• Medical Director -- Claims

    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 ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (01/28/25)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    …under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and… more
    Commonwealth Care Alliance (11/26/24)
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  • Assistant Claims Manager (Military Move)

    HomeSafe Alliance (Boston, MA)
    …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and… more
    HomeSafe Alliance (01/15/25)
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  • Medical Director - Gulf South

    Humana (Boston, MA)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (12/03/24)
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  • Director , HIV Medical Affairs - NYC…

    Merck (Boston, MA)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Boston, MA)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (01/07/25)
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  • Oncology Regional Medical Scientific…

    Merck (Boston, MA)
    …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
    Merck (01/10/25)
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  • Director , US Benefits

    Cardinal Health (Boston, MA)
    …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
    Cardinal Health (01/11/25)
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  • Associate Director , US Advertising…

    Takeda Pharmaceuticals (Lexington, MA)
    …strategies. + Provide product development and label development strategies to ensure promotional claims can be supported. + May provide management of individuals ... to the best of my knowledge. **Job Description** **Associate Director , US Advertising & Promotion Regulatory Review** **Takeda Pharmaceutical**...office. Where you will be working on the US Medical team, you will be empowered to serve as… more
    Takeda Pharmaceuticals (11/15/24)
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  • Director of Engineering

    State of Massachusetts (Boston, MA)
    …level information technology services and infrastructure, including network management and security; computer operations; application hosting; desktop provisioning ... and management ; and modern and responsive digital services to 40,000...government services? We're looking for a collaborative and purpose driven* Director of Engineering*to lead, grow and mature our established… more
    State of Massachusetts (11/21/24)
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  • Managing Director - Insurance Advisory…

    EPAM Systems (Boston, MA)
    …driving strategic and operational excellence across client functions such as underwriting, claims and distribution management . You will contribute to the ... - go-to-market, sales, engagement delivery and practice development. As a **Managing Director - Insurance Advisory** , you will lead the demand generation, pursuit,… more
    EPAM Systems (12/18/24)
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  • Director of International, Global Household…

    HomeSafe Alliance (Boston, MA)
    **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
    HomeSafe Alliance (12/21/24)
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  • CE Strategic SCM Director 1

    Celestica (Boston, MA)
    …**Functional Area:** Supply Chain Management (SCM) **Career Stream:** Supply Chain Management (SCM) **Role:** Director 1 (DR1) **Job Title:** Director , ... a dynamic market environment. **Detailed Description** We are currently seeking a ** Director , Strategic Supply Chain Management (Capital Equipment)** to join our… more
    Celestica (12/20/24)
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  • Executive Director , Claim Platform Quality…

    CVS Health (Woonsocket, RI)
    …an Executive Director for Claim Platform Quality Assurance within the Claims Center of Excellence Automation team. This role involves owning the design and ... CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better health and… more
    CVS Health (01/24/25)
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  • Director of Contracts

    The MITRE Corporation (Bedford, MA)
    …a difference with us. MITRE is seeking an experienced and dynamic Contracts Director to lead and manage the Contracts Department, ensuring the effective negotiation, ... to ensure compliance with regulations, policies, and client needs. The Contracts Director will work closely with leadership teams across MITRE's various departments… more
    The MITRE Corporation (01/01/25)
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  • Assistant Director of Human Resources

    Robert Half Finance & Accounting (Boston, MA)
    Description **Assistant Director of Human Resources** Our client is looking for a proficient Assistant Director of Human Resources to join the team and assist ... and employee relations, ensuring legal compliance, and responding to any employee-related claims . In addition, you will be expected to work harmoniously with… more
    Robert Half Finance & Accounting (01/07/25)
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  • Director , Global Labeling Strategy Lead

    Takeda Pharmaceuticals (Boston, MA)
    …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… more
    Takeda Pharmaceuticals (01/26/25)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Boston, MA)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (01/15/25)
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  • Associate Director , Data Governance…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …us transform healthcare? Bring your true colors to blue. What We Need The Associate Director of Data Governance & Analytics Success will be a key leader in executing ... governance functions. + Implement technology solutions to enable robust data lifecycle management , improve data quality and standards, and self service analytics. +… more
    Blue Cross Blue Shield of Massachusetts (11/26/24)
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  • Associate Director , IBD Analytics

    Takeda Pharmaceuticals (Lexington, MA)
    …to the best of my knowledge. **Job Description** Join Takeda as an Associate Director , IBD Analytics out of our Lexington, MA office. This role involves leading key ... understanding of end-to-end data architecture, industry-standard secondary data (eg claims data), and analytics models **Minimum Requirements/Qualifications:** + Bachelor's… more
    Takeda Pharmaceuticals (01/25/25)
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