RN Utilization Management Reviewer

Blue Cross and Blue Shield of Massachusetts Hingham, Plymouth
Pharmacist Full-time On-site New Published
$80,059 - $97,864

Job Details

Category: Pharmacist
Job Type: Full-time
Work Arrangement: On-site
Location: Hingham, Plymouth
Posted: Sep 21, 2025

Job Description

Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical skills, principles of managed care, nationally-recognized medical necessity criteria, and com…

About Blue Cross and Blue Shield of Massachusetts

Company: Blue Cross and Blue Shield of Massachusetts

Contact: careers@bluecrossandblueshieldofmassachusetts.com

Interested in this role?

This job is hosted on an external site. Click below to apply directly.

Apply on External Site Opens in a new tab - no account required
Have a Job to Post?

Reach qualified candidates and grow your team. Post your job today!

Easy setup • Quality candidates • Manage applications

Job Details

Location
Hingham, Plymouth
Posted
1 day ago
Expires
Oct 21, 2025
Salary Range
$80,059 - $97,864
Share this Job
Back to Jobs Posted by Adzuna Import System on Sep 21, 2025