Healthcare Associates Practice Representative Lahey Hospital and Medical CenterHealthcare Associates Practice RepresentativeBoston, MA$20.50–$27.59 / hourCustomer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Facilitates timely flow and proactively solves flow issues (i.e., early or late patient, late provider, etc.) Acts as liaison between patient and practice staff to ensure optimal flow and service delivery.
HR Business Partner(HRBP) Healthcare Southcoast Health System IncHR Business Partner(HRBP) HealthcareNew Bedford, MARemote$72,384–$121,597 / yearNestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home. Under limited direction of the Manager, Employee Relations and HRBPs, or designee, the HR Business Partner (HRBP) supports the delivery of all HR services to internal client groups.
Job Captain - Healthcare Shepley BulfinchJob Captain - HealthcareBoston, MAFull timeWhen the project scale requires it, the Healthcare Architect will also be responsible for assisting and leading an internal planning team, monitoring scheduled tasks, and ensuring that deadlines and key milestones are met within the scheduled framework of a project. The Healthcare Project Architect works with the project team to integrate equipment, regulatory requirements, engineering requirements, and interior design concepts into a cohesive building design.
Healthcare and Life Science Account Executive - Northeast Perficient IncHealthcare and Life Science Account Executive - NortheastBoston, MA$125,000–$200,000 / yearProudly serving clients that represent the world's most innovative brands, and in collaboration with our powerful technology partner ecosystem, we bring deep industry expertise and data-driven design to redefine how businesses run and succeed. The salary range for this position takes into consideration a variety of factors, including but not limited to skill sets, level of experience, applicable office location, training, licensure and certifications, and other business and organizational needs.
Associate Director, Vendor Management Marchon PartnersAssociate Director, Vendor ManagementBoston, MAThis individual will collaborate across multiple internal functions, including Patient Services, Market Access, Commercial, Medical, Legal, Compliance, Finance, Procurement, and Operations, to drive vendor accountability, operational excellence, and continuous improvement. This role is ideal for a strategic leader with extensive experience managing third-party vendors supporting patient access, reimbursement, specialty pharmacy, and patient engagement services.
Director of Case Management Wheeler Staffing PartnersDirector of Case ManagementWorcester, MAOur team specializes in placing top talent within healthcare leadership, clinical operations, case management, revenue cycle, nursing leadership, and hospital administration roles. This role is responsible for overseeing hospital utilization management, care coordination, transition planning, patient throughput, and operational leadership of the Case Management Department.
Associate Director, Vendor Management Pyramid, IncAssociate Director, Vendor ManagementBoston, MA$80–$100 / hourFull timeCore Competencies Strategic thinking Vendor governance and accountability Operational excellence Risk identification and mitigation Cross-functional collaboration Executive communication Analytical and data-driven decision-making Patient-centered mindset Working Conditions / Travel Ability to travel periodically for vendor site visits, internal meetings, and business reviews, as needed. Key Requirements and Technology Experience: Key skills; "Patient Support ", "Vendor Management", “Reimbursement Support”, "Patient Access", "Vendor Governance" Bachelor’s degree in business, healthcare administration, life sciences, or related field.
Senior Medical Director, Medical Management UMass Chan Medical SchoolSenior Medical Director, Medical ManagementBoston, MAAt least 5 years experience in direct patient care post-residency• At least 5 years experience in utilization management in a managed care organization/health plan • In active clinical practice throughout employment with the Office of Clinical Affairs; internal medicine or family medicine preferred• Thorough knowledge of the principles and practices of medical management including utilization management• Excellent oral and written communication and presentation skills• Must work two days per week on site in Boston and/or Quincy during normal business hours. Medical Management Strategy and Policy• Leads development and implementation of Office of Clinical Affairs strategy for medical management to ensure appropriate, efficient, and high quality care delivery• Collects, analyzes and reports on medical management metrics to identify trends and recommend interventions • Accountable to improving efficiency, cost-effectiveness, and quality in OCA's medical management programs, including through use of new technology as appropriate • Contributes to MassHealth's cross-agency medical management strategy.
NewWound Care Utilization Management RN Elevance HealthWound Care Utilization Management RNWoburn, MA$39.34–$56.20 / hourThe Wound Care Utilization Management RN will be responsible for performing pre-certification and/or authorization activities for Home Health Services for members with wound care needs included as contracted services that meet eligibility and benefits coverage. For the Wound Care Connect program, in addition to Wound Care Certification requirements above, Ostomy training through accredited programs such as WOCN or ABWM and Ostomy experience is also required.
Director of Case Management, Worcester, MA - (IK) Central Business SolutionsDirector of Case Management, Worcester, MA - (IK)Worcester, MassachusettsThe individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement.
Senior Director, Product Management Pharmacy Solutions SS&C Technologies Holdings IncSenior Director, Product Management Pharmacy SolutionsBoston, MARemoteThis role serves as the business owner for one or more strategic product domains within the pharmacy platform, partnering across Product, Technology, Operations, Clinical, Sales, Marketing, and Client Success teams to deliver innovative solutions that drive client value and business growth. Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services.
Project Management Specialist Zevra TherapeuticsProject Management SpecialistBoston, Massachusettsproject leaders and functional teams, this role helps ensure projects remain on track by. facilitating meetings, maintaining timelines, tracking actions and risks, and supporting.
Director - Case Management Tenet Healthcare CorpDirector - Case ManagementWorcester, MAThe individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. Healthgrades awarded Saint Vincent Hospital #1 in Cardiology in the state and one of Americas 100 Best Hospitals for Coronary Intervention in 2023 and 2024, which puts Saint Vincent Hospital in the top 5% of hospitals nationwide for coronary intervention.
NewKnowledge Management Specialist - PAS InterSystemsKnowledge Management Specialist - PASBoston, MA$84,000–$108,000 / yearOur data platforms solve interoperability, speed, and scalability problems for large organizations around the globe to unlock the power of data and allow people to perceive data in imaginative ways. The Knowledge Management Specialist leverages strong clinical knowledge and product expertise to bridge the gap between core development and regional teams via documentation collateral and engagement.
Knowledge Management Specialist – PAS InterSystemsKnowledge Management Specialist – PASBoston, Massachusetts$84,000–$108,000 / yearOur data platforms solve interoperability, speed, and scalability problems for large organizations around the globe to unlock the power of data and allow people to perceive data in imaginative ways. The Knowledge Management Specialist leverages strong clinical knowledge and product expertise to bridge the gap between core development and regional teams via documentation collateral and engagement.
Director of Case Management Veracity Software IncDirector of Case ManagementWorcester, MAThe individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement.
Executive Director, Utilization Management Lahey Hospital and Medical CenterExecutive Director, Utilization ManagementMA$180,000–$210,000 / yearThe Executive Director partners with senior clinical and operational leaders, including the Chief Nursing Officers, Chief Medical Officers, Physician Advisors, and payer partners, to align UM initiatives with organizational goals of care coordination, length of stay optimization, and denial prevention while managing UM directors and staff across the system. This executive-level position is responsible for developing and executing comprehensive utilization management strategies that ensure appropriate care delivery in the most clinically and financially optimal settings while maintaining regulatory compliance and optimizing reimbursement.
Project Management Specialist Zevra Therapeutics IncProject Management SpecialistBoston, MABy following the data without bias, our transparent narratives and common-sense perspective have successfully overcome complex development challenges to make much-needed therapies available to patients. With a keen understanding that drug development often requires creative solutions, we have the insight and expertise to forge new pathways to success that others have missed.
Senior Medical Director,Medical Management University of Massachusetts Medical SchoolSenior Medical Director,Medical ManagementBoston, MassachusettsWorking closely with clinical and operational leaders within the Office of Clinical Affairs, this leader will oversee program initiatives related to utilization management (including prior authorizations), medical coverage policy, and care management. Overview: The Senior Medical Director for Medical Management will lead medical management strategy and operations for the MassHealth Office of Clinical Affairs to ensure the delivery of medically necessary, cost-effective, and high quality care for MassHealth members.
Senior Manager- Knowledge Management for Clinical Affairs Integrated Resources, IncSenior Manager- Knowledge Management for Clinical AffairsCambridge, MassachusettsContractorJob DescriptionJob Title: Senior Manager – Knowledge Management for Medical AffairsDuration: 14+ MonthsLocation: Cambridge, MAResponsibilities:Gathering end user requirements from key stakeholders and review of technical specifications for information governance in partnership with IT, maintaining of critical functionality of the CRM platform to ensure uninterrupted access by HCPs to company product information;Creation and maintenance of all metrics and analytic tools necessary for supporting GMA decision making and maintenance of the content management system used by Worldwide Medical. Project management expertise with focus on driving for results and sense of urgencyMinimum of 7-10 years clinical data systems experience working in the biotechnology or pharmaceutical industryExperience applying best practices in application development to the clinical trial environment, including requirements definition and QC plansAware of current global regulatory guidelines relevant to Clinical Data Management, as well as related Pharma Development SOPs, guidelines and Best Practices.