- Highmark Health (Boston, MA)
- …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician… more
- Tufts Medicine (Burlington, MA)
- …such as Coding, Utilization Management (UM), Case Management, Quality and Physician advisors and leaders. The Director oversees the manager and clinical ... Overview** The position is responsible for CDI program strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to… more
- East Boston Neighborhood Health Center (MA)
- …policies, procedures, and patient education materials in collaboration with the Medical Director (s). 3.Facilitates in collaboration with the BH Leadership ... training team as indicated. 4.In collaboration with the BH Medical Director , designs and implements the BHC...Development Benefit + Excellent Malpractice Coverage + A Designated Medical Staff Office for Physician Support +… more
- Travelers Insurance Company (Boston, MA)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- OptiMindHealth (Quincy, MA)
- …important to long term referral relations and recommend solutions to OptiMindHealth's Director of Physician Relations, Chief Operating Officer, and Chief ... Physician Liaison / Outreach Coordinator Position Requirement: Part-Time... provider and patient populations (market share patterns; patient utilization data and medical provider referral trends)… more
- Fallon Health (Leominster, MA)
- …+ Participate in after hours on call arrangements as determined by the PACE Medical Director . + Provide care and assessments of participants in the most ... participants' homes. + Participate in committees and work teams as requested by the Medical Director . + Work in partnership with the PACE transitional care… more
- Tufts Medicine (Burlington, MA)
- …to deliver exceptional, connected, and accessible care. Our system includes Tufts Medical Center, the principal teaching hospital of Tufts University and Tufts ... in the Clinical Documentation Integrity (CDI), Coding, HIM Operations, and Utilization Review (UR) departments while implementing enterprise-wide vision. The leader… more
- Tufts Medicine (Boston, MA)
- **About Tufts Medical Center** Tufts Medical Center is a world-renowned academic medical center that has been providing exceptional care across New England ... School of Medicine and a leading research institution that conducts game-changing medical and health policy research. **Job Overview** Reporting to the Executive … more
- ZOLL Medical Corporation (Boston, MA)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... as well as support activities to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include:… more
- Beth Israel Lahey Health (Needham, MA)
- …**Primary Responsibilities:** + Serves as resource to the medical staff, resolving/mediating inter- physician and inter-service problems/controversies, ... problems. Serves as a liaison to and between the hospital and the medical staff by creating, communicating and implementing physician -related hospital policies… more