Healthcare System Clinical And Quality Director Jobs in Massachusetts

... are looking for an experienced Clinical Affairs (i.e. clinical operations) professional to join our ... professional to join our enthusiastic and collaborative team.The selected individual will:Design, ... team.The selected..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... live anywhere in..

Job Information Humana Medical Director - Florida Medicaid in Boston ... Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that ... that..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... variable factors that rely on clinical experience and..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Job Information Humana Medical Director - National Medicare Team in ... Boston Massachusetts Description The Medical Director relies on medical background and reviews preauthorization requests for services. ... requests for..

Program Director for Faculty Development and Wellbeing leads the design and execution of a Faculty Development ... execution of a Faculty Development and Wellbeing strategy to advance faculty ... to..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities..

Job Information Humana UM Medical Director - Conviva in Boston Massachusetts ... Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

... the nations' leading provider of healthcare services from short-term to long-term ... from short-term to long-term care and a wide variety of living ... wide variety of living options..

Job Information Humana Medical Director - Texas in Boston Massachusetts ... Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health..

... Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex .....

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

... emergency room visits for urgent and acute care. Join a small ... Join a small team of clinical and business innovators and operators who are passionate about ... are..

The Role:Reporting to the Manager/Director of Quality Control, this individual will be ... for leading the part of Clinical QC Chemistry Operations team. The ... QC raw material, drug substance..

PURPOSE AND SCOPE:Directs, administers and controls the day to day ... the day to day operations and activities of dialysis facilities and programs in an assigned area ... ensuring compliance..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Boston Massachusetts Description The Medical Director relies on clinical background and reviews Medicare drug requests. The ... Medicare drug..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

... it's our people, our values and our culture that make us ... share a sense of vocation and a desire to serve others ... to what we believe in,..