- Humana (Boston, MA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- CVS Health (Wellesley, MA)
- …every day. **Position Summary:** CVS Health is seeking a strategic and collaborative Executive Director to lead our Account & Delivery Management team. This role ... Resource Management ** + Oversee project workflow, resourcing plans, and utilization reporting to ensure efficiency and transparency. + Identify and implement… more
- Humana (Boston, MA)
- …provider population health programs focused on Stars, HEDIS, MRA, chronic condition management , and other efforts to reduce avoidable utilization * Supporting ... community and help us put health first** The Clinical Director is a key member of the regional clinical...performance, and coordinating with cross-functional teams to drive quality, utilization , and cost-of-care outcomes. At the core, this is… more
- State of Massachusetts (Haverhill, MA)
- …in our ten-year involvement as a Leader College in Achieving the Dream, a national network of community colleges dedicated to using data to close student achievement ... with the goal of student success. * Job Description:* *POSITION: Full-Time Director of Infrastructure and Client Services ( Director ): *IT Client Computing;… more
- Evolent (Boston, MA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Surgery you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- Evolent (Boston, MA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- United Site Services (Westborough, MA)
- …teamwork, and excellence in every aspect of our business. **Primary Purpose** The Director , National Fence Operations is a key strategic leader responsible for ... event success. Our deep industry expertise, excellence in process management , and dedication to corporate responsibility are pillars of...scaling and optimizing USS's national fence operations, including support for Events. This role… more
- Commonwealth Care Alliance (Boston, MA)
- 011200 CCA-Central Clin Ops Leadership **Position Summary:** Reporting to the Sr. Medical Director of Utilization Management (UM) and Policy, the Medical ... to the population serviced by CCA. The Medical Policy Director is an independent contributor who works in partnership...have):** + 10 years of experience in medical policy, utilization management , clinical program leadership within a… more
- Sedgwick (Boston, MA)
- …:: To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business lines ... on site at client locations; to provide expertise in client specific case management and utilization review requirements; and to ensure customer satisfaction… more
- CBRE (Boston, MA)
- Business Development Senior Director , Enterprise Occupier Solutions Job ID 208590 Posted 28-Feb-2025 Service line GWS Segment Role type Full-time Areas of Interest ... **The client-facing title for this role is Senior Managing Director , Business Development** We are seeking a Senior ...and grow activities in integrated Real Estate and Facilities Management outsourcing pursuits, and will lead interactions in a… more