Associate Director, Utilization Management - Behavioral Health - Massachusetts only locations Massachusetts WFH Boston, MA Springfield, MA Worcester, MA time type Full time job requisition id R11962 Job Summary: The Associate Director, Utilization Management – Behavioral Health assists UM leadership in leading and managing all functions within behavioral health management to ensure consistent, efficient delivery of services throughout the healthcare continuum and demonstration of positive outcomes. Essential Functions: - Collaborate with market and enterprise leaders to support development and knowledge transfer for Behavioral Health UM - Monitor effective use of prior authorizations, policies, and benefits to ensure consistent, effective and efficient delivery to members while meeting regulations and internal financial objectives - Facilitate and promote problem identification, analysis, and resolution - Proactive monitoring of regulatory requirements and meet State contract requirements for existing and new populations - Ensure Behavioral Health UM programs and operational processes are properly developed and aligned to the organization’s strategic goals - Determine benchmarks, goals and outcomes for staff and implement an accountability system - Monitor CQI activities in accordance with regulatory requirements and accreditation standards - In partnership with UM leadership, review available reporting to analyze trends, identify opportunities and ensure alignment with polices & procedures - Develop and coach employees - Build succession plan inclusive of manager and team - Foster relationships with hospitals, physicians and community agencies to improve member and provider satisfaction - Identify and report risk management issues for the department and CareSource as a whole - Perform any other job duties as requested Education and Experience: - Bachelor’s degree in nursing or related field required or equivalent years of relevant experience required - Master’s degree preferred - Minimum of five (5) of experience in utilization management in an MCO required; quality improvement and/or project management background preferred - Minimum of three (3) years management experience required Competencies, Knowledge and Skills: - Proficiency in Microsoft Office products including Word, Excel and PowerPoint - Internet research skills preferred - Leadership experience and skills - Change agent - Decision making/problem solving skills - Clinical data analysis and trending skills - Critical and systems thinker - Knowledge of trends in healthcare, managed care, Medicaid, behavioral health, and quality improvement - Excellent communication skills, both verbal and written - Management skills including human capital and project management - Ability to work independently and within a team environment - Attention to detail - Understanding of predictive modeling process/tools - Training/teaching skills - Strategic management skills - Negotiation skills/experience - Politically astute - Program grammar usage, phone etiquette and technical writing skills - Time management skills - Customer service oriented Licensure and Certification: - Current, unrestricted license as a Registered Nurse (RN), Licensed Social Worker (LSW), Psychologist, or Professional Clinical Counselor (PCC) is required - Managed Care, Utilization management Case Management and/or Quality Improvement certification preferred Working Conditions: - General office environment; may be required to sit or stand for long periods of time Compensation Range: $113,000.00 - $197,700.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Responsibilities Peraton is seeking an experienced Program Manager to lead the successful delivery of Enterprise IT and Cybersecurity Services for a Department of Energy client. This role performs a variety of project management office support services involving data review, reporting, project coordination, budget review, and other related duties in support of the Project/Program Manager. Provides support to the Project/Program Manager in planning, managing, and monitoring projects through its life cycle. Works on overall project planning through reporting on project schedules and deliverables. Identifies, communicates, and resolves risks. Identifies and resolves issues to eliminate or mitigate the occurrence of consequences that may impact the success of the project. Key Responsibilities Include: - Creates and fosters a collaborative working environment that maximizes employee morale, performance, and innovation. - Leads practice of data driven business analysis, goal setting, forecasting, and execution follow through. - Demonstrated success in identifying, managing, and mitigating company risk associated with contract non-compliance. - Professional development and management of staff through effective goal setting, performance management, training opportunities, coaching, and mentoring. - Develop and manage key metrics to track and manage performance. - Develop and deliver progress reports. - Build, develop, and grow any business relationships vital to the success of the program. - Actively identify and lead continuous improvement efforts in direct and indirect areas of responsibility. - Contribute to the development of the Program Management Plan and the Mission-Essential Contractor Services Plan, and work effectively within the team to achieve planned goals/objectives. - Demonstrate behavior consistent with the company’s core values, priorities and Code of Ethics and Conduct. - Ensure that direct report(s) are trained and evaluated on their knowledge and adherence to the company’s values, Code of Ethics and Conduct, and applicable compliance policies. - Duties may be modified or assigned at any time to meet the needs of the business. Skills: - Strong motivation and leadership skills for remote and in person teams - Excellent verbal and written communication skills and active listening skills at all levels of an organization. - Strong analysis skills to include directing and providing data analytics - Experience in financial forecasting and financial analysis - Possess high business acumen including leveraging best practices in optimization and innovation in operations to drive financial results - Results driven with strong independence, decision making, accountability, interpersonal skills and collaboration skills with all levels within in a fast-paced environment. - Personality and compassion skills to foster employee engagement and motivation in others- Experience presenting and defending positions to a variety of audiences, in representing an organization and defending the organization’s position in working groups and planning sessions. Qualifications What You Will Need: - Minimum 16 yrs (10+ years of experience managing large-scale federal IT programs) - 10+ years of experience in Program/Project Management - Proven experience delivering enterprise IT and/or cybersecurity services. - Strong knowledge of federal cybersecurity frameworks (e.g., NIST RMF, FISMA). - Active security clearance TS/SCI/Q - Must be a US Citizen Preferred: - Bachelor’s degree in Information Technology, Cybersecurity, Business Administration, or related field. - PMP (Project Management Professional) certification or equivalent. - Strong background and understanding of IT, government agencies, security policy and regulations. - Strong written and oral communication skills. - Demonstrated experience in personnel management with experience at working both independently and in a team-oriented, collaborative environment is essential. - Strong interpersonal skills. - Strong presentation and public speaking skills Peraton Overview Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can’t be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we’re keeping people around the world safe and secure. Target Salary Range $176,000 - $282,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. EEO EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

Innovate UK has the following secondment opportunity available for employees of Innovate UK Business Connect: Applications must be submitted by 10-05-2026 Please note this advert will close on 23.59 on the date prior to Workday close date. Watch our video “Why Join Innovate UK?” here. Director of Semiconductors, Connectivity and Cyber SALARY: £94,931- £117,800 Per Annum HOURS: Full Time CONTRACT TYPE: Open Ended (Permanent) LOCATION: Field Based GRADE: UKRI Band X POSITIONS AVAILABLE: X1 CLOSING DATE: 23:59 on 10 May 2026 PROPOSED INTERVIEW DATE: Early June ABOUT US The Secure and Resilient Growth Directorate leads and manages Innovate UK’s programme for 3 of the UK government’s priority Frontier Technologies: Advanced Connectivity Technologies, Semiconductors and Cyber-security. There are substantial programmes in each of these but also a strategic imperative to create business growth opportunities by building a more integrated ecosystem across all three. The role sits as part of the Digital and Technologies growth sector and there will be opportunities to work closely with activities in Quantum, AI and Engineering Biology in an overarching programme worth around £2bn over the next 4 years. PURPOSE We are looking for an individual with extensive experience, connections, and personal characteristics, to command credibility from a diverse range of stakeholders. The Director will play a key role in shaping the success, strategy, and future objectives within the Security and Resilience portfolio including cyber-security, advanced connectivity technologies, robotics, and semiconductors/electronics. Working collaboratively with and across industry, research, UKRI, and government, bringing business insight, the Director will help to shape and deliver nationally significant programmes of work in partnership with many organisations within the ecosystem. They will also be a key leader for international activities as a UK ambassador. The Director will be a key interface in direct support to the Executive Director, Digital and Technologies, with budget holders in Government Departments for whom we deliver major programmes. This role has a significant focus on budget and people, where the role holder will be accountable for an annual budget of around £150 m, with a team of c.25 MAIN OUTPUTS AND ACTIVITIES - Develop Innovate UK’s strategy for growing companies in the secure and resilient growth area in conjunction with, and informed by Domain Senior Leadership and IUK SLT, ensuring connectivity and alignment across UKRI. Increasingly act as the focal for wider security and dual-use capabilities as directed by corporate strategy. - Act as the prime Innovate UK focal to DSIT’s critical technology teams in cyber-security, advanced connectivity technologies and semiconductors. and support delivery of government growth objectives for the D&T sector in the Industrial Strategy - Act as a key member of the wider security and resilience leadership community - influencing strategic technical direction at national level across industry and within government. - Work collaboratively to support the creation and execution of a D&T-level vision and strategy seeking to better align individual technology themes within UKRI and government, where strategically helpful. - Lead on building and fostering relationships/interaction with Place, Global, Products & Services, IUK Business Connect and Catapults (including being the prime technical interface with the Compound Semiconductors Catapult), in the pursuit of delivery and programmes and competitions. - Provide strategic guidance and leadership in the delivery of a portfolio of strategic ‘investment programmes’ within the Domain, and industry/company support in developing next generation technologies, products, and services in the area of Security and Resilience. - Build effective working relationships with the various senior teams and key stakeholders within and outside IUK, ensuring and safeguarding the connectivity to Innovate UK’s strategy. This specifically includes other IUK internal functions/ IUK Business Connect, EPSRC, ESRC and external to UKRI, industry, MoD, government bodies and relevant strategic and industry partners. - Deliver IUK programmes in security and resilience to cost, quality and schedule requirements. - You will be an industry leader within the context of cyber-security directing the advancement of business-led innovation in this field. - Build, lead and develop a team of technical and innovation specialists in an environment where change will be common. - Deputise for Executive Director when required. ASSESSMENT CRITERIA (S) – Assessed at shortlisting (I) – Assessed at interview (S&I) – Assessed at shortlisting & interview - The role holder will be a recognised industry leader in at least one of cyber-security, advanced connectivity technologies or semiconductors and ideally several of these. (S&I) - They will have demonstrated influence as a thought leader across industry and within government. (S) - They will have the technical credibility blended with collaboration skills to create and deliver integrated programmes across multiple agencies/bodies including stakeholders of a business and political nature. (I) - They will be recognised as influencing strategic technical direction at national level (S&I) - They must have a proven track record of managing high-performance teams and complex programmes through periods of change. (I) - Educated to degree-level or post graduate level in a relevant scientific / technical subject or equivalent experience (S) - They will have the proven ability to work at Board and Executive Level. (S) - They will have previously led the development and implementation of strategic plans and change initiatives. (S&I) INCENTIVES UKRI can offer the successful candidate: - Flexible Working - 30 days annual leave + Public Holidays - Access to Civil Service Pension Scheme - Various everyday discounts through our dedicated provider Visit our dedicated benefits webpage for more info: Benefits of working at UK Research and Innovation (UKRI) APPLICATION GUIDANCE To view the role in more detail, please contact us at seniorrecruitment@ukri.org to request a copy of the candidate pack. How to evidence the criteria: We encourage you to use the STAR method (Situation, Task, Action, Result) in your cover letter to clearly demonstrate how your experience meets each of the ‘person specification’ criteria outlined in the job description. For examples of the STAR method, please visit: The STAR method | National Careers Service’. Please ensure your CV and cover letter are no longer than two A4 pages each, using a minimum font size of 11. Once submitted, your application cannot be edited via our careers website; however, if you encounter any issues or need to update your documents, please contact us at SeniorRecruitment@ukri.org. OTHER INFORMATION If you'd like to have an informal chat about the role before applying, you're welcome to get in touch with us at seniorrecruitment@ukri.org. Travel Requirements: Field-based: There will a requirement to travel, mostly national, and there is some flexibility in this. Innovate UK staff make extensive use of telepresence tools for meetings to minimise unnecessary travel. Equality, Diversity and Inclusion: Innovate UK is a diverse workforce of people. We believe that encouraging these differences and drawing the best from them will build a productive environment in which everyone feels valued, where talents are fully utilised and in which organisational goals are met. Underpinning this is a belief that it is a fundamental right for everyone to be treated equally, with fairness, respect and dignity. We will act directly and use our influence to ensure that this right is promoted and upheld; we encourage applications from all those who meet the criteria set-out in our role profiles. Equal Opportunities: We are an equal opportunities employer, committed to employing any person who meets the criteria for our roles. When undertaking recruitment we may require applicants to undertake certain tests or assessments, some of which will be online and others may be in-person. If you have a disability, heath condition or specific learning difficulty such as dyslexia then you may be entitled to support with undertaking this type of assessment exercise. Where you feel that reasonable adjustments are required to support you, we ask that you advise your recruitment point of contact in a timely fashion, providing further information. In confidence, Innovate UK will then review your application for adjustments and provide support as required. UK Research and Innovation: Innovate UK is partner organisation within UK Research and Innovation. If successful in securing the position, your employer will be UK Research and Innovation. More information can be found online http://www.ukri.org/. Employee Benefits: We offer a benefits package crafted to provide an excellent work/life balance. This includes 30 days’ annual leave, 10.5 public and privilege days, flexible working hours, an exceptional defined benefit pension scheme, and access to a variety of support networks and discount schemes. Benefits of working at UK Research and Innovation (UKRI) Flexible Working: We understand the importance of work-life balance, and are happy to discuss the possibility of flexible working with applicants. Pre-employment Screening: To enable us to hire the very best people we will conduct a comprehensive pre-employment check on successful applicants as part of the recruitment process. The role holder will be required to have the appropriate level of security screening/vetting required for the role. UKRI reserves the right to run or re-run security clearance as required during the course of employment. UKRI supports research in areas that include animal health, agriculture and food security, and bioscience for health which includes research on animals, genetic modification and stem cell research. Whilst you may not have direct involvement in this type of research, you should consider how this aligns with your personal values or beliefs. To enable us to hire the very best people we will conduct a full and comprehensive pre-employment check as a crucial part of the recruitment process on all individuals that are offered a position with UKRI. This will include a security check and an Applications must be submitted by; 10-05-2026

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title MedDrive Program Director- REMOTEJob Description The MedDrive Program Director leads the overall clinical strategy and implementation, portfolio of clinical solutions, outcomes and tracking for specified therapeutic categories. This includes medical drug policy, cross benefit management, trend management, medical drug management capabilities, and specialty programs . This position will establish and maintain cross functional partnerships with capability owners to drive successful execution of MedDrive programs. This position will be the subject matter expert for MedDrive clinical solutions, and specific therapeutic categories for both internal and external stakeholders, including competitive intelligence. Responsibilities - Maintain competitive intelligence of best-in-class medical drug management solutions in the market, with a focus on clinical management through medical drug policy or other utilization management programs; additionally, strategies to manage medical drug using non-clinical, administrative, or other methods - Lead the development and implementation of strategies for the Medical Drug Business committee and serve as an internal SME to cross functional client teams and participate in client facing meetings to further translate and advise on the implementation of proposed strategies - Develop clinical and business solutions for the MedDrive (MedicalRx) program specific therapeutic categories; oversee the development and implementation of product solutions - Partner with the following stakeholders for:##Health Outcomes and Analytics teams to manage/ monitor data in areas such as: trend/net trend, net ingredient cost, utilization % change, brand inflation, specialty network savings, formulary compliance, rebate/Rx, specialty network savings, utilization management (UM) savings for pharmacy and medical benefits##Client Engagement teams in consulting on strategies and presenting specific solutions to Clients##Pharmaceutical Trade Relations: for collaboration on new programs that may impact manufacturer contracting, manufacturer contract performance and other areas as needed##Clinical Program Development: serve as a partner for MedDrive program for UM policies formulary placement, pipeline, P&T committee recommendations, and maintenance of drug lists - Strategize with Network Management to develop and assist with management of therapeutic category performance - Provide support to product team in development and maintenance of any MedDrive solution collateral - Other duties as assigned Minimum Qualifications - Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree and current pharmacist license in good standing with the State Board of Pharmacy in the state where the position is located - 3 years of work experience in health care, including health plan, pharmacy experience in managed care or specialty pharmacy Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications - Ability to facilitate change - Ability to develop relationships and influence at all organizational levels - Demonstrated ability to distill complex concepts or situations into concise and compelling communications - Critical thinking skills and ability to anticipate issues and develop innovative solutions Preferred Qualifications - Health Plan and PBM experience - Advanced degree or Certification in specific therapeutic category - Experience in commercial or government program medical drug management strategy Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits). Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.