- Daiichi Sankyo, Inc. (Boston, MA)
- …national payer landscapes with expertise in formulary decisions, reimbursement policy, utilization management criteria, prior authorization processes and appeal ... areas centered around rare diseases and immune disorders. Summary: The Associate Director Field Reimbursement (ADFR) is a critical front-line member of the DSI… more
- Toole Design (Boston, MA)
- Toole Design Group is looking to hire a full-time Planning Director for our Northeast Region. Do you have a strong background in multimodal transportation planning? ... client service? Do you have a proven track record of project management and delivering high-quality work? Do activities like mentoring/training staff and supporting… more
- Fidelity TalentSource LLC (Boston, MA)
- …delivery, ideation and optimization along with leading Best Practices, and Talent management and Stakeholder management . The associate would have People ... chapter members across squads and product areas to ensure the best utilization of talent while also building learning opportunities and learning day content… more
- Vertex Pharmaceuticals Incorporated (Boston, MA)
- …teams, which may include volume and geographic considerations as well as utilization management trends.Manage stakeholders, such as functional VP's, brand, and ... Job DescriptionVertex is seeking to hire a Director , Access Strategy Analytics & Insights within the...(PACM), Commercial Analytics and the Field teams.Communicate impacts to utilization management , tiering, and formulary/medical policy on… more
- Sevita (Boston, MA)
- …leadership skills to a team-based workplace that puts people first. As Operations Management State Director , you will oversee the company's operations across the ... all every day. Join us today, and experience a career well lived.Operations Management State DirectorHybrid position, and great pay!Must live in the state of… more
- Quickbase (Boston, MA)
- …and a company's bottom line. Quickbase's platform for Dynamic Work Management (the first ever) empowers nearly 12,000 organizations like Consigli, Suffolk, ... access to the right information. Head of CS Operations ( Director Level) About the role As a leader within...team segmentation and alignment, target setting, capacity tracking and utilization Oversee the documentation of key CX processes and… more
- Quickbase (Boston, MA)
- Head of CS Operations ( Director Level) About the role As a leader within the Go-To-Market (GTM) Operations team, you will lead a team of analysts that support ... AOP including team segmentation and alignment, target setting, capacity tracking, and utilization . Oversee the documentation of key CX processes and definition of… more
- Hirebridge (Boston, MA)
- Head of CS Operations ( Director Level) About the role As a leader within the Go-To-Market (GTM) Operations team, you will lead a team of analysts that support ... AOP including team segmentation and alignment, target setting, capacity tracking, and utilization Oversee the documentation of key CX processes and definition of… more
- Commonwealth Financial Network (Waltham, MA)
- …be able to work from home for part of the week! We are looking for a director of platform management to join our ranks. This role will be instrumental in driving ... product offering, focusing on expanding business capabilities and leading our platform management team. The ideal candidate will possess a strong understanding of… more
- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, ... the business processes and operations for all levels of utilization management review (ie, Precertification and Intake...leadership. The Director oversees and leads medical management activities related to precertification utilization … more
- CVS Health (Boston, MA)
- …Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and ... in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) 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 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)
- … 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)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… 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 ... skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation… more
- Humana (Boston, MA)
- …opportunities are addressed. They will work closely with established functions inside utilization management (Medical Director , clinician decision making ... verbal communication **Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project Management Professional (PMP)… more
- Beth Israel Lahey Health (Burlington, MA)
- …Advisor will play an active role in optimizing healthcare resource utilization , ensuring quality, patient care, and managing valuable organizational resources. The ... of multidisciplinary teams-Nursing staff leadership, hospitalist and closely collaborates with the director of care transitions to assess and guide the appropriate … more
- Evolent Health (Boston, MA)
- …and Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Associate Director and Director may ... 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
- Clean Harbors (Norwell, MA)
- Clean Harbors is looking for a ** Director of Fleet Asset Management ** to join our safety conscious team! The Director will provide leadership for the overall ... management of the Company's key asset classes. Lifecycle management responsibilities include asset acquisition and justification, asset deployment, designing and… more
- CVS Health (Boston, MA)
- …care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic planning for ... to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and operations… more
