- Veracity Solutions (Boston, MA)
- …the site including daily clinical and administrative operations. *Human resource management *Fiscal oversight *Oversight of utilization review function, quality ... Position: Site Director Location: Charlotte, Nashville, Boston , Massachusetts, USA Job Type: Full-time (Permanent) Requirements: Must have a license in social work… more
- Sinceri Senior Living (Boston, MA)
- …office staff, hospital staff including social workers, discharge planners, utilization review, volunteer coordinators, rehabilitation director , chaplain service, ... outreach opportunities. This position will assist and oversee internal lead management system, Public Relation activities, and Public Educational Outreach Programs.… more
- Walker Sands (Boston, MA)
- …and strategies, manage client health and renewals, and support sales pitches. The Account Director will provide senior client management for a mix of AOR ... us know. Walker Sands is seeking a seasoned Account Director who can lead a portfolio of complex integrated...client health and renewals. Provide department leadership including: manage utilization for those in the coaching tree, contribute to… more
- Maggiano's Little Italy (Boston, MA)
- …Perform a daily "walk through" inventory in order to prioritize product utilization Identify and communicate inventory and equipment needs to ordering manager Meet ... a clean and orderly work area to ensure safety Communicate problems to management immediately Accountabilities: Must be willing and able to: Review catering function… more
- Rhythm Pharmaceuticals (Boston, MA)
- …of inspection readiness. The Manager, QA, Global QMS will report to the Associate Director , QA who is based in the Boston office, while supporting and liaising with ... Oversee daily execution of quality records in Rhythm's electronic Quality Management System (Veeva eQMS), including change controls, deviations, CAPAs, complaints,… more
- BAMSI (Brockton, MA)
- BROCKTON AREA MULTI-SERVICES, INC. Position Title: CSA Program Director Hourly Rate: $36 -$38 Hours: 40 per week: Mon-Fri 9a-5p Location: Brockton CSA General ... of the Intensive Care Coordination (ICC) and is the administrative and clinical director of the operations of the Brockton Community Service Agency System of Care.… more
- Bay Cove Human Services, Inc. (Boston, MA)
- …Documentation Specialist will assist Program Directors in completion of client billing, utilization and funding management . This is a non-exempt position. ... Department: Developmental Services Reports To: Senior Program Director (Supported Housing) Mission Statement: Bay Cove Human Services partners with people to… more
- Tessera Therapeutics (Somerville, MA)
- …demonstrated ability to provide specific, accurate, and concise advice to management (both written and verbal). Organized, detail-oriented, and strong abilities to ... technology. You are excited about working closely with Scientists, Corporate Development, management , and outside counsel. You have excellent command of US and… more
- OptiMindHealth (Brookline, MA)
- …all aspects of referral relationships including access, communication and medical management are working positively for these medical providers and healthcare ... to long term referral relations and recommend solutions to OptiMindHealth's Director of Physician Relations, Chief Operating Officer, and Chief Executive Officer.… more
- Insight Global (Boston, MA)
- Job Description Insight Global is sourcing for a Utilization Management Director to join a not-for-profit community based healthcare organization within the ... federal, state, and local regulatory guidelines. -Support the development of utilization management policy initiatives. -Support the development and… more
- Commonwealth Care Alliance (Boston, MA)
- …of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
- 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 (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 (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
- Commonwealth Care Alliance (Boston, MA)
- … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program ... solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for...enhances the quality of patient care while optimizing resource utilization . Provides training to staff on case management… more
- Evolent (Boston, MA)
- …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
- 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
- Humana (Boston, MA)
- …The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director ... role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus… more
- Takeda Pharmaceuticals (Boston, MA)
- …inspire you and empower you to shine? Join us as a PV Risk Management Scientist/Associate Director . At Takeda, we are transforming the pharmaceutical industry ... for excellence in everything we do. As an Associate Director / PV Risk Management Scientist, being part...controlled access program + Provide guidance regarding tracking risk management commitments including utilization of a tracking… more
