Sr Program Manager/APCR Reviewer - Boston, MA

At EBI we're committed to providing deep technical, industry and commercial real estate expertise to help our clients navigate complexity and realize maximum value for their assets. For 35 years we've been helping investors, lenders, owners, developers, contractors, and property ...

We believe that high-performing teams drive groundbreaking medical discoveries.The Opportunity Manages a department of utilization review professionals usually consisting of Registered Nurses, Social Workers and other paraprofessional roles. · ...

Manages a department of utilization review professionals and develops policies and processes for the team. · ...

Manages a department of utilization review professionals usually consisting of Registered Nurses, Social Workers and other paraprofessional roles. Develops and oversees policies and processes for the team and collaborates with other departments to improve the organization's utili ...

Join Us in Tackling Autoimmune Disease at Its Root · At Vor, we believe science can do more than manage symptoms. It can change the course of disease. By advancing telitacicept, a first- and potentially best-in-class dual BAFF/APRIL inhibitor, we are silencing upstream survival s ...

· Join Us in Tackling Autoimmune Disease at Its Root · At Vor, we believe science can do more than manage symptoms. It can change the course of disease. By advancing telitacicept, a first- and potentially best-in-class dual BAFF/APRIL inhibitor, we are silencing upstream surviva ...

Join Us in Tackling Autoimmune Disease at Its Root · At Vor, we believe science can do more than manage symptoms. It can change the course of disease. By advancing telitacicept, a first- and potentially best-in-class dual BAFF/APRIL inhibitor, we are silencing upstream survival s ...

The Nurse Manager for Utilization Review and Clinical Appeal Management oversees daily operations of UM and Appeal teams ensuring compliance with hospital policies regulatory requirements payer guidelines. This role supports efficient effective utilization review denial managemen ...

The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. · ...

The Nurse Manager oversees daily operations of Utilization Management UM and Clinical Appeal teams ensuring compliance with hospital policies regulatory requirements payer guidelines supporting efficient effective utilization review denial management processes collaborating inter ...

The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health.This position is self-directed and works independently and ...

BCBSMA is seeking a new Dental Utilization Reviewer to join our elite Dental Utilization Management Division. · The team includes dentists, dental hygienists, and dental assistants. · ...

The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and other services within scope of practice per business needs. · The role requires collaboration with a team of professionals ...

The PT Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs. · This position is self-directed and works independently to facilitate care using clinical skills · ...

The Physical Therapy Utilization Management Reviewer evaluates services for appropriateness and medical necessity. · Evaluate members' clinical status and benefits. · Analyze clinical outcomes and quality of service. · ...

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Ready to help us transform healthcare? Bring your true colors to blue. · BCBSMA is seeking a new Dental Utilization Reviewer to join our elite Dental Utilization Management Division · The team includes dentists, dental hygienists, and dental assistants. · ...

The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation services within scope of practice per business needs. · Conduct pre-certification concurrent retrospective reviews with emphas ...

Ready to help us transform healthcare? Bring your true colors to blue. The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote opt ...

The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and other services within scope of practice per business needs. · ...