- State of Massachusetts (Boston, MA)
- …delivery of health care services through networks of providers, or that employ utilization review systems to evaluate the medical necessity and appropriateness ... licensure. Review is of carriers' operations, including utilization review , quality assurance, contracts with pharmacies...Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to the Deputy… more
- Evolent (Boston, MA)
- …timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Boston, MA)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you will be a... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Actalent (Easthampton, MA)
- …, you will work closely with the Director of Operations, Executive Director , and Senior Management Team to plan, formulate, and develop new programs ... Job Title: Residential Director Job Description As a Residential Director...achieve goals while facilitating conflict resolution and maintaining appropriate utilization rates for all programs. Responsibilities + Assist and… more
- Evolent (Boston, MA)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality… more
- Tufts Medicine (Burlington, MA)
- …program strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to strategically plan, organize, implement, and ... with multiple revenue cycle and hospital departments, such as Coding, Utilization Management (UM), Case Management, Quality and Physician advisors and leaders.… more
- Prime Therapeutics (Boston, MA)
- …Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of Actuarial Forecasting leads a team of actuaries responsible ... and complex actuarial modeling + Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related to all… more
- Sanofi Group (Cambridge, MA)
- …external vendors. The position is based in Cambridge and will report to the Senior Director , Patient Support Services Marketing. We are an innovative global ... **Job Title:** Associate Director , Immunology, Patient Support Services Marketing **Location:** Cambridge,...of record in executing PSS patient tactics through promotional review approvals + Manage patient material inventory, utilization… more
- MKS Instruments Inc (Andover, MA)
- A Day in Your Life at MKS: We are looking for an exceptional Director of IT leading the charge in driving IT strategy, collaboration, and innovation across our SAP ... Ensures budgets and schedules meet corporate requirements. + Participates with senior management to establish strategic plans and objectives for technology… more
- Erickson Living (Hingham, MA)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... Location: Linden Ponds by Erickson Senior Living Join our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within… more