Jobs near Waltham: 15,882
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Relevance Score ranked on: CLINICAL
Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorization)
Remote Waltham
As a Clinical Guide on our Outpatient Utilization Management team, you’ll have the opportunity to make a difference in the lives of our members. You’ll be responsible for clinical review of outpatient authorization requests — applying evidence-based medical necessity criteria, CMS and Medicare Advant...
Search Terms: Clinical, Authorization, Outpatient, Management, Patient
90.5
0mi
Updated: August 26
Clinical Guide Part A: (UM) Utilization Management Nurse
Remote Waltham
The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient, behavioral health, and/or post-acute authorization review in alignment with CMS and Medicare Advantage regulations. Reviews medical records to evaluate the medical necessity and appropriateness of re...
Search Terms: Clinical, Guide, Management, Behavioral Health, Nurse
90.2
0mi
Updated: August 26
Clinical Pharmacist - Clinical Pharmacy Programs (Bilingual - Cantonese/Mandarin)
Remote Waltham
This position represents an amazing opportunity for a motivated and passionate pharmacist to join a high performing team that runs award winning programs and is at the forefront of innovation in pharmacy care. We’re looking for a superstar pharmacist to help us build the future of pharmacist-led care...
Search Terms: Clinical, Pharmacy, Pharmacist, Bilingual, Program
89.7
0mi
Updated: August 21
Clinical Pharmacist - Clinical Pharmacy Programs
Remote Waltham
This position represents an amazing opportunity for a motivated and passionate pharmacist to join a high performing team that runs award winning programs and is at the forefront of innovation in pharmacy care. We’re looking for a superstar pharmacist to help us build the future of pharmacist-led care...
Search Terms: Clinical, Pharmacy, Pharmacist, Program, Clinic
89.7
0mi
Updated: August 21
Clinical Pharmacist - Clinical Pharmacy Programs (Bilingual - Spanish)
Remote Waltham
This position represents an amazing opportunity for a motivated and passionate pharmacist to join a high performing team that runs award winning programs and is at the forefront of innovation in pharmacy care. We’re looking for a superstar pharmacist to help us build the future of pharmacist-led care...
Search Terms: Clinical, Pharmacy, Pharmacist, Spanish, Bilingual
89.7
0mi
Updated: August 21
Payment Integrity Program Development Senior Manager – Clinical & Facility Specialist
Remote Waltham
As our Senior Payment Integrity Program Development Manager, you will serve as the primary clinical architect and inventor behind Devoted’s clinical claim edit and audit pipeline. Operating in a high-autonomy, outcomes-driven individual contributor role, you will conduct independent clinical research...
Search Terms: Clinical, Manager, Payment, Development, Senior
89.7
0mi
Updated: August 23
Director, Clinical Pharmacy Stars Performance
Remote Waltham
As Director, Clinical Pharmacy Stars Performance, you are the tactical owner of every clinical pharmacy-related measure in our Medicare Advantage and Part D Star Ratings portfolio. Your job is to drive our clinical pharmacy Stars enterprise strategy into daily reality, measure by measure, member by m...
Search Terms: Clinical, Pharmacy, Director, Performance, Clinic
88.9
0mi
Updated: August 11
Clinical Specialist, Joint Replacement - Metrowest/Concord, MA
Waltham
Work Flexibility: Field-based. Clinical Specialist, Joint Replacement – Concord, MA - Overview. As a Clinical Specialist at Stryker, you will help improve orthopedic surgeries around the world and play a direct role in our mission of making healthcare better. In this role, you will build deep clinica...
Search Terms: Clinical, Specialist, Placement, Customer Experience, Support
88.7
2.5mi
Updated: August 29
CMC Synthetics Clinical Manufacturing Leader
Cambridge
Act as a CMC core team member accountable for sourcing of clinical DS and DP supplies. Define project needs in terms of clinical manufacturing. Gather from project team short, mid and long-term forecast of activities. Establish, update and communicate sourcing plans. Lead sourcing strategy: internal ...
Search Terms: Clinical, Manufacturing, Leader, Clinic, Chemistry
88.6
5.3mi
Updated: August 31
Director of Clinical Operations and Innovation, Population Health
Remote Waltham
As Director of Clinical Operations and Innovation, you will be a key strategic and operational leader driving Devoted Medical’s organization-wide efforts to deliver best-in-class clinical outcomes. You will own and drive outstanding performance on core preventative care and clinical outcomes for our ...
Search Terms: Clinical, Director, Operations, Health, Innovation
88.5
0mi
Updated: August 04
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