- CVS Health (Boston, MA)
- …You will maintain complete, timely, and accurate documentation of reviews. As a Prior Authorization Representative you will make the determination if ... do it all with heart, each and every day. **Position Summary** The Prior Authorization colleague takes in-bound calls from providers, pharmacies, members, etc.… more
- The Cigna Group (Boston, MA)
- As a Pharmacy Prior Authorization Senior Representative , you will be working on a specialized team focused on high touch programs to assist our patients. ... with a specific group of clinics, to complete the prior authorization process using both internal and...Accurately enter prescriptions into our system, adjudicate claims and work rejections. Use the knowledge you gain from training,… more
- Enterprise Mobility (Chelsea, MA)
- …years + Must be authorized to work in the United States and not require work authorization sponsorship by our company for this position now or in the future ... frequently been named one of the top places to work . Enterprise Mobility is the largest and fastest growing...an exciting opportunity for a BI- Lingual Customer Assistance Representative Sr (CAR Sr). The Customer Assistance Representative… more
- Beth Israel Lahey Health (Needham, MA)
- …authorization requirements for the Clinics. Ensures all exams requiring a Prior Authorization and/or Referral are coordinated through the appropriate ... and documents in OMR. Makes follow up calls to prior authorization agents as needed to ensure...authorization documentation. Completes forms including disability, back to work and FMLA for patients. 2. Responsible for interviewing… more
- Beth Israel Lahey Health (Needham, MA)
- …authorization requirements for the Clinics. Ensures all exams requiring a Prior Authorization and/or Referral are coordinated through the appropriate ... and documents in OMR. Makes follow up calls to prior authorization agents as needed to ensure... documentation. 2. Completes forms including disability, back to work and FMLA for patients. 3. Responsible for interviewing… more
- Highmark Health (Boston, MA)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- Beth Israel Lahey Health (Cambridge, MA)
- …patient care is analyzed and submitted to insurance companies for approval prior to the patient's date of service. Collaborate with insurance companies when ... & Responsibilities** including but not limited to: + Accesses work queues and reports and reviews patient accounts to...is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and… more
- AMETEK.Inc (Wilmington, MA)
- …products into production + Obtain and maintain FAA Designated Manufacturing Inspection Representative (DMIR) authorization in support of FAA source and ... Site Quality Manager will perform FAA Designated Manufacturing Inspection Representative (DMIR) functions, customer Designated Supplier Quality Representative … more
- Brockton Hospital (West Bridgewater, MA)
- …This is a full-time 40 hour/ week position Responsibilities: + Accesses work queues and reports and reviews patient accounts to determine financial clearance ... patient contact information is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and ensures it is… more
- Pfizer (Cambridge, MA)
- …state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the ... Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States. Pfizer endeavors to make… more
- CACI International (Hanscom AFB, MA)
- …location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and ... and tracking risks, accreditation status, and reporting status across project teams. + Work with SCAs and associated teams to improve the security of AF systems… more
- Medtronic (Boston, MA)
- …Analytics and MS Office (including Word, PowerPoint, and Excel) + Prior clinical research experience and/or scientific publication authorship. **Physical Job ... within the Responsibilities section of this job description are representative of those that must be met by an...Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific… more
- RTX Corporation (Tewksbury, MA)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... implementation, system impacts, and effectiveness + Maintain a Risk Management Framework Authorization to Operate for the system + Support developing plans and… more
- RTX Corporation (Tewksbury, MA)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... implementation, system impacts, and effectiveness + Maintain a Risk Management Framework Authorization to Operate for the system + Support developing plans and… more
- Medtronic (Boston, MA)
- …to put patients first in everything we do. In-person exchanges are invaluable to our work . We're working a minimum of 4 days a week onsite as part of our ... culture of professional growth and cross-functional collaboration as we work together to engineer the extraordinary.** ** ** **You...+ Advanced degree with a minimum of 3 years prior relevant experience. + 2+ years in a leadership… more
- Medtronic (Danvers, MA)
- …maintain accuracy in documentation, and promote a safe, efficient, and collaborative work environment. This is an ideal role for a current Medtronic production ... operator with prior mechanical experience to transition into a technician role....You'll Do:** + Lead daily production team activities including work processes, packaging, LHR review, and other tasks as… more
- Medtronic (Boston, MA)
- …to put patients first in everything we do. In-person exchanges are invaluable to our work . Our team works onsite as well as at remote Medtronic events globally 4 ... to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the extraordinary. In your role, you may work… more
- Medtronic (Danvers, MA)
- …of daily operations (no CDL needed) **Qualifications:** + Minimum 2 years relevant work experience; prior experience in a warehouse or logistics role preferred. ... attention to detail and organizational skills. + Ability to work in a team-oriented environment. **Physical Job Requirements** The...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Medtronic (Billerica, MA)
- …may require vocational or technical education or certification in addition to prior work experience. **Preferred Qualifications:** + High school diploma or ... their unique backgrounds, and their individual life experiences to work every day. It's no accident - we ...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Medtronic (Boston, MA)
- …all stages of the product lifecycle, from concept and design to postmarket. Work closely with system architects, software leads, and hardware engineers to embed ... Engineering, Software Engineering, or related discipline), completed and verified prior to start + Minimum 4 years of relevant...intended to describe the general nature and level of work being performed by employees assigned to this position,… more