Senior Director, Field Reimbursement Alexion Pharmaceuticals IncSenior Director, Field ReimbursementBoston, MAProven 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.
Associate Director, Medical Review Lead, MSRM Agios Pharmaceuticals IncAssociate Director, Medical Review Lead, MSRMCambridge, MA$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOMA$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.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteBoston, MARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Hospital AR Specialist - EHS Patient Accounts - Full time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full timeManchester, New HampshireThe 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. 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.
Physician Assistant - Emergency Medicine EHS NE SolutionHealthPhysician Assistant - Emergency Medicine EHS NEManchester, New HampshireParticipates in Quality Improvement Activities: ACP will be required to attend and provide input in quality improvement and quality assurance projects as deemed necessary by the Medical Director and Chief Medical Officer, Elliot Hospital & EMG Acute Care Services and/or his/her designee. Vice President, Chief Operating Officer and Chief Medical Officer, Elliot Hospital & EMG Acute Care Services and/or his/her designees and within established EHS and departmental policies and procedures, ACP shall perform the functions set forth below.
Hospital AR Specialist - EHS Patient Accounts - Full Time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full TimeManchester, New HampshireAbout 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. 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.
Surgical Services Coordinator II - New England Eye Center - Boston Tufts MedicineSurgical Services Coordinator II - New England Eye Center - BostonBoston, MA$21.53–$26.91 / hourThis position monitors and coordinates all surgical scheduling functions for the department, including answering patient inquiries, initial patient interviews, scheduling and facilitating surgical dates with patients and families or other support systems as noted, assuring surgeon preferences regarding surgical sites, assistants, processes and any additional materials necessary to properly support specific resources. In addition, this role focuses on performing the following General Administration duties: Produces documents, collects, records, sorts and files information, handles mail, prepares routine reports, makes travel arrangements, arranges appointments, responds to inquiries, data entry, and operates office equipment.
Associate Medical Director, Pharmacovigilance Tango TherapeuticsAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company's medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Associate Medical Director, Pharmacovigilance Tango Therapeutics IncAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company''s medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Senior Software Engineer, Billing Workflows - Athenacollector Athenahealth inc.Senior Software Engineer, Billing Workflows - AthenacollectorBoston, MA$119,000–$203,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Use AI coding assistants and agentic tools (e.g., Claude Code, Codex or similar) throughout the SDLC for scaffolding, code generation, test authoring, and first-pass code review while retaining full ownership of correctness, security, and maintainability of everything that ships.
Lead Software Engineer - AI Humana IncLead Software Engineer - AIBoston, MA$129,300–$177,800 / yearExercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Clinical and Product Partnership: Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features.
Manager Clinical Data Monte Rosa Therapeutics, IncManager Clinical DataBoston, MassachusettsFull timeThis individual will work closely with Clinical Operations, Biostats and Programming, Medical, Safety, Regulatory, external CROs, and technology vendors to ensure high-quality, inspection-ready clinical data. Manage CROs, EDC vendors, central labs, imaging vendors, eCOA providers, IRT vendors, and other data providers.
Gene Therapy Account Management, Associate Director Vertex Pharmaceuticals IncGene Therapy Account Management, Associate DirectorBoston, MA$160,000–$240,000 / yearOwn account planning and lead field team coordination to internally drive future account success; facilitates and provides appropriate and timely feedback to Vertex cross functional partners, management and key stakeholders regarding account level business trends, changes in the therapeutic landscape, business issues and opportunities. Build and maintain strong relationships with key stakeholders (e.g., HCPs, C-Suite level personnel, administrators, pharmacists, and care coordinators involved in Gene Therapy delivery key decision makers) at sites of care and referring sites, with the goal of building awareness for Casgevy.
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.
NewGene Therapy Account Management, Associate Director - Southeast territory which includes FL, GA and AL Vertex PharmaceuticalsGene Therapy Account Management, Associate Director - Southeast territory which includes FL, GA and ALBoston, MassachusettsOwn account planning and lead field team coordination to internally drive future account success; facilitates and provides appropriate and timely feedback to Vertex cross functional partners, management and key stakeholders regarding account level business trends, changes in the therapeutic landscape, business issues and opportunities. Build and maintain strong relationships with key stakeholders (e.g., HCPs, C-Suite level personnel, administrators, pharmacists, and care coordinators involved in Gene Therapy delivery key decision makers) at sites of care and referring sites, with the goal of building awareness for Casgevy.
Surgical Services Coordinator II - New England Eye Center - Boston Lowell General HospitalSurgical Services Coordinator II - New England Eye Center - BostonBoston, MA$21.53–$26.91 / hourThis position monitors and coordinates all surgical scheduling functions for the department, including answering patient inquiries, initial patient interviews, scheduling and facilitating surgical dates with patients and families or other support systems as noted, assuring surgeon preferences regarding surgical sites, assistants, processes and any additional materials necessary to properly support specific resources. In addition, this role focuses on performing the following General Administration duties: Produces documents, collects, records, sorts and files information, handles mail, prepares routine reports, makes travel arrangements, arranges appointments, responds to inquiries, data entry, and operates office equipment.
Supervisor, Medicaid Claims Reviewer Mass General BrighamSupervisor, Medicaid Claims ReviewerSomerville, Massachusetts$79,560–$115,720.80 / yearWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The 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.
Sr Prior Authorization Specialist - Winchester Hospital Lahey Hospital and Medical CenterSr Prior Authorization Specialist - Winchester HospitalWinchester, MA$21.53–$28.98 / hourContacts patients, providers and insurance companies to validate data, collect missing information and resolve information discrepancies, Understands clinical guidelines for payors requiring authorization to better build cases for authorization requests and provide feedback to clinical departments on required notes. Works with the Financial Counselors, clinical departments, outside providers, third party insurers and any other individual or entity to assist in resolving patient financial clearance questions or problems in the most effective and positive manner possible.
PFS Denial Specialist 3 Lahey Hospital and Medical CenterPFS Denial Specialist 3MA$24.15–$32.50 / hourWorking in an SBO (Single Billing Office), environment the Denial Specialist 3 will need to know Hospital and Professional Billing to assist customers with questions and accurate registration of insurance and or processing physician billing denials. Provides support for the mentoring and training of new and end existing A/R staff as required following the training program set forth to include but not limited to policy and procedures, EHR system functionality, audits and staff reviews.