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.
Director of Community Geriatrics - Full-Time | Lead & Transform Senior Care The Staff PadDirector of Community Geriatrics - Full-Time | Lead & Transform Senior CareBoston, MassachusettsWe are seeking an experienced, board-certified primary care physician with strong geriatric experience to join the multidisciplinary team as Director of Community Geriatrics in Boston, MA, providing clinical leadership, direct patient care, and oversight of advanced practice providers and senior living programs. If you are a board-certified/eligible primary care physician with strong geriatric experience and are ready to take on a leadership role while making a meaningful impact on the care of older adults, we invite you to apply today!
Sr Utilization Management Nurse RN - Field Position UnitedHealth Group Inc.Sr Utilization Management Nurse RN - Field PositionBoston, MA$72,800–$130,000 / yearAs a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting quality patient care. Required to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits.
Manager, Pharmacovigilance Case Processing Les Laboratoires Servier SASManager, Pharmacovigilance Case ProcessingBoston, MA$131,000–$150,000 / yearMonitoring Outsourced Activities & Case Management: Manage pre- and post-marketing pharmacovigilance cases processed by Service provider: book-in, data entry, coding, narratives, quality control, medical review, and submission of applicable cases. The Manager, Pharmacovigilance Case Processing is responsible for overseeing the end-to-end management of pharmacovigilance cases outsourced to a vendor, encompassing activities from initial collection to final submission.
NewDirector of Revenue Cycle VITRA HealthDirector of Revenue CycleBoston, MA$160,000–$180,000Partner with the Compliance function on all billing-related matters, ensuring that MassHealth Adult Foster Care (AFC) and Group Adult Foster Care (GAFC) billing practices adhere to 130 CMR 408.000 and 130 CMR 450.000, including conditions for payment, prior authorization, non-covered days, medical and nonmedical leave-of-absence limits, and supporting documentation requirements, and engage Compliance in the review of billing policies, void and adjustment activity, and any identified billing irregularities. Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.
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.
Derry Imaging - Radiologic Technologist DMC Primary CareDerry Imaging - Radiologic TechnologistDerry, NHAbout Us: Derry Imaging Center is accredited by the American College of Radiology (ACR) in Mammography, Ultrasound, MRI, and CT Imaging, with onsite fellowship-trained radiologists. Diverse and Supportive Environment: We value diversity and provide a welcoming and supportive atmosphere for employees of all ethnic backgrounds, cultures, ages, lifestyles, and physical abilities.
Associate Director, Clinical Scientist - Neuroimmunology AstraZeneca PlcAssociate Director, Clinical Scientist - NeuroimmunologyCambridge, MA$142,000–$213,000 / yearYou will report to the Global Clinical Head, Neuroimmunology, or their designee, and work closely with the Study Physician, fellow clinical scientists, and the Global Clinical Program Lead (GCPL), who leads the program's clinical development strategy. Contribute to query generation, coding reconciliation (AE/SAE, medical/surgical history, concomitant medications), and edit-check refinement in collaboration with Data Management and Biostatistics, and support database-lock readiness activities and cross-checks.
Clinical Documentation Specialist II- RN- Remote Lahey Hospital and Medical CenterClinical Documentation Specialist II- RN- RemoteBurlington, MARemote$125,000–$160,000 / yearThe Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient's hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record.
Clinical Documentation Improvement Specialist Lahey Hospital and Medical CenterClinical Documentation Improvement SpecialistMA$102,000–$158,392 / yearThe Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient's hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record.
Associate Director, Bioinformatics Rhythm PharmaceuticalsAssociate Director, BioinformaticsBoston, MARemoteFull timeA core focus of this position will be the development and implementation of algorithmic phenotyping approaches using electronic medical records (EMR) and real-world datasets, enabling robust patient stratification, cohort definition, and integration with genomics and biomarker data. We are seeking a highly motivated Associate Director of Bioinformatics within Rhythm's Research group to support of our clinical, regulatory, and scientific objectives in the rare neuroendocrine/obesity/metabolic disease therapeutic area.
Senior Clinical Pharmacist, COMM and Exchange Mass General BrighamSenior Clinical Pharmacist, COMM and ExchangeSomerville, Massachusetts$134,316–$164,087.04 / yearo* Develops, implements, and leads managed care programs such as prior authorization and quantity limitations programs o* Ensures clinical compliance with law and regulatory bodies o* Develops educational materials, newsletters, member, and provider talking points, and disseminates clinical information for both internal and external audiences. -Formulary trend management: o* Develops and implements clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes o* Develops, analyzes, reports on clinical programs, handles, and coordinates between Pharmacy and other collaborators throughout Mass General Brigham Health Plan.
Senior Full Stack Engineer(React, Node.JS) Linus Health IncSenior Full Stack Engineer(React, Node.JS)Boston, MA$155,000–$175,000 / yearBy advancing how we detect and address cognitive and brain disorders - leveraging cutting-edge neuroscience, clinical expertise, and artificial intelligence - our goal is to enable a future where people can live longer, happier, and healthier lives with better brain health. By combining deep front end technical expertise with strong backend api design abilities you will drive secure, performant implementations with your fellow team members toward high-impact outcomes.
Registered Nurse Supervisor (Home Health Assessments) Activate CareRegistered Nurse Supervisor (Home Health Assessments)Boston, MAThe RN Supervisor leads a distributed team of RN Assessors who travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Conduct rigorous pre-submission audits of assessments (Uniform Core, Functional, and Comprehensive), coding, and SOAP notes to intercept errors before final submission to the health plan's review team.
Registered Nurse Supervisor ( Home Health Assessments) Activate CareRegistered Nurse Supervisor ( Home Health Assessments)Boston, MAThe RN Supervisor leads a distributed team of RN Assessors who travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Conduct rigorous pre-submission audits of assessments (Uniform Core, Functional, and Comprehensive), coding, and SOAP notes to intercept errors before final submission to the health plan's review team.
Principal IAM & Web Security Engineer Waters CorporationPrincipal IAM & Web Security EngineerMilford, MassachusettsWe 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. Company Description: Waters Corporation (NYSE:WAT) is a global leader in life sciences and diagnostics, dedicated to accelerating the benefits of pioneering science through analytical technologies, informatics, and service.
Clinical Pharmacist II, COMM and Exchange Brigham and Women's HospitalClinical Pharmacist II, COMM and ExchangeSomerville, MA$134,316–$164,087.04 / yearAbility to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Working 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.
Senior Clinical Pharmacist, Comm And Exchange Brigham and Women's HospitalSenior Clinical Pharmacist, Comm And ExchangeSomerville, MA$134,316–$164,087.04 / yearAbility to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Working 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.
Data Analyst III Chickasaw Nation IndustriesData Analyst IIINatick, Massachusetts$95,000–$120,000 / yearMaster’s degree in health economics, epidemiology, public health, applied statistics, or a related field and a minimum of 5 years of hands-on experience coding in Stata, R, or SAS at an advanced or expert level, including experience building reproducible workflows, automating analyses, and optimizing performance for large datasets. Minimum 5 years of hands-on experience coding in Stata, R, or SAS at an advanced or expert level , including experience building reproducible workflows, automating analyses, and optimizing performance for large datasets.