Claims Quality Control Auditor (44912) Neighborhood Health Plan of Rhode IslandClaims Quality Control Auditor (44912)Smithfield, RIResponsibilities include, but are not limited to the following: Review Neighborhood's claim process functions, including auto adjudicated and manually processed claims and issues, based on provider and health plan contractual agreements and claims processing guidelines. This Master IA will be created from results of the weekly Claims Adjustment Committee meeting and be used by adjusters from each delegate to reprocess claims according to the respective configuration changes in each system.
Senior Engineer - Full Stack Waters CorporationSenior Engineer - Full StackMilford, MassachusettsYou will help shape and deliver the next generation of our B2B eCommerce platform, building rich Angular-based storefronts powered by Java and Spring Boot backends deeply integrated with SAP Commerce Cloud. We 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.
Senior Engineer Full Stack Waters CorpSenior Engineer Full StackMilford, MAYou will help shape and deliver the next generation of our B2B eCommerce platform, building rich Angular-based storefronts powered by Java and Spring Boot backends deeply integrated with SAP Commerce Cloud. We 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.
Senior Data Submissions Operations Associate Devoted Health ServicesSenior Data Submissions Operations AssociateMassachusettsRemoteExperience working with CMS systems such as the Central Data Abstraction Tool (CDAT), Encounter Data Processing System (EDPS), or similar healthcare submission portals including familiarity with ICD‑10 coding or risk adjustment data. The 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.
Medical Billing Specialist Addison GroupMedical Billing SpecialistBraintree, Massachusetts$24–$28 / hourReview and process incoming payments received via check, credit card transactions, ACH/EFT transfers, and electronic remittance files (835s). The ideal candidate brings prior experience in healthcare billing environments and understands the importance of accuracy, timeliness, and compliance in financial transactions.
Sr. AI Engineer BlueCross and BlueShield of MassachusettsSr. AI EngineerHingham, MA$151,200–$184,800 / year1+ years of hands-on expertise in developing agentic solutions, with strong knowledge of cloud services (AWS, Azure, Google Cloud) and MLOps tools (like Docker and Kubernetes). 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.
AI Product Owner BlueCross and BlueShield of MassachusettsAI Product OwnerHingham, MA$111,960–$136,840 / year1+ years of hands-on expertise in developing agentic solutions, with strong knowledge of cloud services (AWS, Azure, Google Cloud) and MLOps tools (like Docker and Kubernetes). 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.
Computer Systems Analyst III INDUS Technology, Inc.Computer Systems Analyst IIINewport, Rhode IslandReporting to the Program Manager, the Computer System Analyst III will utilize Agile methodologies to lead and manage the software development efforts required to design, develop and maintain a Continuous Integration/Continuous Deployment (CI/CD) pipeline in support of Advanced Interactive Management Technology Center (AIMTC) systems. Collaborate with AIMTC clients, business analysts, and other stakeholders to gather and analyze requirements for web applications, ensuring that the developed solutions meet business needs, are aligned technical direction and meet the specified Government schedule.
Salesforce Developer US-Remote Tenable IncSalesforce Developer US-RemoteMARemote$102,500–$136,500 / yearYou will own the design, development, and delivery of complex Salesforce solutions that power our go-to-market engine, including our Data Cloud platform, Agentforce AI automation, and core Sales, Service, and CPQ clouds. Manage the full deployment lifecycle across scratch orgs, sandboxes (dev, QA, staging, UAT), and production using Salesforce DX, SFDX CLI, and source-driven development workflows.
NewStaff Software Development Engineer CVS Health CorpStaff Software Development EngineerMA$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
NewStaff Software Development Engineer - Mobile CVS Health CorpStaff Software Development Engineer - MobileMA$106,605–$284,280 / yearThis Staff Engineer will design, develop, and implement digital solutions and systems by applying advanced technical expertise to architect and code software applications, conduct system testing and debugging, collaborate with cross-functional teams, and contribute to the overall technical direction and innovation of digital engineering projects. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Sr. AI Engineer Blue Cross and Blue Shield of Massachusetts IncSr. AI EngineerHingham, MA$151,200–$184,800 / year1+ years of hands-on expertise in developing agentic solutions, with strong knowledge of cloud services (AWS, Azure, Google Cloud) and MLOps tools (like Docker and Kubernetes). 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.
Technical Lead – API and Integration Development (Hybrid) Intact Specialty SolutionsTechnical Lead – API and Integration Development (Hybrid)Canton, MassachusettsYou’ll lead a small team while remaining actively involved in coding and solution design, leveraging technologies such as Auth0, Microsoft Azure, Kafka, Event Hub, Service Bus, and Terraform. For candidates located in San Francisco, CA; Washington DC; our Massachusetts based offices and the New York City metro area, the base salary range is $144,000 - $169,000.
NewSenior Performance Engineer- JMeter, JavaScript - Remote MaximusSenior Performance Engineer- JMeter, JavaScript - RemoteProvidence, RIRemoteFull timeDesign, develop, and maintain performance testing frameworks, automation utilities, CI/CD integrations, and cloud-native testing capabilities supporting AWS services, Kubernetes clusters, Docker containers, Helm deployments, and microservices architectures. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Patient Service Representative, Full-Time 40 Days, 40 Hours, Dermatology Day Kimball Healthcare IncPatient Service Representative, Full-Time 40 Days, 40 Hours, DermatologyCTReceives and documents in the information system patient responsible payments including co-payments, past balance payments, and time of service patient-responsible charges Check-out each patient via established policies, including charge entry for current visit if appropriate, scheduling of future appointments, facilitation of ancillary procedures as necessary, and provides for the patient a receipt for services rendered. Responsible for collaborative interaction with patients, physicians, other staff members and management, patient satisfaction and accurate processing of all front-end functions are integral to the success of this individual Follows procedures for verification of patient demographics information including insurance verification prior to the patient visit for all pre-scheduled patients Registers all patients at each visit utilizing established policies for the capture of complete and up-to-date patient and insurance information.
Medical Billing Specialist COMPREHENSIVE COMMUNITY ACTIONMedical Billing SpecialistWarwick, RI$19–$22 / hourCCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients.
Medical Billing Specialist Comprehensive Community Action ProgramMedical Billing SpecialistWarwick, RICCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients.
Crisis Intervention Specialist - Relief *internal only* Riverside Community CareCrisis Intervention Specialist - Relief *internal only*Milford, MAFull timefire, medical, behavioral health) are held and documented as per regulation and that required fire protection and suppression equipment is present and in good working order and also ensuring the maintenance of program sites to minimize fire hazards. The Crisis Intervention Specialist is responsible for providing advanced skills in trauma-informed crisis intervention and de-escalation, monitoring of the safety and security of the facility, and coordinating response to urgent and emergency situations.
Crisis Intervention Specialist - Relief internal only Riverside Community Care IncCrisis Intervention Specialist - Relief internal onlyMilford, MAfire, medical, behavioral health) are held and documented as per regulation and that required fire protection and suppression equipment is present and in good working order and also ensuring the maintenance of program sites to minimize fire hazards. The Crisis Intervention Specialist is responsible for providing advanced skills in trauma-informed crisis intervention and de-escalation, monitoring of the safety and security of the facility, and coordinating response to urgent and emergency situations.
Cardiovascular and Electrophysiology Assistant RIH Rhode Island HospitalCardiovascular and Electrophysiology AssistantRhode IslandSUMMARY: Under direct supervision of Nurse Manager and Assistant Clinical Nurse Manager and according to established protocols, assists in the operation and maintenance of analytic and re-coding biomedical equipment and instrumentation used for patient monitoring in the Cardiovascular and Electrophysiology Laboratory. Restocking of supplies in the lab for cases to include cath and EP procedure supplies and restocking anesthesia supplies, Case stocking for same day or next day procedures MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High School education, with the ability to comprehend technical and medical terminology.