The Senior Medical Director represents the health plan externally with providers, regulators, and ... Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type ...
The Senior Medical Director represents the health plan externally with providers, regulators, and ... Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type ...
Medical Director - Physiatry | Part-Time
Boston, MA ยท Remote
$300K - $500K/yr
Puzzle Healthcare is seeking a boardโcertified Physiatrist (PM&R) to serve as Medical Director ... This role blends remote medical direction with periodic onโsite support for complex ...
Quick apply
Medical Director - Physiatry | Part-Time
Boston, MA ยท Remote
$300K - $500K/yr
Puzzle Healthcare is seeking a boardโcertified Physiatrist (PM&R) to serve as Medical Director ... This role blends remote medical direction with periodic onโsite support for complex ...
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Worcester, MA ยท On-site +1
Medical Director- Women's Mental Health Psychiatrist and MCPAP for Moms Schedule: Part-Time, Remote or in-person To be considered for employment in a remote position with UMass Memorial Health ...
Medical Director, Women's Mental Health Psychiatrist and MCPAP for Moms - Worcester, MA Remote
Worcester, MA ยท On-site +1
Medical Director- Women's Mental Health Psychiatrist and MCPAP for Moms Schedule: Part-Time, Remote or in-person To be considered for employment in a remote position with UMass Memorial Health ...
Senior Medical Director, Health Plan
Somerville, MA ยท On-site +1
The Senior Medical Director represents the health plan externally with providers, regulators, and ... Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type ...
Senior Medical Director, Health Plan
Somerville, MA ยท On-site +1
The Senior Medical Director represents the health plan externally with providers, regulators, and ... Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type ...
The Sr. Director, Strategic Pricing and Deal Architecture, is responsible for developing and ... Whether it's a health care program or paid time off, our programs contribute to life beyond the job.
The Sr. Director, Strategic Pricing and Deal Architecture, is responsible for developing and ... Whether it's a health care program or paid time off, our programs contribute to life beyond the job.
The Sr. Director, Strategic Pricing and Deal Architecture, is responsible for developing and ... Whether it's a health care program or paid time off, our programs contribute to life beyond the job.
The Sr. Director, Strategic Pricing and Deal Architecture, is responsible for developing and ... Whether it's a health care program or paid time off, our programs contribute to life beyond the job.
Director, Software Engineer Finance Tech - (Remote Eligible)
Cambridge, MA ยท On-site +1
$276K/yr
Director, Software Engineer Finance Tech - (Remote Eligible) As a Capital One Director of Software ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
Director, Software Engineer Finance Tech - (Remote Eligible)
Cambridge, MA ยท On-site +1
$276K/yr
Director, Software Engineer Finance Tech - (Remote Eligible) As a Capital One Director of Software ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
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MA ยท On-site +1
$173K - $250K/yr
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance ... Our Investment in You: ยท Full-time remote work ยท Competitive salaries ยท Excellent benefits Key ...
Medical Director
MA ยท On-site +1
$173K - $250K/yr
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance ... Our Investment in You: ยท Full-time remote work ยท Competitive salaries ยท Excellent benefits Key ...
LOCATION: U.S. locations - remote/hybrid (8 days a month in the office). Candidates within ... Experience with AI, informatics, machine learning, or digital health innovation is strongly ...
LOCATION: U.S. locations - remote/hybrid (8 days a month in the office). Candidates within ... Experience with AI, informatics, machine learning, or digital health innovation is strongly ...
LOCATION: U.S. locations - remote/hybrid (8 days a month in the office). Candidates within ... Experience with AI, informatics, machine learning, or digital health innovation is strongly ...
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Burlington, MA ยท On-site +1
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Burlington, MA ยท On-site +1
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Director, Regulatory Labeling Strategy (Remote-Eligible)
Boston, MA ยท On-site +1
$185K - $278K/yr
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Director, Regulatory Labeling Strategy (Remote-Eligible)
Boston, MA ยท On-site +1
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Boston, MA ยท On-site +1
$400K - $450K/yr
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Quick apply
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Boston, MA ยท On-site +1
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Waltham, MA ยท On-site +1
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Cambridge, MA ยท On-site +1
$64K - $65K/yr
... Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with ... Remote work arrangements will not be accommodated for this role. YOUR TASKS AND RESPONSIBILITIES:
Associate Dir, Full Stack Data Scientist
Cambridge, MA ยท On-site +1
$64K - $65K/yr
... Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with ... Remote work arrangements will not be accommodated for this role. YOUR TASKS AND RESPONSIBILITIES:
Associate Dir, Full Stack Data Scientist
Cambridge, MA ยท On-site +1
$64K - $65K/yr
... Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with ... Remote work arrangements will not be accommodated for this role. YOUR TASKS AND RESPONSIBILITIES:
Associate Dir, Full Stack Data Scientist
Cambridge, MA ยท On-site +1
$64K - $65K/yr
... Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with ... Remote work arrangements will not be accommodated for this role. YOUR TASKS AND RESPONSIBILITIES:
Remote employees work entirely from home except for attending Company sponsored events/ meetings ... We invest in the health, wellbeing, and security of our people with a premium benefits package that ...
Remote employees work entirely from home except for attending Company sponsored events/ meetings ... We invest in the health, wellbeing, and security of our people with a premium benefits package that ...
Clinical Analyst Coord-EPIC
New Bedford, MA ยท Remote
$72K - $122K/yr
Position is fully remote* A career at Southcoast Health offers you: * A culture of well-being that ... CPHMIS or ANA Nursing Informatics Certification preferred. * Must obtain Epic certification. * This ...
Clinical Analyst Coord-EPIC
New Bedford, MA ยท Remote
$72K - $122K/yr
Position is fully remote* A career at Southcoast Health offers you: * A culture of well-being that ... CPHMIS or ANA Nursing Informatics Certification preferred. * Must obtain Epic certification. * This ...
IT Specialty Analyst (Epic) - Remote
MA ยท Remote
This position is fully remote. Overview The IT Specialty Analyst - Epic Inpatient is responsible ... Bachelor's degree in Healthcare, Nursing, Clinical Informatics, Information Technology, or a ...
IT Specialty Analyst (Epic) - Remote
MA ยท Remote
This position is fully remote. Overview The IT Specialty Analyst - Epic Inpatient is responsible ... Bachelor's degree in Healthcare, Nursing, Clinical Informatics, Information Technology, or a ...
Director Remote Health Informatics information
What are some common challenges faced by a director of remote health informatics, and how can they be addressed?
What are the key skills and qualifications needed to thrive as a director of remote health informatics?
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Full-time
Posted 6 days ago
Job description
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Senior Medical Director serves as a key clinical executive within the health plan, providing strategic leadership, medical oversight, and clinical expertise to ensure highquality, costeffective care for members. This role partners closely with executive leadership, clinical operations, network management, quality, and compliance teams to shape clinical strategy, guide utilization management, and support valuebased care initiatives. The Senior Medical Director represents the health plan externally with providers, regulators, and community partners.Does this position require Patient Care?
Yes
Qualifications
Essential Function:
- Develop and execute clinical strategies that improve member outcomes, reduce unnecessary utilization, and support organizational goals and provide medical expertise to guide benefit design, population health programs, and valuebased care models.
- Serve as a clinical advisor to senior executives and crossfunctional teams.
- Oversee utilization management (UM) programs, ensuring evidencebased, timely, and compliant decisionmaking.
- Review complex or escalated cases, appeals, and grievances, and ensure UM policies align with regulatory requirements, accreditation standards, and clinical best practices.
- Lead quality improvement initiatives, including HEDIS, Stars, NCQA, and other performance programs, and partner with analytics teams to identify trends in utilization, quality, and member health outcomes.
- Support the development of population health programs targeting chronic disease management, behavioral health, and social determinants of health.
- Collaborate with provider network teams to improve clinical performance, reduce variation, and support valuebased contracting, and engage with physicians and health systems to promote evidencebased care and address performance issues.
- Represent the health plan in provider forums, committees, and external meetings.
- Ensure clinical programs comply with federal and state regulations, accreditation standards, and internal policies, and participate in audits, regulatory reviews, and accreditation activities.
- Maintain uptodate knowledge of evolving healthcare regulations and clinical guidelines.
- Partner with behavioral health, pharmacy, care management, and social care teams to coordinate integrated care strategies.
- Provide medical leadership for product development, member engagement initiatives, and clinical innovation projects, and support executive leadership with clinical insights for strategic planning and organizational decisionmaking.
Education:
Doctorate Related Field of Study required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Physician License. Must hold or be able to obtain a full active Massachusetts physician license.
Must have 3-5 years of Health Plan experience
Must have prior experience in utilization management, peer to peer discussions
Experience:
Clinical Experience 8-10+ years required and Experience in managed care, health plan, or population health leadership role 5-7 years required
Knowledge, Skills and Abilities:
- Strategic thinking and clinical judgment
- Executive communication and influence
- Datadriven decisionmaking
- Collaborative leadership
- Regulatory and compliance awareness
- Provider engagement and relationshipbuilding
Salary Range:
$320 - $350K (depending upon experience)
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.