FS REST Java SQL Kforce Inc.FS REST Java SQLMerrimack, NH$64–$74Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.
NewFS REST Java SQL Angular Kforce Inc.FS REST Java SQL AngularMerrimack, NH$68–$78Committed to delivering high-quality solutions, they emphasize adherence to SDLC best practices and actively promote continuous integration and continuous delivery. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
Professional Production Coder - Elliot Professional Coding Services - Full Time - Remote US SolutionHealthProfessional Production Coder - Elliot Professional Coding Services - Full Time - Remote USManchester, NHRemoteThe Professional Production Coder collaborates with providers and coding leadership to resolve coding discrepancies, contribute to quality improvement efforts, and uphold organizational goals related to revenue cycle performance and compliance. About the Job: The Professional Production Coder is responsible for accurately assigning CPT, HCPCS, and ICD-10 codes to professional services in accordance with current coding guidelines, payer requirements, and regulatory requirements.
Professional Production Coder - Professional Coding Services - Full Time SolutionHealthProfessional Production Coder - Professional Coding Services - Full TimeManchester, NHThe Professional Production Coder collaborates with providers and coding leadership to resolve coding discrepancies, contribute to quality improvement efforts, and uphold organizational goals related to revenue cycle performance and compliance. About the Job: The Professional Production Coder is responsible for accurately assigning CPT, HCPCS, and ICD-10 codes to professional services in accordance with current coding guidelines, payer requirements, and regulatory requirements.
Outpatient and Emergency Department Coding Manager Concord HospitalOutpatient and Emergency Department Coding ManagerConcord, NHParticipate in vendor selection, prepare account list for audit, engage with staff to assist with rebuttals, based on Audit Results will develop individualized coding compliance education plan for each Coder, report individual and aggregate results to Director. Acting under the direction of the Health Information Management Director, the Outpatient /ED Coding Manager shall be responsible for the Outpatient multi-facility coding and ED/HWI professional and multi-facility coding and charge capture.
General Practice Care - Medical Director - Windham , {State_Code UsvtaGeneral Practice Care - Medical Director - Windham , {State_CodeWindham, New HampshireAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Medical Director to provide leadership, oversee medical operations, and ensure superior patient and client care to members of its community. This hospital is open to considering experienced veterinarians who are prepared to take on a senior leadership role, overseeing medical operations and working collaboratively with the practice manager.
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistNashua, NHRemote$58,000–$74,000The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
Senior Medical Coder UnitedHealth GroupSenior Medical CoderNorth Andover, MA$23.89–$42.69 / hourWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._. + 3+ years of experience working with DRG coding with a mastery of complex procedures, cardiac catheterization, complex cardiology, interventional radiology, orthopedic and neurology cases.
Patient Account Representative Lawrence General HospitalPatient Account RepresentativeLawrence, MAAs the Patient Account Representative, you will be responsible for ensuring accurate and timely billing and collection of assigned patient accounts with the goal of providing patient-focused customer service and achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital. Preferred: Knowledge of medical coding and medical terminology Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.
Patient Account Representative Merrimack HealthPatient Account RepresentativeLawrence, MAAs the Patient Account Representative, you will be responsible for ensuring accurate and timely billing and collection of assigned patient accounts with the goal of providing patient-focused customer service and achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital. Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.
Nurse Pract Palliative Amedisys IncNurse Pract PalliativeHaverhill, MAMeet physician-nurse practitioner collaborative requirements specific to the state assigned to work by the Company including, if required by applicable state law, entering into a collaborative agreement and supply a copy of all active collaborating physician agreements and any required guidelines and protocols established with or by the collaborating physician within which the NP must practice. The NP orders treatments, laboratory, and diagnostic services, works closely with health care agencies to coordinate palliative medical care, and approaches all patients and referral sources with a customer service manner.
Nurse Practitioner - PPV CompassusNurse Practitioner - PPVNHThe Nurse Practitioner, if providing hospice care, functions as an extension of the interdisciplinary team (IDT) and hospice physician to provide routine recertification and emergency assessments, educational, and evaluative services to meet the needs of patients and their families. If providing Hospice Face to Face Visits: Performs routine and emergency assessments: Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).
Revenue Cycle Applications Analyst Lawrence General HospitalRevenue Cycle Applications AnalystLawrence, MAWe are seeking an Applications Analyst with experience supporting healthcare financial systems, preferably within the Meditech environment, to partner with Patient Financial Services and Health Information Management teams to optimize workflows and improve system performance. EDUCATION AND RELATED EXPERIENCE: Required: 23 years of experience as a Systems Analyst, Revenue Cycle Applications Analyst, or Project Lead supporting patient accounting/billing, claims, and reimbursement workflows.
Revenue Cycle Applications Analyst Merrimack HealthRevenue Cycle Applications AnalystLawrence, MAWe are seeking an Applications Analyst with experience supporting healthcare financial systems, preferably within the Meditech environment, to partner with Patient Financial Services and Health Information Management teams to optimize workflows and improve system performance. Hands-on experience working with EHR/RCM data and transactions, including HL7/charges, claim formats (837/835/271), remittance/ERA, and supporting data used for billing and reimbursement.
Patient Accounts Billing Representative Greater Lawrence Family Health CenterPatient Accounts Billing RepresentativeMethuen, MassachusettsEstablished in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program.
Certified Recovery Support Worker Concord HospitalCertified Recovery Support WorkerConcord, NHOther office duties as assigned: May include but is not limited to distribution of mail, faxes, and electronic desktops; tracking and educating patients of form completion requests; securing signatures for all required documentations; follows CHMG policies and procedures; welcomes and coordinates intake of patient information for new and existing patients and creates and maintains medical records; schedules, confirms, or reschedules patient appointments; processes and routes all incoming calls or request and responds to departmental and practice inquiries. The key duties include advocating for patients, assisting individuals with recovery skill-building, linking patients to community resources, collaborating with the individual’s family and members of their healthcare team, crisis intervention, and maintaining confidentiality and accurate records.
Field Access Director, Rare Disease Ipsen SAField Access Director, Rare DiseaseConcord, NH$165,000–$235,000 / yearEnsure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.
Practice Patient Care Coordinator|Franklin Concord HospitalPractice Patient Care Coordinator|FranklinFranklin, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator|Neurology Concord HospitalPractice Patient Care Coordinator|NeurologyConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Patient Care Coordinator|ENT Concord NH Concord HospitalPatient Care Coordinator|ENT Concord NHConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator - Full Time - Days Concord HospitalPractice Patient Care Coordinator - Full Time - DaysLaconia, NHUnder the general supervision of the Practice Administrator/Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
New Patient Coordinator/ ENT Concord Practice Concord HospitalNew Patient Coordinator/ ENT Concord PracticeConcord, NHUnder the general supervision of the Assistant Practice Manager/Manager, this person performs a variety of clerical and data management functions in support of new patient registration, coordination of all welcoming responsibilities, chart preload, scheduling and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator Specialty Office Concord NH Concord HospitalPractice Patient Care Coordinator Specialty Office Concord NHConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Patient Care Coordinator at Family Health Center Concord Concord HospitalPatient Care Coordinator at Family Health Center ConcordConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Patient Care Coordinator|Dental Resources Concord Per Diem Concord HospitalPatient Care Coordinator|Dental Resources Concord Per DiemConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator|OB GYN Concord Concord HospitalPractice Patient Care Coordinator|OB GYN ConcordConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator Concord - Dermatology - Full Time Concord HospitalPractice Patient Care Coordinator Concord - Dermatology - Full TimeConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator Concord Family Medicine Concord HospitalPractice Patient Care Coordinator Concord Family MedicineConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator|Multi Specialty practices Laconia Concord HospitalPractice Patient Care Coordinator|Multi Specialty practices LaconiaLaconia, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Patient Care Coordinator - Laconia Endocrinology Practice Concord HospitalPatient Care Coordinator - Laconia Endocrinology PracticeLaconia, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Practice Patient Care Coordinator|Float Laconia area Concord HospitalPractice Patient Care Coordinator|Float Laconia areaLaconia, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Patient Care Coordinator - CH Internal Medicine - Full Time - Days Concord HospitalPatient Care Coordinator - CH Internal Medicine - Full Time - DaysConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
Patient Care Coordinator at Family Health Center Concord- 4 or 5 day work week Concord HospitalPatient Care Coordinator at Family Health Center Concord- 4 or 5 day work weekConcord, NHUnder the general supervision of the Practice Administrator/ Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination, phone management and other patient care coordinator duties. In addition to office care, we actively collaborate with the Hospitalist Program for inpatient care, as well as nursing homes, behavioral health specialists and home care programs when appropriate .
Field Access Director, Rare Disease ImCheck Therapeutics SASField Access Director, Rare DiseaseConcord, NH$165,000–$235,000 / yearEnsure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.
Professional Accounts Receivable Specialist - EHS Patient Accounts - Full Time SolutionHealthProfessional Accounts Receivable Specialist - EHS Patient Accounts - Full TimeManchester, NHAbout the Job: The 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, NHAbout the Job: The 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.
Practice Patient Care Coordinator Urology - Full-time Concord HospitalPractice Patient Care Coordinator Urology - Full-timeConcord, NHUnder the general supervision of the Practice Administrator/ Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, scheduling, referral coordination, phone management and other patient care coordinator duties. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
NewPractice Patient Care Coordinator Lead Urologic Institute Concord HospitalPractice Patient Care Coordinator Lead Urologic InstituteConcord, NHSpecifically, the Lead PCC will provide training and support for all Practice Patient Care Coordinators to facilitate high levels of patient, provider, and employee engagement to improve the overall patient experience; ensure policies and protocols are followed; understand and uphold DNV guidelines as well as state and federal laws that regulate physician practices. Under the general supervision of the Practice Administrator/Manager and the direct supervision of the Practice Manager or Assistant Practice Manager, this person performs a variety of clerical and data management functions in support of patient registration, referral coordination and other patient care coordinator duties.
Revenue Excellence Trainer - Revenue Integrity - Full Time SolutionHealthRevenue Excellence Trainer - Revenue Integrity - Full TimeManchester, NHAbout the Job: The Revenue Excellence Trainer plays a critical role in advancing the operational excellence of the Revenue Cycle team by designing, delivering, and continuously improving training programs that enhance staff knowledge, performance, and compliance. This position supports the tactical execution of departmental goals by equipping team members with the tools and understanding needed to navigate complex revenue cycle workflows, payer requirements, and system functionalities.
Compliance & Privacy Program Sr. Manager - Full Time - Onsite in Manchester NH SolutionHealthCompliance & Privacy Program Sr. Manager - Full Time - Onsite in Manchester NHManchester, New HampshireThe Compliance and Privacy Senior Manager, under the direction of the Chief Compliance Officer and Privacy Officer, provides professional services in support of compliance program objectives including compliance with Medicare hospital and professional billing and coding requirements, conducting audits, special reviews and investigations, risk analysis and monitoring, education and training and breach response and prevention. Manages the implementation of Elliot Health System entities' compliance activities, programs, policies, and procedures, to ensure system integrity and compliance with applicable federal and state laws and regulations, including but not limited to regulations associated with Medicare billing, coding and documentation requirements and protection of patient privacy, as assigned by the entity Compliance & Privacy Officer.
Revenue Excellence Trainer - Revenue Excellence - Full Time SolutionHealthRevenue Excellence Trainer - Revenue Excellence - Full TimeManchester, New HampshireThe Revenue Excellence Trainer plays a critical role in advancing the operational excellence of the Revenue Cycle team by designing, delivering, and continuously improving training programs that enhance staff knowledge, performance, and compliance. This position supports the tactical execution of departmental goals by equipping team members with the tools and understanding needed to navigate complex revenue cycle workflows, payer requirements, and system functionalities.
Program and Compliance Manager Addison GroupProgram and Compliance ManagerManchester, New Hampshire$84,000–$109,000 / yearThis is a highly visible, hands-on position that partners closely with leadership to identify risk, lead investigations, and strengthen compliance programs. This role is responsible for ensuring adherence to federal and state regulations, with a strong focus on Medicare billing and coding compliance, audits, and patient privacy.
Field Reimbursement Manager - Kidney (New England - ME, VT, NH, MA, RI, CT) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (New England - ME, VT, NH, MA, RI, CT)NH$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Hospital AR Specialist - EHS Patient Accounts - Full Time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full TimeManchester, NHJob Description: About 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. What You'll Do: 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.
Hospital AR Specialist - EHS Patient Accounts - Full time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full timeManchester, NHJob Description: 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. What Youll Do: 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.
Software Engineer II BAE Systems PlcSoftware Engineer IINashua, NH$79,365–$134,921 / yearAbout BAE Systems Electronic Systems BAE Systems, Inc. is the U.S. subsidiary of BAE Systems plc, an international defense, aerospace and security company which delivers a full range of products and services for air, land and naval forces, as well as advanced electronics, security, information technology solutions and customer support services. Collaborate with cross-functional teams to identify opportunities for digital transformation and develop solutions that enhance people's abilities, while ensuring repeatability, reliability, and sustainability.
Surgical Scheduler - NH Neurospine - Full Time SolutionHealthSurgical Scheduler - NH Neurospine - Full TimeBedford, NHSchedules patients for necessary pre op appointments at EH as well as joint classes for total joint replacements, schedules all pre op appointments including clearance, follow ups, post ops, etc when speaking with patient and enters them into the schedule for providers. Reviews patients chart prior to scheduling to determine if they require pre op testing, have health concerns or need to be scheduled at a specific location.
NewSurgical Scheduler - Orthopaedics - Full Time SolutionHealthSurgical Scheduler - Orthopaedics - Full TimeManchester, New HampshireSchedules patients for necessary pre op appointments at EH as well as joint classes for total joint replacements, schedules all pre op appointments including clearance, follow ups, post ops, etc when speaking with patient and enters them into the schedule for providers. Reviews patients chart prior to scheduling to determine if they require pre op testing, have health concerns or need to be scheduled at a specific location.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NH$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Medical Director - ENT CVS Health CorpMedical Director - ENTNH$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.