Top Operations Jobs in Boston, MA
Seeking an Associate Medical Director in Orthopedic Surgery to provide timely medical reviews, clinical determinations, peer-to-peer discussions, and support projects to enhance clinical expertise and efficiency. Requires 5+ years of clinical practice beyond residency, board certification, and utilization management experience.
The Supervisor of Intake will lead and mentor the Intake Specialist team, ensuring they meet performance metrics and quality standards. Responsibilities include overseeing daily operations, training staff, conducting performance evaluations, handling case escalations, and making process improvements.
The Associate Medical Director will support the clinical content team by reviewing clinical decision guidelines and literature, providing expert input, and conducting timely medical reviews. The role requires clear documentation of clinical determinations and peer-to-peer discussions with treating providers, all while maintaining professionalism and accountability.
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As a Medical Policy Writer, you will draft and refine medical policy documents, ensuring alignment with scientific evidence and clinical best practices. You'll facilitate policy development, maintain up-to-date medical guidelines, communicate changes with stakeholders, and conduct quality checks before publication.
The Director of Diagnostic/Cardiac Imaging Clinical Programs will manage clinical programs aimed at optimizing care, reducing medical expenses, and enhancing health outcomes by collaborating with cross-functional teams and external partners. Key responsibilities include setting program goals, updating strategic roadmaps, monitoring outcomes, and ensuring effective execution of tailored clinical solutions.
The Clinical Training and Quality Specialist will support the Service Operations Team by auditing clinical decisions, facilitating training for RN Clinical team members, coaching for quality improvement, and providing performance reporting to senior leadership. The role requires implementation of clinical training and quality processes.
The Physician Clinical Reviewer will evaluate medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Responsibilities include providing expert input on clinical decision-making, timely medical reviews, and ensuring clear communication throughout the review process. The position involves collaboration with clinical content teams and supporting operational improvements in clinical reviews.
The Clinical Programs Manager at Cohere Health will lead the development and optimization of clinical programs, focusing on cost and quality outcomes. The role involves managing pilot launches, communicating with clients, and collaborating with various teams to ensure successful implementation of clinical initiatives.
The Senior Director of Architecture will define and implement technology architecture to support Cohere Health's vision, focusing on data and AI in healthcare operations. Responsibilities include leading architectural strategy, ensuring compliance with healthcare standards, promoting innovation, and mentoring a high-performing team.
The Solutions Architecture Manager will lead a team of Solution Architects, collaborating with clients and internal teams to design and implement technology solutions, facilitate communication, improve product offerings, and ensure timely project delivery while mentoring team members.
Top Companies in Boston, MA Hiring Operations Roles
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