- CVS Health (Boston, MA)
- …continuum of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...and quality objectives are met. * Consults with plan medical staff regarding adverse determinations, addresses issues related to… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... solves problems, referring exceptional issues to Vice President. The Director of Case Management is...managing of the activities of the Case Management Program for Signature Healthcare & Signature Medical… more
- Humana (Boston, MA)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...in teams focusing on quality management , utilization management , case management , discharge planning… 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 ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Executive Director of Medical Respite, the Medical Director participates in the overall vision-setting, management , and resource stewardship of the ... psychiatric illnesses and substance use disorders are prevalent. The Medical Director of Respite Programs is responsible...+ Holds regular educational seminars on topics relevant to Medical Respite clinical care, including case conferences… more
- Humana (Boston, MA)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Point32Health (Canton, MA)
- …and key provider - facility and physician or group - clinical leadership. The Director oversees and leads medical management activities related to ... based behavioral health and / or case management leaders and programs. The Director assumes...+ Ideal candidate will have extensive, relevant inpatient and/or medical management experience with a strong operation… more
- Cambridge Health Alliance (Everett, MA)
- …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management Everett Apply Refer a...adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Boston Health Care for the Homeless Program (BHCHP) is seeking a talented Associate Medical Director of Medical Respite to work-in close collaboration with ... from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more...the Respite Medical Director and be responsible for the… more
- Evolent Health (Boston, MA)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of… more
- Highmark Health (Boston, MA)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- J&J Family of Companies (Boston, MA)
- Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
- Harvard University (Cambridge, MA)
- …in outreach and partnership-building with the University's Schools and units. + Assists the Director in tracking ODR case -related data and outcomes, with a focus ... plays a critical role in implementing ODR's mission by assisting the Director , where appropriate, in providing day-to-day case -related guidance in investigations… more
- Merck (Boston, MA)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Health Systems Oncology Medical Affairs Director , US Medical...This role also serves as a resource for the Medical Affairs (MA) management team on strategic… more
- Harvard University (Cambridge, MA)
- …for large/small groups + Ability to learn and utilize Maxient or other CRM case management systems; knowledge of Microsoft Office Suite and ability to learn ... students on matters related to student concerns, resource referral, and provides ongoing case management . + Provides advising and consultation to faculty and… more
- Evolent Health (Boston, MA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...in risk management , claim adjudication, pharmacy utilization management , catastrophic case review, outreach programs, +… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...experience post-training providing clinical services + Experience in utilization management review and case management … more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management (UM) functions for physical health ... state and federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic… more
- Merck (Boston, MA)
- **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that guides TA scientific… more
- CVS Health (Boston, MA)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more