- CSL Behring (Waltham, MA)
- We are currently recruiting for an experienced, dynamic and visionary Senior Director of Cardiovascular & Renal Global Commercial Development to join our team. This ... driving early product strategy, Target Product Profiles (TPPs), Target Product Claims (TPCs), Stage-Gate Preparation, and Life Cycle Management (LCM) Planning and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
- Commonwealth Care Alliance (Boston, MA)
- …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... + **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management, Member Services, Provider Services,… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... performance frameworks and value-based care principles. + Working knowledge of claims data, quality measurement, and performance incentive methodologies. + Excellent… more
- Ryder System (Boston, MA)
- …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... third-party provider relationships (including consultants, legal counsel, insurers, and external claims administrators). The Director manages and oversees the… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Beacon Mobility (Chelmsford, MA)
- …13,000+ vehicles at 200+ locations from New England to New Mexico. Reporting to the Director of Claims , the Region Claims Analyst provides oversight and ... management skills while delivering analytical support to operations, safety and claims leadership. Support to locations will require compliance with applicable… more
- Ankura (Boston, MA)
- …litigation settings. Role Overview: Join our FAICC practice as a Senior Managing Director to develop business and lead first-party claims and litigation ... and growth. Practice Overview: Ankura's Forensic Accounting and Insurance Claims Consulting (FAICC) practice helps corporations quantify and present first-party… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... 011250 CCA- Claims Hiring for One Year Term **_This position...Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and… more
- Humana (Boston, MA)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- State of Massachusetts (Boston, MA)
- …join our Victim Compensation team. Reporting to theDirector of Victim Compensation,the Claims Manager provides management and oversight of MOVA's Claims ... compensation program in accordance with Massachusetts statute and regulations. The Claims Manager implements trauma informed, victim and survivor centered systems… more
- HUB International (Wilmington, MA)
- …own unique, regional culture. We currently have an opportunity for a **Senior Claims Specialist** . **Overview** : Responsible for servicing assigned accounts on a ... for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program...mentor team associates and training as assigned by Manager/ Director + Attend claim reviews/ meetings with the client… more
- Zurich NA (Boston, MA)
- Executive Underwriter or AVP, Underwriter Director - Construction Professional Liability 129449 Zurich is seeking an experienced Executive Underwriter or AVP, ... Underwriter Director - Construction Professional Liability to join our Specialties...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Boston, MA)
- AVP, Underwriting Director - Core Contract Surety 124285 Zurich Insurance is currently looking for an **Executive Underwriter OR AVP, Underwriting Director - Core ... filled at either the Executive Underwriter OR AVP, Underwriting Director level. The hiring manager will determine the appropriate...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Apprentice… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
- Otsuka America Pharmaceutical Inc. (Waltham, MA)
- **Job Summary** The Senior Director will serve as the Translational Medicine CNS Therapeutic Area Head, reporting to the VP, Translational Medicine and Early ... Development within OPDC's Early Development Organization (EDO). The Senior Director Translational Medicine will oversee a small team of...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Associate Director , Scientific Communications manages the execution of the core scientific and medical communications strategy for the relevant therapeutic area ... and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Key Responsibilities Include:** **Global Scientific… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …- Aligning with the strategic goals of the GQ organization, the Sr. Director of Global Quality Solutions (GQS) is responsible for understanding and driving ... GQ systems, future processes and teams. - The Sr. Director position will facilitate continuous improvement activities within GQ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of Medical ... with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
