- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. - Understanding of claims operations , utilization management, and quality programs as they ... network operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and… more
- Commonwealth Care Alliance (Boston, MA)
- …management functions with network strategy, vendor relationship management and claims processing. Works closely with provider relations on resolving provider ... ensure quality, interrater reliability and standards are met in daily operations . Responsible for resolution and communication of utilization management issues and… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CenterWell (Boston, MA)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
- Humana (Boston, MA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Ryder System (Boston, MA)
- …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Boston, MA)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Sedgwick (Springfield, MA)
- … Director - Casualty Claims (Northeast Region) As a Business Development Director at Sedgwick, you'll have the opportunity to take on new challenges and ... new client programs. + Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …vision throughout the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key ... to each therapeutic area **Budget Management** + Oversee budgets for global medical operations initiatives + Ensure cost-effective utilization of resources while… more
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