- Evolent (Boston, MA)
- …to adeptly negotiate internally and externally around interpretation and application of utilization review law, accreditation standards and policy. + Ensures ... the mission. Stay for the culture. **What You'll Be Doing:** **Associate Director , Correspondence Project and Program Management** This position serves a key role… more
- Evolent (Boston, MA)
- …the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance Suite ... risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a **Cardiologist** to shape high-value patient care… more
- CBRE (Boston, MA)
- Business Intelligence Director Job ID 229566 Posted 29-Jul-2025 Service line GWS Segment Role type Full-time Areas of Interest Data & Analytics, Facilities ... implementation, business acceptance and system effectiveness. Informs and keeps senior /executive management abreast of technology projects, polices and/or issues.… more
- Prime Therapeutics (Boston, MA)
- …Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions is ... implementation of innovative drug solutions, including optimizing optimize drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Director - Packaging Technology **Location** : Cambridge, MA, Morristown, NJ, Swiftwater, PA & Toronto, ON **About the Job** We deliver 4.3 billion ... secondary packaging processes. + Manage projects through execution: design review , build, factory acceptance testing, process development, and qualification… more
- Charles River Laboratories (Shrewsbury, MA)
- …control of expenses to meet the company budget. Incumbent will optimize resource utilization to maintain an occupancy level to meet revenue targets. Collaborate with ... and federal officials, industry groups, key customers as required. * Work with senior leadership to identify new service offerings and/or business. * Contribute to… more
- Noblis (Boston, MA)
- Responsibilities Noblis MSD is seeking a Senior Navy Maintenance and Modernization Policy and Process Professional to support NAVSEA 21A Industrial Assessments ... Director in the continuing Surface Sustainment Infrastructure Program (SSIP)...+ Data call responses and drafting reports to include senior Navy leadership testimony and Reports To Congress (RTC)… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Working knowledge of NCQA UM accreditation requirements, Massachusetts, and Rhode Island utilization review regulations + Knowledge of compliance and QI ... utilization management regulatory and accreditation standards, such as NCQA, Massachusetts utilization review regulations, Rhode Island utilization … more
- CenterWell (Pittsfield, MA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Beth Israel Lahey Health (Wakefield, MA)
- …Working with the healthcare team, the Care Manager, RN monitors appropriate utilization of healthcare resources, promotes quality and efficiency by developing and ... management by focusing care coordination attention on the at-risk population driving utilization and costs to improve efficiency, quality and patient satisfaction. +… more