- 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 ... 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
- Boston Center for the Arts (Boston, MA)
- …security programs, building maintenance and modifications, management control systems, operating policy and procedures and facility. The Associate Director of ... Associate Director of Facilities Reports to Senior Director...programs, building maintenance and modifications, management control systems, operating policy and procedures and facility planning. + Coordinate large… more
- Athena Health Care Systems (Worcester, MA)
- …and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff, regardless of position or work location, ... We are hiring a Director of Nursing Services to join our dynamic...of our Nursing Services Department in accordance with federal, state , and local standards, guidelines, and regulations that govern… 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...if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.… 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 ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Boston, MA)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Merck (Boston, MA)
- **Job Description** The Global Medical Excellence Director (GMED) reports to the Sr. Director , Global Medical Excellence, and is an experienced leader/subject ... objectives. + Internal strategic excellence: In coordination with those in Executive Director Medical Affairs (EDMA), Global Director Medical Affairs (GDMA), and… more
- United Therapeutics (Boston, MA)
- …the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... and other healthcare professionals are well versed on PAH disease state , disease progression, risk stratification, therapies, and clinical considerations. You are… more
- Transdev (Dorchester, MA)
- …MA is seeking a Director of Safety and Training for its Boston Public Schools ("BPS") transportation contract. The Director of Safety and Training reports to ... overall department and all programs implemented. In addition, the Director of Safety and Training is responsible for timely...of school bus incidents, ensures compliance with federal and state laws, and oversees the review and design of… more
- Commonwealth Care Alliance (Boston, MA)
- 023520 Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the Utilization Review ... to assist in complex or difficult case + Ensure compliance with medical policy . Maintains compliance with all federal, state , and local regulatory guidelines.… more