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Impactful PT Utilization Review Specialist
Job in
Hingham, Plymouth County, Massachusetts, 02043, USA
Listed on 2026-07-21
Listing for:
Blue Cross and Blue Shield of Massachusetts, Inc.
Full Time, Part Time
position Listed on 2026-07-21
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Blue Cross and Blue Shield of Massachusetts, Inc. is seeking a Physical Therapy Utilization Management Reviewer in Hingham to evaluate outpatient rehabilitation services for medical necessity and guideline alignment.
This full-time role involves working with providers and members, conducting pre-certification, concurrent, and retrospective reviews, and ensuring cost-effective, high-quality plans of care while adhering to regulatory requirements. Massachusetts licensure within 6 months required.
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