Dental Utilization Management Reviewer - Hingham

The Physician Reviewer is responsible for evaluating clinical service requests made by BCBSMA members and providers. · Evaluate clinical service requests · ...

Ready to help us transform healthcare? Bring your true colors to blue.  · Position Summary: · The Post-Service Claims Nurse Reviewer is a pivotal role responsible for safeguarding the integrity of our claims process in a post-service, pre-payment environment. In this position, yo ...

Ready to help us transform healthcare? Bring your true colors to blue.  · The Role: · The Medicare Clinical Program Manager will focus on utilization management compliance and CMS audit readiness activities such as evaluating and supporting Health and Medical Management's (HMM) a ...

Ready to help us transform healthcare? Bring your true colors to blue.  · About the Role: · The Sr. Professional Auditor is responsible to verify the accuracy of claims reimbursement, clinical significance, medical necessity, coding, and billing in accordance with the Plans' prov ...

Ready to help us transform healthcare? Bring your true colors to blue.  · Pedi Case Manager · The Role The Clinical Care Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optim ...

Ready to help us transform healthcare? Bring your true colors to blue.  · The Role · The RN Case Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. · This positi ...

+Job summary · The Clinical Care Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs. · +ResponsibilitiesEngage members in appropriate plans of care. · Coordinate care and services as approp ...

Ready to help us transform healthcare? Bring your true colors to blue.  · The Role · The Clinical Business Consultant for Cost and Trend Management is responsible for identification, outreach and analysis of individual members and membership populations to ensure the most efficie ...

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. E ...

Ready to help us transform healthcare? Bring your true colors to blue.  · What We Need · This Portfolio Manager will be within the Enterprise Technology (ET) team of BlueCross BlueShield of Massachusetts and will report into our Office of the CIO. The Technology Portfolio Manager ...

Ready to help us transform healthcare? Bring your true colors to blue.  · What we need · The IAM Operations Senior Manager is experienced leading a team and overseeing daily operations and governance of the IAM program. This person is an effective leader who drives continuous im ...

+ Job summary: Provide comprehensive advice and customized solutions to clients to help them achieve their financial goals. · + Qualifications: Currently holds Series 7 and 65 licenses; minimum of one year of experience in the investments industry; · + Responsibilities:Works with ...

The primary responsibility of the Elevator Clerk will be processing of Accounts Payable (A/P) and Accounts Receivable (A/R), matching invoices to purchase orders and/or vouchers, and general forms of data entry.Provide accounting and clerical support to the accounting department. ...

The Elevator Clerk will process Accounts Payable (A/P) and Accounts Receivable (A/R), match invoices to purchase orders and/or vouchers, and perform general data entry. The Settlement Clerk will work with the accounting team to achieve operational goals while maintaining quality ...

Works Under The Supervision Of The Patient Care Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of No ...

Overview · To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and pro ...

Overview · Overview: · To be part of our organization, every employee should understand and share in the Yale New Haven Health System Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide ...

Overview · To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and pro ...

This job is with Boston Scientific an inclusive employer and a member of myGwork the largest global platform for the LGBTQ+ business community. · ...

This job is with Boston Scientific, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. · We'll give you the opportunity to harness all that's within you by working in teams o ...

We are seeking a highly skilled and motivated Senior Tax Accountant to join our team. · Tax Preparation and Review: Lead the preparation and meticulous review of complex federal, state, and local tax returns for individuals, corporations, partnerships, and trusts. · Strategic Fin ...