- Conviva (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Providence, RI)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Providence, RI)
- …our caring community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Sumitomo Pharma (Providence, RI)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Sumitomo Pharma (Providence, RI)
- …. **Job Overview** The **Executive Director Head of Medical ... Strategy** will be a key member of the Medical Affairs Leadership team reporting to the Vice President,...Dynamic leadership skills. + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Sumitomo Pharma (Providence, RI)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Director Regulatory Affairs** . The Director is part of the Global ... activities and submissions + May be responsible for creating and reviewing SOPs and regulatory department operating procedures. **Key Core Competencies** +… more
- Cardinal Health (Providence, RI)
- **JOB TITLE:** Director , Compensation **Track / Level:** M3 **At Cardinal Health, we're developing the innovative products and services that make healthcare safer ... and communicates policies to managers throughout the enterprise. The Director , Compensation will drive broad-based and sales compensation for Pharma/Specialty… more
- Sumitomo Pharma (Providence, RI)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Regulatory Affairs** . The Associate Director is part of the ... promotional materials review committee (PMRC) along with Marketing Brand Teams, Legal, Medical Affairs and Clinical Research in the development of in advertising and… more
- Olympus Corporation of the Americas (Westborough, MA)
- … Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill ... than @Olympus.com, it is likely not legitimate._ **Job Description** The Director , Business Development (BD) Quality Assurance (QA) is responsible for strategic… more
- CVS Health (Woonsocket, RI)
- …care more personal, convenient and affordable. **CVS Health is recruiting an** **Executive Director , Rx Returns for Pharmacy Trade & Supply Chain,** **which is a ... for senior leadership and external partners summarizing pharmaceutical returns;** ** Reviewing and approving contractual language related to return goods;** **Leading… more
- Citizens (Johnston, RI)
- Description The Investment Portfolio Director will be a key member of the Institutional Investment Portfolio and Hedging team within Treasury. The team manages the ... Investment Portfolio, Institutional Hedging, and MSR Hedging activities by reviewing investment strategies, seeking out new opportunities, and recommending changes… more
- Needham Bank (Needham, MA)
- Job Descriptions: We are seeking a highly skilled and experienced FVP, Systems Delivery Director to join our team. This role is pivotal in driving the strategic ... Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional… more
- BJs Wholesale Club (Marlborough, MA)
- …Leave, Jury Duty * Benefit plans for your changing needs* o Three medical plans**, Health Savings Account (HSA), two dental plans, vision plan, flexible spending ... match (must be at least 18 years old) *eligibility requirements vary by position ** medical plans vary by location + This position oversees all aspects of accounting… more
- Takeda Pharmaceuticals (Providence, RI)
- …and building appropriate global regulatory strategy. + Preferred experience includes reviewing , authoring, or managing components of both drug and device regulatory ... or long-term incentives. US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company match, short-term and… more
- Beth Israel Lahey Health (Needham, MA)
- …committee and reviewing and signing off Code 44 cases in real time. The CMO/ Medical Director will have direct oversight of the Medical Staff Office and ... to Director of Quality and Safety, actively participates in Medical and Surgical Review Committees, reviews and investigates cases with possible… more
- Citizens (Johnston, RI)
- …thresholds. While in this role, you will be responsible for proactively reviewing , analyzing and identifying emerging risks, escalating to the Senior Director ... of First Line Risk where appropriate. Additionally, you will work with the Senior Director / Director to adhere to internal governance processes and control for… more
- Brown University (Providence, RI)
- …to the needs of staff, students, and families. Reporting to the Associate Director of Pre-College Student Life - Student Support and Operations, the Accommodations ... students' and staff member's accessibility needs and evaluate information from medical and/or psychological clinicians to determine eligibility, and make referrals… more
- WM (Providence, RI)
- …guidance, direction and recommendations to field operations by preparing and reviewing compliance reports, permit applications and draft permits. The team supports ... tracking and updates; and training. This position will report to the Senior Director of Air Programs and take direction from, coordinate with and/or assist Senior… more
- Fallon Health (Worcester, MA)
- …data collection and quality surveillance as required. + Collaborates with the Site Director to establish goals and objectives related to home care services. + ... for the completion and submission of biweekly payroll. + Responsible for reviewing all claims and prior authorizations for accuracy. + Addresses employee relations… more