- Commonwealth Care Alliance (Boston, MA)
- …and grievances related to relevant services and supports; conducts audits and performs quality assurance - Additional duties as requested. Working Conditions: - ... & Responsibilities: The Manager, Utilization Management reports to the Director of Utilization Management - Oversees clinical ...and support personnel. - Act as liaison with medical director , provider relations, case management and quality … more
- Takeda Pharmaceuticals (Boston, MA)
- …spoken English, additional language skills a plus. **LICENSES/CERTIFICATIONS:** + MBA or Quality Assurance (eg, Lean Six Sigma) certification advantage **TRAVEL ... in the business units and affiliates. + Ensure that the Global Quality Audit functions consider clinical research and pharmacovigilance regulated activities… more
- Actalent (Cambridge, MA)
- …+ Contribute to biostatistics, medical writing, safety, regulatory affairs, and quality assurance activities. + Interact closely with investigators and ... Associate Director , Clinical Operations Job Description Manage clinical trial activities for multiple trials, ensuring the timely completion of deliverables… more
- Liberty Healthcare Corporation (Brockton, MA)
- Liberty Healthcare seeks an experienced Registered Nurse leader for an anticipated Clinical Director opening. This is a newly created remote position which will ... in Massachusetts is a firm requirement). As Liberty Healthcare's Clinical Director , you will support a large-scale...with disabilities + Deep knowledge of interrater reliability and quality assurance methodologies + Experience in nursing… more
- Pfizer (Cambridge, MA)
- …eg, Clinical Operations, Safety, Biostatistics, Regulatory, Study Management, Pre- Clinical , Pharmacology, Quality Assurance . + Experience building ... of clinical studies and delivering on innovative clinical study designs, high quality trial execution, safety assessment and interpretation of clinical… more
- Catalent Pharma Solutions (Chelsea, MA)
- Director of Quality Catalent, Inc. is a...provides leadership and daily management of the Catalent Boston Quality Department - Quality Assurance and ... ten 10 years' experience of leading a customer focused quality function including Quality Assurance ,...sizes to advance new medicines from early development to clinical trials and to the market. Catalent produces more… more
- Elevance Health (Boston, MA)
- ** Director Quality Management/Improvement** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... unless an accommodation is granted as required by law._ The ** Director Quality Management/Improvement** is responsible for developing, coordinating,… more
- Sunrise Senior Living (Plymouth, MA)
- …Perform skill evaluation to assure clinical capability of care team members. ** Quality Assurance and Regulatory Compliance** + Track, trend, and report ... Beach **Job ID** 2025-232965 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical ...as a member of the community Quality Assurance and Performance Improvement committee. + Lead clinical… more
- Evolent (Boston, MA)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining...skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency… more
- Dana-Farber Cancer Institute (Boston, MA)
- …delivery and enhances patient and family experiences. + Regulatory Compliance and Quality Assurance : Ensure compliance with healthcare regulations and standards, ... alignment with the Institute's mission and values. The Senior Director collaborates with multidisciplinary teams to enhance clinical...implementing best practices in patient safety, quality assurance , and risk management. This involves… more
- Sodus Rehab & Nursing Center (Cambridge, MA)
- …complaint/concerns not effectively addressed by the unit Mangers. Activity participates in quality assurance monitoring of nursing operations as designated by ... Health insurance + Paid time off + Vision insurance Job Summary: The Assistant Director of Nursing in collaboration with the Director of Nursing ensures… more
- Evolent (Boston, MA)
- …Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard and ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a...+ On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall… more
- Evolent (Boston, MA)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the...to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Boston, MA)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- State of Massachusetts (Boston, MA)
- …standards and reporting. Ensures robust contract management, including performance measurement, quality assurance , and timely resolution of compliance or ... of strategy, collaboration, and innovation? The Children's Trust is seeking a Director of Community Initiatives to drive forward systemic change that strengthens… more
- CVS Health (Boston, MA)
- …members and providers. Leads all aspects of utilization review/ quality assurance , directing case management Provides clinical expertise and business ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health...Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from… more
- Evolent (Boston, MA)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Dana-Farber Cancer Institute (Boston, MA)
- …and enhances patient and family experiences. + **Regulatory Compliance and Quality Assurance :** Ensure compliance with healthcare regulations and standards, ... The Senior Nursing Director (SND) of the Inpatient Hospital at Dana-Farber...implementing best practices in patient safety, quality assurance , and risk management. This involves… more
- State of Massachusetts (Boston, MA)
- …for licensure. Review is of carriers' operations, including utilization review, quality assurance , contracts with pharmacies and prescription drug manufacturers, ... their skills and talents to serve our citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the Health Care Access Bureau… more
- Evolent (Boston, MA)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
