- 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
- 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
- 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 (Boston, MA)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- 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
- Western Digital (Boston, MA)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
- 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
- Sanofi Group (Cambridge, MA)
- **Global Medical Director , Early Pipeline Respiratory, Global Medical Immunology** **About Sanofi** At Sanofi, we are committed to the growth of our people, ... millions of patients around the world. **Job Responsibilities:** + The Early Pipeline Respiratory Medical Director reports to the Global Medical Head of… more
- Sanofi Group (Cambridge, MA)
- …chronic dermatologic, respiratory, and gastrointestinal diseases. **Position Summary** + The Global Medical Director of Dermatology, reports to the Global ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
- Humana (Boston, MA)
- …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and… more
- 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
- 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
- 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
- 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
- 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
- Baylor Scott & White Health (Boston, MA)
- … claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Director , Consumer Analytics **Location:** Cambridge OR Bridgewater **_About the job_** We are an innovative global healthcare company, committed to ... Sanofi hubs to optimize process excellence and efficiency The ** Director , Consumer Media Analytics NA** will be responsible for...Hub (ODH) across Sanofi NA. + Collaborate with Data Management & Digital teams to integrate and unify first-party,… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
- 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
- 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