- Lawrence General Hospital (Lawrence, MA)
- The Utilization Review Specialist , under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, ... more
- 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
- 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
- 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
- Evolent (Boston, MA)
- …meet the minimum standards for National Committee for Quality Assurance + Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security ... more
- 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
- Cambridge Health Alliance (Cambridge, MA)
- …team leader in multi-disciplinary team discussion regarding treatment planning, treatment review , quality assurance and utilization review ... more
- 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
- 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
- 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 (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 (Winchester, MA)
- …issues to manager. + Assists Case Managers with all aspects of utilization review /discharge planning/performance improvement processes. + Functions as liaison ... more
- 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
- 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
- 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
- State of Massachusetts (Boston, MA)
- …promoting coordination on various mental health topics and navigating systems. * Support utilization review processes: Support utilization review ... more
- 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
- 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
- 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
- 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