2w
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Utilization Review Coordinator
Brookline, Massachusetts, United States
$69k-$94k/yr OnsiteFull Time
3+ YOEMaster's in psychology, social work or related field; 3+ years utilization review experience required (5 preferred); LCSW/LMHC/LICSW preferred.
1mo
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Utilization Review Clinician
Devens, Massachusetts, United States
$80k-$90k/yr OnsiteFull Time
Master's-level clinician or RN; experience with utilization management in inpatient psychiatric settings preferred; license eligible (LMHC or LICSW) or RN; strong communication and clinical/financial integration skills.
1mo
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Director, Utilization Review
Exeter, New Hampshire, United States
$135k-$155k/yr OnsiteFull Time
5+ MgmtActive RN license, 5+ years utilization review leadership, knowledge of MCG and regulatory standards, experience with claims integration, and familiarity with interoperability/automation tools.
MCG, EDI
2d
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Supervisor, Utilization Management Support
United States or Waltham
$58k-$80k/yr RemoteFull Time
3+ YOE1+ Mgmt3+ years utilization management/prior authorization experience, 1+ year supervisory experience, Medicare Advantage experience, knowledge of PA workflows, EHR proficiency, AI/LLM workflow experience, strong communication and analytical skills.
EHR, AI/LLM
1mo
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Utilization Review Nurse - Per-Diem
Lawrence, Massachusetts, United States
$38-$76/hr OnsitePart Time, Temporary
5+ YOEBSN required (Master's preferred), Massachusetts RN license, minimum 5 years clinical nursing experience, case management/utilization review experience preferred, strong communication skills, and computer proficiency.
Interqual
1w
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Behavioral Health Utilization Manager (temporary)
Charlestown or Massachusetts or New Hampshire
$33-$49/hr RemoteFull Time, Temporary
5+ YOE5+ years behavioral health utilization management experience in health insurance; master’s in behavioral health field or BSN; BCBA required; BLS/CPR not mentioned; strong documentation, clinical judgment, and Microsoft Office skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel
1w
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Utilization Review RN- Care Coordination- Full Time
Manchester, New Hampshire, United States
OnsiteFull Time
3+ YOEActive New Hampshire or compact RN license, 3+ years hospital case management/utilization management, BSN preferred or commitment to obtain, CCM/ACM preferred, strong communication and clinical review skills.
1w
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Physical Therapy Utilization Management Reviewer
Hingham, Massachusetts, United States
$42-$52/hr HybridFull Time
3+ YOEDPT/MSPT/BSPT from CAPTE program, Massachusetts licensure within 6 months, 3-5 years clinical experience, utilization management experience preferred, ability to assess clinical documentation, InterQual proficiency, and electronic clinical record skills.
InterQual
3w
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Utilization Review Specialist | Part Time
Concord, New Hampshire, United States
OnsitePart Time
Associate's degree preferred; experience in hospital/insurance/medical office preferred. Proficient in Microsoft Office and Cerner, knowledge of medical terminology, multitasking, critical thinking, and revenue cycle a plus.
Microsoft Office, Cerner
2w
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Manager, Scheduling and Utilization
Burlington or Cambridge
$127k-$140k/yr HybridFull Time
3+ YOEBachelor's in life sciences plus 3+ years (or Associate/GED plus 5+ years) in cGMP manufacturing, MS Office proficiency, OpCenter/MES experience preferred, Lean/Six Sigma certification within first year, strong communication and leadership skills.
OpCenter Execution Pharma, OpCenter APS, Siemens, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project
2w
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Customer Success Utilization Manager
Boston, Massachusetts, United States
$81k-$105k/yr FieldFull Time
1+ YOE2–3 years OR sales/service or 1+ year KARL STORZ video/integration experience; Bachelor's preferred; willingness to travel 50–80%+; good driving record; ability to work in OR environments.
Salesforce, OR1
1w
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Sr Utilization Management Nurse RN - Remote
Boston, Massachusetts, United States
$73k-$130k/yr FieldFull Time
4+ YOEActive MA RN license, RAC/CT MDS certification prior to start, 4+ years nursing long-term care/record review, knowledge of Medicare/Medicaid and UM processes, HIPAA compliance, ability to travel across Massachusetts and reliable transportation.
Microsoft Office
1d
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Operator III - Water
Littleton, Massachusetts, United States
$33-$39/hr OnsiteFull Time
5+ YOEHigh school/GED, 3–5 years water-field experience, T-2 or D-2 water operator credential (or obtain within 6 months), OSHA 10, DOT medical card, computer literate in Windows/MS Office, available for on-call night and weekend work.
Microsoft Windows, Microsoft Office
1mo
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Water Treatment Operator II
Nashua, New Hampshire, United States
$36/hr OnsiteFull Time
2+ YOENHDES Treatment Operator I, 2 years operator experience, First Aid and OSHA 10 within 12 months, valid state driver's license, and ability to work rotating shifts.
3w
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Nurse Manager - Utilization Management (Full Time)
Burlington, Massachusetts, United States
$165k-$215k/yr OnsiteFull Time
3+ YOECurrent RN license, Bachelor's degree (Master's preferred), minimum 3 years medical/surgical nursing with leadership experience, knowledge of utilization management, payer regulations, quality improvement, and strong communication skills.
1mo
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Medical Director Utilization Management
United States or Boston
$240k-$250k/yr RemoteFull Time
5+ YOECompleted US residency/fellowship in Internal Medicine, MD or DO board certification, active state medical license, 5+ years clinical practice post-training, B2B managed care knowledge, clinical review experience desirable, comfortable with technology and able to obtain additional state licenses.
Payment Integrity Suite, Cohere Validate, ZignaAI
1mo
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Senior Data Scientist - Utilization Management
Wellesley or New York
$102k-$222k/yr HybridFull Time
3+ YOE3+ years analytic experience; programming in R or Python; experience with SQL; strong algorithm and predictive modeling knowledge; experience with LLMs/Generative AI preferred; bachelor’s degree or equivalent.
R, Python, SQL, LLMs, Generative AI
1mo
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Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yr RemoteFull Time
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Epic, NLP, EHR
1mo
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ArcGIS Utilities Industry Principal Director
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yr HybridFull Time
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri
3mo
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Dishwasher/Utility
Burlington, Massachusetts, United States
$15-$19/hr OnsiteFull Time
Dishwasher/Utility responsible for cleaning, stocking supplies, and maintaining facilities and restrooms.
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