- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
- Tufts Medicine (Burlington, MA)
- …with the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization ... to Utilization Review departments and UM vendor management . The UM Operations Manager is responsible...the Utilization Management Plan and assisting… more
- Beth Israel Lahey Health (Burlington, MA)
- …of three years of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience desirable. - Demonstrated ... a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:**...to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- Staples (Framingham, MA)
- …exceed P&L/budgets requirements + Optimize transportation spend through the strategic selection/ utilization of "best in class" carriers + Develop with support of ... of DOT mandated rules and regulations + Partner with Legal and Risk Management to address and mitigate business risk/ issues + Define project objectives, scope… more
- Molina Healthcare (Lowell, MA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
- Covenant Health (Nashua, NH)
- …Experience + Minimum of five years broad clinical experience preferred + Case management and/or Utilization Management experience is preferred + ... + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge...MA / CMO and/or Director of Care Coordination or Manager Care Coordination/Case Management + Other duties… more
- CenterWell (Marlborough, MA)
- …to sit on-site at our Marlborough, MA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Savers | Value Village (Worcester, MA)
- **** **Job Title:** **Production Manager ** **** **Who we are:** As one of the largest for-profit thrift operators in the United States, Canada and Australia for ... peace of mind. + Programs to stop smoking, diabetes management coaching, and on demand care options. + A...with all policies, procedures, regulations and laws. The Production Manager has direct responsibility for specific departments spanning both… more
- Commonwealth Care Alliance (Worcester, MA)
- …as overseeing the team's daily operations, including the member experience, care management , and care coordination. The Team Manager is primarily responsible ... 024020 Clin Alli-Care ManagementLeadership **Position Summary:** The Team Manager is accountable for the performance of the team, by ensuring that all performance… more
- Fallon Health (Worcester, MA)
- …to Achieve Results - Focuses Group Efforts - Facilitates Change - Motivates Others - Utilization Management - Collaborates with Management team to meet MLR ... accepted social work practice. Collaborates with IDT and SE management team to ensure utilization and MLR...IDT and SE management team to ensure utilization and MLR targets are met. **Responsibilities** **Primary Job… more
- BJs Wholesale Club (Framingham, MA)
- …directs the work of the overnight team, in the absence of the Night Manager . Coaches, teaches and develops all overnight team members to ensure excellent member ... acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model leadership… more
- HNTB (Chelmsford, MA)
- **What We're Looking For** The Communications Department Manager will have overall responsibility for operations and delivery for the rail communications practice. ... time. Responsible for technical coaching and mentoring and efficient, productive utilization of staff in providing high-quality service. The number of employees… more
- MIT Lincoln Laboratory (Lexington, MA)
- …MIT Lincoln Laboratory is seeking a visionary and experienced ServiceNow Product Manager /Owner to lead and drive the next phase of our ServiceNow journey. ... initiative that builds on the success of our Information Technology Service Management (ITSM) module implementation. We are expanding the platform to deliver an… more
- AbbVie (Worcester, MA)
- …YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description An Engineering Manager is responsible for leading a team of six to eight Engineers ... projects, equipment optimization, and maintain and track area priorities. The Engineering Manager has general knowledge of other related disciplines beyond their own… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …Clinical Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to chronic disease patients, especially to those who are most at ... patients, ensuring optimal care including acute illness and chronic disease management , lifestyle and behavior education, and preventive care across multiple health… more
- Pine Environmental Services (Woburn, MA)
- Job Description Job Title: Branch Manager Reporting to: Regional Manager Classification: Full Time Status: Exempt Summary Direct the day-to-day activities of a ... from order through delivery and returns through invoicing + Maximize equipment utilization + Confirm compliance with all company state and federal policies and… more
- Teleflex (Chelmsford, MA)
- Plant Manager **Date:** May 16, 2025 **Location:** Chelmsford, MA, US **Company:** Teleflex **Expected Travel** : Up to 10% **Requisition ID** :12097 **About ... - Demonstrates leadership, business acumen and strong execution to ensure effective management of the AOP while delivering cost effective performance and continuous… more
- Health Plans, Inc. (Westborough, MA)
- …8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a hybrid role focused on enhancing the healthcare experience for both members ... position combines responsibilities across care coordination, provider relations, and account management . The individual will serve as a concierge-like guide for… more
- Dynatrace (Waltham, MA)
- …Managers as well as Dynatrace Services Consultants and Architects, Support, Product Management and Dynatrace leadership teams. This role focuses on the digital ... their wider IT landscape. **Responsibilities:** + Provide Enterprise level Program Management services utilizing the EPM Framework (similar to PMI) on end-to-end… more
- HUB International (Wilmington, MA)
- …while collaborating with others + Proficient in Microsoft Office products & internet utilization + Applied Agency Management System experience preferred but not ... broker, providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth...We currently have an opportunity for a Senior Account Manager - Large & Complex. **SUMMARY OF RESPONSIBILITIES** :… more