Utilization Management Nurse, Out of Network Mass General BrighamUtilization Management Nurse, Out of NetworkSomerville, MassachusettsRemoteEssential Functions: • Expertise in clinical review for prospective, concurrent, retrospective utilization management reviews utilizing Interqual ®, company policies and procedures, and other resources as determined by review, including physician reviews as needed for all lines of business as per departmental needs. The UM Nurse will support network adequacy review and authorization activities for members enrolled in ACO, HMO, and EPO products who require planned inpatient or outpatient services from out-of-network providers.
Associate Director, Neuroscience Priority Accounts – New England NovartisAssociate Director, Neuroscience Priority Accounts – New EnglandBoston, MassachusettsRemoteCOVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers’ (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. For Field Roles with a Dedicated Training Period : The individual hired for this role will be required to successfully complete certain initial training, including home study, eight (8) or fewer hours per day and forty (40) or fewer hours per week.
Strategic Accounts Executive - No-Code Network Automation SaaS AC Lion Digital Media Executive SearchStrategic Accounts Executive - No-Code Network Automation SaaSBoston, MassachusettsRemoteEstablish and maintain deep, trust-driven relationships with existing and potential clients, acting as a key liaison between clients and internal teams. Achieve or exceed quarterly revenue targets by developing strategic business plans aligned with client needs and our client's product solutions.
Nurse Practitioner, Compass Plus Program Mass General BrighamNurse Practitioner, Compass Plus ProgramSomerville, MassachusettsRemote$126,838.40–$173,867.20 / yearDevelops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.-Consistently provides high-quality and timely documentation, including admission and progress notes, procedure notes, operative notes, and discharge summaries.-Performs bedside procedures as are appropriate to the patient population.-Orders medications and writes prescriptions in accordance with organizational and regulatory policies and procedures. YesEssential Functions-Provides direct care, counseling, and education to a designated patient population in ambulatory, inpatient, operative, and/or procedural settings.-Performs complete histories and physical examinations.-Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
HR Contact Center Representative - REMOTE Ryder System IncHR Contact Center Representative - REMOTEProvidence, RIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
MBA Leadership Development Program - Financial Consultant - REMOTE Ryder System IncMBA Leadership Development Program - Financial Consultant - REMOTEBoston, MARemoteSome representative activities are shown below: Support Ryder's business development and operations in costing and pricing activities, which includes gathering cost data for development of costing analysis, analysis of alternative pricing and billing strategies, risk-return evaluation, contract review, analysis, and negotiation. Compensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc.
Senior Property Risk Engineer Zurich Insurance Group LtdSenior Property Risk EngineerMARemoteDeliver advanced property consultative services to customers, including identifying exposures with significant loss potential, investigation of cause/effect of major losses and property management programs. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500.
Senior Restaurant Business Partner Remote ezCater, Inc.Senior Restaurant Business Partner RemoteBoston, MARemoteThis person will play a pivotal role in building trusted and deeply strategic partnerships with ezCater's enterprise restaurant partners, building shared growth goals for each partner that are grounded in exceptional operational performance, a streamlined offering, and optimized exposure. Deeply understand operational metrics and the complex, cross-functional dynamics of each account to form a holistic view of how brands operate on our platform-and use that understanding to recommend the right mix of services, tools, and strategies that set each brand up for long-term success.
Enterprise Risk - BI Reporting Consultant StratAcuity Staffing Partners IncEnterprise Risk - BI Reporting ConsultantBoston, MARemote$44–$46 / hourAs the organization continues evolving its risk management framework to align with Category III regulatory expectations, this role will play a critical role in modernizing risk reporting, dashboard development, data aggregation, and executive analytics capabilities across multiple Lines of Business (LOBs). In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA.
Account Executive, Meal Program Remote ezCater, Inc.Account Executive, Meal Program RemoteBoston, MARemoteIt does not need to follow "traditional" cover letter guidelines - we would love for you to write 150-500 words explaining why you are interested in ezCater and the role, and highlighting anything else you think we should know! ezCater does not sponsor applicants for work visas or legal permanent residence. Demonstrated track record of owning the sales life cycle including identifying, developing, negotiating, and closing opportunities across a wide spectrum of customer engagement levels and personas.
Remote Master''''s Level Clinician (Seeking LICSW) - Fee for Service Thriveworks Associates LLCRemote Master''''s Level Clinician (Seeking LICSW) - Fee for ServiceMARemoteWith Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address. Thriveworks is currently seeking provisionally licensed individuals in Massachusetts pursuing Massachusetts State Licensure as a LICSW to provide telehealth sessions.
Senior Director, Digital Adoption & Enablement Dana-Farber Cancer Institute IncSenior Director, Digital Adoption & EnablementBOSTON, MARemote$201,000–$235,100 / yearLeads and develops a multidisciplinary digital adoption and enablement function, including direct and indirect oversight of adoption and enablement managers, trainers, instructional designers, content developers, change management specialists, and org readiness professionals; sets team priorities, clarifies roles, and ensures coordinated service delivery across initiatives and stakeholder groups. The Senior Director leads a multidisciplinary function that may include adoption and enablement managers, trainers, instructional designers, content developers, change management specialists, and organizational readiness professionals, and works closely with the Project & Portfolio Management Office, the Digital Consulting Services team, and technology peers across Information Services.
Remote Master''''s Level Clinician (Seeking LMHC) - Fee for Service Thriveworks Associates LLCRemote Master''''s Level Clinician (Seeking LMHC) - Fee for ServiceMARemoteWith Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address. Thriveworks is currently seeking provisionally licensed individuals in Massachusetts pursuing Massachusetts State Licensure as an LMHC to provide telehealth sessions.
Lead Director, Payer Relations CVS HealthLead Director, Payer RelationsWoonsocket, Rhode IslandRemoteThe Lead Director, Payer Relations is responsible for leading strategic relationships and contract negotiations with pharmacy benefit managers (PBMs), health plans, insurance carriers, Medicaid programs, and other payer organizations. The ideal candidate is an experienced healthcare leader with deep expertise in payer contracting, financial accountability, and executive-level stakeholder engagement.
Provider Contract Negotiation Manager CVS Health CorpProvider Contract Negotiation ManagerMARemote$60,300–$132,600 / yearWorking knowledge of Aetna systems and tools, including Smart Front End, ASD, HRP, MedCompass, and RUMBA applications (EPDB, EWMP, Rate Inquiry, and Contract Inquiry). Develop, maintain, and enhance working relationships with physicians/providers and local network and patient management teams in the markets within Aetna.
FSP Clinical Research Associate 2 Fortrea IncFSP Clinical Research Associate 2MARemote$100,000–$112,000 / yearResponsibilities: Responsible for all aspects of study site monitoring including routine monitoring and close-out of clinical sites, maintenance of study files, conduct of pre-study and initiation visits; liaise with vendors; and other duties, as assigned -. Ensure the integrity of the data submitted on Case Report Forms (CRFs) or other data collection tools by careful source document Monitor data for missing or implausible data.
MTM Pharmacist (Remote / Hybrid) Pharmacy CareersMTM Pharmacist (Remote / Hybrid)Warwick, Rhode IslandRemoteMTM Pharmacist – Help Patients Optimize Medications | Remote Options | Strong Work-Life Balance Looking for clinical impact with better schedule flexibility? Conduct comprehensive medication reviews, coach patients on adherence, and improve outcomes — often from home or with flexible hybrid schedules.
Talent Acquisition Manager Legence Holdings LLCTalent Acquisition ManagerBoston, MARemote$125,000–$150,000 / yearThis position is ideal for a Talent Acquisition leader who enjoys being highly visible with business leaders, influencing workforce decisions, leading a high-performing recruiting team, and balancing strategic planning with operational execution. The company specializes in designing, fabricating, and installing complex HVAC, process piping, and other mechanical, electrical, and plumbing (MEP) systems-enhancing energy efficiency, reliability, and sustainability in new and existing facilities.
Employee Assistance Program-Clinical Counselor CVS Health CorpEmployee Assistance Program-Clinical CounselorMARemote$54,095–$155,538 / yearJob Responsibilities: Responsible for provision of telephone-based assessment, triage, consultation, counseling and informational services, delivered in a call center environment using a variety of advanced clinical assessments, motivational Interviewing and solution focused/short-term problem resolution. Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in/ one or more or equivalent is required: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist.
Clinical Counselor - Employee Assistance Program (Shift: Wednesday - Sunday 7:30pm - 4:00am EST) CVS Health CorpClinical Counselor - Employee Assistance Program (Shift: Wednesday - Sunday 7:30pm - 4:00am EST)RIRemote$54,095–$142,576 / yearValid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in/ one or more or equivalent is required: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist. This role delivers care through phone, video, and chat using advanced technology platforms, while multitasking in a fast‑paced environment with real‑time documentation and system navigation.