• Medical Director --Claims Management

    Humana (Boston, MA)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (05/08/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Medicaid N. Central

    Humana (Boston, MA)
    …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (05/14/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Care Plus - Florida

    Humana (Boston, MA)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (04/24/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Operations…

    Tufts Medicine (Burlington, MA)
    … Review and Discharge Planning including implementation and annual review of the Utilization Management Plan and assisting with the coordination of the ... Utilization Management Committee. The ...and production and provides feedback to vendor and CDI/UR Director . 6. Ensures policies, practices and procedures are understood… more
    Tufts Medicine (05/03/25)
    - Save Job - Related Jobs - Block Source
  • Coordinator, Utilization Management

    Evolent (Boston, MA)
    …LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be ... Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing… more
    Evolent (05/03/25)
    - Save Job - Related Jobs - Block Source
  • Senior Director or Director

    GoTo (Boston, MA)
    …of opportunities for growth and learning, blaze your own trail with us. As the Senior Director or Director of Product Management for our ITSG Team, you will ... be at the forefront of our IT management product strategy, overseeing the development and execution of...business growth. **Your Day to Day** **As the** **_Senior Director or Director of Product Management_** **,… more
    GoTo (03/25/25)
    - Save Job - Related Jobs - Block Source
  • Director of Rehab - Physical Therapist (PT)

    Genesis Healthcare (Nashua, NH)
    …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
    Genesis Healthcare (04/17/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Interventional…

    Evolent (Boston, MA)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (04/30/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Cardiology

    Evolent (Boston, MA)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
    Evolent (05/16/25)
    - Save Job - Related Jobs - Block Source
  • Associate Director , Study Site Engagement…

    Takeda Pharmaceuticals (Boston, MA)
    …SOP trainings (Takeda and CRO, as applicable) + TA/Study specific training People Management : + The Associate Director , Study Site Engagement, may be responsible ... empower you to shine? Join us as an Associate Director , Study Site Engagement based remotely reporting to the...strategy and activities when targets are not met (eg utilization of PR&R materials, booster visits, phone contacts). +… more
    Takeda Pharmaceuticals (05/14/25)
    - Save Job - Related Jobs - Block Source
  • Director of the Library

    Merck (Boston, MA)
    …of library resources + Establishing user engagement initiatives to drive adoption and utilization of library resources + **Portfolio Management ** + Managing the ... **Job Description** We are seeking a dynamic and visionary Director of the Library to lead our innovative team in advancing library services for the global R&D… more
    Merck (05/16/25)
    - Save Job - Related Jobs - Block Source
  • Director , Global Compound…

    Takeda Pharmaceuticals (Boston, MA)
    …and/or external collaborations + Responsible for managing and overseeing compound management scientists and operations at Takeda research sites in Boston, Shonan ... Japan and drives strategic planning for Compound Management growth, operational excellence and best-practices and ensure compliance with regulatory agencies and… more
    Takeda Pharmaceuticals (03/28/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Physical Medicine…

    Evolent (Boston, MA)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you will be a...Rehab you will be a key member of the utilization management team. We can offer you… more
    Evolent (04/30/25)
    - Save Job - Related Jobs - Block Source
  • Director of the Lahey Institute…

    Beth Israel Lahey Health (Burlington, MA)
    …healthcare services. Leverage health informatics and data analytics across campuses The Director will oversee the integration and utilization of health ... taking a job, you're making a difference in people's lives.** The Institute Director will develop the strategic plan, research priorities, and recruit and build a… more
    Beth Israel Lahey Health (03/11/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , UM Physical…

    Evolent (Boston, MA)
    …a profound impact on the lives of our members. **What you'll be doing:** Utilization Management + Supports pre-admission review, utilization management , ... with:** Evolent Health is looking for a Field Medical Director to be a member of the Evolent clinical...concurrent and retrospective review process. + Participates in risk management , claim adjudication, pharmacy utilization management more
    Evolent (05/13/25)
    - Save Job - Related Jobs - Block Source
  • Associate Director of Educational…

    State of Massachusetts (Boston, MA)
    …support for educational technology, instructional design, and the implementation, adoption and utilization of the College's Learning Management System (LMS), and ... all backgrounds, nationalities, and roles. * Job Description:* Reporting to the Director of Academic Technology Services, and in collaboration with Academic Affairs,… more
    State of Massachusetts (03/29/25)
    - Save Job - Related Jobs - Block Source
  • Business Development Senior Director

    CBRE (Boston, MA)
    Business Development Senior Director , Enterprise Occupier Solutions Job ID 208590 Posted 28-Feb-2025 Service line GWS Segment Role type Full-time Areas of Interest ... **The client-facing title for this role is Senior Managing Director , Business Development** We are seeking a Senior ...and grow activities in integrated Real Estate and Facilities Management outsourcing pursuits, and will lead interactions in a… more
    CBRE (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Director Clinical Documentation Integrity

    Tufts Medicine (Burlington, MA)
    …in cooperation with multiple revenue cycle and hospital departments, such as Coding, Utilization Management (UM), Case Management , Quality and Physician ... is responsible for CDI program strategy and oversight. The Director will partner with the Senior Director ,...organize, implement, and evaluate the CDI program. This includes management of case mix index (CMI), length of stay… more
    Tufts Medicine (05/14/25)
    - Save Job - Related Jobs - Block Source
  • Executive Director , Teaching & Learning…

    Boston University (Boston, MA)
    **EXECUTIVE DIRECTOR , TEACHING & LEARNING INNOVATION, Institute for Excellence in Teaching & Learning** **Job Description** **EXECUTIVE DIRECTOR , TEACHING & ... Institute for Excellence in Teaching and Learning is seeking an Executive Director , Teaching & Learning Innovation, reporting into the Vice President and Associate… more
    Boston University (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Newborn Nursery Medical Director

    Boston University (Boston, MA)
    …Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, ... **Newborn Nursery Medical Director , Pediatrics, Newborn Medicine, Boston Medical Center** **Job...weeks of nursery per year + Demonstrated leadership and management skills + Demonstrated strength in collaboration and interdisciplinary… more
    Boston University (03/04/25)
    - Save Job - Related Jobs - Block Source