- 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 ... state and federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting… 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 actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Boston, MA)
- …. **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization Management of the care received by members ... community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests.... + Prefer Medical Oncology or Surgery specialties + Utilization management experience in a medical … 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
- Commonwealth Care Alliance (Boston, MA)
- …standards in the area of service decisions and organizational determinations.The Manager, Utilization Management reports to the Director of Clinical ... and facilities under the provisions of CCA's benefits plan.The Manager, Utilization Management is responsible for overseeing and managing the… more
- Evolent Health (Boston, MA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake … 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
- Evolent Health (Boston, MA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Grant Thornton (Boston, MA)
- As a Transaction Management Director , you'll focus on buy-side and sell-side transaction management engagements, serving dynamic organizations with ... teams + Provide expertise in the following: + Deal Management Office support + Standalone, one-time, and stranded cost...professional development + Meeting or exceeding targeted billing hours ( utilization ) + Other duties as assigned You have the… more
- State of Massachusetts (Boston, MA)
- …Department of Public Health (DPH) seeks an experienced leader to serve as our Director of Infectious Disease Treatment Access. The Director of Infectious Disease ... Treatment Access is responsible for the administration and management of the statewide Infectious Disease Drug Assistance Program (IDDAP) which promotes equitable… more
- Harvard University (Cambridge, MA)
- …maintenance of all financial models. + Member of the Campus Services' Local Emergency Management Team and acts for Director in his absence. Responsible for ... management plans for services within the Operations group and assists Director in disseminating emergency management information across E&U and achieving… more
- The Hartford (Boston, MA)
- Managing Director - UQ06CB We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... the future. Reporting to the AVP of Alternative Distribution, the Managing Director will provide direct underwriting leadership, sales leadership, and agency … more
- Beth Israel Lahey Health (Burlington, MA)
- …healthcare services. Leverage health informatics and data analytics across campuses The Director will oversee the integration and utilization of health ... taking a job, you're making a difference in people's lives.** The Institute Director will develop the strategic plan, research priorities, and recruit and build a… more
- Harvard University (Cambridge, MA)
- …Office Location:USA - MA - Boston Business Title:Associate Director of Statistical ProgrammingSub-Unit: Appointment End Date:30-Nov-2027Salary Grade ... Computer Science, or related field + Experience working with all levels of management and consulting with key business stakeholders + An ability to influence for… more
- CBRE (Boston, MA)
- …Through the utilization of best practices and process optimization, the Director will drive efficiencies and effectiveness in every part of the account ... Sector Director - Industrial & Logistics Job ID 190681...GWS Segment Role type Full-time Areas of Interest Executive Management , Facilities Management Location(s) Atlanta - Georgia… more
- Boston University (Boston, MA)
- …a community. Now, our Stewardship & Donor Relations team is looking for an Associate Director who w ill help lead SDR's effort to ensure gift and endowment funds are ... to its constituents and demonstrate the impact of their philanthropy. Associate Director In partnership with and reporting to the Senior Associate Director… more
- Tufts Medicine (Boston, MA)
- …to make a difference. We are seeking a dynamic and experienced Executive Director , Surgical Services to join our renowned flagship hospital. As a key member ... development. **Job Overview** This position is accountable for service line management , leading strategic, financial, and operational aspects of the Service Lines.… more
- Prime Therapeutics (Boston, MA)
- …drug management strategy for the designated clinical product domain (ie Utilization Management , Formulary, Concurrent and Retrospective Drug Utilization ... drives every decision we make. **Job Posting Title** Clinical Program Development Director , Stars - Remote **Job Description** The Clinical Program Development … more
- Brookdale Senior Living (Boston, MA)
- Overview Brookdale is hiring a Traveling Director of Dining Services to help support multiple communities in our upper-east region This is 100% Travel Position with ... Dining Service in the following duties: Operating as the Director , Dining Services at a community directing food service...procedures and training tools. + Supports roll out and utilization of national, regional and local vendor programs for… more