- Beth Israel Lahey Health (Plymouth, MA)
- …you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding UR… more
- Intermountain Health (Boston, MA)
- …and ad hoc education in conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust UR workflow to reflect ... as assigned. Physician shall work in partnership with the utilization review committee to ensure procedures are...feedback to IPAS UR physicians and Case Management regarding denials to enable adjustments to front-end practice. + Minimum… more
- South Middlesex Opportunity Council (Framingham, MA)
- …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... fashion, for the RRS and outpatient clinic programs. + Review denials and partially paid claims and...As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact… more
- State of Massachusetts (Boston, MA)
- …delivery of health care services through networks of providers, or that employ utilization review systems to evaluate the medical necessity and appropriateness ... applications for licensure. Review is of carriers' operations, including utilization review , quality assurance, contracts with pharmacies and prescription… more