- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. - Understanding of claims operations , utilization management, and quality programs as they ... network operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and… more
- Commonwealth Care Alliance (Boston, MA)
- …management functions with network strategy, vendor relationship management and claims processing. Works closely with provider relations on resolving provider ... ensure quality, interrater reliability and standards are met in daily operations . Responsible for resolution and communication of utilization management issues and… more
- 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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CenterWell (Boston, MA)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
- Humana (Boston, MA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Ryder System (Boston, MA)
- …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Boston, MA)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …therapeutic area portfolio + Collaborate with cross-functional teams to align global medical operations with overall business objectives and therapeutic area ... performance indicators (KPIs) to measure the effectiveness of global medical operations + Consider technology and AI...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to support and grow the Institute's research, clinical, and business missions. The Director of AI Operations and Services leads the development and delivery ... solutions that support research, clinical, and operational goals. The Director serves as a subject matter expert in AI...preferably including one or more of radiology, digital pathology, medical text, audio recordings, claims data, or… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... communication objectives and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership**… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Associate Director , Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and ... late-breaking sessions + Sponsored symposia and educational sessions + Medical booth design and operations + Press...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations , utilization management, and quality programs as they ... network operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... Ensure coordinated scientific messaging and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles ** Medical … more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …HCPs. The Director will work cross-functionally with sales, market access, medical affairs, and commercial operations to align on strategic priorities and ... into brand promotional efforts + **Cross-Functional Leadership:** Collaborate closely with medical , regulatory, and commercial operations teams to ensure… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... to create so that we can provide answers to medical needs that have yet to be addressed. Another...Summary** Otsuka is seeking an experienced and visionary Senior Director , Global Clinical Development (GCD), with experience in immunology,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in...to meet business and organizational needs as necessary. **Equal Opportunity Employer** Otsuka is an equal opportunity … more
- ASM Global (Boston, MA)
- POSITION: Human Resources Director DEPARTMENT: Human Resources REPORTS TO: General Manager FLSA STATUS: Salaried/Exempt LEGENDS GLOBAL Legends Global is the premier ... for you. Join us! THE ROLE The Human Resources Director at View Boston partners with senior leaders and...the General Counsel to investigate and respond to employment claims and demand letters, as well as state and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... **Job Overview:** The Director , Customer Engagement Platforms (CEP) will be responsible...engagement platforms, starting with, but not limited to, Otsuka's Medical Affairs Disease State Engagement platforms (PsychU, PsychUsim, ADPKDsim,… more
