- Fallon Health (Worcester, MA)
- …and clinical functions related to outpatient and inpatient, utilization management operations, including but not limited to prior authorization, concurrent ... + Recommends and implements innovative process improvements for the prior authorization and utilization management ...cost of care opportunities related to Utilization Management . + Works with VP/ Medical Director … more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… more
- Cardinal Health (Tewksbury, MA)
- …DCOA as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication utilization + Ensures ... the Health System Director of Pharmacy (HSD), Director of Pharmacy Operations and Account Management ,...certification highly preferred + Previous experience with drug formulary management preferred + Prior experience as a… more
- Bristol Myers Squibb (Devens, MA)
- …in line with key business milestones & budget. + Utilize standard project management tools and Scrum methodology for tracking and status reporting. + Support ... science and/or engineering (biotechnology, biology, engineering, or related sciences). Prior cell therapy development operations experience is strongly preferred. +… more
- Tufts Medicine (Lowell, MA)
- …with agency policy, State and federal home health regulations. Responsible for the management of cost effective, efficient care to home health and hospice patients ... with two (2) years' experience in community health/home health 2. Prior Supervisory experience. **Duties and Responsibilities:** The duties and responsibilities… more
- Tufts Medicine (Lowell, MA)
- …with agency policy, State and federal home health regulations. Responsible for the management of cost effective, efficient care to home health patients ensuring the ... with two (2) years' experience in community health/home health 2. Prior Supervisory experience. **Duties and Responsibilities** **:** The duties and responsibilities… more