• Utilization Review Specialist

    Lawrence General Hospital (Lawrence, MA)
    The Utilization Review Specialist , under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, ... more
    Lawrence General Hospital (12/21/24)
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  • Prepayment Review Coding Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Position is eligible for our FLEX persona. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP"). ... more
    Blue Cross Blue Shield of Massachusetts (02/06/25)
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  • Case Management Resource Specialist

    Lawrence General Hospital (Lawrence, MA)
    …with the Complex Care Nurse Managers, Clinical Care Coordinators, and Utilization Review Nurses, assuming all administrative responsibilities within the ... more
    Lawrence General Hospital (01/10/25)
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  • Clinical Pharmacy Specialist

    Beth Israel Lahey Health (Wakefield, MA)
    …in people's lives.** * Hybrid / Remote schedule * The Clinical Pharmacy Specialist - Population Health works collaboratively with other health care providers and ... more
    Beth Israel Lahey Health (12/10/24)
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  • Correspondence Policy Specialist

    Evolent (Boston, MA)
    …meet the minimum standards for National Committee for Quality Assurance + Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security ... more
    Evolent (02/05/25)
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  • EA (Emergency Assistance) Housing Search…

    State of Massachusetts (Boston, MA)
    …Livable Communities (EOHLC) is seeking an Emergency Assistance (EA) Housing Search Specialist in the Division of Housing Stabilization!_* *_ _* *_AGENCY MISSION:_* ... more
    State of Massachusetts (01/16/25)
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  • Nurse Practitioner - Clinical Specialist II…

    Cambridge Health Alliance (Cambridge, MA)
    …team leader in multi-disciplinary team discussion regarding treatment planning, treatment review , quality assurance and utilization review ... more
    Cambridge Health Alliance (12/04/24)
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  • Anticoagulation Clinical Pharmacy…

    Beth Israel Lahey Health (Burlington, MA)
    …in people's lives.** **Job Description:** **Position Summary:** The Clinical Pharmacy Specialist - Population Health works collaboratively with other health care ... more
    Beth Israel Lahey Health (02/06/25)
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  • Integrated Absence Claims Specialist (May…

    Lincoln Financial Group (Boston, MA)
    …and upcoming college graduates to join our Claims Organization as Claims Specialist supporting Group Protection division. Positions start dates will align to ... more
    Lincoln Financial Group (02/04/25)
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  • Ambulatory Clinical Pharmacy Specialist

    Beth Israel Lahey Health (Boston, MA)
    …Employees must reside in MA, NH, or RI. Job Summary: The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy practice in a specific clinical area, ... more
    Beth Israel Lahey Health (12/19/24)
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  • Accounts Payable Control Specialist II

    Beth Israel Lahey Health (Charlestown, MA)
    …to the accounts payable payment reporting and control function. Activities include: utilization of ERP system to: review daily payment/banking information loads, ... more
    Beth Israel Lahey Health (12/10/24)
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  • Operations Specialist , Case Management,…

    Beth Israel Lahey Health (Winchester, MA)
    …issues to manager. + Assists Case Managers with all aspects of utilization review /discharge planning/performance improvement processes. + Functions as liaison ... more
    Beth Israel Lahey Health (02/07/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Boston, MA)
    utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... more
    Evolent (01/30/25)
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  • Medical Records Technician (CDIS Inpat) External

    Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
    …Care System (VABHCS) West Roxbury. Responsibilities The Clinical Documentation specialist will provide active concurrent/retrospective review , provide feedback, ... more
    Veterans Affairs, Veterans Health Administration (02/13/25)
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  • Medical Assistant - Derry, NH

    Beth Israel Lahey Health (Peabody, MA)
    …required forms per procedure and department protocol Follows up with patient or specialist to ensure patient care plans since last appointment were followed and ... more
    Beth Israel Lahey Health (01/26/25)
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  • Mental Health Coordinator - Central Region

    State of Massachusetts (Boston, MA)
    …promoting coordination on various mental health topics and navigating systems. * Support utilization review processes: Support utilization review ... more
    State of Massachusetts (02/13/25)
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  • Community Health Worker

    Commonwealth Care Alliance (Boston, MA)
    …skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, behavioral ... more
    Commonwealth Care Alliance (02/04/25)
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  • Cell Therapy Coordinator

    Dana-Farber Cancer Institute (Boston, MA)
    …procedures facilities, off-site medical facilities, oral medicine, and other consulting specialist offices, hospital admitting, and a host of other resources ... more
    Dana-Farber Cancer Institute (02/01/25)
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  • Head Of Processing And Collection Management,…

    Boston University (Boston, MA)
    …This position plays a crucial role in enhancing the discoverability and utilization of Boston University's rich historical and cultural holdings for both the ... more
    Boston University (12/17/24)
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  • Medical Assistant, Peabody General Surgery…

    Beth Israel Lahey Health (Peabody, MA)
    …forms per procedure and department protocol + Follows up with patient or specialist to ensure patient care plans since last appointment were followed and results ... more
    Beth Israel Lahey Health (12/10/24)
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