Utilization Review Specialist jobs in Billerica, MA

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Chapter Performance Director
SHCN - Methuen, MA
Reviews individual physician performance in risk products and implements educational efforts and action plans as needed....
Sponsored by Steward Health Care
Operations Reporting Manager
And technology utilization. Requirements gathering, peer reviews, development, user acceptance and delivery. Sponsors a disciplined, consistent and repeatable...
Sponsored
Sr QA Operations Specialist - Alewife
Review of production records for compliance. Examines programs to create efficiencies in practices and optimal utilization of staff....
Sponsored

Utilization Review Specialist

Universal Health Services - Westwood, MA
Review Specialist JOB PURPOSE:. Experience in Managed Care or Utilization Review with either a. Concurrently reviews the patient's treatment through....

Clinical Documentation Improvement and Utilization Mgmt. Spe...

Shriners Hospitals for Children - 45 reviews - Boston, MA
PLEASE SUBMIT YOUR RESUME IN A WORD DOCUMENT FOR REVIEW. We are currently seeking qualified and talented candidates for a CDI and UM Specialist position....

Clinical Denial Specialist, Case Management, 8hrs/wk (#13634...

Beverly Hospital, A Member of Lahey Health - Beverly, MA
The denials specialist attends denials meetings. The denials specialist collects and trends the data as it relates to denials and reports that data to the...
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Clinical Documentation Specialist

Steward Health Care - 34 reviews - Westwood, MA
Performs monthly closed chart reviews and serves on the Utilization Review Committee. Provide clinically based concurrent review of inpatient medical records to...

Senior EHS Specialist

Lantheus Medical Imaging, Inc. - North Billerica, MA 01862
Conducts data analysis review and provides recommendations on Environmental reporting data; Evaluates physical requirements of operators, equipment hazards,...

Case Manager Specialist- 40 hrs

Massachusetts General Hospital(MGH) - 364 reviews - Boston, MA
Utilization Review experience with strong criteria set understanding. Serves as a resource for discharge planning and utilization review activities....

Utilization Review Specialist

Westwood Lodge Hospital & Lowell Treatment Center - Westwood, MA 02090
Experience in Managed Care or Utilization Review with either a. Concurrently reviews the patient’s treatment through....

Implementation Specialist

Everbridge, Inc. - Burlington, MA
Proactively communicate to clients improvements in utilization of products and services; Review and understand client use cases to understand the client’s...

Clinical Denial Specialist, 8 hours, Case Mgmt.

LAHEY CLINIC - 118 reviews - Beverly, MA 01915
The denials specialist attends denials meetings. The denials specialist collects and trends the data as it relates to denials and reports that data to the...

Quality Specialist

Beacon Health Options - 183 reviews - Woburn, MA
Ability to conduct clinical literature reviews. Demographic Analysis of Service Utilization Patterns, Trend Reports as assigned.)....
Human Resources Generalist
Provides backup to the Benefits Specialist to review, verify and approve FMLA applications; Oversee and administer performance review process for assigned...
Sponsored
CLINICAL SOCIAL WORKER/ LICSW BEHAVIORAL NEUROLOGY-/ 40 HOUR...
With the financial specialist to assist patient/family with process of. General Summary/Overview Statement:....
Sponsored by Partners HealthCare

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