- Harbor Health Services, Inc. (Mattapan, MA)
- …policies and reviews/modifies existing policies in collaboration with the Senior Medical Director , Senior Director of Clinical Operations and the Senior ... or finance department. Works with UM RNs and Senior Medical Director to deny claims ... Operations and working closely with the Senior Medical Director , develops and oversees the annual… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CenterWell (Boston, MA)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… 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 ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Elevance Health (Woburn, MA)
- ** Director I, Digital Claims Operations (Dir I Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director I, Digital Claims Operations **...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Ryder System (Boston, MA)
- …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… 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
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …therapeutic area portfolio + Collaborate with cross-functional teams to align global medical operations with overall business objectives and therapeutic area ... performance indicators (KPIs) to measure the effectiveness of global medical operations + Consider technology and AI...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- Director , Training Management Operations Lead The Director , Training Management Operations Lead, is a senior leader within the Learning Center of ... you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... and in-market products and manages contract operations to optimize revenue, market share, and support patient...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... communication objectives and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership**… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to support and grow the Institute's research, clinical, and business missions. The Director of AI Operations and Services leads the development and delivery ... solutions that support research, clinical, and operational goals. The Director serves as a subject matter expert in AI...preferably including one or more of radiology, digital pathology, medical text, audio recordings, claims data, or… more
- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations , utilization management, and quality programs as they ... network operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... Ensure coordinated scientific messaging and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles ** Medical … more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …Media, Market Research, Analytics, Otsuka Information Technology (OIT), Sales Operations , and Medical /Regulatory/Legal integrated business partners. **Minimum ... that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Waltham, MA)
- …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... **Job Summary** The Senior Director will serve as the Translational Medicine CNS...are aligned with intended clinical development plans. + Provide medical leadership for protocols, ICFs, investigator brochures, and core… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... - Aligning with the strategic goals of the GQ organization, the Sr. Director of Global Quality Solutions (GQS) is responsible for understanding and driving… more
