- Humana (Boston, MA)
- …investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced ... reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I is ... within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims...I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Summary:** The Global Integrated Evidence Operations , Associate Director role primarily focuses on leading and logistical management of integrated ... ICEPs in our digital planning solution. The Global Integrated Evidence Operations , Associate Director works closely with Global Integrated Evidence… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... + Experience working within the pharmaceutical industry within data operations /data management environments. + Significant experience with Commercial third-party… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Job Summary** **** The Associate Director, MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... for ensuring the robustness, scalability, and compliance of downstream operations through effective technology transfer, validation support, process monitoring,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- ** Associate Director, Field Strategy, Nephrology/Immunology** **Position overview:** The ** Associate Director, Field Strategy** plays a critical role in enabling ... and execution through standardized dashboards. + Partner with Commercial Operations to **streamline reporting processes** and provide clear, actionable insights… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **_Associate Director, Established Brands Marketing_** **Position Summary** The Associate Director, Established Brands Marketing is responsible for driving marketing ... + **Cross-Functional Collaboration:** Work closely with, market access, Finance, Commercial operations , and medical teams to ensure seamless execution of brand… more
- Lawrence General Hospital (Lawrence, MA)
- …and state healthcare laws and regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, HIPAA, and other fraud , waste, and abuse regulations + ... POSITION SUMMARY The Chief Compliance Officer and Associate General Counsel provides strategic leadership of the...while serving as a key legal advisor on hospital operations and regulatory matters. Reporting directly to the General… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …payment policy, care management, pharmacy, health and wellness programs, fraud /waste/abuse, behavior change, unit cost initiatives, product and network redesign ... The role also includes the development and communication of market segment medical claims expense trends with the aim to provide insights that inform pricing,… more
- Cardinal Health (Boston, MA)
- …legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate ... all company legal matters, manages outside counsel and manages legal operations . Legal Management provides strategic oversight, leadership and direction within the… more