NewTravel ICU RN - $2,235 per week WCS Healthcare PartnersTravel ICU RN - $2,235 per weekBoston, MAThis is an excellent opportunity for a dedicated and experienced Registered Nurse to work in a Level III Trauma Center's Intensive Care Unit (ICU). Join our dynamic team at a leading healthcare facility in Boston, MA, renowned for its cutting-edge medical services and commitment to patient care.
NewTravel Med Surg / Telemetry RN Float Pool - $1,353 per week WCS Healthcare PartnersTravel Med Surg / Telemetry RN Float Pool - $1,353 per weekConcord, MAThis position offers the chance to work in a highly respected hospital, where you can enhance your skills and grow your career in a dynamic and fast-paced acute care environment. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment.
NewTravel ER RN - $2,483 per week WCS Healthcare PartnersTravel ER RN - $2,483 per weekWorcester, MAJoin our dynamic team at WCS Healthcare Partners in Worcester, MA, a vibrant city known for its rich history and cultural diversity. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment.
NewSenior Product Manager - InterQual Connect and InterQual Medical Review Service -OI Product - Remote UnitedHealth Group IncSenior Product Manager - InterQual Connect and InterQual Medical Review Service -OI Product - RemoteBoston, MARemote$112,700–$193,200 / yearThis Senior Product Manager owns product strategy, roadmap, prioritization, and commercial enablement for both the InterQual Medical Review Service integrated user application and InterQual Connect - the underlying platform that serves InterQual Exchange, AutoReview, InterQual Customize, and InterQual Auth Accelerator products. InterQual Connect and InterQual Medical Review Service are Optum's flagship clinical decision support technology, supporting more than 1,200 customers and approximately 100 partner application integrations across utilization management and prior authorization workflows.
NewSenior Product Manager - Interqual Connect And Interqual Medical Review Service -OI Product - Remote UnitedHealth Group Inc.Senior Product Manager - Interqual Connect And Interqual Medical Review Service -OI Product - RemoteBoston, MARemote$112,700–$193,200 / yearThis Senior Product Manager owns product strategy, roadmap, prioritization, and commercial enablement for both the InterQual Medical Review Service integrated user application and InterQual Connect - the underlying platform that serves InterQual Exchange, AutoReview, InterQual Customize, and InterQual Auth Accelerator products. InterQual Connect and InterQual Medical Review Service are Optum's flagship clinical decision support technology, supporting more than 1,200 customers and approximately 100 partner application integrations across utilization management and prior authorization workflows.
Medical Records Coordinator Caring Health CenterMedical Records CoordinatorSpringfield, MassachusettsAct as notifying agent for patients needing to return or pick up copies of documents (not responsible for missed appointments, changing appointments, etc.). Ability to establish and maintain effective working relationships with other employees, individuals seeking assistance and the general public.
Senior Manager, US Medical Review Alexion Pharmaceuticals IncSenior Manager, US Medical ReviewBoston, MA$116,710–$175,064 / yearYou will be responsible for: Will provide essential medical and scientific expertise, review, advisement, and oversight to support development of high quality promotional and medical materials, internal training materials, and communications as part of the Promotional Review Committee (PRC) and Medical Review Committee (MRC). This is what you will do: The Senior Manager, US Medical Review will sustain and promote Alexion's professional standing and integrity amongst patients, health care professionals and the pharmaceutical / biotech industry by providing high quality Medical Review of all material used by the Commercial and Medical teams.
Medical Records Coordinator Caring Health Center IncMedical Records CoordinatorSpringfield, MAAct as notifying agent for patients needing to return or pick up copies of documents (not responsible for missed appointments, changing appointments, etc.). Ability to establish and maintain effective working relationships with other employees, individuals seeking assistance and the general public.
Medical Records Assistant (Non Nurse) Life Care Center of RaynhamMedical Records Assistant (Non Nurse)Raynham, MassachusettsAccurately audit and complete ongoing reviews of all patients’ clinical records to ensure documentation and performance compliance. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
Associate Director, Medical Review Lead, MSRM Agios Pharmaceuticals IncAssociate Director, Medical Review Lead, MSRMCambridge, MA$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteBoston, MARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Mashpee, MA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Senior Manager, US Medical Review AlexionSenior Manager, US Medical ReviewBoston, MassachusettsThe Senior Manager, US Medical Review will sustain and promote Alexion’s professional standing and integrity amongst patients, health care professionals and the pharmaceutical / biotech industry by providing high quality Medical Review of all material used by the Commercial and Medical teams. Will provide essential medical and scientific expertise, review, advisement, and oversight to support development of high quality promotional and medical materials, internal training materials, and communications as part of the Promotional Review Committee (PRC) and Medical Review Committee (MRC).
NewMedical Records Coordinator Clinical Affairs, Administration & Operations Boston UniversityMedical Records Coordinator Clinical Affairs, Administration & OperationsBoston, MA$20.10–$32.16Full timeThe incumbent will enter pertinent diary notes into the electronic health record system, answer phones, and provide customer service to patients, other facilities, other agencies, and other GSDM staff. The incumbent will monitor multiple fax servers identifying, preparing, and grouping the documents for further processing and ultimately to be attached to the patient chart or to be seen by the provider.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianMashpee, MA$37,193–$44,780 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Associate Director, Medical Review Lead, Msrm Agios PharmaceuticalsAssociate Director, Medical Review Lead, MsrmCambridge, MA$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
NewMedical Records Assistant (Non Nurse) Life Care Centers of America IncMedical Records Assistant (Non Nurse)Raynham, MAAccurately audit and complete ongoing reviews of all patients' clinical records to ensure documentation and performance compliance. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
Clinical Claim Review RN UnitedHealth Group IncClinical Claim Review RNBoston, MARemote$29–$52 / hourThe Clinical Claim Review RN will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. Preferred Qualifications: Clinical or administrative experience in long term care, for example, nursing facility care delivery/administration and/or community-based LTC service programs like Home Health.
LPN - Utilization Review Nurse High Point & SEMCOALPN - Utilization Review NurseNew Bedford, Massachusetts$32–$39 / hourProgram & Location: Central Utilization Review Department- New Bedford, MA Qualifications: Graduate of an Accredited Professional School or Nursing or; master's degree in social work, clinical psychology/counseling or mental health preferred with experience in substance use and/or mental health services. High Point has programs located throughout Southeastern Massachusetts offering a full continuum of care for substance use and mental health treatment, including inpatient, outpatient, residential, and community-based services.
Utilization Review Coordinator University Health Services IncUtilization Review CoordinatorSOUTH ATTLEBORO, MAQualifications Requirements Licensure: Current Massachusetts licensure as a RN, LCSW, LICSW, or LMHC Experience: One (1) or more years of experience in utilization management, insurance, and/or HMO organization Knowledge: Must be able to demonstrate knowledge and skills necessary to provide interventions appropriate to the age of the patients with whom they interact; Demonstrate knowledge of the principles of growth and development over the lifespan, possess the ability to assess data reflective of the patient's status, and interpret the appropriate information needed to identify each patient's requirements relative to their age specific needs. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom.