- Evolent (Boston, MA)
- …mission. Stay for the culture. **What You'll Be Doing:** Evolent is seeking an ** Associate Medical Director - Cardiovascular Medicine** to play a critical role ... and expedited appeals,** ensuring compliance with UM policies and regulatory requirements. + Collaborate with cross-functional teams, including **clinical reviewers,… more
- Takeda Pharmaceuticals (Boston, MA)
- …company that will inspire you and empower you to shine? Join us as an Associate Director , Statistics in our Cambridge, MA office. At Takeda, we are transforming ... to fly to various meetings at investigator, vendor or regulatory agency sites. + Some international travel may be...hybrid" in accordance with Takeda's Hybrid and Remote Work policy . **Empowering Our People to Shine** Discover more at… more
- AbbVie (Boston, MA)
- …strong medical and scientific principles, knowledge of compliance and regulatory requirements, AbbVie's customers, markets, business operations, and emerging issues. ... Responsible for assessment and reporting of serious adverse events per corporate policy and regulations for those protocols on which assigned. + Contributes to… more
- Takeda Pharmaceuticals (Boston, MA)
- …analysis plans, scientific reports, briefing packages, clinical study reports, and regulatory labelling interactions. + Provide technical expertise and guidance on ... providers and payers. + Provides input into clinical development, regulatory , reimbursement documents. + Performs/manages, as appropriate, relevant research… more
- RTX Corporation (Boston, MA)
- …schedules, and compliance requirements. + 5+ years' of knowledge of Regulatory Requirements: Familiarity with regulatory requirements and standards related ... and the Vietnam Era Veterans' Readjustment Assistance Act._ **Privacy Policy and Terms:** Click on this link (http://www.rtx.com/privacy/Job-Applicant-Privacy-Notice) to… more
- AbbVie (Worcester, MA)
- …within the biologics industry; + using Quality policies, cGMP & other regulatory requirements; & + managing QC clinical & commercial projects by collaborating ... product development, Quality Systems, Product QA, Quality Control, Information Systems & Regulatory Affairs. Of experience required, must have at least 3 years of… more
- Humana (Boston, MA)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The ... Medical Director work assignments involve moderately complex to complex issues...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- Humana (Boston, MA)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more