- 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
- 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
- Qualus (Westwood, MA)
- **Position Overview** **Power your future with Qualus** as a Senior Project Manager in our Program Management organization. We are seeking a Senior Project ... Manager to provide planning, management , and overall execution of a portfolio of power...budgets, and schedules. + Analyzes project performance and resource utilization . + Identifies potential out of scope work. +… more
- Stratasys (Waltham, MA)
- Customer Success Manager Location: Waltham, MA, US Job ID: 54474 Category: Sales and Business development **Stratasys is a world leader in 3D printing!** ... to manufacturing and supply chains, and improve patient care. **Software Customer Success Manager ** . This role is pivotal in ensuring our customers achieve success… more
- CORT (Norwood, MA)
- …in the Outlet Center(s) & Showrooms to increase revenue and inventory utilization + Leads inventory management efforts, controls, warehousing, and delivery ... **Overview** CORT Furniture rental is hiring a full-time Assistant District General Manager (ADGM). The ADGM works with the District General Manager to plan,… more
- Commonwealth Care Alliance (Boston, MA)
- …- Reporting to a member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible for all nursing and nursing ... support functions within the practice, the Primary Care Nursing Manager will collaborate closely with other members of the... will collaborate closely with other members of the management team. This role is full-time on site in… more
- Commonwealth Care Alliance (Boston, MA)
- …APC is responsible for the oversight of clinical care delivery and complex care management within the CIC interdisciplinary team. The Manager , Clinical APC is ... programing is responsible for providing care delivery and care management to a specific panel of high risk and...plans. + Accountable for quality and financial outcomes, service utilization , targeted case mix and productivity levels of APCs… more
- Commonwealth Care Alliance (Boston, MA)
- …and help deliver healthcare of the 21st century! The Data Science Manager at instED is a clinical/business-facing and technical-facing role that collaborates with ... derive key insights from advanced analytics. The Data Science Manager will focus on the data extraction and processing,...predictive models which help instED identify ER and in-patient utilization patterns as well as service needs of high-risk… more
- Commonwealth Care Alliance (Boston, MA)
- …- Strong management and team-building skills - Telehealth - Practice Manager experience - Bilingual or Multilingual Strongly Preferred: Spanish EEO is The Law ... providing primary care, palliative care and community intensive care management to a specific panel of high risk and...of Care Delivery. programs. Under the supervision of the Manager of Patient Access Operations and in direct partnership… more
- Commonwealth Care Alliance (Boston, MA)
- …Community Health Workers (CHWs) are key supports to interdisciplinary care management teams and complement and support enrollees' needs, goals, and preferences. ... skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, behavioral… more
- Teradyne (North Reading, MA)
- …and better utilization of technology solutions + Assist the Revenue Manager to prepare materials for decision support to Sales and Operations and the ... MA, USA. This position will report to the Revenue Manager for Semiconductor Test. **This is a hybrid role...the ability to work with cross-functional teams and senior management . + Passionate about learning and leveraging existing and… more
- 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
- CVS Health (Woonsocket, RI)
- …Evaluates, designs, and implements new regulatory and/or business initiatives for Utilization Management from initiation through completion. + Partners ... anywhere in the United States* **Position Summary** The Sr. Manager of the UM Centers of Excellence (COE) is...and health plan operations and value creation methodologies including Utilization and Policy Management , Care Management… more
- Performance Food Group (Whitinsville, MA)
- …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... candidate should possess:** + Strong knowledge of warehouse procedures, inventory management , and material handling equipment. + Experience with inventory … more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating ... insurance as needed. Summary: Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management … 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
- Massachusetts Port Authority (East Boston, MA)
- Senior Manager , Asset Management Print (https://www.governmentjobs.com/careers/massport/jobs/newprint/5070438) Apply Senior Manager , Asset Management ... industry with innovative practices. ABOUT YOU As a Senior Manager Asset Management , you lead with a...dynamic, organization-wide training and audit program to maximize the utilization and effectiveness of the asset management … more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient ... 2. Three years of medical/surgical nursing care experience. Two years of case management or utilization management experience required. 3. Basic computer… more
