- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with treating providers, as appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer also provides clinical ... determination depends, making reasonable efforts to obtain relevant information via UM clinical reviewers, peer-to-peer outreach, and/or direct provider EMR access,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Role:The Compliance Program Consultant will focus on utilization management compliance and audit readiness ... and project milestones + Other responsibilities as identified by the Director Key Qualifications: + Strong attention to detail, Problem-solving and critical… more