medical reviewer jobs in Billerica, MA

A healthcare services company is seeking a Board Certified (M.D, D.O) Physician Reviewer for evaluating insurance appeals and claims in Boston. The role involves reviewing medical records using client-specific criteria, ensuring clear documentation of decisions, and maintaining required credentials. The position offers flexible scheduling and a robust opportunity for supplemental income. Ideal...

A recognized healthcare organization is seeking a Physician Reviewer/Advisor to utilize clinical expertise in the review of insurance appeals and claims. The ideal candidate will provide interpretations regarding the medical necessity of services based on specific client policies and national guidelines. Responsibilities include reviewing medical records, ensuring documentation supports...

Summary: Pay Rate:$110.00 to $ 120.00 Per Hour Position Overview: The Medical Reviewer role is to perform medical case review and to provide expertise on all aspects of it with emphasis on harmonization of medical review approach. This role will interface across all levels and functional areas of GPSRM and partner with the clinical development as well as Data Management teams. The exceptional...

The promise of genetic medicine has arrived, and Sarepta is at the forefront. We hold a leadership position in Duchenne muscular dystrophy (Duchenne) and are building a robust portfolio of programs across muscle, central nervous system, and cardiac diseases. In 2023, we launched our fourth therapy and the first ever gene therapy to treat Duchenne.We’re looking for people who see unlimited...

A leading healthcare services company is seeking a Medical Director to oversee the review of home health and Medicare services. The role demands an MD or DO degree and board certification, along with 5+ years of patient care experience. Responsibilities include clinical case reviews and compliance with national guidelines. The position offers a salary range between $223,800 and $313,100 annually,...

A prominent health insurance company is looking for a Prior Authorization Medical Clinician to review hospitalization and outpatient services for medical necessity. The role offers full-time remote work with a salary range of $35.58 – $51.44 per hour, including excellent benefits. Ideal candidates will possess an RN license and have experience in prior authorization and managed care. Join us in...

Contract Review Specification ManagerOur people are the heart of our business. As the world's largest provider of thermal processing services, Bodycote employs thousands of highly skilled staff around the globe, including some of the best engineers, scientists, and technicians in the industry. Come join our team!Due to the nature of our business and a heavy industrial market, Bodycote deems this...

Anticipated End Date:2025-12-19Position Title:Nurse Reviewer IJob Description:Nurse Reviewer IVirtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill...

Overview Technical Review Specialist, Mass Save Turnkey Services — Hybrid position, ideally located in eastern Massachusetts.Want to make a real difference in the world—and enjoy doing it?Abode Energy Management (Abode) cares deeply about the work we do and its impact on the planet’s future. We are a fast-growing energy efficiency program implementer in the Northeast, leading electrification and...

Great Life work Balance position with excellent benefits! Participates as a member of the PACE Interdisciplinary Team in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care. Assesses the participants needs for home care services and schedules, monitors and evaluates home care services. This is a full-time position,...

Sun Pharma is the world's fourth largest generics company with presence in Specialty, Generics and Consumer Healthcare products. Supported by more than 40 manufacturing facilities, we provide high-quality medicines, trusted by healthcare professionals and patients, to more than 100 countries across the globe. Over the last two decades, Sun Pharma has established itself as a leading player in the...

Medical Director, Oncology (Billerica MA)Join to apply for the Medical Director, Oncology (Billerica MA) role at EMD Serono, Inc.Work Your Magic with us! Start your next chapter and join EMD Serono. Ready to explore, break barriers, and discover more? We know you’ve got big plans – so do we! Our colleagues across the globe love innovating with science and technology to enrich people’s lives with...

Registered Nurse (RN) | Medical-Surgical Location: Concord, MA Agency: Host Healthcare Pay: $2,067 to $2,220 per week Shift Information: Nights Contract Duration: 13 Weeks Start Date: 1/26/2026 About the Position TravelNurseSource is working with Host Healthcare to find a qualified Med/Surg RN in Concord, Massachusetts, 01742! Host Healthcare is an award-winning travel healthcare company with...

Job Description GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Everett, Massachusetts. Job Description & Requirements - Specialty: Utilization Review - Discipline: RN - Start Date: 01/13/2026 - Duration: 13 weeks - 40 hours per week - Shift: 8 hours, days - Employment Type: Travel Contract - W2 Case Management/Utilization Review Registered Nurse...

Orthopedic Oncologist Opportunity - Burlington, MABoston 16mWe are seeking a board certified/board eligible fellowship-trained orthopedic surgeon with sub-specialty training in musculoskeletal oncology. This position is based at a hospital in Burlington, MA, and at a medical center in Peabody, MA. Position Details - Focus on providing specialized care in orthopedic oncology for adult patients -...

GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Everett, Massachusetts. Job Description & Requirements - Specialty: Utilization Review - Discipline: RN - Start Date: 01/13/2026 - Duration: 13 weeks - 40 hours per week - Shift: 8 hours, days - Employment Type: Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...

Great Life work Balance position with excellent benefits! Participates as a member of the PACE Interdisciplinary Team in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care. Assesses the participants needs for home care services and schedules, monitors and evaluates home care services. This is a full-time position,...

Great Life work Balance position with excellent benefits! Participates as a member of the PACE Interdisciplinary Team in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care. Assesses the participants needs for home care services and schedules, monitors and evaluates home care services. This is a full-time position,...

Great Life work Balance position with excellent benefits! Participates as a member of the PACE Interdisciplinary Team in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care. Assesses the participants needs for home care services and schedules, monitors and evaluates home care services. This is a full-time position,...

Great Life work Balance position with excellent benefits! Participates as a member of the PACE Interdisciplinary Team in the planning, implementation and evaluation of care plans that meet the objectives, standards and policies of the PACE model of care. Assesses the participants needs for home care services and schedules, monitors and evaluates home care services. This is a full-time position,...