- HomeSafe Alliance (Boston, MA)
- …and motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management , to support and promote process improvement methodologies and ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes 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 (Staff ... 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 ... 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 ... 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
- Beth Israel Lahey Health (Plymouth, MA)
- …Risk Management office for BID-P including all phases of actual and potential claims management . Identifies exposures to loss and analyzes the impact on the ... * Prior experience in direct responsibility for regulatory affairs and claims management strongly preferred **Registration/Certification:** * Certification in… more
- Commonwealth Care Alliance (Boston, MA)
- …Plan Chief Medical Officer (CMO), the Massachusetts and Rhode Island Market Medical Director is an integral part of a mission-driven clinical and market ... team. The Medical Director 's primary responsibilities are to ensure...record of health plan operations including utilization and care management , claims processing, contracting and provider relations… more
- Elevance Health (Woburn, MA)
- …cardiology and oncology. We're seeking a highly effective ** Director of Client Management ** to join our Medical Benefit Management business. You'll be ... you for payment as part of consideration for employment. ** Director of Client Management , Health Plans** +...member of the Elevance Health family of companies, **Carelon Medical Benefits Management ,** formerly AIM Specialty Health,… more
- Sanofi Group (Cambridge, MA)
- …respiratory, and gastrointestinal diseases. **Main Responsibilities:** The Global Medical Immunology Pipeline Associate Director , Gastroenterology, reports ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
- Sanofi Group (Cambridge, MA)
- …dermatologic, respiratory, and gastrointestinal diseases. **Main responsibilities:** The Global Medical Director of the Dermatology, Atopic Dermatitis reports ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
- Sanofi Group (Cambridge, MA)
- …chronic dermatologic, respiratory, and gastrointestinal diseases. **Main responsibilities:** The Global Medical Director of the Dermatology, reports to the ... **Our Team** : This role reports into the Global Medical Immunology team that is part of the ...conduct of real-world evidence studies including observational, prospective, and claims database studies, and knowledge of study analyses plans.… more
- Point32Health (Canton, MA)
- …Marketing, Network Contracting, Legal, Servicing, Claims , Corporate Communications, and Medical Policy. The Director leads staff (managers and program ... general direction of the VP, the Appeals and Grievances Director is responsible for management and oversight...and comprehensive total rewards package which currently includes: + Medical , dental and vision coverage + Retirement plans +… more
- Baystate Health (Springfield, MA)
- …Massachusetts Chan Medical School-Baystate / Baystate Health is seeking a Director of Quantitative Methods Core (Open Rank), at the Assistant Professor level or ... comprised of 2 Masters- and 1 PhD-prepared biostatisticians. In this capacity, the Director will plan, supervise, and conduct data management activities and… more
- Universal Health Services (Franklin, MA)
- …(PHP) Site Director is responsible for the overall quality and fiscal management of the PHP program. The PHP Director continuously assures that clinical ... to a $10k Signing Bonus for this role SITE DIRECTOR - PARTIAL HOSPITALIZATION PROGRAM About the Role: Arbour...Assure co-payments are collected + Assist with resolving problem claims with contracted billing company + Develop program effectiveness… more
- State of Massachusetts (Boston, MA)
- …level information technology services and infrastructure, including network management and security; computer operations; application hosting; desktop provisioning ... and management ; and modern and responsive digital services to 40,000...government agencies interact with the Commonwealth. We are hiring a* Director of Digital Governance and Policy*to improve the design… more
- WTW (Boston, MA)
- …full potential. In this role you will collaborate with our team of pricing, claims , distribution, product management , underwriting and claims experts to sell ... in the North American market to join as a Property & Casualty (P&C) Director in our Insurance Consulting and Technology (ICT) practice. You will have experience in… more
- Amentum (Boston, MA)
- The **Senior Director of Contracts** will report to the Vice President of Contracts and lead the Contracts team supporting the Critical Missions operating group at ... Amentum. The Senior Director will provide strategic direction and functional expertise to...strategic direction and functional expertise to ensure effective contract management across the organization and maximize value for the… more
- Edwards Lifesciences (Boston, MA)
- …The Director of Biostatistics Operations is responsible for direct management of Biostatistics Operations team, including statistical methods and programming, on ... ** Director , Biostatistics Operations (Scientific Insights & Analytics) -...+ Analysis using historical control or RWD (eg, registry, medical healthcare records, or claims data) +… more
- Elevance Health (Woburn, MA)
- …ask you for payment as part of consideration for employment. **Distribution Partnership Sales Director ** + Job Family: SLS > Sales Operations + Type: Full time + ... + IA, W DES MOINES + MA, WOBURN **Description** **Distribution Partnership Sales Director ** **Location:** This position will work a hybrid model (remote and office).… more
- Olympus Corporation of the Americas (Westborough, MA)
- …values by staying **True to Life.** **Job Description** The Executive Digital Unit Medical Director (DUMD) is a physician/surgeon with deep clinical practice ... medical affairs industry experience, and/or digital health competencies and management proficiencies to effectively deliver medical guidance to Olympus… more
- Marriott (Boston, MA)
- …improvement. **Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management . * Brings issues ... **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** Manages security/loss prevention operations on a daily… more