• 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
    DirectEmployers Association (10/18/25)
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  • Medical Director - IP

    Humana (Providence, RI)
    **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 (12/11/25)
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  • Medical Director - OP Claims

    Humana (Providence, RI)
    **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 (11/24/25)
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  • Medical Director - Medicaid N.…

    Humana (Providence, RI)
    …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
    Humana (10/25/25)
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  • Director Claims

    Ryder System (Providence, RI)
    …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
    Ryder System (11/22/25)
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  • Medical Director , Medicare…

    Humana (Providence, RI)
    …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
    Humana (11/19/25)
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  • Medicare/Medicaid Claims Editing Specialist

    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
    Commonwealth Care Alliance (11/25/25)
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  • Executive Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    …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. (11/14/25)
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  • Associate Director , Strategic Planning…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    …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. (12/11/25)
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  • Director , Training Management…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    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. (12/06/25)
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  • Senior Director , Strategy & Analysis,…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **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. (12/03/25)
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  • Associate Director , Global Quality…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **Job Summary** The Associate Director , Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and ... 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. (12/17/25)
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  • Director , Medical Publications…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    …lead for publication operations within the Nephrology & Immunology Medical Communications team, the Director partners closely with cross-functional ... across the portfolio. The position reports to the Senior Director , Nephrology & Immunology Medical Communications Lead...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Associate Director , Global Integrated…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **Summary:** The Global Integrated Evidence Operations , Associate Director role oversees and coordinates the operational processes, digital system support, and ... in enhancing the efficiency and effectiveness of general department operations to support timely and transparent delivery of high...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (12/17/25)
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  • Medical Director , Nephrology…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    The Medical Director , Nephrology & Immunology Medical Strategy is a critical role responsible for shaping the strategic processes and planning for assets in ... competing priorities. This position reports directly to the Senior Director , Immunology Lead, who in turn reports to the...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (12/18/25)
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  • Director , Medical Communications…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **Job Summary** The Director , Medical Communications directs Leads and manages the execution of the global and US scientific communication for the global and US ... communication objectives and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership**… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Senior Director , Medical

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    **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
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Director , AI Operations & Services

    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
    Dana-Farber Cancer Institute (11/07/25)
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  • Senior Director , Medical

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    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. (11/14/25)
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  • Director , Provider Relations

    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
    Commonwealth Care Alliance (10/18/25)
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