Senior Consultant, Revenue Cycle And Financial Operations | Healthcare Business Transformation FTI Consulting, Inc.Senior Consultant, Revenue Cycle And Financial Operations | Healthcare Business TransformationBoston, MAThe Senior Consultant in Revenue Cycle and Financial Operations within our Healthcare Business Transformation practice plays a key leadership role advising physician groups, health systems, private equity and technology companies on strategies to optimize financial performance and operating effectiveness across the revenue cycle. This role supports complex client engagements from assessment through implementation, partners directly with client executives to align initiatives to enterprise priorities, and delivers measurable outcomes related to cost optimization, revenue enhancement, technology implementation and financial operations.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerBoston, MA$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Revenue Cycle Consultant, Senior Manager athenahealth IncRevenue Cycle Consultant, Senior ManagerBoston, MA$123,000–$209,000 / yearAs a member of athenahealth's Advisory Services team, this role leads complex consulting engagements that assess organizational performance, identify opportunities for transformation, and develop actionable strategies that improve operational efficiency, financial outcomes, and user adoption. The team collaborates with executive sponsors, practice administrators, revenue cycle leaders, and clinical stakeholders to evaluate business performance, optimize athenaOne workflows, and identify opportunities that improve operational and financial outcomes.
Program and Compliance Manager Addison GroupProgram and Compliance ManagerManchester, New Hampshire$84,000–$109,000 / yearThis is a highly visible, hands-on position that partners closely with leadership to identify risk, lead investigations, and strengthen compliance programs. This role is responsible for ensuring adherence to federal and state regulations, with a strong focus on Medicare billing and coding compliance, audits, and patient privacy.
Ambulatory Clinic Supervisor I- Psychiatry Boston Children's HospitalAmbulatory Clinic Supervisor I- PsychiatryBoston, MAEnsures compliance with third-party regulations and requirements (such as DPH, licensure, The Joint Commission, OSHA, etc.) and billing requirements related to proper documentation, coding, and charge entry processes for program clinical services. Maximizes revenue by ensuring all appropriate registration and administrative paperwork is generated at the time of patient registration and forwarded to the Hospital in a timely manner for billing purposes.
IBR Senior Analyst Zelis Healthcare, Inc.IBR Senior AnalystMA$79,000–$99,750 / yearThis is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.
Case Manager Alnylam Pharmaceuticals IncCase ManagerCambridge, MARemote$85,500–$115,600 / yearThanks to the commitment of every employee globally, Alnylam is proud to have been recognized as one of Fast Company's 2021 Best Workplaces for Innovators, a Science Magazine Top Employer three years in a row (2019-2021), a Boston Globe Top Places to Work seven years in a row (2015-2021), a Great Place to Work in Asia, Japan, Brazil, the U.K., Germany, Spain, Netherlands, Italy, France and Switzerland, Seramount's 100 Best Companies (formerly Working Mother 100 Best Companies) and Best Companies for Dads, Bloomberg's Gender Equality Index two years in a row (2021-2022), among others. Fosters collaborative relationships with all internal and external customers including but not limited to Patient Education Liaisons, medical, sales, field reimbursement, corporate accounts, patient advocacy, insurance company case managers, specialty pharmacies, home health agencies, and office coordinators.
Director, Clinical Data Management Stoke Therapeutics, Inc.Director, Clinical Data ManagementBedford, MA$225,000–$244,000 / yearRequired Skills & Experience: Bachelor's degree or higher in a scientific or healthcare discipline (advanced degree a plus), with 10+ years of progressive experience in data management within biotech, pharmaceutical, or CRO settings, including prior line-management / people leadership experience. In depth knowledge of clinical data management systems (eg: Medidata Rave Veeva Vault CDMS) required; working familiarity with data review, visualization, and analytics tools (e.g., SAS, R/Python, Spotfire, Power BI, J-Review, or elluminate).
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantBoston, MA$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Insurance Coordinator Mass General BrighamInsurance CoordinatorBoston, MassachusettsThis role offers the opportunity to become a subject matter expert in complex oncology authorizations, collaborate with multidisciplinary clinical teams, and play an essential role in ensuring patients receive timely access to advanced radiation therapies. 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.
Revenue Cycle Specialist III NeighborHealth CorpRevenue Cycle Specialist IIIRevere, MA$21.51–$32.26 / hourWhether youre a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is vital. As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.
NewInsurance Coordinator Brigham and Women's HospitalInsurance CoordinatorBoston, MA$19.37–$27.71 / hourThis role offers the opportunity to become a subject matter expert in complex oncology authorizations, collaborate with multidisciplinary clinical teams, and play an essential role in ensuring patients receive timely access to advanced radiation therapies. 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.
Lead Health Information Management Audit Specialist (On-Site) Lahey Hospital and Medical CenterLead Health Information Management Audit Specialist (On-Site)Burlington, MA$21–$28.26 / hourUnder direction from the Manager, Health Information Management, a Lead Health Information Management Audit Specialist collaborates closely with other departments/teams to provide efficient and thorough healthcare claims auditing requirements for Beth Israel Lahey Health (BILH) and its affiliates. Researches cases, transfers documentation to electronic media, updates the intra-departmental database, communicates issues and findings to the Director of Internal Audit/Compliance, Director of Case Management, and Coding Manager as appropriate.
Revenue Cycle Consultant, Senior Manager Athenahealth inc.Revenue Cycle Consultant, Senior ManagerBoston, MA$123,000–$209,000 / yearAs a member of athenahealth's Advisory Services team, this role leads complex consulting engagements that assess organizational performance, identify opportunities for transformation, and develop actionable strategies that improve operational efficiency, financial outcomes, and user adoption. The team collaborates with executive sponsors, practice administrators, revenue cycle leaders, and clinical stakeholders to evaluate business performance, optimize athenaOne workflows, and identify opportunities that improve operational and financial outcomes.
Senior Clinical Data Manager Repertoire Immune MedicinesSenior Clinical Data ManagerCambridge, MA$131,000–$187,000 / yearThis individual will provide hands-on data management expertise and sponsor oversight of CROs and third-party vendors, partnering closely with Clinical Operations, Clinical Development, Safety, Regulatory, Translational Medicine, and external vendors to ensure timely, accurate, complete, and inspection-ready clinical trial data in accordance with GCP, ICH guidelines, applicable regulatory requirements, data privacy requirements, and Repertoire SOPs. Key Responsibilities Trial Leadership & Data Management Develop and maintain key data management documents, including the Data Management Plan, eCRF specifications, completion guidelines, edit check specifications, data validation plan, data transfer specifications, external data reconciliation plans, medical coding plan, and database lock plan.
Medical Scribe CVS Health CorpMedical ScribeMA$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Ambulance Billing & Revenue Cycle Specialist EPOCH HEALTHCARE LLCAmbulance Billing & Revenue Cycle SpecialistNorwood, MAFull timehandle claims submission, payment posting, denials management, and collections for Medicare. • Enter BLS/ALS level-of-service codes, mileage, diagnosis codes (ICD-10), and procedure codes.
Medical Director MPO CVS Health CorpMedical Director MPOMA$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
NewCo-Founder & CEO - AI Clinical Documentation Compliance FutureSightCo-Founder & CEO - AI Clinical Documentation ComplianceBoston, MA$80–$85 / hourYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. The market signal is incredibly strong: Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
Patient Financial Services Representative - Hospital Billing Lahey Hospital and Medical CenterPatient Financial Services Representative - Hospital BillingMA$21–$28.26 / hourUnder oversight of the Department Manager & Supervisor, the Patient Financial Services Representative - Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable within assigned work queues for a large multi-facility healthcare system with future expansion anticipated to maximize reimbursement to the health system. Handles payer 277 rejections of accounts and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement.