Utilization Review Specialist jobs in Boston, MA

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Senior QA Operations Specialist I
Review of production records for compliance. Examines programs to create efficiencies in practices and optimal utilization of staff....
Project Management Quality Improvement Specialist
Collecting data from observations, chart reviews, and electronic data sources. Specific initiatives designed to enhance quality, improve safety, organizational...
Senior Manager, CRM Systems (Salesforce.com)
Charles River Laboratories - 148 reviews - Wilmington, MA 01887
Supervise CRM System Specialist who has responsibility for maintaining data integrity, reporting and custom list requests....

Case Management Specialist

SanofiUS - Cambridge, MA
Experience should include but not be limited to home care management, case management review, utilization review, social service support, insurance...

Literacy Specialist

Billerica Public Schools - Billerica, MA 01821
The Literacy Specialist will be assigned to a school or schools at the discretion of the Superintendent. The Literacy Specialist must know how to implement...

Case Management Specialist Senior

SanofiUS - Cambridge, MA
Experience should include but is not limited to home care management, case management review, utilization review, social service support, insurance...

Onboarding Specialist

Everbridge, Inc. - Burlington, MA
Proactively communicate to clients improvements in utilization of products and services; Review and understand clients’ business and communication challenges to...

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...

CREDENTIALING SPECIALIST I

Beacon Health Options - 288 reviews - Woburn, MA
The Credentialing Specialist I is responsible for functions including but not limited to initial review of practitioner and facility applications, management of...

Claim Review Specialist (Quality Assurance)

IME Resources - Woburn, MA 01801
Verifies all cases contain information needed for the clinical review process. Promotes effective and efficient utilization of clinical resources and supplies....

Project Management Quality Improvement Specialist

Tufts Medical Center - 169 reviews - Boston, MA
Specific initiatives designed to enhance quality, improve safety, organizational efficiency, utilization, and service delivery....

Clinical Documentation Improvement and Utilization Managemen...

Shriners Hospitals for Children - 59 reviews - Boston, MA
Minimum 5 years recent health information management, case management / utilization / quality review and/or other related clinical experience in an acute care...

Clinical Documentation Specialist

Steward Health Care - 41 reviews - Brockton, MA
Performs monthly closed chart reviews and serves on the Utilization Review Committee. Provide clinically based concurrent review of inpatient medical records to...
Account Manager
Work with Client Service Manager to ensure up-to-date client operations and billing procedures, utilization reporting, contract review, onboarding, invoicing...
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Rehab Specialist- PT
Full-time Rehab Specialist- PT for Cadbury Commons at Cambridge. Reviews financial performance and the components that affect it on a daily basis, making...
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