- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
- BAYADA Home Health Care (Braintree, MA)
- We're **BAYADA Home Health Care** -a leading home health care company-and we believe that our clients and their families deserve home health care ... providing the highest quality care to our clients. BAYADA Home Health Care is currently seeking an...health care manager to fill the position of Director in our **Braintree, MA Assistive Care** office. **Why… more
- CVS Health (Boston, MA)
- …Massachusetts market - hospitals, outpatient networks, and value-based care relationships. The Medical Director will be required to have a Massachusetts state ... to obtain the license within a reasonable timeframe. The Medical Director will be responsible for Account...Health Care Delivery System eg, Clinical Practice and Health Care Industry. *Active and current medical … more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Clinical Director , Hospital to Home , is responsible for leading CCA's engagement with acute care hospitals and ... provides supervision and leadership to a team of facility-based providers ( medical and behavioral health ) as well as community health workers, and is… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Elevance Health (Woburn, MA)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support experience in the Post-Acute Domain, DME, Home Health , and Wound Care. + Experience… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Firefly Health (Watertown, MA)
- …our audacious mission, then we would love to hear from you. Description As the Medical Director , Value-based Care you will play a pivotal role in overseeing our ... of the team building the future of healthcare! Firefly Health is building a revolutionary new type of comprehensive...supervision and quality assurance in partnership with the Assistant Medical Director . + Working with General Counsel… more
- Elevance Health (Woburn, MA)
- …to work remotely from home . _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty ... **Clinical Operations Medical Director ** **Utilization Management of ...medical necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer-to-peer… more
- Tufts Medicine (Boston, MA)
- …reimagining healthcare. We can't wait to grow alongside you. **Job Overview** Tufts Medical Center is seeking a **Professional Development Director ** (PDD) who ... safety, behavioral restraints, and best practices in the field of behavioral health care. + The Professional Development Director , utilizing innovative and… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Boston, MA)
- **Become 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 scope and complexity ranging from moderate to substantial. The… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Wellpath (Norfolk, MA)
- …Your commitment to transparency extends to promptly notifying the Regional or Corporate Medical Director and Health Services Administrator of any schedule ... discounts * Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits...while adhering to established policies and standards. + The Medical Director collaborates with the Health… more
- Commonwealth Care Alliance (Boston, MA)
- …patient population and **avoid unnecessary ED visits 88% of the time** . The Sr. Medical Director , InstED is a key clinical leader and member of the instED ... services in the comfort and safety of the patient's home . We combine an experienced and trained team of...trainings and/or case reviews. + Oversee and support Associate Medical Director in monitoring quality of care,… more
- East Boston Neighborhood Health Center (Revere, MA)
- …As a valued member of both the Project Management Department and the health center's leadership team, the Director of Strategy, Innovation & Transformation ... an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community ...Description: Reporting directly to the AVP of Strategy, the Director of Strategy, Innovation & Transformation is a pivotal… more
- Sevita (Malden, MA)
- …are trained to provide individual assistance to each person we serve. Program Director (Operational Management) - Adult Day Health * Bilingual Required (English ... responsible for the operational management of an Adult Day Health Program and the delivery of quality medical...and their families. + Develop and supervise Adult Day Health Program staff in conjunction with Director /Manager… more
- Wellpath (Foxboro, MA)
- …in home office and collaborate,communicateand coordinate with the Program Medical Director , providers, and other teams in responsibilities which include ... * Employee Assistance Program (EAP) including free counseling and health coaching * Company paid life insurance * Tax...**How you make a difference** As the Assistant Program Medical Director , your primary responsibilitywill be to… more
- Universal Health Services (Franklin, MA)
- …ASSISTANT DIRECTOR Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of ... Program (PHP) in Franklin is looking for an Assistant Director to join our team! Our Partial Hospitalization Programs...home appliances, food, auto, and more About Universal Health Services One of the nation's largest and most… more