- 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
- 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 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)
- …. **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization Management of the care received by members ... . + Prefer Medical Hematology/Oncology specialties + Prefer Medicaid experience + Utilization management experience in a medical management review… 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
- Tufts Medicine (Burlington, MA)
- … Review and Discharge Planning including implementation and annual review of the Utilization Management Plan and assisting with the coordination of the ... Utilization Management Committee. The ...and production and provides feedback to vendor and CDI/UR Director . 6. Ensures policies, practices and procedures are understood… more
- Evolent (Boston, MA)
- …LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be ... Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing… more
- Evolent (Boston, MA)
- …Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall...selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with… more
- GoTo (Boston, MA)
- …of opportunities for growth and learning, blaze your own trail with us. As the Senior Director or Director of Product Management for our ITSG Team, you will ... be at the forefront of our IT management product strategy, overseeing the development and execution of...business growth. **Your Day to Day** **As the** **_Senior Director or Director of Product Management_** **,… 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
- 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
- Evolent (Boston, MA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Bayer (Nashua, NH)
- …teams monitor trends and utilization of patient support services and utilization management (ie: prior authorization submissions & approvals); + Partner with ... diverse minds to make a real difference, there's only one choice.** **Senior Director of Pull-Through Strategy** The Senior Director of Pull-Through Strategy is… more
- Grant Thornton (Boston, MA)
- As a Health Care Transaction Management Director , you'll focus on buy-side and sell-side transaction engagements, serving dynamic organizations with experienced ... role) + Provide expertise in the following: + Deal Management Office support + Clear understanding of client's deal...professional development + Meeting or exceeding targeted billing hours ( utilization ) + Other duties as assigned You have the… more
- WM (Boston, MA)
- …. Responsible for delivering excellence in cost, equipment availability, asset utilization , shop productivity management and performance improvements and fleet ... with WM maintenance and safety standards and regulatory requirements. + Utilization /Asset Management Performance + Responsible for delivering year-over-year ROIC… more
- Takeda Pharmaceuticals (Boston, MA)
- …SOP trainings (Takeda and CRO, as applicable) + TA/Study specific training People Management : + The Associate Director , Study Site Engagement, may be responsible ... empower you to shine? Join us as an Associate Director , Study Site Engagement based remotely reporting to the...strategy and activities when targets are not met (eg utilization of PR&R materials, booster visits, phone contacts). +… more
- Takeda Pharmaceuticals (Boston, MA)
- …and/or external collaborations + Responsible for managing and overseeing compound management scientists and operations at Takeda research sites in Boston, Shonan ... Japan and drives strategic planning for Compound Management growth, operational excellence and best-practices and ensure compliance with regulatory agencies and… more
- Evolent (Boston, MA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you will be a...Rehab you will be a key member of the utilization management team. We can offer you… more
- Beth Israel Lahey Health (Burlington, MA)
- …healthcare services. Leverage health informatics and data analytics across campuses The Director will oversee the integration and utilization of health ... taking a job, you're making a difference in people's lives.** The Institute Director will develop the strategic plan, research priorities, and recruit and build a… more
- State of Massachusetts (Boston, MA)
- …support for educational technology, instructional design, and the implementation, adoption and utilization of the College's Learning Management System (LMS), and ... all backgrounds, nationalities, and roles. * Job Description:* Reporting to the Director of Academic Technology Services, and in collaboration with Academic Affairs,… more