• 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
    DirectEmployers Association (10/18/25)
    - Save Job - Related Jobs - Block Source
  • 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
    DirectEmployers Association (10/02/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - OP Claims

    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
    Humana (11/24/25)
    - Save Job - Related Jobs - Block Source
  • PCO Medical Director - UM - Full…

    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
    CenterWell (11/06/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Medicaid N.…

    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
    Humana (10/25/25)
    - Save Job - Related Jobs - Block Source
  • Director Claims

    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
    Ryder System (11/22/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director , Medicare…

    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
    Humana (11/19/25)
    - Save Job - Related Jobs - Block Source
  • Business Development Director - Casualty…

    Sedgwick (Boston, MA)
    Director - Casualty Claims (Northeast Region) As a Business Development Director at Sedgwick, you'll have the opportunity to take on new challenges and ... new client programs. + Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company… more
    Sedgwick (09/11/25)
    - Save Job - Related Jobs - Block Source
  • Executive Director , Medical Affairs…

    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
    Otsuka America Pharmaceutical Inc. (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Director , Strategic Planning…

    Otsuka America Pharmaceutical Inc. (Boston, MA)
    …vision throughout the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key ... to each therapeutic area **Budget Management** + Oversee budgets for global medical operations initiatives + Ensure cost-effective utilization of resources while… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Associate Director , Strategic Planning…

    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
    Otsuka America Pharmaceutical Inc. (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Senior Director , Strategy & Analysis,…

    Otsuka America Pharmaceutical Inc. (Boston, MA)
    **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... and in-market products and manages contract operations to optimize revenue, market share, and support patient...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/20/25)
    - Save Job - Related Jobs - Block Source
  • Director , AI Operations & Services

    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
    Dana-Farber Cancer Institute (11/07/25)
    - Save Job - Related Jobs - Block Source
  • Director , Managed Markets…

    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 ... Management CRM tool and process in collaboration with Sales Operations staff + Conduct all activities in compliance with...Travel is up to 25% Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply… more
    Otsuka America Pharmaceutical Inc. (10/10/25)
    - Save Job - Related Jobs - Block Source
  • Senior Director , Medical

    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. (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Associate Director , Congress…

    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
    Otsuka America Pharmaceutical Inc. (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Senior Director , Medical

    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. (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Director , Provider Relations

    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 (10/18/25)
    - Save Job - Related Jobs - Block Source
  • Associate Director , Scientific…

    Otsuka America Pharmaceutical Inc. (Boston, MA)
    …consistency, and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities ... relevant therapeutic area portfolio, in partnership with the Senior Director , Medical Communications Lead, CNS Lead, and...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Senior Director , Translational Medicine…

    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 ... The Senior Director Translational Medicine will be responsible for design,...business imperative. Minimum $245,454.00 - Maximum $381,110.00, plus incentive opportunity : The range shown represents a typical pay range… more
    Otsuka America Pharmaceutical Inc. (11/19/25)
    - Save Job - Related Jobs - Block Source