- Humana (Boston, MA)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Sedgwick (Boston, MA)
- …a plus, not required. **Experience:** Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (Northeast Region) As a Business Development… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, 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 work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… 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
- Commonwealth Care Alliance (Boston, MA)
- …provider engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management , and analytics teams to advance provider ... contracting, or network operations, including 3-5 years in a director or senior management role. * Experience...Familiarity with CRM systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations,… more
- Celestica (Boston, MA)
- Req ID: 129127 Remote Position: Hybrid Region: Americas Country: USA **Summary** The Director , Strategic Supply Chain Management is a global supply chain focal ... provides guidance to ensure capacity is installed as needed. + Supports E&O claims , shortage management and follow up escalations with customers for resolutions.… more
- Sumitomo Pharma (Boston, MA)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Commercial Data Management ** . This high impact role requires a ... technically skilled person to support our growing Commercial Data Management (CDM) function, serving as a key liaison between...(Salesforce, Veeva), syndicated data (IQVIA & Symphony sales and claims data, MMIT) The base salary range for this… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …our focus to ultra-rare neurological conditions. **Job Summary** The Executive Director , Sales and Marketing, Neurology Rare Disease will be responsible for ... or exceeding Net Sales, Operating Income, and engagement targets. The Executive Director , Sales and Marketing, Neurology Rare Disease will also ensure successful… more
- ASM Global (Boston, MA)
- POSITION: Human Resources Director DEPARTMENT: Human Resources REPORTS TO: General Manager FLSA STATUS: Salaried/Exempt LEGENDS GLOBAL Legends Global is the premier ... & consulting, owner's representation, sales, partnerships, hospitality, merchandise, venue management , and content & booking of world-class live events and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Ophthalmic Consultants of Boston (Waltham, MA)
- …scope of operations, including: + Front Desk, Credentialing, Billing, and Claims Management + Ensuring accuracy and timeliness of medical claims , ... Join a Leader in Eye Care: Director of Revenue Cycle & Billing at Ophthalmic...collaborative environment where your expertise in healthcare revenue cycle management can make a meaningful impact on both patient… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …HCPs. The Director will work cross-functionally with sales, market access, medical affairs, and commercial operations to align on strategic priorities and ensure ... **Position Summary** The Director , HCP Marketing Lead guides the healthcare provider...engagement. + **KOL Engagement & Speaker Programs:** Partner with medical and sales teams toidentifyand engage key opinion leaders… more
- Commonwealth Care Alliance (Boston, MA)
- …of utilization management functions with network strategy, vendor relationship management and claims processing. Works closely with provider relations on ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term services and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations and… more
- Sumitomo Pharma (Boston, MA)
- …qualified, highly motivated, experienced individual for the position of **Regional Sales Director , Prostate Cancer - Northeast.** The position reports to the Senior ... Area Sales Director . **The location of the position is field based....key customer interactions as part of an overall performance management process through timely assessment of performance using quantifiable… more
- State of Massachusetts (Boston, MA)
- …Division of Insurance values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain working ... their skills and talents to serve our citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the Health Care Access Bureau… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward… more