- Evolent Health (Boston, MA)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… 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 ... regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic direction,… more
- CVS Health (Boston, MA)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- Takeda Pharmaceuticals (Boston, MA)
- …life-changing therapies to patients worldwide. Join Takeda as an Associate Director, Portfolio Management Lead where you will ensure that the PharmSci Portfolio ... and strategic support on high-priority, complex, cross-functional program and portfolio management initiatives. As part of the PS Program Leadership, you will… more
- Eversource Energy (Manchester, NH)
- …position has the primary responsibility for leading a team of engineers in Asset Management ensuring that the goals of the business are met with optimally developed ... budgets, identifying process improvements with respect to development, approval and management of distribution projects, developing best practices and strategies for… more
- Takeda Pharmaceuticals (Boston, MA)
- …The Procurement Lead will embed the Category Strategy through effective management and engagement (Category Councils, if needed), of both internal and external ... strategy-definition to the purchase order. Through application of Category Strategy & Management tools, systems, and techniques, the Procurement Lead will… more
- Humana (Boston, MA)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Elevance Health (Woburn, MA)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Humana (Boston, MA)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …the best of my knowledge. **Job Description** **OBJECTIVES:** + Group Lead , Global Scientific Communications Immunology, has ultimate accountability for delivering ... optimal use of internal and outsourced resources; the efficient and effective management of teams in alignment with relevant Global Medical Strategy Teams (MSTs).… more
- Veterans Affairs, Veterans Health Administration (Bedford, MA)
- …(Encounter Action Required Report) and delinquent recall report; supports clinics regarding utilization and clinic profile management ie set-up of clinic grids, ... Summary This Lead Medical Support Assistant position is in Connective...and memos as needed. Promotes Veteran registration for and utilization of HealtheVet (MHV) Stocks basic office supplies for… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- BJs Wholesale Club (Revere, MA)
- …business/business acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model ... up and accountability. Team Members: + Teach, coach and lead through the club level training process. Support team...the club. + Responsible for providing supervision and performance management for Recovery Clerk and Utility Clerk team members.… more
- Merck (Boston, MA)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- BJs Wholesale Club (Framingham, MA)
- …business/business acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model ... members to ensure excellent member service. The Front End Lead teaches, develops and motivates all team members for...to navigate within system applications. + Utilize online task management system (MyWork) to manage workflow, track, and monitor… more
- Wells Fargo (Boston, MA)
- …maximize resource utilization and improve processes while reducing cost + Lead , design, develop, test and implement applications and system components, tools and ... escalated platform issues of a technically challenging nature + Lead team to ensure compliance and risk management... Lead team to ensure compliance and risk management requirements for supported area are met and work… more
- Takeda Pharmaceuticals (Boston, MA)
- …you and empower you to shine? Join us as Senior Scientist, DMPK Project Lead in our Cambridge, Massachusetts office. As a member of Global DMPK organization, you ... to people around the world. As a DMPK Project Lead for a diverse range of therapeutic modalities including:...to progress drug discovery programs. + Ensures selection and utilization of appropriate in vitro, in vivo and/or in… more
- RTX Corporation (Marlborough, MA)
- …advanced naval radar program. What You Will Do + The Computer Infrastructure Team Lead will be responsible for the overall management of the Computer ... and Test (SI&T) Directorate is seeking for a Computer Infrastructure (CI) Team Lead to provide Computer Infrastructure Subject Matter Expertise in support of an… more
- Cervello Inc (Boston, MA)
- Summary: As the Global COE Lead for AI and Data Science you will lead our Data Science COE as part of the Artificial Intelligence and Data Practice. You will ... leading organizations and teams on data science strategy, implementation, change management , and operational processes + Experience working across leading data… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …into peri- and post-approval research programs and real-world evidence strategies. + Lead and drive discussions at the Evidence Generation Sub-team to relevant ... evidence activities in order to: + Set standards for utilization of medical data. + Maximize patients' access to...RWE. + Proven track record of strong leadership, project management and demonstrated ability to coach and mentor individuals.… more