• Field Medical Director , Cardiology

    Evolent (Boston, MA)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
    Evolent (08/15/25)
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  • Field Medical Director -Vascular…

    Evolent (Boston, MA)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
    Evolent (08/03/25)
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  • Field Medical Director , MSK (Spine)…

    Evolent (Boston, MA)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... cases. you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
    Evolent (07/02/25)
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  • National Director , Care Integration…

    CenterWell (Boston, MA)
    …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction,… more
    CenterWell (08/15/25)
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  • Behavioral Health Medical Director

    Humana (Boston, MA)
    …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...healthcare providers, clinical group practice management + Utilization management experience in a medical more
    Humana (08/09/25)
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  • Field Medical Director , Oncology

    Evolent (Boston, MA)
    …in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...Oncology, you will be a key member of the utilization management team. We can offer you… more
    Evolent (05/20/25)
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  • Field Medical Director

    Evolent (Boston, MA)
    …in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...Surgery you will be a key member of the utilization management team. We can offer you… more
    Evolent (06/11/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Boston, MA)
    … will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical more
    CVS Health (08/08/25)
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  • Regional Field Director , RNS Program…

    United Therapeutics (Boston, MA)
    …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
    United Therapeutics (08/10/25)
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  • PV Risk Management Scientist/Associate…

    Takeda Pharmaceuticals (Boston, MA)
    …inspire you and empower you to shine? Join us as a PV Risk Management Scientist/Associate Director . At Takeda, we are transforming the pharmaceutical industry ... for excellence in everything we do. As an Associate Director / PV Risk Management Scientist, being part...controlled access program + Provide guidance regarding tracking risk management commitments including utilization of a tracking… more
    Takeda Pharmaceuticals (05/22/25)
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