- Fallon Health (Worcester, MA)
- …and clinical functions related to outpatient and inpatient, utilization management operations, including but not limited to prior authorization, concurrent ... + Recommends and implements innovative process improvements for the prior authorization and utilization management ...cost of care opportunities related to Utilization Management . + Works with VP/ Medical Director … more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… more
- Cardinal Health (Tewksbury, MA)
- …DCOA as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication utilization + Ensures ... the Health System Director of Pharmacy (HSD), Director of Pharmacy Operations and Account Management ,...certification highly preferred + Previous experience with drug formulary management preferred + Prior experience as a… more
- Elevance Health (Woburn, MA)
- …experience, which would provide an equivalent background. **Preferred Qualifications:** + Utilization management experience preferred. For candidates working in ... services to drive affordability and improve member outcomes. The **Medical Director Associate- CarelonRx** supports pharmacy prior authorization reviews to… more
- Bristol Myers Squibb (Devens, MA)
- …in line with key business milestones & budget. + Utilize standard project management tools and Scrum methodology for tracking and status reporting. + Support ... science and/or engineering (biotechnology, biology, engineering, or related sciences). Prior cell therapy development operations experience is strongly preferred. +… more
- Hologic (Marlborough, MA)
- Project Portfolio Management Analyst (Enterprise Portfolio Management ) Marlborough, MA, United States At **Hologic** , we are committed to driving operational ... we continue to grow, we seek a talented **Portfolio Management Analyst** to optimize our enterprise project and portfolio...Governance process for the enterprise tool (working with the Director - IT PMO). + Develop best practices for… more
- Tufts Medicine (Lowell, MA)
- …with agency policy, State and federal home health regulations. Responsible for the management of cost effective, efficient care to home health and hospice patients ... with two (2) years' experience in community health/home health 2. Prior Supervisory experience. **Duties and Responsibilities:** The duties and responsibilities… more
- Tufts Medicine (Lowell, MA)
- …with agency policy, State and federal home health regulations. Responsible for the management of cost effective, efficient care to home health patients ensuring the ... with two (2) years' experience in community health/home health 2. Prior Supervisory experience. **Duties and Responsibilities** **:** The duties and responsibilities… more
- State of Massachusetts (Burlington, MA)
- …role of*Area Administrative Manager*. The selected candidate will report to the Area Director and will be responsible for the administration and support functions of ... contract documents and data entry forms; ongoing monitoring of contract utilization ; and occasional technical assistance to providers. *_Facilities_:* * Manage and… more
- Spindrift (Newton, MA)
- …headquartered in Newton, MA. The Demand Planning Manager Role Reporting to the Director of Supply Chain, the Demand Planner will be responsible for developing ... efficiency. + Reporting: Provide regular reports and insights to senior management on demand trends, risks, and opportunities to support strategic decision-making.… more