Sr Utilization Management Nurse RN - Field Position UnitedHealth Group Inc.Sr Utilization Management Nurse RN - Field PositionBoston, MA$72,800–$130,000 / yearAs a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting quality patient care. Required to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits.
Clinical Scientist, Associate Director Candel Therapeutics IncClinical Scientist, Associate DirectorNeedham, MA$181,000–$194,000 / yearCandel Therapeutics is seeking an experienced and intellectually curious Clinical Scientist to support our oncology clinical development programs, with an initial focus on prostate cancer and opportunities to contribute across additional solid tumor programs, including lung and brain cancer studies. Author and contribute to key clinical and regulatory documents including Clinical Study Reports (CSRs), Investigator Brochures (IBs), protocols, informed consent forms (ICFs), DSURs, clinical narratives, and IND/BLA regulatory submissions.
Associate Director, Bioinformatics Rhythm PharmaceuticalsAssociate Director, BioinformaticsBoston, MARemoteFull timeA core focus of this position will be the development and implementation of algorithmic phenotyping approaches using electronic medical records (EMR) and real-world datasets, enabling robust patient stratification, cohort definition, and integration with genomics and biomarker data. We are seeking a highly motivated Associate Director of Bioinformatics within Rhythm's Research group to support of our clinical, regulatory, and scientific objectives in the rare neuroendocrine/obesity/metabolic disease therapeutic area.
Senior Clinical Pharmacist, COMM and Exchange Mass General BrighamSenior Clinical Pharmacist, COMM and ExchangeSomerville, Massachusetts$134,316–$164,087.04 / yearo* Develops, implements, and leads managed care programs such as prior authorization and quantity limitations programs o* Ensures clinical compliance with law and regulatory bodies o* Develops educational materials, newsletters, member, and provider talking points, and disseminates clinical information for both internal and external audiences. -Formulary trend management: o* Develops and implements clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes o* Develops, analyzes, reports on clinical programs, handles, and coordinates between Pharmacy and other collaborators throughout Mass General Brigham Health Plan.
Grievance and Appeals Coordinator (44872) Neighborhood Health Plan of Rhode IslandGrievance and Appeals Coordinator (44872)Smithfield, RIThe Coordinator maintains organized and secure record-keeping systems, communicates effectively with internal and external stakeholders, and fosters collaborative relationships across departments to ensure compliance and exceptional service. This role ensures timely and compliant correspondence to members and providers, monitors case progress, and alerts staff when deadlines approach.
RN Clinical Documentation Specialist - Referrals Ensemble Health PartnersRN Clinical Documentation Specialist - ReferralsPutnam, ConnecticutEducates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.
Associate Director, Clinical Scientist - Neuroimmunology AstraZeneca PlcAssociate Director, Clinical Scientist - NeuroimmunologyCambridge, MA$142,000–$213,000 / yearYou will report to the Global Clinical Head, Neuroimmunology, or their designee, and work closely with the Study Physician, fellow clinical scientists, and the Global Clinical Program Lead (GCPL), who leads the program's clinical development strategy. Contribute to query generation, coding reconciliation (AE/SAE, medical/surgical history, concomitant medications), and edit-check refinement in collaboration with Data Management and Biostatistics, and support database-lock readiness activities and cross-checks.
Clinical Documentation Improvement Specialist Lahey Hospital and Medical CenterClinical Documentation Improvement SpecialistMA$102,000–$158,392 / yearThe Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient's hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record.
APP - Nurse Practitioner Or Physician Assistant ConcertoCareAPP - Nurse Practitioner Or Physician AssistantTiverton, RI$130,000–$160,000 / yearThis is an ideal position for a clinician who seeks an opportunity for "top of license" practice, enjoys a collaborative team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems. This exciting role allows you to deliver clinical care flexibly through a blend of in-person care delivery at your patient's home and virtual care delivery from your own home, with the support of nurses, community health workers, medical assistants, nurse case managers, clinical social workers, and clinical pharmacists.
APP - Nurse Practitioner or Physician Assistant ConcertoCareAPP - Nurse Practitioner or Physician AssistantTiverton, RI$130,000–$160,000 / yearThis is an ideal position for a clinician who seeks an opportunity for "top of license" practice, enjoys a collaborative team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems. This exciting role allows you to deliver clinical care flexibly through a blend of in-person care delivery at your patient's home and virtual care delivery from your own home, with the support of nurses, community health workers, medical assistants, nurse case managers, clinical social workers, and clinical pharmacists.
Registered Nurse Supervisor (Home Health Assessments) Activate CareRegistered Nurse Supervisor (Home Health Assessments)Boston, MAThe RN Supervisor leads a distributed team of RN Assessors who travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Conduct rigorous pre-submission audits of assessments (Uniform Core, Functional, and Comprehensive), coding, and SOAP notes to intercept errors before final submission to the health plan's review team.
Registered Nurse Supervisor ( Home Health Assessments) Activate CareRegistered Nurse Supervisor ( Home Health Assessments)Boston, MAThe RN Supervisor leads a distributed team of RN Assessors who travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Conduct rigorous pre-submission audits of assessments (Uniform Core, Functional, and Comprehensive), coding, and SOAP notes to intercept errors before final submission to the health plan's review team.
Senior Full Stack Engineer(React, Node.JS) Linus Health IncSenior Full Stack Engineer(React, Node.JS)Boston, MA$155,000–$175,000 / yearBy advancing how we detect and address cognitive and brain disorders - leveraging cutting-edge neuroscience, clinical expertise, and artificial intelligence - our goal is to enable a future where people can live longer, happier, and healthier lives with better brain health. By combining deep front end technical expertise with strong backend api design abilities you will drive secure, performant implementations with your fellow team members toward high-impact outcomes.
Clinical Pharmacist II, COMM and Exchange Brigham and Women's HospitalClinical Pharmacist II, COMM and ExchangeSomerville, MA$134,316–$164,087.04 / yearAbility to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
Sales Director CloudbedsSales DirectorMassachusettsRemoteAs a Sales Director , you will play a pivotal role in Cloudbeds' growth, leveraging your extensive network and deep understanding of both the mid-market and Enterprise hotel landscape to drive high-value ARR and expand our brand. Along the way, hopefully, you’ll deepen your network of hotel groups, management companies and consultants, while evangelising for our unified platform for revenue, reservations, distribution, and marketing.
Senior Clinical Pharmacist, Comm And Exchange Brigham and Women's HospitalSenior Clinical Pharmacist, Comm And ExchangeSomerville, MA$134,316–$164,087.04 / yearAbility to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
NewPrincipal Platform Software Engineer, C++ Evolv Technologies Inc.Principal Platform Software Engineer, C++Waltham, MA$148,000–$240,000 / yearEvolv’s R&D team is looking for an experienced and innovative principal software engineer to provide technical leadership, improve software engineering practices, and be hands on with our team of SW engineers with expertise in embedded, real-time, and computer vision. In accordance with state and local pay transparency laws—including those in California, Colorado, Massachusetts, New York, New Jersey, and others—we disclose salary ranges in all job postings and provide additional information upon request.
Principal IAM & Web Security Engineer Waters CorporationPrincipal IAM & Web Security EngineerMilford, MassachusettsWe collaborate with customers around the world to advance the release of effective, high-quality medicines, ensure the safety of food and water, and drive better patient outcomes by detecting diseases earlier, managing routine infections, and combating antibiotic resistance. Company Description: Waters Corporation (NYSE:WAT) is a global leader in life sciences and diagnostics, dedicated to accelerating the benefits of pioneering science through analytical technologies, informatics, and service.
Patient Accounting Follow-up Billing Specialist I Dana-Farber Cancer Institute IncPatient Accounting Follow-up Billing Specialist IBROOKLINE, MARemote$47,500–$53,600 / yearThe primary function of the P/A Follow-Up Biller Specialist is the daily management of an assigned portion of the accounts receivable, typically allocated based on payer and alphabetical splits for Medicare, MassHealth and Other Government insurances. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations.
NewDirector, Safety Scientist AlexionDirector, Safety ScientistBoston, MassachusettsThe Director, Safety Scientist serves as a key leader within Global Patient Safety, providing strategic oversight and scientific leadership for the evaluation and management of safety risks across the portfolio through: Leading the scientific evaluation and management of safety risks across assigned programs, with accountability for high-quality, evidence-based outputs. Leading program and study level safety surveillance including the analysis and communication of safety data, authoring of internal safety review documents, presentation at cross-functional decision-making bodies and documentation/tracking of all signal analysis results.