Medical Program Auditor/ Analyst University of Massachusetts Medical SchoolMedical Program Auditor/ AnalystWestborough, Massachusetts4-6 years of related experience in the healthcare industry, business, with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience. Overview: Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs.
Director, Patient Access PharmaEssentia CorpDirector, Patient AccessBurlington, MA$184,620–$239,700 / yearFounded in 2003 by a team of Taiwanese-American executives and renowned scientists from U.S. biotechnology and pharmaceutical companies, today we are listed on the Taiwan Stock Exchange (TWSE: 6446) and are expanding our global presence with operations in the U.S., Japan, Singapore, South Korea, and China, along with a world-class biologics production facility in Taichung. Position Overview: The Director, Patient Access will serve as the strategic and operational leader for PharmaEssentia's Patient Access function, with accountability for access strategy, patient support operations, vendor governance, program performance, and continuous improvement across Patient Access Programs.
Senior Clinical Research Director SanofiSenior Clinical Research DirectorCambridge, MA$236,250–$393,750 / yearCollaborates with other CRDs within the project, ensures leadership, builds consensus, coordinates action plans with stakeholders to resolve project-related study issues, anticipates potential issues (sharing lessons learned) across the project or study teams. Collaborate with other CRDs within the project, ensure leadership, buildsconsensus, coordinate action plans with stakeholders to resolve project-related study issues, anticipate potential issues (sharing lessons learned) across the project or study teams.
Medical Scribe - Orthopedics Per Diem Lahey Hospital and Medical CenterMedical Scribe - Orthopedics Per DiemBoston, MA$19–$21 / hourCustomer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Written Communications: Ability to read, and write in English in order to understand basic safety instructions and take direction from supervisors; communicate effectively with patients, families and other medical center staff; and respond to basic questions.
Senior Director, Field Reimbursement Alexion Pharmaceuticals IncSenior Director, Field ReimbursementBoston, MAProven experience creating and managing compliant field-based reimbursement and access teams, including key account targets, size, structure, strategy, programs/initiatives, compliance requirements (PHI), KPIs, analytics, integration with patient support services. Superb knowledge of government and commercial payers for specialty products (rare disease) across buy & bill and specialty pharmacy pathways, prior authorization and appeal requirements, coding, appropriate claim submission, and integration with patient assistance programs.
NewMedical Scribe Tufts MedicineMedical ScribeBoston, MAAt the direction of a physician or licensed independent practitioner, the duties of the position are to document the physician dictated patient history, review of systems, medications and allergies, physical examination, family, social and past medical history as well as to document procedures, lab results, dictated radiographic impressions made by the supervising physician and other information pertaining to the patient's encounter in the outpatient clinic. In addition, this role focuses on performing the following General Administration duties: Produces documents, collects, records, sorts and files information, handles mail, prepares routine reports, makes travel arrangements, arranges appointments, responds to inquiries, data entry, and operates office equipment.
Registered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days) Boston Medical CenterRegistered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days)Boston, MA$89,500–$130,000 / yearKey responsibilities include maintaining data integrity through concurrent abstraction, validation, and audit readiness; managing the trauma registry software in partnership with the vendor and BMC ITS; and implementing required updates from ACS, TQIP, NTDB, and MA DPH. This role supervises five trauma registrars, prioritizes daily workflow, and ensures full compliance with all state and national reporting requirements, including submissions to NTDB/TQIP and the Massachusetts Department of Public Health Trauma Registry.
Hospital AR Specialist - EHS Patient Accounts - Full time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full timeManchester, New HampshireThe Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines.
Physician Assistant - Emergency Medicine EHS NE SolutionHealthPhysician Assistant - Emergency Medicine EHS NEManchester, New HampshireParticipates in Quality Improvement Activities: ACP will be required to attend and provide input in quality improvement and quality assurance projects as deemed necessary by the Medical Director and Chief Medical Officer, Elliot Hospital & EMG Acute Care Services and/or his/her designee. Vice President, Chief Operating Officer and Chief Medical Officer, Elliot Hospital & EMG Acute Care Services and/or his/her designees and within established EHS and departmental policies and procedures, ACP shall perform the functions set forth below.
Hospital AR Specialist - EHS Patient Accounts - Full Time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full TimeManchester, New HampshireAbout the Job: The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines.
Associate Director, Medical Review Lead, MSRM Agios Pharmaceuticals IncAssociate Director, Medical Review Lead, MSRMCambridge, MA$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOMA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteBoston, MARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Surgical Services Coordinator II - New England Eye Center - Boston Tufts MedicineSurgical Services Coordinator II - New England Eye Center - BostonBoston, MA$21.53–$26.91 / hourThis position monitors and coordinates all surgical scheduling functions for the department, including answering patient inquiries, initial patient interviews, scheduling and facilitating surgical dates with patients and families or other support systems as noted, assuring surgeon preferences regarding surgical sites, assistants, processes and any additional materials necessary to properly support specific resources. In addition, this role focuses on performing the following General Administration duties: Produces documents, collects, records, sorts and files information, handles mail, prepares routine reports, makes travel arrangements, arranges appointments, responds to inquiries, data entry, and operates office equipment.
Associate Medical Director, Pharmacovigilance Tango TherapeuticsAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company's medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Associate Medical Director, Pharmacovigilance Tango Therapeutics IncAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company''s medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Lead Software Engineer - AI Humana IncLead Software Engineer - AIBoston, MA$129,300–$177,800 / yearExercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Clinical and Product Partnership: Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features.
Manager Clinical Data Monte Rosa Therapeutics, IncManager Clinical DataBoston, MassachusettsFull timeThis individual will work closely with Clinical Operations, Biostats and Programming, Medical, Safety, Regulatory, external CROs, and technology vendors to ensure high-quality, inspection-ready clinical data. Manage CROs, EDC vendors, central labs, imaging vendors, eCOA providers, IRT vendors, and other data providers.
Gene Therapy Account Management, Associate Director Vertex Pharmaceuticals IncGene Therapy Account Management, Associate DirectorBoston, MA$160,000–$240,000 / yearOwn account planning and lead field team coordination to internally drive future account success; facilitates and provides appropriate and timely feedback to Vertex cross functional partners, management and key stakeholders regarding account level business trends, changes in the therapeutic landscape, business issues and opportunities. Build and maintain strong relationships with key stakeholders (e.g., HCPs, C-Suite level personnel, administrators, pharmacists, and care coordinators involved in Gene Therapy delivery key decision makers) at sites of care and referring sites, with the goal of building awareness for Casgevy.
Supervisor Non-clinical Boston Medical CenterSupervisor Non-clinicalBrockton, MA$23.80–$34.62 / hourThis position ensures patient health information is accurately scanned, indexed, quality reviewed, and made available in the electronic health record (EHR) in a timely manner to support safe patient care, regulatory compliance, and revenue cycle performance. Partner with Patient Access, Coding, Clinical Documentation Improvement (CDI), Case Management, and Patient Financial Services to ensure documentation is available for coding and billing.