, and professional standards. Collaborate with Medical Directors when clinical complexity requires further review, ensuring decisions...Our Client, a Medical Center company, is looking for a Behavioral Health Utilization Manager for their Charlestown...
RESPONSIBILITIES: Review and process patients’ enrollment forms to the Patient Assistance Program (PAP) Assist patients on the phone... of work experience in pharmacy, managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech...
with Supervisor to review productivity results and understands best practices and opportunities to create efficiencies in order... to achieve maximum performance. Meets established quality metrics for the AR Department. Meets monthly with Supervisor to review...
, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity... resume);Ideal candidate will have experience with Durable Medical Equipment (DME) and/or Waystar. This can be a remote...
TN. At Ageless, we focus on medically managed testosterone replacement therapy (TRT), weight management, skin care..., reviewing medical histories, and performing physical assessments. Ordering, reviewing, and interpreting lab work and diagnostic...
Managed Accounts (SMA) team. Our primary goal is to provide exceptional accounting and administration servicing... department. Maintain operations procedure documentation. Review, validate and reconcile pending and/or processed corporate...
to Claims, Compliance, Program, IT, and Health Services/Medical Management to ensure benefits are compliant with state... and maintaining benefit design documentation for the organization. The Benefits Coding Analyst will research, code, and assist...
-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means... to be part of Mass General Brigham. The Medical Practice Evaluation Center (MPEC) within the Mongan Institute is seeking...
Psychologist Reviewer - part time is responsible for collaborating with providers and Medical Directors to determine... appropriateness of level of care based on Medical Necessity Criteria. Outpatient levels of care include Psychological Testing...
and growth within our organization, please take a moment to review our website for all our extensive opportunities. Visit www... solutions. Inter-Con employs over 25,000 security officer personnel world-wide, trained and managed by a team of professionals...