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FOR MA POSITIONS Under the general supervision of the Associate Director, or designee, the Nurse Reviewer II is responsible for assessing clinical eligibility, prior authorizations and providing interval case consultation by reviewing medical records, assessing the client's needs, and providing resource support for program participants/applicants. This position ensures th
Posted 11 days ago
Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what's right for pets, people and our planet. We love all pets like o
Posted 17 days ago
Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working to
Posted 1 day ago
Applied Public Policy Scholarly Project Graduate Intern (hybrid Quincy, MA) Minimum Salary US MA Shrewsbury Job Location 23 hours ago (4/25/2024 3 23 PM) Requisition Number 2024 45907 # of Openings 8 Posted Date Day Shift Non Exempt Exempt/Non Exempt Status Non Union Position W00 Non Benefited Overview Under the direction of the assigned manager, the Applied Public Policy
Posted 14 days ago
Work Incentives Counseling Supervisor Sourcing Requisition Minimum Salary US MA Shrewsbury Job Location 13 hours ago (4/24/2024 4 23 PM) Requisition Number 2024 45998 # of Openings 1 Posted Date Day Shift Exempt Exempt/Non Exempt Status Non Union Position W60 Non Unit Professional Overview Under the direction of the Senior Director of Workplace Equity and Inclusion, or de
Posted 15 days ago
Perform initial review of disability supplements for accuracy, completeness and to ensure the application is compliant with all state and federal regulations. Track the status of deliverables due for the supplement process, campaign mailing(s) and other special projects, following up when necessary to ensure adherence to the established process or project timelines. Compa
Posted 15 days ago
Apply in depth knowledge of federal and state regulations and healthcare industry standards. Conduct independent data mining and data analysis utilizing claims data to identify potential cases of FWA. Conduct onsite audits which may include a review of the physical plant, member medical records, and employee records. Conduct audit entrance and exit conferences with provid
Posted 16 days ago
Conduct interviews by telephone and accurately record and code calls as directed; Follow protocols and guidelines in persuading reluctant respondents to cooperate; Follow protocols and guidelines to obtain high quality data; Assist in assembling mail survey packets; Code and data enter mailed questionnaires; Participate in quality assurance processes for all tasks, includ
Posted 17 days ago
Advancement Specialist Cancer Walk & Community Fundraising Hybrid Minimum Salary US MA Shrewsbury Job Location 2 weeks ago (4/10/2024 8 06 AM) Requisition Number 2024 45537 # of Openings 1 Posted Date Day Shift Exempt Exempt/Non Exempt Status Non Union Position W60 Non Unit Professional Overview GENERAL SUMMARY OF POSITION Under the direction of the Manager, UMass Cancer
Posted 17 days ago
Applied Public Policy Graduate Fellow Minimum Salary US MA Shrewsbury Job Location 13 hours ago (3/14/2024 5 42 PM) Requisition Number 2024 45720 # of Openings 1 Posted Date Day Shift Exempt Exempt/Non Exempt Status Non Union Position W60 Non Unit Professional Overview Under the direction of the assigned manager, the Applied Public Policy Graduate Fellow (APP Graduate Fel
Posted 21 days ago
Perform the statistical analysis of data, create project statements, and evaluate and implement research designs including but not limited to quantitative and qualitative (experimental and non experimental) in standard APA format. Instruct and supervise other personnel (data entry clerks, research assistants) in data management including merging and updating existing data
Posted 22 days ago
Upon suspicion of MI conduct in person evaluations to confirm the presence of MI, whether a nursing facility is the most appropriate setting and whether the individual has a need for specialized services. Conduct completed evaluations prior to individuals nursing facility admissions; completed evaluations on individuals residing in a nursing facility when there are signif
Posted 22 days ago
Optum
- Shrewsbury, MA / Worcester, MA
External Applicants Qualify for a $1,000 Sign On Bonus! Opportunities with Reliant Medical Group. When you join Reliant, you’ll be part of a community based, multi specialty, physician led medical group. Everyone works collaboratively on a common purpose improving the quality, cost and experience of health care. With the resources of a global health organization Opt
Posted 10 days ago
Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what's right for pets, people and our planet. We love all pets like o
Posted 1 month ago
As part of a team, you will design and develop ADA compliant, responsive websites. Review existing websites, provide feedback on areas for improvement from UI and UX perspective. Collaborate with senior front end developers and rest of the solutions engineering team, working on existing as well as new projects. Participate in business user meetings to understand the requi
Posted 27 days ago
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