Utilization Review Specialist jobs in Boston, MA

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Member Specialist II
VHA Inc. 36 reviews - Boston, MA
Support member value analysis and/or product review committees. Experience in budgeting, standardization, utilization, product adoption/implementation, contract...
Sponsored by VHA Inc.  - 14 days ago
Clinical Documentation Specialist
Tufts Medical Center 99 reviews - Boston, MA
Five years recent clinical experience in a hospital setting with at least 2 years in management position Utilization Review or coding experience preferred....
Sponsored by Tufts Medical Center  - 7 days ago
Wellness Specialist
Plus One Health Management - Chelmsford, MA
Responsible for Wellness program reports ie, utilization, statistics, and satisfaction. The Wellness Specialist will support all wellness initiatives including...
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Sponsored by Plus One Health Management  - 30+ days ago

Member Specialist II

VHA Inc. 36 reviews - Boston, MA
Support member value analysis and/or product review committees. Experience in budgeting, standardization, utilization, product adoption/implementation, contract...

Workplace Services Specialist

Liberty Mutual 869 reviews - Boston, MA
Establishes ownership of the issue through lease reviews. Oversees the flow of work orders with the My Workplace Request system (or other work order system) and...

Lowell Per Diem Utilization Review Specialist

Universal Health Services - Lowell, MA
Review and documentation:. Experience in Utilization Management either with a provider, or an insurance or HMO organization....

Clinical Training Specialist

Tufts Health Plan 65 reviews - Watertown, MA
Must be able to facilitate curriculum development planning and review sessions. Knowledge of utilization management practices and familiarity with clinical...

Prior Authorization Specialist I

BMC HealthNet Plan and Well Sense - Boston, MA
Experience with Health Plan Utilization / Claims departments. Per standard workflows, forwards specified requests to the clinician for review and processing....

Case Manager I (Prior Authorization)

Centene Corporation 213 reviews - Waltham, MA
Utilization review, prior authorization, or managed care experience preferred. Utilization Management (CPUR) certification, Certified Case Manager (CCM), or...

Head of Knowledge Management

Shire 105 reviews - Lexington, MA
Developing complex information retrieval services involving research publications, data repositories, and business intelligence performed by qualified search...

CODING SPECIALIST

Partners Healthcare at Home - Waltham, MA
Collaboration occurs with Utilization Management Specialist or Clinical Manager when code assignments are not straightforward or documentation in the record is...

Regulatory Affairs Specialist

NeuroLogica - Danvers, MA 01923
Regulatory Affairs Specialist. Review impact to product of changes in standards and review labeling and promotional materials to ensure consistency with...

Managed Care \ Utilization Review Specialist

Universal Health Services - Westwood, MA
Review and Documentation:. Experience in Utilization Management either with a provider, insurance or HMO organization....
Prior Authorization Specialist I
BMC Healthnet Plan 5 reviews - Boston, MA
Experience with Health Plan Utilization / Claims departments. Per standard workflows, forwards specified requests to the clinician for review and processing....
Sponsored by TweetMyJobs.com  - 26 days ago
Nurse, RN, CICU, 7am-7pm / 7pm-7am, Relocation to Orlando, F...
Nemours 53 reviews - Boston, MA
Facebook (Fan Page) | YouTube | Twitter | Flickr Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical...
Sponsored by Nemours  - 9 days ago

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