Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicaid Medical Management Director — Strategy & Ops

ForHealth Consulting at UMass Chan Medical School

MassHealth is seeking a Senior Clinical Director for Medical Management to lead strategy and operations for medical management, ensuring high quality, cost-effective care for MassHealth members. The role collaborates with clinical and operational leaders to guide utilization management, policy development, and care management. The successful candidate will oversee programs, analyze utilization metrics, and drive efficiency while ensuring CMS and related requirements are met. #J-18808-Ljbffr ForHealth Consulting at UMass Chan Medical School

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Medicaid Medical Management Director — Strategy & Ops in Boston, MA vacancy
  • 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...  ...Demonstrated commitment to serving Medicaid patients Thorough knowledge of Medicaid and related... 
    Suggested
    For contractors
    Work at office
    2 days per week

    ForHealth Consulting at UMass Chan Medical School

    Boston, MA
    2 days ago
  •  ...internal teams to deliver studies on time and within budget. The ideal candidate will ensure regulatory compliance (FDA/ICH-GCP), manage Trial Master File integrity, and drive operational improvements across programs from Phase I to IV. #J-18808-Ljbffr Collegium Pharmaceutical
    Suggested

    Collegium Pharmaceutical

    Boston, MA
    5 days ago
  • $223.8k - $313.1k

     ...community The Behavioral Health Medical Director is responsible for behavioral health care strategies and/or operations. You will...  ...reference sources Learn Medicaid requirements and understand how...  ...possible participation in care management, with clinical scenarios... 
    Suggested
    Full time
    Temporary work
    Apprenticeship
    Remote work
    Weekend work

    Humana

    Boston, MA
    4 days ago
  • Boston Medical Center is seeking a Director of Operations to oversee administration, personnel, fiscal management, strategic planning and hospital-wide operations. You will lead managers, translate strategy into policy, and work with physician partners to optimize services... 
    Suggested

    Boston Medical Center

    Boston, MA
    4 days ago
  • Beeline Medicines is seeking a Medical Director, Medical Affairs to serve as the external medical expert for HCPs, KMEs and investigators, guiding medical strategy for lupus and the I&I portfolio. This role leads scientific exchange, education programs, and publication... 
    Suggested

    BioSpace

    Boston, MA
    5 days ago
  • Sanofi in Cambridge, MA (and Morristown, NJ) seeks a Medical Director, Dermatology within US Medical Immunology. You will lead the development and execution of an integrated medical strategy for Dermatology products, collaborating with Clinical, Regulatory, Market Access... 

    Sanofi

    Cambridge, MA
    1 day ago
  • $266k - $344k

    Beeline Medicines is seeking a Medical Director in Boston to lead medical affairs for autoimmune diseases, particularly lupus. This role involves...  ...candidate will have deep scientific expertise, experience in managing lupus clinical programs, and a strong KME network. A hybrid... 
    2 days per week

    Beeline Medicines

    Boston, MA
    5 days ago
  • Optum is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service benefit determinations and medical necessity reviews. The role collaborates with leadership to maintain clinical and operational processes, ensuring... 
    Remote job

    Texas Health Institute

    Boston, MA
    2 days ago
  •  ...support. You will collaborate across preclinical and clinical teams to shape launch labels and value propositions while ensuring global strategy alignment. Role requires MD/DO with US board certification and at least 5 years of clinical research experience, including large... 

    Scorpion Therapeutics

    Boston, MA
    1 day ago
  • Biogen is seeking a Medical Director, Global Medical Affairs in Nephrology to lead strategic medical initiatives for our IgAN program. The role partners with global experts, develops medical strategies, and drives advisory boards, education, and research projects. You will... 

    Biogen

    Cambridge, MA
    4 days ago
  • Takeda Pharmaceutical Company Limited seeks a Medical Director to lead global medical affairs for lung cancer, shaping evidence generation, publications, and medical training. You will collaborate with cross-functional teams, LOCs, and external stakeholders to ensure patient... 

    Takeda Pharmaceutical Company Limited

    Boston, MA
    4 days ago
  • $285k - $305k

    Alkermes seeks a Senior Medical Director for Pipeline in Boston to lead medical affairs for early and mid-stage development compounds. This high-visibility role requires an advanced science/medical degree and a minimum of 5 years' experience in the biopharmaceutical industry... 

    Alkermes

    Boston, MA
    5 days ago
  • Alkermes in Boston, MA, is seeking a Senior Medical Director for the Alixorexton program, crucial for their sleep medicine initiatives. You...  ...-functional teams, and ensuring successful product launch strategies. The ideal candidate should possess a Doctorate in Medicine,... 

    Alkermes

    Boston, MA
    5 days ago
  •  ...Biogen, Inc. is seeking a Medical Director, Neuropsychiatry to guide the US medical omnichannel strategy and lead educational initiatives in psychiatry. You will coordinate with Field Medical Teams, Commercial, Market Access, Legal/Compliance, Epidemiology, and Pharmacovigilance... 

    Jobleads-US

    Cambridge, MA
    5 days ago
  • Sanofi US Services in Cambridge, MA seeks a US Senior Medical Director in Neurology to lead the Medical Affairs Next Gen Immunology team, shaping medical strategy across Neurology programs and collaborating with Clinical, Regulatory, and Commercial partners. The role emphasizes... 

    Sanofi

    Cambridge, MA
    4 days ago
  • Biogen seeks a Global Medical Director for Rare Disease (SMA) to lead the medical education strategy and evidence generation across the SMA portfolio. You will guide publication planning, engage with regional teams, and partner with Clinical Development, PDC, and other... 

    Biogen

    Cambridge, MA
    2 days ago
  • A biotechnology company is looking for a Senior Director, Medical Information Lead to join their Global Medical Affairs team. This role involves overseeing the Medical Information function, leading a team, and ensuring compliant dissemination of medical information. Candidates... 

    BioSpace

    Cambridge, MA
    2 days ago
  • Vertex Pharmaceuticals Incorporated seeks a Senior Medical Director to define the clinical development strategy for an asset and to lead cross-functional teams through trial design and execution. The role includes oversight of study protocols, regulatory submissions, and... 
    Flexible hours

    Vertex Pharmaceuticals Incorporated

    Boston, MA
    2 days ago
  • Vertex Pharmaceuticals is seeking an Executive Medical Director, Clinical Development to shape and lead clinical development strategies for povetacicept renal programs. You will collaborate with Medical Affairs, Regulatory, R&D, and Commercial leaders to drive innovative... 

    Vertex Pharmaceuticals

    Boston, MA
    5 days ago
  • Vertex Pharmaceuticals LLC in Boston seeks a Clinical Development Associate Medical Director to serve as Medical Lead for clinical trials. You will oversee study strategy, design, execution, and reporting, and act as internal Medical Monitor ensuring subject safety and... 

    Vertex Pharmaceuticals LLC

    Boston, MA
    2 days ago
  • Tango Therapeutics, based in Boston, seeks an Associate Medical Director, Pharmacovigilance to lead medical review and oversight of Individual Case Safety Reports (ICSRs). You will ensure clinical accuracy, consistency, quality, and compliance with pharmacovigilance requirements... 

    Tango Therapeutics

    Boston, MA
    5 days ago
  • $167k - $300.7k

    The Role The Director, Clinical Monitoring Strategy and Oversight provides strategic leadership and oversight for Moderna's clinical monitoring...  ...Operations, Clinical Risk & Compliance, Data Management, Biostatistics, Medical, Quality, and CRO partners, this role ensures... 
    Permanent employment
    Full time
    Work experience placement
    Work at office
    Remote work
    Work from home

    Moderna Therapeutics

    Cambridge, MA
    4 days ago
  • Labcorp is recruiting a Lab Director for Tufts Medical Center in Boston, MA. This role leads hospital operations across the market, ensuring quality, staffing, and financial vitality while partnering with hospital administration and core leadership. The position emphasizes... 

    Labcorp

    Boston, MA
    2 days ago
  • $120k - $135k

     ...#LifeatRealChem.Job Summary:Real Chemistry is looking for an Associate Director, Medical Strategy tojoin our growing team!Our Associate Directors play a...  ...or a related field, including roles that involved management of medical writers and/or strategistsYou should be able to... 
    Work at office
    Local area
    Remote work
    2 days per week

    Real Chemistry

    Boston, MA
    1 day ago
  • $330.99k - $380.91k

    Boston Medical Center (BMC) is looking for an Ambulatory Medical Director to oversee clinical operations in its OBGYN ambulatory practices in Boston, Massachusetts. This role is vital in ensuring that the practices align with institutional strategic priorities, enhancing... 

    Boston Medical Center (BMC)

    Boston, MA
    5 days ago
  • $190k - $300k

    Mathematica, Inc. is seeking a Vice President/Executive Director for our Federal Medicaid Practice in Cambridge, MA. This position demands a leader in Medicaid policy and strategy, overseeing a 130+ person team. The executive will enhance consulting efforts, deepen client... 

    Mathematica, Inc.

    Cambridge, MA
    2 days ago
  •  ...Myana is seeking a Senior Medical Director for Pipeline in Waltham, MA, to lead medical affairs efforts for key development compounds. Candidates will collaborate with internal and external stakeholders, ensuring strategic alignment with company objectives. Ideal applicants... 
    Work at office
    3 days per week

    Jobleads-US

    Waltham, MA
    3 days ago
  • Mass General Brigham is seeking an experienced CRNA leader to guide SRNAs and CRNAs, coordinating staffing and scheduling across related teams at 45 Francis Street. The role emphasizes clinical direction, policy adherence, and quality outcomes. The position requires a Master...

    Partner's Healthcare

    Boston, MA
    2 days ago
  • ARTBIO is seeking an Associate Director / Director of Clinical Imaging to lead strategy, design, and execution of imaging and dosimetry across Radioligand Therapy (RLT) clinical programs. You will collaborate with program leads, engage external experts, and guide CROs... 

    ARTBIO

    Cambridge, MA
    2 days ago
  • Beeline Medicines is seeking a Senior Director, Biostatistics to provide strategic statistical leadership for the clinical development portfolio. You will own statistical strategy, design, analysis, and regulatory submissions, acting as the statistical voice in regulatory... 

    BioSpace, Inc.

    Boston, MA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicaid Medical Management Director — Strategy & Ops. Be the first to apply!