Project Manager II, Construction Administration Massachusetts School Building AuthorityProject Manager II, Construction AdministrationBoston, MassachusettsLead on specific initiatives assigned by the Senior Project Manager that improve MSBA processes and implement best practices for school building, from the quality and cost-effectiveness of construction to long-term durability and sustainability. Manage project schedules, budgets, cost estimates and scope to ensure compliance with MSBA guidelines and funding agreements while tracking project-specific events, costs and construction developments.
Special Needs Plans (SNP) Operations Manager Devoted Health ServicesSpecial Needs Plans (SNP) Operations ManagerMassachusettsRemoteThe actual base salary offered will 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. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesMA$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Compliance Specialist - Temporary 6 Months Sophia GeneticsCompliance Specialist - Temporary 6 MonthsBoston, MAExecute contract administration and review across multiple compliance areas: healthcare compliance agreements, data protection clauses, information security appendices, and general terms-learning the company's compliance framework and negotiation playbook on the job. If this sounds like you, join the SOPHiA GENETICS Legal & Compliance Team as a Compliance Specialist, and enable us to make a positive impact on the outcomes for cancer and rare disease patients worldwide.
Senior Software Engineer, Billing Workflows - athenaCollector athenahealth IncSenior Software Engineer, Billing Workflows - athenaCollectorBoston, MA$119,000–$203,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
Health PBM Operations Manager (Specialty Pharma, PBM) Accenture PlcHealth PBM Operations Manager (Specialty Pharma, PBM)Boston, MALead with the Best: Join an industry-recognized healthcare consulting leader with a global team of over 20,000 professionals, collaborating to drive large-scale healthcare transformation across the globe. Continuous Learning & Growth: Take advantage of unmatched professional development opportunities, including interactive courses, real-world client simulations, and ongoing mentoring, to expand your healthcare consulting expertise.
Billing and Revenue Accountant TempusBilling and Revenue AccountantStoughton, MAFull timeThis position is responsible for quality control over billing and accounts receivable activity, ownership of the revenue and accounts receivable general ledger accounts, and ensuring that billing records, subledgers, and the general ledger are complete, accurate, and reconciled each month. Prepare and post monthly journal entries related to revenue, accounts receivable, cash application, accruals, deferred or unbilled revenue, contractual adjustments, and other billing activity as applicable.
Director, Patient Access Liaison - East Intellia Therapeutics IncDirector, Patient Access Liaison - EastCambridge, MA$225,000–$275,000 / yearAbout You: The Director of Patient Access Liaisons is a field-based leadership role responsible for building, developing, and managing a high-performing team of Patient Access Liaisons who support providers, care teams, and patients in navigating reimbursement and overcoming access obstacles for lonvo-z. This role serves as the operational backbone of the patient access function-translating strategy into execution, ensuring consistent field excellence, and delivering insights that strengthen the broader market access and launch strategy.
Personal Lines Account Manager SHIV SOFTWARE EXPERTS LLCPersonal Lines Account ManagerMiddleton,, MA$60,000–$80,000 / yearFull timePersonal Lines Account Manager - Full-Time Position : This individual will be responsible for servicing an existing book of Personal Lines accounts, along with obtaining quotes for new and renewal business. This individual will be required to maintain client files accurately and consistently, provide proper documentation of files and proper communication to all parties involved.
NewSpecial Needs Plans (SNP) Operations Manager Devoted Health IncSpecial Needs Plans (SNP) Operations ManagerWaltham, MARemote$73,000–$130,000 / yearThe actual base salary offered will 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. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going - all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
NewAssociate Contract Specialist Point32HealthAssociate Contract SpecialistCanton, MassachusettsThe Associate Contract Specialist manages contract implementation activities, tracks progress, resolves operational issues, supports compliance and audit requirements, and facilitates cross-functional collaboration to ensure successful execution and ongoing maintenance of contractual agreements. Must be a highly motivated individual with excellent organizational skills and the ability to manage large volumes of information and multiple assignments while consistently meeting service level agreements (SLAs), project milestones, and established deadlines; attention to detail is key.
Fraud Investigator II University of Massachusetts Medical SchoolFraud Investigator IIWestborough, Massachusetts5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience. The Investigator II collaborates with the Associate Director on more complex case reviews as needed, in addition to performing activities related to data mining, data analysis and recoveries.
Benefits and Vendor Advisor, Ancillary Programs Harvard UniversityBenefits and Vendor Advisor, Ancillary ProgramsCambridge, MACoordinate and follow up vendor management activities for ancillary benefits: hosting regular service meetings, maintaining issues log, working with the vendors to ensure timely resolution of problems, and communicating status and decisions to appropriate BCW teams. Harvard University's Central Administration (CADM) is a 5,000+ employee organization that supports the university's overall excellence by understanding and serving the needs of its schools, students, faculty, staff, alumni, and surrounding communities.
Service Representative | Provider Services Division | November 2026 - Remote Blue Cross and Blue Shield of Massachusetts IncService Representative | Provider Services Division | November 2026 - RemoteHingham, MARemoteIn this role, you will be responsible for establishing an appropriate physical work environment that is ergonomically comfortable and suited to the specific work being conducted, which includes ensuring that the environment is free from conditions likely to cause interruption or that would distract an associate from performing their job. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
NewAssociate Contract Specialist Point32Health, Inc.Associate Contract SpecialistCanton, MA$57,798.51–$86,697.77 / yearThe Associate Contract Specialist manages contract implementation activities, tracks progress, resolves operational issues, supports compliance and audit requirements, and facilitates cross-functional collaboration to ensure successful execution and ongoing maintenance of contractual agreements. Must be a highly motivated individual with excellent organizational skills and the ability to manage large volumes of information and multiple assignments while consistently meeting service level agreements (SLAs), project milestones, and established deadlines; attention to detail is key.
Patient Financial Services Specialist-Hospital Billing Lahey Hospital and Medical CenterPatient Financial Services Specialist-Hospital BillingMA$22.05–$29.68 / 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.
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.
Patient Financial Services Senior Specialist - Hospital Billing Lahey Hospital and Medical CenterPatient Financial Services Senior Specialist - Hospital BillingMA$23–$30.95 / hourHandles payer 277 rejections on accounts with the highest level of complexity 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. Investigate and resolve assigned accounts of the highest level of complexity (i.e., inpatient, high dollar, aged accts, etc.) within Hospital Billing, Denial, & Follow-Up various work queues to completion and communicate to the Manager within the designated time frame (essential).
DRG Ops Analyst Zelis Healthcare, Inc.DRG Ops AnalystBoston, MA$54,000–$68,400 / yearWhat you'll do: Managing the screening and distribution processes of Expert Claim Review Claims supporting the end-to-end workflow audit for Zelis Prepay and Post-pay Programs. Accountable for the deployment of resources for the management of daily claims screening, distribution, and referral processes, including ECR and ECR-EDI, DRG Validation and DRG Outlier pricing.
Lead Analyst, Channel Systems & Projects Analog Devices IncLead Analyst, Channel Systems & ProjectsWilmington, MA$109,600–$150,700 / yearOwn Model N 2.0 initiatives across channel design registrations, claims, POS, and inventory - speeding turnaround to distributors, reducing internal workload, and fully utilizing Model N functionality, including: Automating Negative Claims submissions, POS & Inventory processing, price bucket sync, and inventory reconciliation. ADI combines analog, digital, AI, and software technologies into solutions that combat climate change, reliably connect humans and the world, and help drive advancements in automation and robotics, mobility, healthcare, energy and data centers.