- Commonwealth Care Alliance (Boston, MA)
- …care services,procedures, and facilities under the provisions of CCA's benefits plan.The Manager , Utilization Management is responsible for overseeing and ... CMS compliance standards in the area of service decisions and organizational determinations.The Manager , Utilization Management reports to the Director of… more
- Commonwealth Care Alliance (Boston, MA)
- …required. + CCM (Certified Case Manager ) preferred + 1 to 2 years Utilization Management experience required. + 2 or more years working in a clinical ... under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Children's Hospital Boston (Boston, MA)
- …Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care… more
- Evolent Health (Boston, MA)
- …others. **Collaboration Opportunities:** + The Manager , Client Services oversees daily utilization management and directs the medical care of our members on ... plans and serves in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will not only lead a production team but… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical ... and service authorization review for medical necessity and decision-making. The Utilization Management Reviewer has a key role in ensuring CCA meets CMS… more
- Evolent Health (Boston, MA)
- …with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager in supervising the ... operational productivity of the Utilization Management nurses by implementing and maintaining an efficient and...department. The UM Lead, in collaboration with the UM Manager and Director, ensures compliance with all regulatory standards… more
- Wolters Kluwer (Waltham, MA)
- …activities, branding & tailoring, pulling reports, and customer training. **Ongoing Utilization Management ** + Oversee customer utilization and ... quality and effective care. **ESSENTIAL DUTIES & RESPONSIBILITIES** The **Customer Success Manager - National Accounts** plays a lead role in managing and driving… more
- Cambridge Health Alliance (Malden, MA)
- Manager , Ambulatory Capacity Management Apply Refer a Friend Back **Date Posted:** 10/03/2024 **Requisition Number:** 8544 **Location:** Commerce Place **Work ... with, the Executive Director, Provider Operations and Strategy (ED/POS), the Manager , Ambulatory Capacity Management is responsible for the centralized… more
- Quickbase (Boston, MA)
- Job Title : Sr. Manager , Professional Services Operations Department : Professional Services Location : Hybrid, 2 days a week in Boston Office Manager : Rupali ... Sawhney, Senior Director, Professional Services Summary Description of Position The Manager of Professional Services Operations will be detail-oriented and highly… more
- Novo Nordisk (Lexington, MA)
- …to senior management and other key stakeholders + Use space utilization data to forecast future workspace and lab needs, proactively identifying opportunities ... medicines for patients. The Position The Space Planner Project Manager is responsible for managing phased growth, major move...sites as needed and will focus on data-driven space management and long-term planning. As the company transitions to… more
- Covenant Health (Nashua, NH)
- …Experience + Minimum of five years broad clinical experience preferred + Case management and/or Utilization Management experience is preferred + ... + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge...MA / CMO and/or Director of Care Coordination or Manager Care Coordination/Case Management + Other duties… more
- J&J Family of Companies (Boston, MA)
- Account Manager New England Auris Health, Inc. Johnson & Johnson Robotics and Digital Solutions - 2406213894W **Description** Johnson & Johnson is recruiting for ... **Account Manager ** for Auris Health located in New England territory....and clinical success, including procedure sales, support and driving utilization for all Auris Surgical Robotics Technologies. The Field… more
- Envista Holdings Corporation (Nashua, NH)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... **Job Description:** **JOB SUMMARY:** The Territory Sales Manager is responsible for leading the business development/acquisition activities to drive sales within… more
- Burns & McDonnell (Newton, MA)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
- Sanofi Group (Cambridge, MA)
- …duplicate discounts], and product-specific rebate conditions [e.g. formulary placement, utilization management criteria, competitor market landscape]). + Support ... Customer. + Review, interpret, and assess specialty product reimbursement and utilization management criteria against pre-defined contracting objectives. +… more
- Pfizer (Cambridge, MA)
- …major role in delivery of care across US Hospitals. The Senior Manager , Institutional Customer Marketing, Sterile Injectables (SI) Portfolio is responsible for ... involve partnering cross functionally with key stakeholders in Portfolio, Sales, Account Management , Medical, Legal, Regulatory and PGS, among others, as well as… more
- Takeda Pharmaceuticals (Boston, MA)
- …and category management best practices within the business (ie increased utilization of preferred suppliers, SoW optimization and the use of BuyEasy@Takeda etc.) ... to the best of my knowledge. **Job Description** **SCOPE** The Regional Category Manager is responsible for the execution of the sub-category strategy in the region.… more
- Eastern Bank (Lynn, MA)
- The Fraud Operations Manager is responsible for Operations division evaluation and execution of drivers that support the strategy of fraud detection and prevention, ... overall efficiency, and technology advancements. **Overall Management Responsibilities:** Management for all fraud operations functions: Designs, implements, and… more
- Erickson Living (Peabody, MA)
- …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S) Committee ... Location: Brooksby Village by Erickson Senior Living The Clinical manager is an active member of the clinical leadership team who is responsible for the assessment,… more
- State of Massachusetts (Boston, MA)
- *Executive Office of Housing and Livable Communities (EOHLC*)*is seeking a** Manager of State Individual Homelessness Resource**s in the Division of Housing ... Massachusetts communities. *_OVERVIEW OF ROLE:_* This position functions as the manager for individual shelter operations team, which oversees unaccompanied adult… more