- WellSense (Boston, MA)
- …that works for our members, no matter their circumstances. **Job Summary:** The Senior Manager of Clinical Utilization Management (UM), Behavioral Health ... improvement of existing department policies and procedures and works with department senior management for implementation; follows through with evaluation. +… more
- CVS Health (Boston, MA)
- … in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to ... programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions/reviews. - Directors… more
- Evolent Health (Boston, MA)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Reviewer you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent Health (Boston, MA)
- …Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Tufts Medicine (Boston, MA)
- …development. **Job Overview** This position is accountable for service line management , leading strategic, financial, and operational aspects of the Service Lines. ... Service Lines, excellence in patient access and care, and effective financial management . **HOW YOU'LL MAKE A DIFFERENCE:** Through operational and data analysis,… more
- Air Force Materiel Command (Hanscom AFB, MA)
- …projects or portions of larger projects and programs under the guidance of a senior engineer. The incumbent must apply judgment in the independent application of the ... mechanics, flight dynamics, flight structures, propulsion, thermodynamics, and energy conversion/ utilization to aerospace vehicles and related equipment. Researches, analyzes,… more
- Air Force Materiel Command (Hanscom AFB, MA)
- …working relationships with program office, users, other test organizations, and senior leadership. 3. As a recognized test expert, provides technical guidance ... quality of experience requirements described in the Office of Personnel Management (OPM) Qualification Standards for General Schedule Positions, Professional and… more