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Revenue Officer (Technical Services Advisor/Reviewer) 12-month Roster Department Of The Treasury Boston, MA

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?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

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ATI Live Review Educator Part Time - Northeast Region Ascend Learning Boston, MA

Ascend Learning is a national leader in data driven, online educational solutions for learners, educators and employers in high-growth, licensure-driven professions spanning healthcare, fitness and we ... Read more

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Document Review Staff Attorney DLA Piper Boston, MA

DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation ... Read more

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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

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Non-Credit Professional Training Course Instructors Roxbury Community College Boston, MA

About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population ... Read more

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Utilization Review Specialist Lawrence General Hospital Lawrence, MA

The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis ... Read more

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Nurse Reviewer I Elevance Health Boston, MA

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more

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Claims Nurse Reviewer Blue Cross and Blue Shield Association Hingham, MA

The RoleThe 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. Thi ... Read more

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Claims Nurse Reviewer BlueCross and BlueShield of Massachusetts Hingham, MA

Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub ... Read more

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Medical and Promotional Reviewer Global Technical Talent Boston, MA

Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and ... Read more

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Manager, Medical Review Sarepta Therapeutics, Inc. Cambridge, MA

The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c ... Read more

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Promotional Review Committee (PRC) Manager Galderma S.A. Boston, MA

With a unique legacy in dermatology as well as decades of cutting-edge innovation, Galderma is the pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovativ ... Read more

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Travel Nurse RN - Case Manager, Utilization Review - $2,520 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

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Utilization Review RN Beth Israel Lahey Health 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

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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

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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

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Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL) Belmont, MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ... Read more

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Utilization Reviewer - Clinical Evaluation Center Per diem Partners Healthcare System Belmont, MA

Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, ... Read more

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Utilization Management Nurse Reviewer (RN) - Remote Commonwealth Care Alliance Boston, MA

**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma ... Read more

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QC Inspector, Level II Review and Release - First Shift Nova Biomedical Waltham, MA

Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a ... Read more

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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

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Utilization Review Care Manager RN - 16 hours Newton-Wellesley Hospital(NWH) Newton Lower Falls, MA

The Utilization Review RN Care Manager (CM) focuses on ensuring accurate and timely utilization review of the hospital medical surgical and maternal child health inpatient population. Utilization Revi ... Read more

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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

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Senior Manager, US Medical Ad/Promo Regulatory Review Takeda Pharmaceutical Company Limited Lexington, MA

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda ... Read more

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Medical and Promotional Reviewer GTT, LLC Cambridge, MA

Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr style="font-family:Arial,Helvetica,sans ... Read more

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ReviewBuzzJobs In

Boston,MA

DutiesWHAT IS THE SBSE - Small Business Self EmployedDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Boston,MA

Ascend Learning is a national leader in data driven, online educational solutions for learners, educators and employers in high-growth, licensure-driven professions spanning healthcare, fitness and we

Boston,MA

DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, nation

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

Boston,MA

About Roxbury Community College:Founded in 1973 in Boston's historical neighborhood of Roxbury, Roxbury Community College (RCC) serves as a beacon of educational opportunity for the diverse population

Lawrence,MA

The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all adminis

Boston,MA

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and

Hingham,MA

The RoleThe 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. Thi

Hingham,MA

Ready to help us transform healthcare? Bring your true colors to blue.The RoleThe Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services sub

Boston,MA

Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr The Role The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and

Cambridge,MA

The Manager, Medical Reviewer provides operational oversight of medical materials review within the Medical Affairs function reporting to the Director of Global Medical Review. This individual works c

Boston,MA

With a unique legacy in dermatology as well as decades of cutting-edge innovation, Galderma is the pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovativ

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:

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

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

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

Belmont,MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div

Belmont,MA

Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect,

Boston,MA

**Why This Role is Important to Us:**The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma

Waltham,MA

Nova Biomedical is hiring a QC Inspector Level II on our Review and Release team in our Waltham, MA facility. In this position the QC Inspector will be partnering with the Quality Control Supervisor a

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

Newton Lower Falls,MA

The Utilization Review RN Care Manager (CM) focuses on ensuring accurate and timely utilization review of the hospital medical surgical and maternal child health inpatient population. Utilization Revi

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:

Lexington,MA

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda

Cambridge,MA

Medical and Promotional Reviewer Contract Duration 6 Months Pay rate up to $80/hr style="font-family:Arial,Helvetica,sans

Why This Role is Important to Us:The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-ma

OverviewSeeking 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