Associate Director, Clinical Sciences - Oncology Moderna IncAssociate Director, Clinical Sciences - OncologyCambridge, MA$158,600–$285,500 / yearWe are proud to have been recognized as a Science Magazine Top Biopharma Employer, a Fast Company Best Workplace for Innovators, and a Great Place to Work in the U.S. If you want to make a difference and join a team that is changing the future of medicine, we invite you to visit modernatx.com/careers to learn more about our current opportunities. Broadly stated, in conjunction with the Clinical Study Lead and the broader Clinical Trial Team, oversee end-to-end delivery of clinical trial protocols including study design, initiation, medical safety data monitoring, data dissemination and closeout activities.
Clinical Review Specialist Brigham and Women's HospitalClinical Review SpecialistSomerville, MA$63,648–$92,570.40 / yearThe 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. 2+ years experience with chart reviews in electronic medical records, clinical data, supporting or leading work around quality and improvements and creating and/or presenting education material required.
Nurse Manager - Utilization Management (Full Time) Lahey Hospital and Medical CenterNurse Manager - Utilization Management (Full Time)Burlington, MA$165,000–$215,000 / yearAssigns and reviews staff schedules and workflows and works closely with other administrative and clinical areas under the direction of the Executive Director and the VP of Revenue Cycle/Chief Revenue Officer as part of an integrated Revenue Cycle model. Manages the Utilization Management (UM) team, maintaining effective and efficient processes for determining appropriate patient admission status based on regulatory and reimbursement requirements of various commercial and government payers.
Prior Authorization Specialist - Beverly Lahey Hospital and Medical CenterPrior Authorization Specialist - BeverlyBeverly, MA$20.50–$27.59 / 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. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Eng - Sr SW - Embedded C++ Apollo Professional SolutionsEng - Sr SW - Embedded C++Nashua, NHProficient with source code control tools, DUTIES: Sr Software Engineer C++ Duties include analyzing, designing, coding and code modification (typically in C++) of complex software designs for simple systems or subsystems or subsystems of larger systems. REQUIREMENTS: Sr Software Engineer C++ Our client requires that candidates must have an active/current DoD Secret Personnel Clearance (PCL) to start, for which the U.S. Government requires U.S. Citizenship.
NewExecutive Corporate Account Director Karyopharm Therapeutics IncExecutive Corporate Account DirectorNewton, MARole Overview & Key Functions: The Executive Corporate Account Director (Executive CAD), US Payers is a senior market access leader responsible for developing and executing enterprise-level strategies to optimize patient access to Karyopharm products across National Payers, including Commercial and Government accounts, key Regional Payers, Pathway Companies, and targeted Integrated Delivery Networks (IDNs). This individual serves as a recognized subject matter expert and strategic partner to key external customers and provides leadership and influence across Karyopharm's Market Access, Commercial and cross-functional organizations.
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.
Director of Behavioral Health for Community Health Centers Harbor Health Services IncDirector of Behavioral Health for Community Health CentersMAAssesses patient and community needs and develops proposals for service expansion and new treatment modalities (e.g., group services, psychological testing, short-term therapy), including the growth and management of SUD and other Behavioral Health programs to enhance patient care and better serve the community. Provides administrative supervision for all HHSI CHC Behavioral Health staff in coordination with the Operations Department, including scheduling, ensuring appropriate staffing levels and coverage, facilitating staff meetings, and serving as a liaison between Behavioral Health and other HHSI departments.
NewAssociate Director Rwe, Pharmar&D TempusAssociate Director Rwe, Pharmar&DBoston, MA$155,000–$200,000 / yearReal World Data Expertise & Technical Oversight: Lead the derivation of complex real-world endpoints using extensive coding, demonstrating deep comprehension of Tempus clinical and molecular data structures and complexity, while also serving as an expert on the methodological nuances and limitations of real-world data. The ideal candidate will possess strong real-world data analytical skills, experience in applying machine learning and statistical models to big data, and the ability to communicate complex findings to various stakeholders.
NewExecutive Corporate Account Director Karyopharm Therapeutics Inc.Executive Corporate Account DirectorNewton, MassachusettsRole Overview & Key Functions: The Executive Corporate Account Director (Executive CAD), US Payers is a senior market access leader responsible for developing and executing enterprise-level strategies to optimize patient access to Karyopharm products across National Payers, including Commercial and Government accounts, key Regional Payers, Pathway Companies, and targeted Integrated Delivery Networks (IDNs). This individual serves as a recognized subject matter expert and strategic partner to key external customers and provides leadership and influence across Karyopharm’s Market Access, Commercial and cross-functional organizations.
Medical Program Auditor/ Analyst UMass Chan Medical SchoolMedical Program Auditor/ AnalystWestborough, MA4-6 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. 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.
Computational Scientist, Assay Development Manifold BioComputational Scientist, Assay DevelopmentBoston, MA$118,000–$138,000 / yearManifold Bio is a platform biotechnology company pioneering AI-guided protein design and massively multiplexed in vivo screening to unlock tissue-targeted medicines and organism-scale models of living systems. Using proprietary molecular barcoding technology, we screen hundreds of thousands of protein designs simultaneously in living systems, producing in vivo-validated datasets at a scale no one else can match.
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.
Senior Post-Market Pharmacovigilance Specialist (Remote) MMSSenior Post-Market Pharmacovigilance Specialist (Remote)Boston, MARemoteWith a global footprint across four continents, MMS not only maintains an industry-leading customer satisfaction rating but also fosters a collaborative and inclusive work environment where employees can thrive. We support the pharmaceutical, biotech, and medical device industries with our proven scientific approach to complex trial data and regulatory submission challenges.
Wound Care Nurse - LPN - Full Time Project RestorixWound Care Nurse - LPN - Full TimeLowell, MAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Professional Accounts Receivable Specialist - EHS Patient Accounts - Full Time SolutionHealthProfessional Accounts Receivable Specialist - EHS Patient Accounts - Full TimeManchester, New HampshireThe Professional 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. Assist Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escalate complex issues when necessary.
Professional Accounts Recievable Specialist - EHS Patient Accounts - Full Time SolutionHealthProfessional Accounts Recievable Specialist - EHS Patient Accounts - Full TimeManchester, New HampshireThe Professional 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. Assist Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escalate complex issues when necessary.
Director, Field Market Access Beam Therapeutics IncDirector, Field Market AccessCambridge, MA$210,000–$260,000 / yearBeam's suite of gene editing technologies is anchored by base editing, a proprietary technology that is designed to enable precise, predictable and efficient single base changes, at targeted genomic sequences, without making double-stranded breaks in the DNA. Educate providers on local payer trends, appropriate billing and coding for gene therapy, providing support to offices for individual patient reimbursement journeys, including troubleshooting reimbursement concerns.
Medical Director - ENT CVS Health CorpMedical Director - ENTMA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Senior Director, Field Reimbursement AlexionSenior Director, Field ReimbursementBoston, MassachusettsProven 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.