41 - 50 of 182

boston medical center jobs


  • RN Clinical Auditor

    Boston Medical Center Healthnet Plan

    - Boston, MA

    Preferred/Desirable: * Prior External Auditing and/or Medical Record Review experience is ... Preferred/Desirable * Prior External Auditing and/or Medical Record Review experience is p...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Prior Authorization Clinician

    Boston Medical Center Healthnet Plan

    - Boston, MA

    medical necessity criteria. * Determine the medical necessity of initial or continuing ... that do not meet criteria to the BMCHP Medical Director for final determination. *...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Director of Utilization Management

    Boston Medical Center Healthnet Plan

    - Boston, MA

    management program. * Participates in medical management strategic planning for ... functional areas that interface with medical management including care management,...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Managed Care Analyst (MSO)

    Boston Medical Center Healthnet Plan

    - Boston, MA

    and communicate with Senior Leadership, Medical Directors and Administrative ... MSO Medical Management Committee and Medical Directors). * Performs basic statistical...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Manager of Utilization Management

    Boston Medical Center Healthnet Plan

    - Boston, MA

    for achievement of team initiatives for medical cost management and NCQA accreditation in addition to the accuracy and effectiveness of utilization review processes and working...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Health Data Analyst I

    Boston Medical Center Healthnet Plan

    - Boston, MA

    * Supports the development of effective medical management programs/initiatives ... effectiveness of these programs. * Conducts medical budget to actual analysis. * Develops...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Health Data Analyst II

    Boston Medical Center Healthnet Plan

    - Boston, MA

    * Supports the development of effective medical management programs/initiatives ... effectiveness of these programs. * Conducts medical budget to actual analysis. * Develops...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Medical Director

    Boston Medical Center Healthnet Plan

    - Manchester, NH

    goalsCollaborates with hospital physicians, medical directors, primary care physicians ... check * Board certification in recognized medical specialty * Current unrestricted...

    30+ days ago from Boston Medical Center HealthNet Plan
  • Registered Nurse 5 East SICU SEIU1199 (1403106)

    Boston Medical Center

    - Boston, MA

    served by the medical center preferred. ยท Relevant clinical experience and/or specialty, certification required for certain practice areas, e.g., enterstomal therapy,...

    6 days ago from Boston Medical Center
  • Denials and Appeals Supervisor (1403414)

    Boston Medical Center

    - Boston, MA

    knowledge of clinical documentation and medical coding, and a working knowledge of ... requires a comprehensive understanding of medical records coding, patient billing...

    8 days ago from Boston Medical Center
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