- UNUM (Boston, MA)
- …Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US ... product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to… more
- Highmark Health (Boston, MA)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Sharecare (Boston, MA)
- …inputting patient information into Sharecare's internal systems and client Electronic Medical Record (EMR) platforms. This role requires keen attention to detail, ... efficient data management, and strict adherence to HIPAA compliance standards, supporting the Release of Information (ROI) process. The ideal candidate thrives in a fast-paced, collaborative environment, demonstrating a strong commitment to accuracy,… more
- Cognizant (Boston, MA)
- **Job Title: Inpatient Medical DRG Coder - Hospital ( Remote )** **Location:** [ Remote ] **Employment Type:** [Full-time] M-F flexible hours A **DRG coder** is ... a medical coding professional who specializes in assigning **Diagnosis-Related Group...federal, state, and payer regulations. + Ability to interpret medical records, reports, and chart entries accurately. + Demonstrated… more
- Cognizant (Boston, MA)
- …technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The ** Medical ... HCFA paper, or EDI information. + Responsible for reviewing medical records when necessary to determine if the service...is required + A minimum of 1 years of medical claims processing is required + Facets experience is… more
- Sharecare (Boston, MA)
- …privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the ... Functions:** + Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately… more
- Evolent (Boston, MA)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a… more
- EBSCO Information Services (Boston, MA)
- …EBSCO employs more than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we thrive on innovation, ... impact. **Your Opportunity** DynaMedex is a leading online evidence-based point-of-care medical reference. It is a rapidly growing, comprehensive clinical decision… more
- Intermountain Health (Boston, MA)
- …abstraction tool and software on an assigned laptop + Reviewer will perform remote or offsite medical record reviews with charts collected from provider ... **Job Description:** To review medical records retrieved from provider offices and abstract...Records will be retrieved by third party vendor, fax, remote EMR access and/or mail processes + Locate and… more
- Takeda Pharmaceuticals (Boston, MA)
- …**Job Description** **About the role:** Join Takeda as a Senior Medical Director, Pharmacovigilance in Gastrointestinal and Inflammation (GI2). You will oversee ... medical safety activities and processes for assigned products, ensuring...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote… more