- Veracity Solutions (Boston, MA)
- …the site including daily clinical and administrative operations. *Human resource management *Fiscal oversight *Oversight of utilization review function, quality ... Position: Site Director Location: Charlotte, Nashville, Boston , Massachusetts, USA Job Type: Full-time (Permanent) Requirements: Must have a license in social work… more
- Sinceri Senior Living (Boston, MA)
- …office staff, hospital staff including social workers, discharge planners, utilization review, volunteer coordinators, rehabilitation director , chaplain service, ... outreach opportunities. This position will assist and oversee internal lead management system, Public Relation activities, and Public Educational Outreach Programs.… more
- Fallon Health (Lowell, MA)
- …care model, experience developing and managing a multi-million-dollar budget, experience with utilization management . At least one year experience working with ... personal care, rehabilitative services, recreational activities, nutrition, transportation, care management and business administration. Recruits and hires staff. Supervises… more
- OptiMindHealth (Concord, MA)
- …all aspects of referral relationships including access, communication and medical management are working positively for these medical providers and healthcare ... to long term referral relations and recommend solutions to OptiMindHealth's Director of Physician Relations, Chief Operating Officer, and Chief Executive Officer.… more
- Walker Sands (Boston, MA)
- …and strategies, manage client health and renewals, and support sales pitches. The Account Director will provide senior client management for a mix of AOR ... us know. Walker Sands is seeking a seasoned Account Director who can lead a portfolio of complex integrated...client health and renewals. Provide department leadership including: manage utilization for those in the coaching tree, contribute to… more
- Tessera Therapeutics (Somerville, MA)
- …demonstrated ability to provide specific, accurate, and concise advice to management (both written and verbal). Organized, detail-oriented, and strong abilities to ... technology. You are excited about working closely with Scientists, Corporate Development, management , and outside counsel. You have excellent command of US and… more
- UMass Memorial Health (Worcester, MA)
- …senior management on various financial indicators, including productivity, supply utilization , and volume. Obtains data from the financial systems as needed. ... determines awarding of all bids. 7. In collaboration with the Medical Director of the Department of Transfusion Medicine, negotiate contracts with outside… more
- Maggiano's Little Italy (Boston, MA)
- …Perform a daily "walk through" inventory in order to prioritize product utilization Identify and communicate inventory and equipment needs to ordering manager Meet ... a clean and orderly work area to ensure safety Communicate problems to management immediately Accountabilities: Must be willing and able to: Review catering function… more
- Rhythm Pharmaceuticals (Boston, MA)
- …of inspection readiness. The Manager, QA, Global QMS will report to the Associate Director , QA who is based in the Boston office, while supporting and liaising with ... Oversee daily execution of quality records in Rhythm's electronic Quality Management System (Veeva eQMS), including change controls, deviations, CAPAs, complaints,… more
- Bay Cove Human Services, Inc. (Boston, MA)
- …Documentation Specialist will assist Program Directors in completion of client billing, utilization and funding management . This is a non-exempt position. ... Department: Developmental Services Reports To: Senior Program Director (Supported Housing) Mission Statement: Bay Cove Human Services partners with people to… more
- Insight Global (Boston, MA)
- Job Description Insight Global is sourcing for a Utilization Management Director to join a not-for-profit community based healthcare organization within the ... federal, state, and local regulatory guidelines. -Support the development of utilization management policy initiatives. -Support the development and… more
- Commonwealth Care Alliance (Boston, MA)
- …of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
- Humana (Boston, MA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Boston, MA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Boston, MA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Commonwealth Care Alliance (Boston, MA)
- … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
- Evolent (Boston, MA)
- …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
- Evolent (Boston, MA)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Genesis Healthcare (Nashua, NH)
- …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
