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Utilization Review RN Beth Israel Deaconess Medical Center  Boston, MA
When you join the growing BILH team, you're not just taking a job, you?re making a difference in people?s lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ ... Read more

Boston,MA

When you join the growing BILH team, you're not just taking a job, you?re making a difference in people?s lives.Job Type:RegularScheduled Hours:40Work Shift:Day (United States of America)Position Summ

Registered Nurse - Case Management (Utilization Review) 13 WEEKS TRAVEL NEED- BOSTON,MA ATC Healthcare Travelers  Boston, MA
ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit: ... Read more

Boston,MA

ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit:

Claims Nurse Reviewer BlueCross & BlueShield of Massachusetts  Hingham, MA
The Role. The Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. T ... Read more

Hingham,MA

The Role. The Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. T

Utilization Review Nurse Beth Israel Lahey Health  Burlington, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos ... Read more

Burlington,MA

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:40Work Shift:Evening (United States of America)Lahey Hos

Utilization Review Nurse Milford Regional Medical Center  Milford, MA
Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients ... Read more

Milford,MA

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients

Utilization Review Nurse South Shore Health  East Weymouth, MA
If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme ... Read more

East Weymouth,MA

If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme

Supervisor Claims Reviewer Partners Healthcare System  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Supervisor Claims Reviewer AllWays Health Partners  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Privacy Engineer, Implementation Review Facebook  Boston, MA
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more

Boston,MA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED Department Of The Treasury  Boston, MA
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

Boston,MA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

DRG Nurse Reviewer Zelis  Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more

Boston,MA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Sr. Supervisor, Credit Risk Review Santander Bank  Boston, MA
Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa ... Read more

Boston,MA

Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa

Director of Specialty Bill Review Services - Remote Rising Medical Solutions  Boston, MA
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more

Boston,MA

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic

Travel Nurse RN - Case Manager, Utilization Review - $2,521 per week Hiring Now  Boston, MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: ... Read more

Boston,MA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline:

Associate Director, US Medical Review Committee Operations Careerbuilder  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Senior Manager, Security Risk & Reviews Klaviyo  Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ... Read more

Boston,MA

At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot

After School Food Program Reviewer (SY23-24) Boston Public Schools  Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ ... Read more

Boston,MA

Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ

Associate Director, US Medical Review Committee Operations AstraZeneca PLC  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Associate Director, US Medical Review Committee Operations Alexion Pharmaceuticals, Inc.  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Individual/Independent Consultant - Bias, Sensitivity, and Fairness Reviewers American Institutes for Research  Waltham, MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi ... Read more

Waltham,MA

**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi

Associate Director, Medical Review Physician Moderna Theraputics  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more

Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Onsite Document Review Project - Boston Beacon Hill  Boston, MA
To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office ... Read more

Boston,MA

To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office

DATA REVIEW COORDINATOR, School of Medicine, Microbiology Boston University  Boston, MA
The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec ... Read more

Boston,MA

The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec

Acuity Document Reviewer - MA, NY, NJ, PA, CT, MD, DC, VA FTI Consulting, Inc.  Boston, MA
Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world' ... Read more

Boston,MA

Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world'

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Boston, MA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

Boston,MA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

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