Optometrist -Part Time Remote (2026-49345)

Optometrist -Part Time Remote Job Number: 2026-49345 Category: Healthcare Location: North Quincy, MA Shift: Day Exempt/Non-Exempt: Non Exempt Business Unit: ForHealth Consulting Department: ForHealth Consulting - Office Of Clinical Affairs - W401300 Job Type: Part-Time Union Code: Non Union Position-W00-Non Benefited Num. Openings: 1 Post Date: Feb. 13, 2026 Work Location: 100% Remote Salary Minimum: USD $58.00/Hr. Salary Maximum: USD $65.00/Hr. Under the general direction of the Director or designee, the Optometrist has direct responsibility for evaluation of requests for Prior Authorization (PA) of claims for certain visual assistance devices and equipment including but not limited to eyeglasses, custom lenses, certain ophthalmic medications and timely determination of the medical necessity of those requests within MassHealth regulations. The Optometrist shall also make determinations of medical necessity for visual evaluations, replacement of lost or stolen visual aids, repair or replacement of malfunctioning visual aids or other visual assistance requests as required. They shall also work with MassHealth staff to evaluate emerging products and technologies for consideration of addition to MassHealth coverage.

• Review services for medical necessity identified by relevant Current Procedural Terminology (CPT) codes, provided that review will be determined by relevant MassHealth regulations and deadlines and the Optometrist Manual which shall be controlling.
• Participate and testify as necessary in Fair Hearings of MassHealth concerning appeals resulting from decision of medical necessity of requests for visual services or other matters concerning optometry services.
• Provide staff advice to OCA and MassHealth concerning visual Services including coverage decisions and all relevant visual service matters.
• Be available onsite at OCA offices or elsewhere on a reasonable basis for review of cases, hearings, conferences and presentations as required by OCA.
• Understands the unique challenges and solutions to serve those receiving services in the safety net.
• Perform other duties within professional scope, as required.
• Doctoral degree - Doctor of Optometry (OD)
• 5 years of experience in full scope in optometry and experience in policy, healthcare, or multi settings would be beneficial.
• Experience in the application of State and Federal Medicaid rules and regulations or willingness and ability to become proficient
• Current License with Glaucoma Certification
• Current License with Massachusetts Practice of Optometry

Preferred Qualifications:

• 5 years full scope Optometry

#LI-AC1 Posting Disclaimer: This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution. In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams. Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role. In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan. UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws. Apply tot his job Apply To this Job