• Utilization Review Specialist…

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    … UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the ... hospital's utilization review plan to ensure the effective...related experience. + 2-3 years experience working as a UR Specialist , Medical Billing or health care… more
    Westborough Behavioral Healthcare Hospital (10/14/25)
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  • Denials Prevention Specialist , Clinician…

    Datavant (Boston, MA)
    …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +...experience + 2 years Health Plan or Acute Care UR /CM + Preferred Experience: 5 years acute care or… more
    Datavant (11/12/25)
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