- Point32Health (MA)
- …healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to ... healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to… more
- Tufts Medicine (Burlington, MA)
- …strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to strategically plan , organize, implement, and evaluate ... departments, such as Coding, Utilization Management (UM), Case Management, Quality and Physician advisors and leaders. The Director...key performance indicators (KPI) for the department and the health care system. The Director assists in… more
- Skanska (Boston, MA)
- Skanska is searching for a dynamic Program Director . This is a great opportunity to start a career with a company that builds things that matter and values its team. ... construction and project delivery expertise translates directly into maximum savings and quality . Acting in the role of Owner's Agent, the Project Director… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case-by-case… more
- Takeda Pharmaceuticals (Lexington, MA)
- …is true to the best of my knowledge. **Job Description** **OBJECTIVES** **:** The Director , Medical Information & Review will work closely with the Sr Director , ... across a broad portfolio of products within a given therapeutic area. The Director will also support implementation of US Medical communication strategies and other… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in medical policy, utilization management, clinical program leadership within a health plan , integrated delivery system, academic, or regulatory body ... (must have):** + Demonstrated competence with policy research and development within a health plan , government agency, regulatory or accreditation body + Must… more
- Sumitomo Pharma (Boston, MA)
- …services execution and fosters strategic partnerships with service providers to deliver high- quality patient support. The Director plays a critical role in ... Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With… more
- Bear Mountain Health Care (Worcester, MA)
- …Mountain Healthcare is looking for an experienced, motivated, and creative Assistant Director of Nursing (ADON/ADNS) for our Worcester, MA location. As the ... of the nursing department. You will work closely with the DON/DNS to improve the quality of patient care and services provided by your team. In their absence, you… more
- Highmark Health (Boston, MA)
- …centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) + ... business. This will require aligning new models to the health plan 's strategic objectives based on a...5 years Familiarity with the delivery of health care services across the continuum and … more
- Pfizer (Cambridge, MA)
- …interest, to identify provider and/or patient knowledge gaps, and areas for quality improvement interventions. The Director will develop, in conjunction with ... as well as pipeline assets depending on business needs and priorities. The Director will develop long-term relationships with a wide variety of key healthcare… more