- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CenterWell (Providence, RI)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
- Humana (Providence, RI)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Ryder System (Providence, RI)
- …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Providence, RI)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Sedgwick (Providence, RI)
- … Director - Casualty Claims (Northeast Region) As a Business Development Director at Sedgwick, you'll have the opportunity to take on new challenges and ... new client programs. + Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …vision throughout the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key ... to each therapeutic area **Budget Management** + Oversee budgets for global medical operations initiatives + Ensure cost-effective utilization of resources while… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …therapeutic area portfolio + Collaborate with cross-functional teams to align global medical operations with overall business objectives and therapeutic area ... performance indicators (KPIs) to measure the effectiveness of global medical operations + Consider technology and AI...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... and in-market products and manages contract operations to optimize revenue, market share, and support patient...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to support and grow the Institute's research, clinical, and business missions. The Director of AI Operations and Services leads the development and delivery ... solutions that support research, clinical, and operational goals. The Director serves as a subject matter expert in AI...preferably including one or more of radiology, digital pathology, medical text, audio recordings, claims data, or… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Director , Congress and Medical Education Strategy & Execution is responsible for developing and leading the global medical strategy and tactical ... late-breaking sessions + Sponsored symposia and educational sessions + Medical booth design and operations + Press...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... communication objectives and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership**… more
- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations , utilization management, and quality programs as they ... network operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... Ensure coordinated scientific messaging and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles ** Medical … more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …consistency, and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities ... relevant therapeutic area portfolio, in partnership with the Senior Director , Medical Communications Lead, CNS Lead, and...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …Billing, and Claims Management + Ensuring accuracy and timeliness of medical claims , denials, and self-pay collections + Managing prior authorizations and ... + 7-10 years of progressive revenue cycle experience, including 3+ years in a director -level role + Expertise in billing operations , payer relations, call center… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... The Senior Director Translational Medicine will be responsible for design,...business imperative. Minimum $245,454.00 - Maximum $381,110.00, plus incentive opportunity : The range shown represents a typical pay range… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- …HCPs. The Director will work cross-functionally with sales, market access, medical affairs, and commercial operations to align on strategic priorities and ... into brand promotional efforts + **Cross-Functional Leadership:** Collaborate closely with medical , regulatory, and commercial operations teams to ensure… more