- 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
- Elevance Health (Woburn, MA)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- ServiceNow, Inc. (Waltham, MA)
- …with GenAI & CRM leaders, PEx leaders, STEP and CEG resource management leaders to assess resource needs, develop strategic plans, and allocate resources ... resource needs for pipeline and upcoming projects **Resource Allocation, Scheduling, Management ** + Allocate and schedule resources based on project requirements and… 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
- 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
- Beth Israel Lahey Health (Needham, MA)
- …practice model. **Job Description:** **Essential Responsibilities:** 1. Performs utilization management , care coordination, and discharge planning ... (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical,… 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
- Burns & McDonnell (Newton, MA)
- **Description** The Transmission Department Manager is responsible for the managerial direction and leadership of the Northeast Region (NER) Transmission Department ... the following, with other duties as assigned by senior management . Fostering Culture + Drive a culture focused on...practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a… 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
- Burns & McDonnell (Newton, MA)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… 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