- Gilead Sciences, Inc. (Boston, MA)
- …appropriate use of our product. + This role will report to the Senior Marketplace Director for a specific region. + The key stakeholders for this role are those who ... comfort with CAR T process to avoid barriers in utilization . + Provide clinical instruction to clinical staff (eg,...+ Provide clinical instruction to clinical staff (eg, AE Management Guide, Product Insert [PI]). + Help Key Account… more
- ZOLL Medical Corporation (Boston, MA)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Beth Israel Lahey Health (Needham, MA)
- …and leadership for Utilization Review, working closely with HIM and Case Management , chairing UR committee and reviewing and signing off Code 44 cases in real ... and administrative affairs related to health care delivery and medical staff management of patient care while providing a visible, institutional commitment to… more
- Fallon Health (Worcester, MA)
- …include products, benefits, claims, referral and eligibility verification processes, utilization management guidelines, etc. Activities include conducting both ... policies and procedures for products, benefits, claims, referral, and eligibility and utilization management . + Co-lead internal and external Joint Operations… more
- Fallon Health (Worcester, MA)
- …to Achieve Results - Focuses Group Efforts - Facilitates Change - Motivates Others - Utilization Management - Collaborates with Management team to meet MLR ... accepted social work practice. Collaborates with IDT and SE management team to ensure utilization and MLR...addresses employee relations issues immediately and directly. Keeps Site Director informed of all employee relations issues and other… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Assumes the role of Home Care Coordinator as assigned by Home Care Director including: Conducts in-home functional, medication management , and home safety ... $10,000 sign on bonus! Works with the Home Care Director and Home Care Manager to ensure effective coordination...+ Assists Home Care Manager/Residential Nurse manager to monitor utilization and processes for stocking Nursing and health aide… more
- Point32Health (MA)
- …(https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst will be ... Point32Health reports and financial analytics that focus on medical cost, utilization , membership, trends, and ad hoc requirements. Based on detailed analytics,… more
- Highmark Health (Boston, MA)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review, local/ national client demographics and dentist ... terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while… more
- Option Care Health (Boston, MA)
- …presentations within Option Care and externally with customers (ex. medical director , head of case management , executive c-suite individuals). **Travel ... conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for… more
- Prime Therapeutics (Boston, MA)
- …formularies, including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more