- Insight Global (Boston, MA)
- …under the provisions of benefits plan. The LTSS Service Authorization Specialist is responsible for applying clinical and benefit administration policy guidelines ... Long Term Services and Supports (LTSS). The LTSS Service Authorization Specialist provides accurate, prompt, and appropriate medical authorizations to requests from… more
- State of Massachusetts (Boston, MA)
- …Office of Housing and Livable Communities (EOHLC)**is seeking a Contract Specialist in the Division of Housing Stabilization! *_ _* *_AGENCY MISSION:_* ... other support to Massachusetts communities. *_OVERVIEW OF ROLE:_* The Contract Specialist for individual and family shelter providers (private non-profit agencies)… more
- State of Massachusetts (Boston, MA)
- …Livable Communities (EOHLC) is seeking an Emergency Assistance (EA) Housing Search Specialist in the Division of Housing Stabilization!_* *_ _* *_AGENCY MISSION:_* ... to Massachusetts communities. *_OVERVIEW OF ROLE:_* The EA Housing Search Specialist assists family shelter providers (private non-profit agencies) across the… more
- Tufts Medicine (Burlington, MA)
- …(ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management, utilization review , denials management, or progressive leadership in an ... Specialist III is responsible for concurrent and retrospect review and analysis of the medical record to improve...indicators where indicated. 10. Collaborates with case management and utilization review team to ensure that documentation… more
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- … studies in deficient areas including records management, and privacy issues. Utilization Review and Health Information activities, privacy, records management ... is a full time position at 40 hours per week. Responsibilities Medical Administrative Specialist will serve as the medical center expert on a variety of special… more
- Evolent Health (Boston, MA)
- …meet the minimum standards for National Committee for Quality Assurance + Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security ... of legislative/oversight bodies [e.g., National Committee for Quality Assurance Utilization Review Accreditation Commission (URAC), Employee Retirement Income… more
- Beth Israel Lahey Health (Boston, MA)
- …Employees must reside in MA, NH, or RI. Job Summary: The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy practice in a specific clinical area, ... staff, nursing staff, and other healthcare professionals. The Clinical Pharmacy Specialist will participate in the development of clinical guidelines/protocols, new… more
- Beth Israel Lahey Health (Beverly, MA)
- …to the Beverly Hospital area in Beverly, MA. Job Summary: The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy practice in a specific clinical ... staff, nursing staff, and other healthcare professionals. The Clinical Pharmacy Specialist will participate in the development of clinical guidelines/protocols, new… more
- Beth Israel Lahey Health (Charlestown, MA)
- …nursing experience (eg, medical-surgical, ICU) or equivalent case management, quality, or utilization review in a hospital setting Skills, Knowledge, and ... a difference in people's lives.** The Clinical Documentation Improvement Specialist (CDS) assists with appropriate identification of diagnoses, conditions and/or… more
- Cardinal Health (Boston, MA)
- …and drive uncompromised supply chain integrity. **_Job Summary_** The Senior Specialist , Quality Compliance ensures that safety programs are implemented throughout ... publicly available license details for missing individuals/ entities. + Review any disciplinary documentation associated with any individual/entity to determine… more
- Prime Therapeutics (Boston, MA)
- …the minimum standards for National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), Employee Retirement Income ... every decision we make. **Job Posting Title** Enrollment Correspondence Policy Specialist **Job Description Summary** Responsible for the development, approval and… more
- Cardinal Health (Boston, MA)
- …and drive uncompromised supply chain integrity. **_Job Summary_** The Senior Specialist , Quality Compliance ensures that safety programs are implemented throughout ... floorplans and operational procedures to reflect facility practices. **_Responsibilities_** + Review all prospective customers to ensure they have proper federal and… more
- Tufts Medicine (Boston, MA)
- …(BPS) credential in a related area of practice. + Experience in drug utilization review and analysis. **Duties and Responsibilities:** The duties and ... + Provides prospective evaluation and monitoring of drug therapy. + Coordinates review of policies and procedures related to clinical practice. + Participates in… more
- Mondelez International (North Smithfield, RI)
- …management, pallets management. **How you will contribute** You will: + Review and analyze stock inaccuracies and guarantee accurate stock alignment between ... based on available information among stakeholders. Analyze and verify capacity utilization , performance and KPI monitoring, and introduce corrective measures in case… more
- Brockton Hospital (Brockton, MA)
- …readmissions, improve HCAHPS, drive positive discharge outcomes and reduce LOS, and review ER utilization using proactive approaches to any barriers. The ... based on predictive modeling, bio-psychosocial factors, social factors, cost/ utilization factors or other risk stratification strategies including repeated… more
- Commonwealth Care Alliance (Boston, MA)
- …to influence the clinical outcomes of CCA's members by impacting acute care utilization , LTSS utilization , closing of quality gaps, and optimizing primary care, ... an integral role in reducing high ED and Inpatient utilization and Re-Admission rate related to and triggered by...health education to members on key quality metrics + Review a checklist of member needs, prior to each… more
- Amergis (South Weymouth, MA)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The instED Marketing Specialist Manager will be responsible for building and growing our brand with customers and prospects as ... well as maximizing the utilization of instED's in-home urgent care services by our...(patients, members, and providers). To achieve this the Marketing Specialist Manager will be responsible for all external communication… more
- ThermoFisher Scientific (Waltham, MA)
- …monitoring environments (ie FSO, FSP, Government, etc.). Acts as a site processes specialist , ensuring that the trial is conducted in accordance with the approved ... risks. Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities....personnel + Ability to maintain customer focus through the utilization of good listening skills, attention to detail and… more
- Boston Public Schools (Boston, MA)
- …Summerworks program. Students will have an enrichment period each day with a rotating specialist providing Playworks, Zumba, Art or Science for up to 50 minutes to ... 9:00 am and 2:00 pm . Teachers should also review the curriculum in advance and know what materials...staff meetings, and model practices to improve instruction. Facilitate utilization of student data for curriculum and program planning.… more