• Medical Director - Medicare Grievances…

    Humana (Boston, MA)
    …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 scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
    Humana (08/08/25)
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  • Medical Director

    Open Sky Community Services (Worcester, MA)
    …an experienced and innovative clinical leader to join our leadership team as the Medical Director and make a profound impact on the clinical care we provide to the ... individuals and families we serve. The Medical Director leads the design and implementation of all medical practices within the organization, including clinical and… more
    Open Sky Community Services (07/23/25)
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  • Education Director , Solstice School

    Beth Israel Lahey Health (Rowley, MA)
    …9. Ensures compliance with guidelines set by DESE and other licensing agencies. 10. Provides regular supervision for staff and completes annual performance ... as outlined in their individualized educational plan (IEP). The Education Director leads development, implementation, and evaluation of efforts related to student… more
    Beth Israel Lahey Health (08/10/25)
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  • Hospice Clinical Director

    Beth Israel Lahey Health (Beverly, MA)
    …you're making a difference in people's lives.** Reporting directly to the Executive Director of Hospice and Palliative Care, and in collaboration with the BILH at ... Home Leadership Team, The Hospice Director of Clinical Operations executes the overall strategic direction...that structure and processes are in place to promote compliance with CoP's and regulatory standards. 8. Leads and… more
    Beth Israel Lahey Health (07/16/25)
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  • Associate Director , Discovery Portfolio…

    Merck (Boston, MA)
    **Job Description** **Associate Director ,** Discovery Portfolio Management, GPAM (P4) Global Project and Alliance Management (GPAM) sits in the R&D organization in ... area operations groups within our Company. **Position Description/Summary** The Associate Director , Discovery Portfolio Management, is a core functional area member… more
    Merck (08/29/25)
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  • Field Medical Director - Vascular Surgery

    Evolent (Boston, MA)
    …Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (08/28/25)
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  • Field Medical Director , Cardiology

    Evolent (Boston, MA)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (08/15/25)
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  • Hospice Clinical Director

    Athena Health Care Systems (Haverhill, MA)
    We are hiring a full-time Hospice Clinical Director to join our care team with Hospice Services of Massachusetts in the Haverhill area! Salaried role with weekly ... allow you to grow within the company. The Clinical Director is responsible for the overall direction of hospice...Education: + Must hold an active and unencumbered RN license in Massachusetts and have a bachelor's degree in… more
    Athena Health Care Systems (08/09/25)
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  • Field Medical Director , Interventional…

    Evolent (Boston, MA)
    …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (07/30/25)
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  • Senior Regional Director of Nursing

    Athena Health Care Systems (Worcester, MA)
    Athena Health Care Systems is hiring a Senior Regional Director of Nursing to support the quality of care at our Massachusetts and Rhode Island skilled nursing ... This is a salaried role with weekly pay. The Director of Nursing Practices is directly responsible for the...Experience: + Must possess an active and unencumbered RN license in Massachusetts. + Bachelor of Science in Nursing… more
    Athena Health Care Systems (07/17/25)
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