- Beth Israel Lahey Health (Cambridge, MA)
- …and adverse effect management, review of medication profiles and the patient medical records. Documents clinical interventions in the electronic health record ... a difference in people's lives.** Based out of (Burlington, MA.) Job Summary: The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy practice… more
- Commonwealth Care Alliance (Boston, MA)
- …the organization. The Medical Policy Director ensures that the medical policies align with the organization's clinical and operational goals, meet ... Clin Ops Leadership **Position Summary:** Reporting to the Sr. Medical Director of Utilization Management (UM) and...Manage the development of new and review of existing medical necessity guidelines by working closely with clinical… more
- Grifols Shared Services North America, Inc (Fall River, MA)
- …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... aligned with goals and objectives. This position is a remote full-time role in the US with estimated 50%...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …as well as maintaining a patient panel of their own. The Medical Director -APP's weekly schedule will include onsite and remote hours. In addition, the this ... healthier lives. Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director -APP... Providers on the Primary Care team + Provides clinical supervision to advanced practice provider medical … more
- Sanofi Group (Cambridge, MA)
- …prioritization of Clinical Studies and pipeline initiatives, led by the Field Medical Clinical Director **Lead and communicate scientific and medical ... **Job Title:** Regional Medical Director , West T1D Immunology **Location:** US Remote...and team development, including leadership skills and T1D Immunology-related clinical and technical proficiencies + Monitor MSLs' accomplishments toward… 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...CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will… more
- Takeda Pharmaceuticals (Lexington, MA)
- …a technical and/or operational resource for direct reports. + Collaborates directly with medical strategy ( Medical Director , Scientific Director ) ... is true to the best of my knowledge. **Job Description** **OBJECTIVES** **:** The Director , Medical Information & Review will work closely with the Sr … more
- Humana (Boston, MA)
- …lead Medical Directors performing utilization management for inpatient authorizations training medical director team to assist and facilitate new hires and ... look at appeals rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations and Technology_ _:_… more
- CVS Health (Boston, MA)
- …the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical ... clinical expertise and business direction in support of medical management programs through participation in clinical ...of medical management programs through participation in clinical team activities. Acts as lead business and … more