- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical leadership in other areas of BCBSMA. The ... your true colors to blue. The Role The Physician Reviewer is responsible for evaluating clinical service...anticipatory case management for members whose cases come for review , in partnership with case managers + Participate in… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …gather clinical information to support the plan of care. + Monitor clinical quality concerns, make referrals appropriately, identify and escalate quality ... use of the member's benefit to provide the best quality care. The TeamThe RN Utilization Management Reviewer...with emphasis on utilization management, discharge planning, care coordination, clinical outcomes, and quality of service. +… more
- CVS Health (Boston, MA)
- …Management. - Refer all cases that do not meet applicable criteria or have a potential quality of care issue to a physician reviewer . - Identify and address ... with heart, each and every day. **This is a remote work from home role anywhere in the US...AHH delivers flexible medical management services that support cost-effective quality care for members. - This position consists of… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** **This position is remote . Candidates must be local to New England States for consideration** The ... Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists...medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward … more
- Beth Israel Lahey Health (Charlestown, MA)
- …taking a job, you're making a difference in people's lives.** **This position is remote . Candidates must be local to New England States for consideration** The ... Clinical Documentation Improvement (CDI) Specialist II assists with the...medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward … more
- Evolent (Boston, MA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... clinical professionals. + A role that values innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be… more
- Takeda Pharmaceuticals (Boston, MA)
- …the best of my knowledge. **Job Description** **About the role:** The Associate Director, Clinical & Quality Process Compliance is responsible for ensuring the ... teams for regulations impacting Clinical , Safety and Clinical Pharmacovigilance Medical Quality (CPMQ) processes and...trial delivery in partnership with GDO, PSPV, GRA etc. Review the outputs of the safety and clinical… more
- Takeda Pharmaceuticals (Boston, MA)
- …+ Act as strategic partner to Clinical Program Quality for complex clinical deviations and Serious Breaches. + Review the clinical deviations across ... is located in Cambridge, MA and is Hybrid (not remote ). R** **elocation Benefit is available to support your...the timelines. + Lead the Clinical Program Quality , Deviation Management and Serious Breach review … more
- Parexel (Boston, MA)
- …the trial team. + Medical responsibility as co-author for development of a robust Clinical Quality Monitoring Plan (CQMP) in line with the critical data, medical ... Clinical Study Physician. This is a fully remote role! Oncology, Inflammation or CMR preferred** The Study...trial CQMP (and its amendments). + Execution of relevant clinical quality monitoring for Study Physician using… more
- Takeda Pharmaceuticals (Boston, MA)
- … Operations Program Lead(s): + Oversee the execution of studies in assigned clinical program(s) in compliance with quality standards (including ICH GCP, local ... and empower you to shine? Join us as a Clinical Study Manager based remotely reporting to the ...of the Operational Strategy in preparation for Operational Strategy Review ; focus on ensuring accurate assumptions are applied and… more