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.
Senior Consultant, Revenue Cycle and Financial Operations | Healthcare Business Transformation FTI Consulting IncSenior 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.
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.
NewPatient coordinator South Shore HealthPatient coordinatorBraintree, MADemonstrates ability to determine acceptability of physician’s order with regard to clarity of diagnosis, appropriateness of discipline ordered, appropriate date, treatment plan in accordance with injury and initiates process to obtain corrected order. Acts as the initial point of contact for all patients, schedules appointments, registers and orients all new patients, submits patient information, coding and billing for services provided.
Supervisor of TPC and CCBHC Revenue Cycle Care New England Health SystemSupervisor of TPC and CCBHC Revenue CycleWarwick, Rhode IslandFull timeJob Summary: The Supervisor of TPC and CCBHC Revenue Cycle is an operational leader responsible for supporting the day-to-day revenue cycle functions for The Providence Center (TPC) and Certified Community Behavioral Health Clinic (CCBHC) services. This role focuses on ensuring timely billing, accurate follow-up, and resolution of accounts receivable, while supporting a high-touch, service-oriented model that requires significant manual intervention.
Medical Oncology Physician Saint Vincent HospitalMedical Oncology PhysicianWorcester, MA$260,000–$882,000 / yearSaint Vincent Hospital's Cancer and Wellness Center is an award-winning institution with more than a century of service to Worcester and the surrounding communities — recognized among the nation's 100 Top Hospitals three years running by Truven Health Analytics and honored with six high-performance designations from U.S. News & World Report. Healthgrades awarded Saint Vincent Hospital #1 in Cardiology in the state and one of Americas 100 Best Hospitals for Coronary Intervention in 2023 and 2024, which puts Saint Vincent Hospital in the top 5% of hospitals nationwide for coronary intervention.
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.
Medical Oncology Physician Tenet Healthcare CorpMedical Oncology PhysicianWorcester, MA$260,000–$882,000 / yearSaint Vincent Hospital's Cancer and Wellness Center is an award-winning institution with more than a century of service to Worcester and the surrounding communities - recognized among the nation's 100 Top Hospitals three years running by Truven Health Analytics and honored with six high-performance designations from U.S. News & World Report. Healthgrades awarded Saint Vincent Hospital #1 in Cardiology in the state and one of Americas 100 Best Hospitals for Coronary Intervention in 2023 and 2024, which puts Saint Vincent Hospital in the top 5% of hospitals nationwide for coronary intervention.
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.
Patient Service Representative - Dental - Woonsocket Or West Warwick Thundermist Health CenterPatient Service Representative - Dental - Woonsocket Or West WarwickWoonsocket, RIGeneral Responsibilities: The Dental Patient Service Representative is responsible for welcoming and assisting patients with; scheduling of appointments, taking charge of all aspects of registering the patient, answering all incoming calls, collecting charges, taking complete and accurate messages, and documenting appropriately. Takes complete and accurate messages, schedules appointments, takes charge of all aspects of registering patients, answers all incoming calls, collects charges for the office visit.
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.
Nurse Practitioner Brown University HealthNurse PractitionerProvidence, RI$127,504–$161,782.40 / yearThe APP reports directly to the Manager for APPs and the inpatient Medical Director for the Division of Cardiology and manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings. RESPONSIBILITIES: Delivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with acute cardiac diseases.
Nurse Practitioner - Primary Care Brown University HealthNurse Practitioner - Primary CareSmithfield, RI$127,504–$161,782.40 / yearEXPERIENCE:Graduated for a Physician Assistant program with a master's degree and has current board certification from the NCCPA or graduated from a master's program for nurse practitioners and has current board certification from ANCC or AANP.Current RI License and DEA licenseBLS and ACLS certificationWORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Fast paced, hospital environment with fluctuating caseload of 6-10 patients, stressful conditions associated with patient care at times. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Delivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with acute cardiac diseases.
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.
Advanced Practice Provider Brown University HealthAdvanced Practice ProviderProvidence, RI$127,504–$161,782.40 / yearThe APP reports directly to the Manager for APPs and the inpatient Medical Director for the Division of Cardiology and manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings. RESPONSIBILITIES: Delivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with acute cardiac diseases.
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.
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.
NewInsurance Coordinator Mass General BrighamInsurance CoordinatorBoston, Massachusetts$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.
Insurance 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.