- Tufts Medicine (Boston, MA)
- …New England Eye Center at the Associate Professor or Professor rank. The Director is responsible for ensuring that clinical services provided are in accord ... ** Director of Vitreoretinal Diseases & Surgery** _New England...investigation of patient relations concerns. + In conjunction with clinical manager and nursing leads, compliance with medical… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal… more
- Commonwealth Care Alliance (Boston, MA)
- …care environment is strongly preferred. + Primary care discipline, prior experience as Associate Medical Director (or equivalent) or physician reviewer in ... 023520 Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the Utilization… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug ... appeals (Part D & B). The Medical director work assignments involve moderately complex...CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will… more
- Guidehouse (Boston, MA)
- …your DNA? Breakthroughs in pharma are helping people live healthier lives, while medical devices enable patients to proactively maintain health - this is undoubtedly ... Sciences practice is an engine of innovation, helping pharmaceutical, biotech, medical device, and diagnostic companies develop custom solutions that tackle today's… more
- Guidehouse (Boston, MA)
- …program design, implementation, and monitoring services to pharmaceutical, biotechnology, and medical device, companies. We support our clients across the lifecycle ... 7-10 years of Life Sciences (Pharmaceutical, Biotech, Specialty Pharma and/or Medical Technology) consulting experience or blend of consulting & industry experience.… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …provide oversight of practice management including direct provider supervision, operational issues and clinical performance. The Medical Director will have ... in Boston, Massachusetts in vibrant and diverse clinics. The Medical Director is responsible for ensuring that...are encouraged. Each physician is assigned a registered nurse, clinical associate , and scheduler. There is no… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …with a passion for medical education for a full time position as Medical Director at our Jamaica Plain location in Boston, Massachusetts. This full-time ... multiple specialties, radiology, laboratory services and Urgent Care. The Medical Director is responsible for ensuring that...are encouraged. Each physician is assigned a registered nurse, clinical associate , and scheduler. There is no… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more