- Fallon Health (Worcester, MA)
- …appeals review + Member appeals review + Pharmacy issues and referral requests + Medical director on-call coverage + Support the benefits and technology review ... to practice medicine in MA (or licensable). Board certified in medical or surgical specialty. **Experience:** Utilization management; network management; medical… more
- Evolent (Providence, RI)
- …mission. Stay for the culture. **What You'll Be Doing:** Evolent is seeking an ** Associate Medical Director - Cardiovascular Medicine** to play a critical ... in Cardiology** (with Cardiology training and clinical experience). + **Unrestricted medical license** in the state of residence and willingness to obtain… more
- United Therapeutics (Providence, RI)
- …You are passionate about PV and enjoy being part of a collaborative team. The Associate Global PV Case Management Director plays a key role in management and ... in end-to-end case processing of ICSRs with a bachelor's degree or + 10 + years of experience in pharmacovigilance in end-to-end case processing of ICSRs with… more
- Wolters Kluwer (Providence, RI)
- …locations, West Coast and Midwest preferred **ABOUT THE ROLE** As a strategic accounts associate sales director , you will lead a team of strategic Account ... Bachelor's Degree or equivalent relevant experience. MBA preferred. **Experience:** + 10 + years of progressive sales experience, including leadership of sales teams.… more
- Evolent (Providence, RI)
- …the impact of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal ... + 4+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting. + 4+ years of… more
- AbbVie (Worcester, MA)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... future. Qualifications + PhD degree in life sciences or science-based informatics with 10 + years of pharmaceutical industry experience. + Minimum of 8 years of… more
- Humana (Providence, RI)
- …a part of our caring community and help us 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...**. After an initial training period, schedule is four 10 -hour workdays per week, Thursday-Sunday, or Friday-Monday.** **Use your… more
- CSL Plasma (Warwick, RI)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . 12. Determines donor suitability following adverse reactions… more
- Grifols Shared Services North America, Inc (Cranston, RI)
- …and services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... an equivalency could include 8 years of experience, an Associate 's degree with 6 years of experience, or a...disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the… more
- Humana (Providence, RI)
- …a part of our caring community and help 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...speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL… more
- Point32Health (Canton, MA)
- …ancillary service lines for Medicare, Medicaid and Commercial product lines. The Director also identifies opportunities to reduce medical and administrative ... to our members, partners, colleagues and communities. **Job Summary** The Director , Ancillary Contracting leads the development and management of Point32Health's… more
- Humana (Providence, RI)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- Humana (Providence, RI)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving… more
- Evolent (Providence, RI)
- …as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to solve ... impact on the organization and patient health. This role supports both medical cost management activities and business development efforts. **What You Will Be… more
- CVS Health (Woonsocket, RI)
- …in the tactical requirements of Product Lifecycle Management, will train Associate Product Development Managers **Stakeholder Influence and Change Management** + ... CPG product roadmaps at the direction of the Lead Director , balancing short term execution with long term strategies....or equivalent experience + **Travel requirements** - up to 10 % travel expected, based on needs of the business… more
- Prime Healthcare (Woonsocket, RI)
- …Responsibilities Under the direction and authorization of the medical director and cardiopulmonary director , ... Overview At Landmark Medical Center, our dedicated team of professionals is...within 60 days of hire and maintain current. 8. Associate Degree or Bachelor of Science degree preferred 9.… more
- Ultralife Corporation (Raynham, MA)
- …electronics systems to customers across the globe in the government & defense, medical , safety & security, energy, industrial and robotics sectors. We are a global ... to, talent management, succession planning, total rewards, policy interpretation, associate data integrity, communication effectiveness, associate engagement,… more
- Humana (Providence, RI)
- …including tactics to enhance brand visibility and event planning. Reporting to the Associate Director of Center Expansion Marketing, you will be responsible for ... + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more
- Humana (Providence, RI)
- …Work Arrangements Available **Reporting Information** + You will report to the Director of Enterprise DevOps and Enterprise Engineering Enablement. + You will be ... At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular… more