• PCO Medical Director - UM - Part…

    CenterWell (Boston, MA)
    …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...ABQAURP, or other boarddemonstratingadvanced training in transitions of care, quality assurance,utilizationmanagementand care coordination. + A current and unrestricted… more
    CenterWell (11/06/25)
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  • Director , Utilization Management & Prior…

    Fallon Health (Worcester, MA)
    …we strive to be the leading provider of government-sponsored health insurance programs -including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for ... Description and annually evaluate the effectiveness of the program . + Represents the UM Department in...related to Utilization Management. + Works with VP/ Medical Director to set agenda related to UM more
    Fallon Health (12/14/25)
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