- Rhythm Pharmaceuticals (Boston, MA)
- …Planning and Analysis, Rhythm Pharmaceuticals is seeking a strategic and experienced Director of Financial Planning and Analytics for our rare disease portfolio. The ... collaborative mindset to work across multiple teams including Commercial, Finance, and Medical . Responsibilities and Duties Drive and align leadership on US and… more
- Ipsen (Cambridge, MA)
- Title: Associate Director , Data and Digital Enablement Company: Ipsen Biopharmaceuticals Inc. About Ipsen: Ipsen is a mid-sized global biopharmaceutical company with ... and the UK, we tackle areas of high unmet medical need through research and innovation. Our passionate teams...digital and data support for the organization. The Associate Director will be responsible for leading commercial systems (One… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and… more
- BJs Wholesale Club (Marlborough, MA)
- …defense counsel and TPA. + Identifies claim trends and provides recommendations to the Claims Manager and Director , Risk Management , and Insurance for ... ensure carrier/excess carrier reporting, determines compensability, scheduling of IME's, medical case management , surveillance, subrogation and litigation tasks… more
- CVS Health (Wellesley, MA)
- …effective solutions related to adjudication and processing of pharmacy and vaccine/ medical claims , maintaining current services, support optimalization of ... summarization + Experience with administrative claims data such as pharmacy or medical claims + Experience in Retail Pharmacy + Experience in Excel,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… 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 ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… 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 ... value based care, population health, or disease or care management . **Responsibilities** The Medical Director provides medical interpretation and… more
- Sanofi Group (Cambridge, MA)
- **Job title** : Global Medical Director , Evidence Generation - Innovation & Partnerships **Location:** Cambridge, MA, Morristown, NJ **About the Job** Sanofi's ... Medical Evidence Generation Lead of the Next-Gen Immunology Franchise, the Medical Director will also be responsible for offering strategic insights and… 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 ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for ... Global Medical Affairs across all therapeutic areas and brands. This...aligning with CoE training efforts + **Performance & Risk Management :** + Provide regular updates on the performance and… more
- Humana (Boston, MA)
- …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 problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …The Associate Director is responsible for the design, execution, and management of multiple market research engagements. In addition, the Associate Director ... **Job Summary** The Associate Director of Brand Analytics role for the ecosystem...that deliver exceptional results + Have strong analytical, project management , fiscal management and decision-making skills Have… more
- Humana (Boston, MA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …us transform healthcare? Bring your true colors to blue. What we need The Associate Director of Clinical Data Management will be a key leader in executing ... successful candidate will be responsible for leading the clinical data management function, providing strategic direction, and ensuring the delivery of high-quality,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …Specialty Pharmacy operations for OAPI The position will report to the Executive Director , Channel Strategy and Patient Affordability We are seeking a highly skilled ... and motivated Director of Specialty Pharmacy Operations to lead and oversee...with cross-functional teams, including Brand Marketing, Sales, Patient Access, Medical Affairs, and Regulatory, to integrate pharmacy operations seamlessly… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- We are seeking a Senior Director , Federal Government Affairs to lead our US federal government engagement in Washington, DC. This position reports to the Vice ... leader, and a member of the Government Affairs Leadership Team, the Senior Director of the Federal Government Affairs will play an integral role in developing… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …patient outcomes and optimize business processes. **About This Role** The Director , Cloud Operations is responsible for managing, operating, and enhancing our ... and performance in alignment with our growth objectives. The Director will oversee daily operational functions, including infrastructure monitoring, incident… more
