- 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
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management (UM) functions for physical health ... state and federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic… more
- Humana (Boston, MA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Sanofi Group (Cambridge, MA)
- **Early Pipeline Respiratory Medical Director ** **About Sanofi** At Sanofi, we are committed to the growth of our people, connected in purpose by career, life, ... 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
- Sanofi Group (Cambridge, MA)
- …and gastrointestinal diseases. **Main Responsibilities:** The Early Pipeline Gastroenterology Associate Medical Director reports to the Global Medical ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
- Humana (Boston, MA)
- …help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a strategic leadership role within ... Medicaid segment. The Medicaid Provider Services team, led by the Associate Director , is accountable for Humana's Medicaid segment strategy and operationalizing the… more
- South Middlesex Opportunity Council (Framingham, MA)
- …training and performance management . + In collaboration with the Medical Director , responsible for the design, development, implementation and ongoing ... SUMMARY The Clinic Director is responsible for ensuring the overall quality...Participate in quality improvement planning and action with entire management team. + Monitor caseloads and work with the… more
- Evolent Health (Boston, MA)
- …including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management . **Performance ... Management ** - maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of… more
- Robert Half Finance & Accounting (Dedham, MA)
- Description Our client, a premier company in the Senior Care field, is seeking a Director of Finance. The Director of Finance is a key member of the leadership ... in presentations to various committees and boards. Additionally, the Director of Finance oversees all financial activities, including accounting, reporting,… 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 ... my knowledge. **Job Description** Join Takeda as an Associate Director , US Advertising & Promotion Regulatory Review out of...office. Where you will be working on the US Medical team, you will be empowered to serve as… 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
- Sanofi Group (Cambridge, MA)
- **Job Title:** Senior Director , Insights & Analytics Rare Blood Disorders (RBD) **Location:** Cambridge **Travel:** 10% of travel expected **_About the job_** We are ... from Sanofi hubs to optimize process excellence and efficiency The **Senior Director , Insights & Analytics: Rare Blood Disorders** (RBD) is responsible for leading… 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
- 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
- Manulife (Boston, MA)
- …particularly Salesforce. + Business process expertise in Sales and Distribution, Operations, Claims Management , and Customer Service preferred. + More than 5 ... John Hancock seeks an experienced Director of Platform - Salesforce to lead and...delivery to support business objectives. Strong leadership and people management skills are essential. **Key Responsibilities:** Strategic Leadership of… more
- Philips (Cambridge, MA)
- **Senior Director of Clinical Affairs** Delivers clinical knowledge, experience and expertise across the whole value chain from ideation to end-of-life. Focus in ... and existing products/ solutions for registration, adoption, market development and claims substantiation. + Support regulatory teams during the submission process.… more
- 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