial ... lives.** Position Summary: Reporting directly to the Chief Medical Officer (CMO), the Physician Advisor will play an active role in optimizing healthcare… more
- CVS Health (Boston, MA)
- …value-based care relationships. The Medical Director will be responsible for overseeing the utilization review for health systems and providers mostly in the ... a Medical Director you will focus primarily on overseeing utilization review and quality assurance of inpatient...Health Plan / Payor. *Previous UM experience as a Physician Advisor in a Health / Hospital… more
- Beth Israel Lahey Health (Charlestown, MA)
- …documentation in the medical record. 5. Collaborates with the CDI Manager & Physician Advisor and other ancillary staff regarding interaction with physicians on ... nursing experience (eg, medical-surgical, ICU) or equivalent case management, quality, or utilization review in a hospital setting Skills, Knowledge, and… more