- 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 ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to the Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible ... for completing invoice and reconciliation claim audits for BCBSMA's payment integrity programs. Quality assurance audit reviews and core functions include… more
- Tufts Medicine (Burlington, MA)
- …Overview** The position is responsible for CDI program strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to ... (UM), Case Management, Quality and Physician advisors and leaders. The Director oversees the manager and clinical documentation specialists (CDSs) in planning,… more
- Norstella (Boston, MA)
- Global Account Director , Strategic Solutions Company: Citeline Location: Remote, United States Date Posted: May 5, 2025 Employment Type: Full Time Job ID: R-1151 ... of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and...dots from pipeline to patient. **The Role:** Global Account Director experienced calling on Top Pharmaceutical companies to manage… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the ... on the large global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical development activities for the… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Associate Director , Field Technology [CNS or Nephrology]** **Position Summary** The Associate Director , Field Technology is responsible for leading the ... to meaningful insights and dashboards. + Work with IT to maintain data integrity , governance, and compliance within sales systems. + Assess system utilization data… more
- CVS Health (Boston, MA)
- …strategies, and collaborates with other departments to improve the overall payment integrity process.** **Accountabilities** + Develop and implement strategies ... is responsible for ensuring the accuracy and compliance of medical claims, which involves applying various editing rules and...editing rules and guidelines to ensure proper coding and payment . The lead director manages a team… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Director of Market Access Patient Experience and Reimbursement Analytics is an individual contributor role focused on analyzing and optimizing patient experience ... actionable data to support patients and providers. + Safeguard the accuracy and integrity of patient experience and reimbursement data. + Lead the development of… more
- Takeda Pharmaceuticals (Boston, MA)
- …will inspire you and empower you to shine? Join us as an Associate Director , Research Business Excellence in our Cambridge office. At Takeda, we are transforming the ... excellence and portfolio progression for the Takeda Research pipeline. The Associate Director , Research Business Excellence plays a crucial role in the strategic… more
- Takeda Pharmaceuticals (Boston, MA)
- …relevant. + Partner with global product team key members (eg commercial, insights, medical ), regions, and key countries to incorporate market access and payer value ... into actionable insights. + **Trustworthy and Perceptive:** Operates with integrity , demonstrating reliability. + **Highly Collaborative:** Skilled at co-creation… more