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.
Outpatient And Emergency Department Coding Manager Concord Hospital, IncOutpatient 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.
NewMedical Billing Specialist (GSD) ConnectAmerica LLCMedical Billing Specialist (GSD)NHThe purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.
NewPFS Billing Representative | Full Time | Day Concord HospitalPFS Billing Representative | Full Time | DayConcord, NHTechnology - Up to date knowledge of systems used by PFS to include but not limited to: Cerner, payer websites, Availity, MMIS, Connex, FISS, FinThrive, Policy Tech and Microsoft Office Products as applicable. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull less than 10 pounds, and occasionally lift, carry or push/pull up to 10 pounds.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)NH$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Software Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)NHRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTConcord, NHRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusConcord, NHRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
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.
NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTConcord, NHRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
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.
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.
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|Concord|Rheumatology Concord HospitalPractice Patient Care Coordinator|Concord|RheumatologyConcord, 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 - DaysConcord, 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.
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.
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|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.
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.
NewPractice Patient Care Coordinator Cardiology Practice Concord - 4 day work week Concord HospitalPractice Patient Care Coordinator Cardiology Practice Concord - 4 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. 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.
NewPatient Care Coordinator|Concord Occupational and Employee Health|Full Time Concord HospitalPatient Care Coordinator|Concord Occupational and Employee Health|Full TimeConcord, NHThe 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. Respond to inquiries related to booking appointments via phone and email; including a knowledge of workers' compensation related appointments/needs.
NewPractice Patient Care Coordinator OB GYN Laconia Practice Concord HospitalPractice Patient Care Coordinator OB GYN Laconia 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|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.
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|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.
Patient Care Coordinator|Primary Care Meredith NH - Monday through Friday no weekends Concord HospitalPatient Care Coordinator|Primary Care Meredith NH - Monday through Friday no weekendsMeredith, 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 .
NewPractice Patient Care Coordinator Cardiology Practice Concord - 4 Day Work Week Concord Hospital, IncPractice Patient Care Coordinator Cardiology Practice Concord - 4 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. 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.
Multispecialty Patient Care Coordinator Float|Concord Concord Hospital, IncMultispecialty Patient Care Coordinator Float|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 - CH Internal Medicine - Full Time - Days Concord Hospital, IncPatient 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.
NewPatient Care Coordinator|Concord Occupational And Employee Health|Full Time Concord Hospital, IncPatient Care Coordinator|Concord Occupational And Employee Health|Full TimeConcord, NHThe 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. Respond to inquiries related to booking appointments via phone and email; including a knowledge of workers' compensation related appointments/needs.
Practice Patient Care Coordinator|Multi Specialty Practices Laconia Concord Hospital, IncPractice 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 - Internal Medicine later start time available ! Concord HospitalPatient Care Coordinator - Internal Medicine later start time available !Concord, 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 Hospital, IncPractice 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.
Patient Care Coordinator At Family Health Center Concord- 4 Or 5 Day Work Week Concord Hospital, IncPatient 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.
Patient Care Coordinator|Ent Concord NH Concord Hospital, IncPatient 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|Float Laconia Area Concord Hospital, IncPractice 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|Primary Care Meredith NH - Monday Through Friday No Weekends Concord Hospital, IncPatient Care Coordinator|Primary Care Meredith NH - Monday Through Friday No WeekendsMeredith, 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|Primary Care Meredith NH Concord HospitalPatient Care Coordinator|Primary Care Meredith NHMeredith, 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.
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 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.
Practice Patient Care Coordinator Urology - Full-Time Concord Hospital, IncPractice 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.
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.
Medical Director MPO CVS Health CorpMedical Director MPONH$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Part Time Pharmacy Technician UnitedHealth Group IncPart Time Pharmacy TechnicianPlymouth, NHClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
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.
NewMedical Claim Analyst CVS Health CorpMedical Claim AnalystNH$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NH$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.