• Utilization Management Nurse

    CVS Health (MA)
    …24/7 operation and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH- 8A-5P in EST or CST **Position ... Summary** UM Nurse Consultant Utilizes clinical experience and skills...external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** 3+ years… more
    CVS Health (01/16/26)
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  • Clinical Business Consultant

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …concerns Key Qualifications + Strong clinical skills and understanding of HMM's Utilization Management , Case Management and operational procedures, Medical ... your true colors to blue. The RoleThe Clinical Business Consultant for Cost and Trend Management is...concerns that may require additional attention. + Partner with Utilization and Care Management to provide clinical… more
    Blue Cross Blue Shield of Massachusetts (12/19/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Boston, MA)
    Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... for this role ends on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to… more
    Deloitte (11/21/25)
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