- Datavant (Boston, MA)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- State of Massachusetts (Boston, MA)
- …function of the bureau. Surveillance activity is complemented by an extensive contracted service system. These services are funded through state and federal ... prevention education, community outreach screening for infectious disease, immunization services , health service navigation, medical case management, insurance… more
- Humana (Boston, MA)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Regional Account Director , New England North **Location:** Remote/Field Based **About the Job** The Regional Account Director reports to the ... of short- and long-term business plans that will optimize appropriate coverage, coding , Utilization Management, payment of and patient access to Sanofi products.… more
- Humana (Boston, MA)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... Bold Goal mission, throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …10 Gove Street - Taylor Building Position Summary: Position Summary: The Medical Director of Psychiatry and the Behavioral Health Urgent Care (BHUC) Department is ... Due to the wide scope of practice, the medical director will need to be an experienced psychiatrist. This...of grant writing and reporting + Works closely with coding and billing departments to assure proper coding… more
- East Boston Neighborhood Health Center (MA)
- … and for the Center of Excellence training team, including the Program Director . This role focuses on enhancing service delivery, workforce development, quality ... to services . 1.Develop and implement strategic plans to enhance service delivery and patient outcomes. 2.Assist in implementing and evaluating medical standards,… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Central Clin Ops Leadership **Position Summary:** Reporting to the Sr. Medical Director of Utilization Management (UM) and Policy, the Medical Policy Director ... to medical, behavioral health, and social determinants of health services specific to the population serviced by CCA. The...to the population serviced by CCA. The Medical Policy Director is an independent contributor who works in partnership… more
- Aveanna Healthcare (Worcester, MA)
- Home Health RN Clinical Director 15K Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 207179 Location: Worcester, MA 01606 Category: Nursing Salary: ... plan and $15k Sign-On Bonus ** Position Overview TheClinical Director Home Healthis a qualified professional responsible for the...for the planning, coordination, and delivery of quality care services to the client. This individual reports to and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …dotted line reporting relationship to the VP, Revenue Performance Management, the Director of Billing Compliance ensures the integrity and accuracy of billing ... and industry standards, focusing on hospital and professional billing compliance. The Director acts as the 'second line of defense' to ensure effective operational… more