- Dana-Farber Cancer Institute (Brookline, MA)
- …advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization ... denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + Monitors email… more
- Evolent (Boston, MA)
- …team, ensuring the effective and efficient management of operations related to prior authorization services for healthcare companies. This role is essential ... **What You'll Be Doing:** Evolent is looking for a Supervisor , Provider Services to play a pivotal role in...manage processes that enhance efficiency and effectiveness in handling prior authorization requests. + Analyze call metrics… more
- Army National Guard Units (Reading, MA)
- …SERVICE POSITION. This National Guard position is for a SURFACE MAINTENANCE MECHANIC SUPERVISOR , Position Description Number D1291000 and is part of the MA ARNG FMS ... based on general work schedules, methods, and policies set by the supervisor . Coordinates work with supporting or related work functions controlled by other… more
- Army National Guard Units (Brockton, MA)
- …SERVICE POSITION. This National Guard position is for a SURFACE MAINTENANCE MECHANIC SUPERVISOR , Position Description Number D1290000 and is part of the MA ARNG FMS ... based on general work schedules, methods, and policies set by the supervisor . Coordinates work with supporting or related work functions controlled by other… more
- Sleeping Dog Properties (Boston, MA)
- …This role is non-physically laboring; physical work is only permitted with prior authorization from Senior Management. Requirements + Daily Reports: Prepare ... premier design-build company? Sleeping Dog Properties is seeking a Construction Site Supervisor for both residential and commercial projects in the greater Boston… more
- GE Aerospace (Lynn, MA)
- …populations. + Developing in-depth knowledge of a technical discipline. Uses prior experience and acquired technical expertise to execute policy/strategy. + In-depth ... propose different solutions outside of set parameters but with guidance. Uses prior experience and on-the-job training to solve straightforward tasks. Has access to… more
- Beth Israel Lahey Health (Westwood, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic administered or… more
- Beth Israel Lahey Health (Westwood, MA)
- …**Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and ... reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related issues, including prior authorizations… more
- Beth Israel Lahey Health (Westwood, MA)
- …**Essential Responsibilities:** Understands product and payer reimbursement landscape and prior authorization guidelines and processes. Collects and reviews ... all data needed pharmacy and/or medical for prior authorization approvals. Resolves insurance related issues, including prior authorizations (PAs), and… more
- Tufts Medicine (Boston, MA)
- …following surgeries for Surgical Facilities outside of Tufts Medical Center. Works with Prior Authorization Team to insure appropriate authorization are ... to patients. Responds to any questions or concerns the patients may have prior to surgery. + Gathers all information obtained during the patient's pre-operative… more