• Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …admitted to the Clinic Attending Physicians: Coordinates appropriate documentation Medical Director for / Managed Care, Physician Advisors Works collaboratively ... closely with other administrative and clinical areas under the direction of the Executive Director and the VP of Revenue Cycle/Chief Revenue Officer as part of an… more
    Beth Israel Lahey Health (06/06/25)
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  • Temporary, Utilization Review Medical…

    Commonwealth Care Alliance (Boston, MA)
    …Associate Medical Director (or equivalent) or physician reviewer in a Managed Care Plan preferred. **Required Knowledge, Skills & Abilities (must have):** + ... Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the Utilization Review Medical… more
    Commonwealth Care Alliance (08/20/25)
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  • Lead Managed Care Contract Manager

    Baystate Health (Springfield, MA)
    …teams. 11) Validates data extracts and analyzes any data variances. 12) Conduct service line managed care reimbursement analysis as requested by Management. 13) ... Summary Description: The Sr. Managed Care Contract Manager will act as the...expert related to manage care contracts 5) Will support director with payer contract negotiations, quantitative analysis and report… more
    Baystate Health (08/30/25)
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  • Director Of Dining Services I - K12…

    Compass Group, North America (Norwood, MA)
    Chartwells K12 **Position Title: DIRECTOR OF DINING SERVICES I - K12 FOOD SERVICE - NORWOOD, MA** **Salary:** $80,000 - $95,000 **Other Forms of ... Compass Employee Referral Policy, email [email protected]._** **Job Summary** Working as a ** Director of Dining Services ** , you are responsible for… more
    Compass Group, North America (08/15/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country. ... routine but productive assignments. Typically reports to a finance manager or director . *_Essential Functions_* * * Knowledge regarding current and evolving provider… more
    Atrius Health (06/04/25)
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  • Director of Nursing Services

    Athena Health Care Systems (Worcester, MA)
    We are hiring a Director of Nursing Services to join our dynamic care team at Worcester Rehabilitation & Health Care Center! Worcester is a 146-bed skilled ... not only committed to delivering high-quality care and customer service to our patients and their families, but we...allow you to grow within the company. As a Director of Nursing Services , the purpose of… more
    Athena Health Care Systems (08/15/25)
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  • Field Director , Medical Science Liaison…

    Grifols Shared Services North America, Inc (Fall River, MA)
    …transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. The primary responsibility ... of the MSL Field Director is the management, performance, and coaching of a...to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and… more
    Grifols Shared Services North America, Inc (07/24/25)
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  • Director of Social Services

    Athena Health Care Systems (Marlborough, MA)
    We are hiring a Director of Social Services to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center! 8a-4p schedule with weekly ... not only committed to delivering high-quality care and customer service to our patients and their families, but we...an approved school of social work. + For a Director of Social Services role, a master's… more
    Athena Health Care Systems (07/08/25)
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  • Behavioral Health Medical Director

    Humana (Boston, MA)
    …**Additional Information** Typically reports to an Associate Vice President of Health Services , Lead, or Corporate Medical Director , depending on size of ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… more
    Humana (08/09/25)
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  • Medical Director - Care Plus - Florida

    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
    Humana (06/28/25)
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