- Eisai, Inc (Boston, MA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... to meet objectives for assigned regional payer accounts including Commercial, Medicare and Medicaid (State Medicaid agencies, managed Medicaid, and select client… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- CVS Health (Boston, MA)
- …to drive real change and improve the health of millions are endless. As Lead Director , Enterprise Strategy, you play a pivotal role helping to shape strategy for one ... a dynamic, fast-moving profession; related experience within management consulting, corporate development, business analytics, financial analysis, public policy, product… more
- Humana (Boston, MA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Boston, MA)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Takeda Pharmaceuticals (Boston, MA)
- …Biostatistics, Global Emerging Markets (GEM; eg, China), Project Leadership, Finance, Corporate Communications and Business Development + Develop and manage strong ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more
- Point32Health (Canton, MA)
- …that optimize performance across our provider networks serving Point32Health's Medicare , Medicaid, Duals and Commercial small and individual group markets. ... to develop and refine provider specific engagement plans that align with our corporate and business division goals. This position will report to the Director… more
- CVS Health (Boston, MA)
- …every day. **Position Summary** Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation, and prosecution of ... for compliance with state and federal regulations mandating the reporting of corporate fraud-related activities and the preparation of the Corporate Anti-Fraud… more
- Aveanna Healthcare (Boston, MA)
- …establishes and participates in program development and implementation. The Area Clinical Director team members report up through the Area Vice President who ... Communicates formally and informally (in person or phone) with Corporate Representatives ( corporate level) and Area Clinical...time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... regarding the grievance/appeal. * Print, mail, and triage letters at the FH corporate office located at 10 Chestnut Street, Worcester, MA. * Identifying the need… more
