NewOutpatient Coder II UMass Memorial Health Care IncOutpatient Coder IIWorcester, MA$23.81–$35.08 / hourAdheres to the coding and billing regulations established by the American Hospital Association (AHA), American Medical Association (AMA), and Centers for Medicare and Medicaid Services (CMS). Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve.
NewMedical Director - Spine CVS Health CorpMedical Director - SpineMA$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. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications.
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.
Referral Specialist Brown University HealthReferral SpecialistProvidence, RI$19.03–$31.39 / hourBrown University Health employees are expected to successfully role model the organization''s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Acts as a liaison/resource with patients, referring providers, community providers and practice team members regarding referral issues utilizing the highest level of customer service.
Outpatient Coder II UMass Memorial HealthOutpatient Coder IIWorcester, MassachusettsAdheres to the coding and billing regulations established by the American Hospital Association (AHA), American Medical Association (AMA), and Centers for Medicare and Medicaid Services (CMS). Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve.
Associate Medical Director of Clinical Practice and Education Greater New Bedford Community Health Center, IncAssociate Medical Director of Clinical Practice and EducationNew Bedford, MADemonstrated ability to educate, mentor, and support physicians, advanced practice providers, residents, students, nurses, and other clinical staff through bedside teaching, procedural instruction, case consultation, and constructive feedback to promote high-quality, evidence-based patient care. Educate and empower patients and families by providing culturally responsive education regarding diagnoses, treatment options, medications, preventive care, and healthy lifestyle behaviors to support informed decision-making and self-management.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DORI$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.
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.
Outpatient Certified Coder Care New England Health SystemOutpatient Certified CoderWarwick, Rhode IslandFull timeAbout Us: Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. The role of a Certified Outpatient Coder at Care New England is to ensure accurate assignment of ICD-10 CM, CPT and HCPCS codes on a wide range of patient medical records for outpatient services.
Office Support Specialist I - Medical Records - Recovery from Addictions Program Commonwealth of MassachusettsOffice Support Specialist I - Medical Records - Recovery from Addictions ProgramTaunton, MAOffice Support Specialist I'',''Office Support Specialist I'',''United States-Massachusetts-Taunton-60 Hodges Avenue'',''United States-Massachusetts-Taunton-60 Hodges Avenue'',''Administrative Services'',''Administrative Services'',''Department of Mental Health'',''Department of Mental Health'',''Full-time'',''Full-time'',''Day'',''Day'',''Aug 25, 2026, 2:15:29 PM'',''Aug 25, 2026, 2:15:29 PM'',''1'',''1'',''81,582.28'',''57,865.34'',''81,582.28'',''Yearly'',''Christina The selected candidate's main function will be the daily census, but will perform a variety of administrative functions including, but not limited to, answering phones; printing ID cards; auditing MHIS activity; analyzing inpatient and discharge medical records for compliance with RAP, Joint Commission, and DMH requirements; responding to requests for information in a timely manner; and providing back up support to OSS I for SLS (Safety Learning System - Datix) and OSS II in absence of both.
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyWellesley Hills, MA$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Clinical Scientist, Associate Director Candel TherapeuticsClinical 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.
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.
Centralized Scheduler Southcoast Health System IncCentralized SchedulerFairhaven, MA$18.88–$30.44 / hourDetermining patient liability prior to service on self-pay and out of network patients by creating estimate based on individual payer and notifying patients of their potential liability in accordance with Federal & State regulations and collect payment electronically. Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home.
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.
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.
APP - Nurse Practitioner Or Physician Assistant ConcertoCareAPP - Nurse Practitioner Or Physician AssistantNewport, 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 AssistantNewport, 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.
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.
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.