UNKNOWN

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EDUCATION, EXPERIENCE,KNOWLEDGEAND SKILLS: MD or combined MD/PhD or internationally recognized equivalent with minimum 10yearspharmaceutical research experience, including minimum 7 yearsphasesI-IV clinical development experience. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

YEAR

Takeda is a patient-focused, values-based, R&D-driven global biopharmaceutical company committed to bringing Better Health and a Brighter Future to people worldwide. Our passion and pursuit of potentially life-changing treatments for patients are deeply rooted in over 230 years of distinguished history in Japan.

Takeda

Executive Medical Director, Oncology Clinical Sciences

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Consistent with the Takeda R&D Oncology Therapeutic Area Unit strategy, goals and objectives, this leader will partner with the other key functions and leaders and members of Oncology Precision and Translational Medicine, Oncology Portfolio Strategy Group, Global Regulatory Affairs, Quantitative and Clinical Pharmacology, other R&D Functional Line Oncology Therapeutic Area Leads, Global Product Launch Strategy Oncology Franchise Leads, Regional Oncology Franchise Leads, Oncology Drug Development Unit (DDU) and other Oncology extended leadership, to drive the alignment on global clinical research and development strategy as related to internal and external pipeline and non-pipeline initiatives for the Takeda R&D Oncology Community across all regions. Part of the Oncology Clinical Sciences Leadership Team providing key input in strategic planning and connectivity for the overall Oncology Clinical Sciences group: Leads the Global Development Team (US, EU, and others) managing both the US/EU Development Team and the Japan/ China Development team for assigned compounds.

Vice President, Franchise Clinical Lead, Oncology

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Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. What You Will Be Doing: Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.

HOUR

Evolent

Radiation Oncology Field Medical Director

IRecruitee

PART_TIME

Quality & Statistical Data: Reviews medical record for abnormal findings,complications, delays and deviations from expected clinical outcomes reports such to Provider and/or Director to maintain an efficient, cost effective episode of care for each patient and documents intervention provided. Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking.

Heywood Hospital

RN Care Coordinator, Case Management

[AW]-iCims

Provide practical legal advice on pre-launch activities and launch strategy, including medical (e.g., MSL activities and programs), disease awareness, sales, marketing (brand messaging, activities and campaigns), marketing analytics, patient advocacy programs, advisory boards, incentive compensation for commercial personnel and other business activities. Zenas' earlier stage programs include ZB021, a clinical-stage, potentially best-in-class, oral, IL-17AA/AF inhibitor; ZB022, a preclinical, potentially best-in-class, oral, brain-penetrant, TYK2 inhibitor; and ZB014, a preclinical half-life extended anti-CD-19 and FcRIIb monoclonal antibody.

Zenas BioPharma (USA) LLC

Vice President, Legal - Lead Commercial Counsel

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Zenas BioPharma

Working closely with clinical, statistical, regulatory, scientific, and data teams, the candidate will translate priority evidence needs into scalable tools and reusable data assets that improve how information from the scientific literature and other sources is identified, structured, evaluated, and analyzed. All Job Posting Locations: Cambridge, Massachusetts, United States of America, Raritan, New Jersey, United States of America, Spring House, Pennsylvania, United States of America, Titusville, New Jersey, United States of America.

Caring for the world, one person at a time... inspires and unites the people of Johnson&nbsp;&amp;&nbsp;Johnson. We embrace research and science - bringing innovative ideas, products and services to advance the health and well-being of people. Employees of the Johnson&nbsp;&amp;&nbsp;Johnson Family of Companies work with partners in health care to touch the lives of over a billion people every day, throughout the world.

Our Family of Companies comprises:

 The world’s sixth-largest consumer health company. 
 The world’s most comprehensive medical devices business. 
 The world’s sixth-largest biologics company. 
 And the world’s fifth-largest pharmaceuticals company. 


We have more than 265 operating companies in more than 60 countries employing approximately 126,500 people. Our worldwide headquarters is in New Brunswick, New Jersey, USA.

Johnson & Johnson

Director, Data Science - AI Evidence Extraction

PER_DIEM

Works collaboratively with multidisciplinary team to determine each patient's needs concurrently including post-acute care when needed; addresses LOS issues, appropriate leveling of patient status; addresses, potential needs, resources, referrals for other disciplines etc. Maintain sufficient familiarity with inpatient behavioral health social work functions, including discharge planning, care coordination, community referrals, family/collateral communication, resource identification, and documentation requirements, to ensure continuity of patient care during periods of Social Worker absence or increased unit need.

Behavioral Health RN Care Coordinator

Essential Functions-Serves as the primary point of contact for escalated utilization management inquiries, ensuring timely triage, assessment, and resolution of complex provider, member, and internal stakeholder requests.-Reviews and responds to escalated authorization, coverage determination, and service-related issues, coordinating with Nurse Reviewers, Medical Directors, and operational teams to facilitate appropriate next steps and ensure regulatory compliance.-Monitors escalation channels, including phone calls, shared inboxes, ticketing systems, and other referral pathways, prioritizing requests based on clinical urgency, regulatory requirements, and business impact.-Provides consultation and clinical guidance to utilization management staff regarding benefit interpretation, medical necessity criteria, workflow processes, and resolution of complex or sensitive cases.-Identifies trends, recurring issues, and process improvement opportunities through escalation review activities, collaborating with leadership and cross-functional partners to enhance operational efficiency, provider experience, and member outcomes. Collaborates with Nurse Reviewers, Medical Directors, providers, and interdisciplinary teams to address complex cases, facilitate timely determinations, and ensure accurate application of evidence-based criteria to appropriately answer and respond to provider, member, and interdisciplinary needs.

Mass General Brigham

Utilization Management Nurse, Escalation Support

ADAPTED_NOW

This system-wide Nurse Excellence Programs Strategist partners with nursing leadership, shared governance councils, and frontline nurses to cultivate a professional practice environment grounded in exemplary professional practice, transformational leadership, structural empowerment, new knowledge and innovations, quality, safety, well-being, and empirical nursing outcomes. Under the general direction of the System Director of Nursing Excellence, the Nurse Excellence Programs Strategist serves as a key strategic leader responsible for advancing systemwide professional nursing excellence through the successful achievement and sustainment of ANCC Magnet®, Pathway to Excellence®, and Practice Transition Accreditation Program (PTAP) designations.

Baystate Health

Nurse Excellence Programs Strategist

The social worker works with the older adult and caregiver to identify realistic goals while taking into account such factors as a) the appropriate type of intervention and/or level of care, b) the setting conducive to providing such intervention or care, c) the need for caregiver support to allow for the least restrictive level of care, d) transportation options/barriers and e) the steps to obtaining resources that make the achievement of goals possible. As an independent practitioner of social work, the GRACE Social Worker evaluates psychosocial needs and applies social work interventions with a high degree of autonomy, exercising independent judgment and initiative in carrying out social work functions and in applying social work values and ethics to complex situations.

Brigham and Women's Hospital

Geriatric Social Worker II

GENERAL SUMMARY OF POSITION: Under the general direction of the Medical Director, Director, or designee, the Physician Advisor is responsible for reviewing applicant medical records and making a clinical determination of eligibility for applicants seeking benefits and/or long term care services based on clinical guidelines. Collaborate with department leadership in the interpretation of all applicable regulations, development of clinical policies and quality evaluations, and provide feedback to clinical staff regarding clinical policies and the outcomes of quality evaluations.

Clinical Reviewer Jobs in Massachusetts

Executive Medical Director, Oncology Clinical Sciences Takeda

Vice President, Franchise Clinical Lead, Oncology Takeda

Radiation Oncology Field Medical Director Evolent

RN Care Coordinator, Case Management Heywood Hospital

Vice President, Legal - Lead Commercial Counsel Zenas BioPharma (USA) LLC

Vice President, Legal - Lead Commercial Counsel Zenas BioPharma

Director, Data Science - AI Evidence Extraction Johnson & Johnson

Behavioral Health RN Care Coordinator Heywood Hospital

Utilization Management Nurse, Escalation Support Mass General Brigham

Nurse Excellence Programs Strategist Baystate Health

Geriatric Social Worker II Brigham and Women's Hospital

Physician Advisor UMass Chan Medical School

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