Supervisor, Medicaid Claims Reviewer Brigham and Women's HospitalSupervisor, Medicaid Claims ReviewerSomerville, MA$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.
Professional Coder, ObGyn Lahey Hospital and Medical CenterProfessional Coder, ObGynBoston, MA$27.03–$43.25 / hourCustomer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training.
Associate Director, Medical Review Lead, Msrm Agios PharmaceuticalsAssociate 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.
Senior Principal AI Engineer Vertex PharmaceuticalsSenior Principal AI EngineerBoston, Massachusetts$188,000–$282,000 / yearWorking within the Agentic AI Platform team, thisrole will focus on delivering production-grade platform services for model integration, prompt and workflow orchestration, evaluation, observability, performance optimization, and agent lifecycle management. Own thedeveloper experiencefor the platform, delivering intuitive self-service onboarding, SDKs, CLIs, sandbox environments, reference implementations, and clear documentation that let builders move from idea to production quickly.
Summer Intern 2027 - AI ManulifeSummer Intern 2027 - AIBoston, MassachusettsYou’ll receive guidance from experienced practitioners while gaining exposure to the end-to-end lifecycle of data science, machine learning, and emerging AI solutions in an enterprise environment. As part of our internship program, you will gain early access to Manulife John Hancock’s premier early talent program, GRO, tailored to graduating students!
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.
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.
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.
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.
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.