- Humana (Boston, MA)
- …for our provider partners and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with ... and providers, (3) achieve these outcomes while driving operating efficiency. The Utilization Management Strategy Lead will bring deep expertise in… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director, Utilization Management is responsible for directing, leading, and ... modifying the business processes and operations for all levels of utilization management review (ie, Precertification and Intake Services, Inpatient &… more
- Commonwealth Care Alliance (Boston, MA)
- …implementation of successful methods for working with providers. Ensures integration of utilization management functions with network strategy , vendor ... This Role is Important to Us:** The Director of Utilization Management leads and manages all ...and conflict resolution. + Proven ability to influence and lead ; well-developed teambuilding skills, unquestioned integrity, and the experience,… 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...Medicaid Managed Care Organization (MCO) focusing on Medicaid clinical strategy and population health management strategy… more
- Takeda Pharmaceuticals (Lexington, MA)
- …and general project management oversight. This role will be the function lead for Quality Culture deployment. + Drive change management by aligning with ... quality within its overall vision. + Knowledge of Takeda strategy and business performance, and utilization of...and market conditions, to help develop mid- and long-term strategy . + Proven capability to lead and… more
- Bank of America (Boston, MA)
- Cons Prod Strategy Mgr II - Digital Money Movement - Fraud Strategy Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... experienced analytical leader to join the digital commerce fraud strategy team. This is an exciting opportunity given the...in place, and will self-create initiatives as needed. + Lead a team of fraud analysts in the identification,… more
- Humana (Boston, MA)
- …with various stakeholders to drive strategic advancements in the Clinical - Utilization Management operating model. The Advisor must exercise independent ... caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that...**Manage the operating model elements of the Clinical - Utilization Management (UM) domain** + Serve as… more
- IQVIA (Boston, MA)
- The IQVIA Market Access Strategy Consulting team (formerly known as Amundsen Consulting), is a market-leading strategy and analytics division within IQVIA that ... optimization, and all varieties of patient assistance programs. The Market Access Strategy Consulting team at IQVIA recruits individuals with degrees from some of… more
- CVS Health (Boston, MA)
- …optimal cost recovery, parity of service, minimal service impact, and optimal resource utilization . Establish a strategy to aggregate cross-platform data onto a ... health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic… more
- Takeda Pharmaceuticals (Boston, MA)
- …business impact. The Procurement Lead will embed the Category Strategy through effective management and engagement (Category Councils, if needed), ... to the purchase order. Through application of Category Strategy & Management tools, systems, and techniques, the Procurement Lead will deliver measurable… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …the best of my knowledge. **Job Description** **OBJECTIVES:** + Group Lead , Global Scientific Communications Immunology, has ultimate accountability for delivering ... Affairs in close alignment with the Global Medical Affairs Immunology TA strategy teams. This includes responsibility for scientific messaging contents and cadence… more
- Eversource Energy (Westwood, MA)
- …Management strategies and equipment replacement programs\. + Communicates the Asset Management strategy throughout Eversource and to external parties as ... responsibility for leading a team of engineers in Asset Management ensuring that the goals of the business are...+ Assists with development of operational strategies for the utilization of asset resources, considering asset life cycle planning… more
- Elevance Health (Woburn, MA)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal...responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers through prepayment… 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:...be empowered to create and communicate a clear DMPK strategy and champion novel scientific approaches in support of… more
- Cervello Inc (Boston, MA)
- …understanding and experience leading organizations and teams on data science strategy , implementation, change management , and operational processes + Experience ... Summary: As the Global COE Lead for AI and Data Science you will...written communication skills with exceptional client-facing Role Responsibilities: COE Strategy + Responsible for overall strategy of… more
- Under Armour, Inc. (Boston, MA)
- Technology Adoption Lead **Date:** Sep 14, 2024 **Location:** Remote, US **Company:** Under Armour **Values & Innovation** At Under Armour, we are committed to ... (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Technology Adoption Lead is responsible for driving successful global… 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
- Takeda Pharmaceuticals (Cambridge, MA)
- …and adjusting tactical plans to address these. + Contributes to asset strategy through membership on matrix teams and through interactions with cross-functional ... into peri- and post-approval research programs and real-world evidence strategies. + Lead and drive discussions at the Evidence Generation Sub-team to relevant… more
- Marriott (Boston, MA)
- …to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- Takeda Pharmaceuticals (Boston, MA)
- …wider Category Strategy . The GCM will also lead the Category Strategy through effective management and engagement (Category Councils, if needed), of both ... our values every day (Integrity, Fairness, Honestly and Perseverance). **RESPONSIBILITIES** **Category management and strategy execution** + Lead the… more