• Prior Authorization Coordinator

    Fallon Health (Worcester, MA)
    …expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of ... when the authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol parameters are prepared… more
    Fallon Health (09/22/25)
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  • Clinical Authorization Specialist

    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 ... be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior...year of clinical and/or related experience required. Case Management, Utilization Review and/or Prior Authorization … more
    Dana-Farber Cancer Institute (10/01/25)
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  • DMH Child Youth and Family Case Management…

    State of Massachusetts (Brockton, MA)
    …The CYF Supervisor has the responsibility of monitoring performance and utilization of assigned Area or Site-based CYF contracts and serving as the Service ... Authorization to providers and case managers. The CYF Supervisor position is a community-facing position that serves to...in child/adolescent behavioral health services. . Experience as a supervisor . . Prior experience as a case… more
    State of Massachusetts (09/20/25)
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  • Pharmacy Technician Trainee

    Beth Israel Lahey Health (Westwood, MA)
    …and master an understanding of product and payer reimbursement landscape and prior authorization guidelines and processes. Collects and communicate all data ... needed to facilitate prior authorization approvals. Convey status updates as...not limited to), delivery, vaccination, synchronization and mobile app utilization . + Handle returns of merchandise and immediately notify… more
    Beth Israel Lahey Health (09/07/25)
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  • Surgical Scheduler I - Ophthalmology (Waltham)

    Children's Hospital Boston (Boston, MA)
    …or instructions from supervisor as necessary. + Schedules any consults needed prior to the surgery as requested, ie cardiac clearance. + Monitors Epic for ... evaluate scheduling procedures and develop strategies to promote efficient utilization of surgical suites. May coordinate surgical cases for...insurance authorization for the procedures. + Brings high priority issues… more
    Children's Hospital Boston (09/12/25)
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  • Surgical Scheduler I- Sports Medicine

    Children's Hospital Boston (Boston, MA)
    …or instructions from supervisor as necessary. + Schedules any consults needed prior to the surgery as requested, ie cardiac clearance. + Monitors Epic for ... evaluate scheduling procedures and develop strategies to promote efficient utilization of surgical suites. May coordinate surgical cases for...insurance authorization for the procedures. + Brings high priority issues… more
    Children's Hospital Boston (08/14/25)
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