- Lawrence General Hospital (Methuen, MA)
- …situations. Responsibilities, including, but not limited to: + Skilled utilization of the computerized telephone/paging system (Xtend) (includes data input). ... sometimes hectic and stressful circumstances. + Capable completion of and utilization of numerous on-call schedules. + Process calls regarding "Interpreter Services"… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …with treating providers, as appropriate. At the request of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer also provides clinical ... to coverage decisions and final determinations regarding coverage in the BCBSMA utilization management system (MHK), so that decisions and medical reasoning related… more
- Abbott (Boston, MA)
- …management tasks. **ROLES & RESPONSIBILITIES** + Partner with Regional Sales Director , Territory Managers, and Sales Representatives to drive revenue growth and ... implement strategies to increase service efficiency and optimize clinical headcount utilization . Leverage best practices via network of Clinical Leaders and… more
- Tufts Medicine (Boston, MA)
- …and supply problems to the Charge Nurse, Service Lead or Clinical Nursing Director as needed. 12. When not participating on surgical cases, assists with positioning ... Remains knowledgeable about service specific equipment ensuring safe and efficient utilization . 15. Maintains a collaborative work relationship with peers and… more
- Tufts Medicine (Boston, MA)
- …and supply problems to the Charge Nurse, Service Lead or Clinical Nursing Director as needed. 12. When not participating on surgical cases, assists with positioning ... Remains knowledgeable about service specific equipment ensuring safe and efficient utilization . 15. Maintains a collaborative work relationship with peers and… more
- Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
- …to improve processes to meet performance measure goals and improve utilization management. Liaisons with other inpatient, outpatient rehabilitation care programs, ... evaluation program (OPPE/FPPE), as well as for quality improvement and resource utilization purposes on an ongoing basis. Oversee the establishment of program… more
- Beth Israel Lahey Health (Boston, MA)
- …on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge ... satisfaction, safety, length of stay management, or outcomes to the department director and/or appropriate key stakeholder. + Functions as a resource for… more
- Highmark Health (Boston, MA)
- …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
- OptiMindHealth (Cambridge, MA)
- …to long term referral relations and recommend solutions to OptiMindHealth's Director of Physician Relations, Chief Operating Officer, and Chief Executive Officer. ... provider referral patterns and seek ways to increase service line utilization and cross-selling opportunities for account maximization. Develop relationships with… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst will be ... Point32Health reports and financial analytics that focus on medical cost, utilization , membership, trends, and comparisons of provider reimbursement positions (using… more