• Utilization Management Administration…

    Humana (Boston, MA)
    …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management....the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
    Humana (01/16/26)
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  • Utilization Management Coordinator…

    South Middlesex Opportunity Council (Framingham, MA)
    …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... fashion, for the RRS and outpatient clinic programs. + Review denials and partially paid claims and resolve discrepancies....As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or… more
    South Middlesex Opportunity Council (12/10/25)
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  • Clinical Data and QA Coordinator

    Northeast Family Services (North Andover, MA)
    …with interactions of staff + Participate in development of training plans for data utilization + Acts as project coordinator for all Clinical Quality related ... join our growing team as Clinical Data and Quality Coordinator . As an important member of the operations and...role, as well as establishing KPIs, QA Plans, data utilization , monitoring, and reporting on compliance. If you're looking… more
    Northeast Family Services (01/16/26)
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  • Physician Liaison / Outreach Coordinator

    OptiMindHealth (Cambridge, MA)
    Physician Liaison / Outreach Coordinator Position Requirement: Part-Time FLSA Status: Non-Exempt Location: Cambridge, MA Join a leading clinician-led behavioral ... and efficiency. This position is an entry level Physician Liaison / Outreach Coordinator role. Preferred candidates will possess a B2B Sales background with a strong… more
    OptiMindHealth (11/06/25)
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  • Supply Chain Coordinator - Operating Room

    Beth Israel Lahey Health (Burlington, MA)
    …department and must provide a detailed monthly report on any overage. 3) Review /modify min/max inventory levels. 4) Audits inventory levels not associated with Pyxis ... no expired products. Makes adjustments if needed. 9) In conjunction with Pyxis Coordinator and Purchasing, removes expired product and works with the vendors to… more
    Beth Israel Lahey Health (11/19/25)
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  • Benefits Coordinator / Administrative…

    Boston Health Care for the Homeless Program (Boston, MA)
    …work with patients both in clinic and shelter settings. Responsibilities: Benefits Coordinator : + Primary provider of benefits assistance to all Family Team patients ... across all sites + Utilize the required systems to review insurance status and eligibility of all Family Team...their insurance plans and offer education and resources on utilization of plan benefits, including SSI, SNAP, WIC, EITC,… more
    Boston Health Care for the Homeless Program (12/17/25)
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  • Patient Coordinator , Group Practice,…

    Boston University (Boston, MA)
    …opportunities including emergencies and backfill patients into student provider open slots, review phone call and utilization reports to aid in optimal ... **PATIENT COORDINATOR , GROUP PRACTICE, School of Dental Medicine, Clinical...School of Dental Medicine, Clinical Affairs** **Job Description** **PATIENT COORDINATOR , GROUP PRACTICE, School of Dental Medicine, Clinical Affairs**… more
    Boston University (12/17/25)
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  • Property Operations and Project Coordinator

    State of Massachusetts (Worcester, MA)
    …Department of Mental Health (DMH) is seeking a Property Operations and Project Coordinator . This role serves as an essential leader in ensuring the seamless ... of the WRCH campus. The Property Operations and Project Coordinator provides strategic oversight of property operations, commodities budgeting, procurement,… more
    State of Massachusetts (01/15/26)
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  • Registered Nurse, Care Coordinator

    Massachusetts Institute of Technology (Cambridge, MA)
    …patients, families, providers, and community agencies. PREFERRED: two years of case management, utilization review , and discharge planning experience. 11/18/2025 ... Registered Nurse, Care Coordinator + Job Number: 25320 + Functional Area:...Save Save Apply Now Posting Description REGISTERED NURSE, CARE COORDINATOR , MIT Health, will serve as a core member… more
    Massachusetts Institute of Technology (11/19/25)
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  • Prior Authorization Coordinator

    Fallon Health (Worcester, MA)
    …other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as ... Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members and/or provider… more
    Fallon Health (01/07/26)
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