- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …develop mitigation strategies. Other NCQA accreditation work includes delegation oversight and preparing documentation for accreditation submission. The Team: As ... an integral part of HMM Quality and Compliance team, the Clinical Program Manager works...compliance with regulatory and compliance requirements + Perform delegation oversight activities in accordance with NCQA standards, Regulatory standards,… more
- Prime Therapeutics (Boston, MA)
- …Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations ... with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a team of directors and/or Sr directors and… more
- WellSense (Boston, MA)
- …as well as the substance use disorder (SUD) Physician, to provide clinical oversight and programmatic guidance for SUD and mental health issues, collectively known ... **.** **Works closely with internal stakeholders, to include the WellSense SUD Medical Director and NH Medical Director as appropriate to meet WellSense… more
- Beth Israel Lahey Health (Needham, MA)
- …lives.** This role is responsible for ensuring consistent, compliant, and high- quality medical staff services in support of credentialing, privileging, governance, ... practice evaluation. The Manager oversees personnel management, operational workflows, quality improvement initiatives, policy alignment, and performance metrics. Maintains… more
- University of Massachusetts Amherst (Amherst, MA)
- …challenges in our world. Job Summary Under the general supervision of the Assistant Director for Campus Safety & Fire Prevention, or other person designated by the ... Executive Director of EH&S, develops, implements, maintains, and manages all...shifts, providing training, coaching, scheduling, standing operating procedures and oversight of their completion and compliance with assigned tasks… more
- Humana (Boston, MA)
- …based on the established pillars for consistent clinical decision-making: self-identification, quality oversight and monitoring, calibration on criteria, and ... will work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality audits, prior… more
- ASM Global (Bridgewater, MA)
- …Edge Sports Global - Bridgewater Ice Arena, MassachusettsReports To: Director of FacilitiesClassification: Full-Time, ExemptPosition Summary: The Facility Manager at ... cleanliness of the arena facility. This position works directly with the Director of Facilities to manage day-to-day tasks, oversee ice and mechanical operations,… more
- Beth Israel Lahey Health (Needham, MA)
- …President of the Medical Staff and the Medical Staff Executive Committee and the CNO- in oversight of the quality plan. The role of the CMO does not usurp the ... Care Assessment Coordinator of the Hospital, provides direction/support to Director of Quality and Safety, actively participates...in HIM automation. + The CMO will have direct oversight of the Medical Staff Office, Hospitalist program, and… more
- East Boston Neighborhood Health Center (MA)
- …strategic initiatives, and for setting the BH standards and model of care for and oversight of all service lines across the BH continuum of care for both campuses as ... as defined by the Executive and Senior Management team, into the operational oversight of all departments. Be the Provider of Choice to all major stakeholders,… more
- Prime Therapeutics (Boston, MA)
- …Rebate Pharmacy Operations **Job Description Summary** This position provides administrative oversight and management of rebate operations team and is responsible ... auditors for yearly SOC-1 audit. + Works directly with Director to fulfill OIG and CMS audit requests. +...of the department. + Ensures measured productivity standards and quality of the department are achieved. + Works with… more