- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Beth Israel Lahey Health (Plymouth, MA)
- …its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management ** and ** Utilization Review** ... CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management ** This role is ideal for a … more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... + Collaborates with the multidisciplinary team to assess and improve the denial management , documentation, and appeals process. + Collaborates with UR Manager … more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... + Collaborates with the multidisciplinary team to assess and improve the denial management , documentation, and appeals process. + Collaborates with UR Manager … more
- Beth Israel Lahey Health (Plymouth, MA)
- …patient care status. This role is structured around four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing ... 3) Decreasing unit cost, 4) reducing readmissions. **Duties/Responsibilities:** **A. Utilization Management ** Performs review of anticipated admissions utilizing… more
- Iron Mountain (Boston, MA)
- …welcome your unique contributions? If so, let's start the conversation. **Senior Manager , Application Governance & Asset Management ** This role is responsible ... utilization , software license optimization, and efficient procurement. **Risk Management :** Working with Information Security and EIT Risk in identifying and… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Print Project Manager is responsible for overseeing the efficient operation and continuous improvement of the ... issues to ensure optimal performance of print services. The Print Project Manager collaborates with stakeholders across the organization to drive process efficacy… more
- State of Massachusetts (Boston, MA)
- …appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to ... Division of Insurance values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain working… more
- Clean Harbors (Norwell, MA)
- **Clean Harbors** is looking for a **Senior Asset Manager for Light Duty Vehicles** to be located out of **Norwell, MA** . The Senior Asset Manager for Light ... Duty Vehicles is responsible for the overall lifecycle management of a specific group of assets (such as type of vehicle or heavy equipment) that are utilized in… more
- Colliers Engineering & Design (Boston, MA)
- … to lead our Civil/Site team in Boston, MA! The Department Manager is responsible for the professional, technical, management , marketing, administrative ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more
- Amgen (Boston, MA)
- …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of...is a person with these qualifications. **Basic Qualifications (Account Manager - Level 4)** Bachelor's Degree and 3 years… more
- Beth Israel Lahey Health (Boston, MA)
- …quality indicators such as avoidable delays, length of stay, resource utilization , patient satisfaction, patient flow, outlier management , and readmissions ... making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
- Cushman & Wakefield (Boston, MA)
- **Job Title** Spatial Data Manager **Job Description Summary** The role of the Spatial Data Manager (SDM) will be responsible for day-to-day functionality of the ... client's Space Management tool including data integrity of CAD floor plans,...CAFM administration, space and occupancy data analytics and space utilization measurement. * Ensure compliance of client space data… more
- St. George Tanaq Corporation (Boston, MA)
- HTRW Program Manager Fully Remote Job Type Full-time Description **Overview** Tanaq Environmental, LLC. (TEL) delivers environmental engineering, investigation, ... **About the Role** We are seeking an **HTRW Program Manager ** to independently manage the execution of our HTRW...in response to client requests for proposals (RFPs), supports management team throughout negotiations of new contracts and/or task… more
- The Hertz Corporation (Boston, MA)
- …our managed fleet. Your focus will be on optimizing vehicle lifecycle management , maintenance, utilization , and logistics-ensuring that our fleet operates with ... focusing on autonomous vehicle technology, connected car ecosystems, and sustainable fleet management , we are creating products that meet the evolving needs of… more
- HNTB (Boston, MA)
- …We're Looking For** The timing couldn't be better! Join HNTB as Traffic Department Manager in our Massachusetts office. At HNTB, you can create a career that is ... appropriate time. Responsible for technical coaching and mentoring and efficient, productive utilization of staff in providing high-quality service. While this is a… more
- Beth Israel Lahey Health (Boston, MA)
- …Systems personnel and vendor(s) to ensure effective use of the Transplant Data Management System. The Manager maintains active knowledge of regulations impacting ... taking a job, you're making a difference in people's lives.** The Manager of Business and Regulatory Affairs oversees financial performance, regulatory compliance,… more
- HNTB (Boston, MA)
- …Looking For** The timing couldn't be better! Join HNTB as the Roadway Department Manager in our Massachusetts office. The ideal candidate would be located in our ... time. Responsible for technical coaching and mentoring and efficient, productive utilization of staff in providing high-quality service. Primary Focus Will Include:… more