- State of Massachusetts (Boston, MA)
- …citizens. *_About the Role:_* The Insurance Examiner II position reports to the Director of the Consumer Services Unit, which is responsible for ensuring that ... Unit staff provide information to insurance consumers regarding their rights, their policy coverage or absence of coverage, and options available to them to… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and UM letters against medical necessity criteria and accreditation and regulatory criteria + Collaborating with operational leaders/ delegates to mitigate/ improve ... compliance + Standing up new NCQA standards or regulatory requirements + Review applicable policies and procedures to...deliverables with minimal support; keep project/ workgroup leads and Director informed of key issues/ risks and meet deadlines… more
- Enviri Corporation (Boston, MA)
- …employees. **Salary: $95,000 - $120,000** Under the general guidance of the Regional Plant Director , the Plant General Manager will lead a team of people to drive ... Ensures the location meet or exceed environmental health and safety, regulatory compliance, production, and waste management goals within their region. Utilizing… more
- Citizens (Westwood, MA)
- …proactively reviewing, analyzing, and identifying emerging risks, escalating to the Senior Director / Director of First Line Risk where appropriate. You will work ... with the Senior Director / Director to adhere to internal governance processes...up to date and in compliance with all applicable regulatory requirements. You will play a key role in… more
- CenterWell (Pittsfield, MA)
- …(POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- State of Massachusetts (Pocasset, MA)
- …confidential information, maintaining reports and files in accordance with regulatory strict statutory and policy requirements. *_Preferred Qualifications:_* ... to employees, clients, or as otherwise directed by the Director of Security or his designee. Provides security during...* Transport's clients and patients in accordance with DMH policy and procedure. * Immediately reports noteworthy events in… more
- State of Massachusetts (Tewksbury, MA)
- …facility policy /procedures, TJC, CMS, State Mandatory training, and other regulatory agencies. . Ensures that all Environmental Services staff, under your ... They provide supervision to EVS staff as assigned by EVS Supervisor and/or EVS Director . *Please note: This is a full-time position working 40 hours per week on… more
- Citizens (Boston, MA)
- …continuous innovation and significant business growth. You will work with the Senior Director / Director to adhere to internal governance processes for new risk ... control inventory, inclusive of providing guidance for applicable state and or federal regulatory requirements. You will also work with the First Line Risk Manager… more
- Beth Israel Lahey Health (Burlington, MA)
- …processes for determining appropriate patient admission status based on regulatory and reimbursement requirements of various commercial and government payers. ... closely with other administrative and clinical areas under the direction of the Executive Director and the VP of Revenue Cycle/Chief Revenue Officer as part of an… more
- Dana-Farber Cancer Institute (Boston, MA)
- …of the Breast Imaging Manager & Supervisor and Breast Imaging Clinical Director , the Quality Control & Compliance (QCC) technologist is responsible for performing ... technical procedures within breast imaging as described in the DFCI Imaging Policy Manual along with enhanced duties and responsibilities (eg, regulatory… more