NewAssociate Principal Scientist, PharmaR&D Tempus AIAssociate Principal Scientist, PharmaR&DBoston, MassachusettsReal World Data Expertise & Technical Oversight: Lead the derivation of complex real-world endpoints using extensive coding, demonstrating deep comprehension of Tempus clinical and molecular data structures and complexity, while also serving as an expert on the methodological nuances and limitations of real-world data. Technical/Scientific Skills: Expert-level proficiency in observational late stage trial data or real-world healthcare data, specifically in designing and implementing complex time-to-event methodologies (survival analysis).
NewSenior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)MA$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.
Prior Authorization Specialist - Beverly Lahey Hospital and Medical CenterPrior Authorization Specialist - BeverlyBeverly, MA$20.50–$27.59 / 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. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Eng - Sr SW - Embedded C++ Apollo Professional SolutionsEng - Sr SW - Embedded C++Nashua, NHProficient with source code control tools, DUTIES: Sr Software Engineer C++ Duties include analyzing, designing, coding and code modification (typically in C++) of complex software designs for simple systems or subsystems or subsystems of larger systems. REQUIREMENTS: Sr Software Engineer C++ Our client requires that candidates must have an active/current DoD Secret Personnel Clearance (PCL) to start, for which the U.S. Government requires U.S. Citizenship.
Wound Care Nurse - LPN - Full Time Project RestorixWound Care Nurse - LPN - Full TimeLowell, MAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Professional Accounts Receivable Specialist - EHS Patient Accounts - Full Time SolutionHealthProfessional Accounts Receivable Specialist - EHS Patient Accounts - Full TimeManchester, New HampshireThe 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, New HampshireThe 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.
Director, Field Market Access Beam Therapeutics IncDirector, Field Market AccessCambridge, MA$210,000–$260,000 / yearBeam's suite of gene editing technologies is anchored by base editing, a proprietary technology that is designed to enable precise, predictable and efficient single base changes, at targeted genomic sequences, without making double-stranded breaks in the DNA. Educate providers on local payer trends, appropriate billing and coding for gene therapy, providing support to offices for individual patient reimbursement journeys, including troubleshooting reimbursement concerns.
Senior Post-Market Pharmacovigilance Specialist (Remote) MMSSenior Post-Market Pharmacovigilance Specialist (Remote)Boston, MARemoteWith a global footprint across four continents, MMS not only maintains an industry-leading customer satisfaction rating but also fosters a collaborative and inclusive work environment where employees can thrive. We support the pharmaceutical, biotech, and medical device industries with our proven scientific approach to complex trial data and regulatory submission challenges.
Director, Patient Access PharmaEssentia CorpDirector, Patient AccessBurlington, MA$184,620–$239,700 / yearFounded in 2003 by a team of Taiwanese-American executives and renowned scientists from U.S. biotechnology and pharmaceutical companies, today we are listed on the Taiwan Stock Exchange (TWSE: 6446) and are expanding our global presence with operations in the U.S., Japan, Singapore, South Korea, and China, along with a world-class biologics production facility in Taichung. Position Overview: The Director, Patient Access will serve as the strategic and operational leader for PharmaEssentia's Patient Access function, with accountability for access strategy, patient support operations, vendor governance, program performance, and continuous improvement across Patient Access Programs.
Director of Behavioral Health for Community Health Centers Harbor Health Services IncDirector of Behavioral Health for Community Health CentersMAAssesses patient and community needs and develops proposals for service expansion and new treatment modalities (e.g., group services, psychological testing, short-term therapy), including the growth and management of SUD and other Behavioral Health programs to enhance patient care and better serve the community. Provides administrative supervision for all HHSI CHC Behavioral Health staff in coordination with the Operations Department, including scheduling, ensuring appropriate staffing levels and coverage, facilitating staff meetings, and serving as a liaison between Behavioral Health and other HHSI departments.
Medical Program Auditor/ Analyst University of Massachusetts Medical SchoolMedical Program Auditor/ AnalystWestborough, Massachusetts4-6 years of related experience in the healthcare industry, business, with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience. Overview: Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs.
NewAssociate Director Rwe, Pharmar&D TempusAssociate Director Rwe, Pharmar&DBoston, MA$155,000–$200,000 / yearReal World Data Expertise & Technical Oversight: Lead the derivation of complex real-world endpoints using extensive coding, demonstrating deep comprehension of Tempus clinical and molecular data structures and complexity, while also serving as an expert on the methodological nuances and limitations of real-world data. The ideal candidate will possess strong real-world data analytical skills, experience in applying machine learning and statistical models to big data, and the ability to communicate complex findings to various stakeholders.
Medical Scribe - Orthopedics Per Diem Lahey Hospital and Medical CenterMedical Scribe - Orthopedics Per DiemBoston, MA$19–$21 / 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. Written Communications: Ability to read, and write in English in order to understand basic safety instructions and take direction from supervisors; communicate effectively with patients, families and other medical center staff; and respond to basic questions.
Registered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days) Boston Medical CenterRegistered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days)Boston, MA$89,500–$130,000 / yearKey responsibilities include maintaining data integrity through concurrent abstraction, validation, and audit readiness; managing the trauma registry software in partnership with the vendor and BMC ITS; and implementing required updates from ACS, TQIP, NTDB, and MA DPH. This role supervises five trauma registrars, prioritizes daily workflow, and ensures full compliance with all state and national reporting requirements, including submissions to NTDB/TQIP and the Massachusetts Department of Public Health Trauma Registry.
Medical Director - ENT CVS Health CorpMedical Director - ENTMA$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.
NewMedical Director - Spine CVS Health CorpMedical Director - SpineMA$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. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications.
Computational Scientist, Protein Engineering Manifold Bio IncComputational Scientist, Protein EngineeringBoston, MA$118,000–$138,000 / yearManifold Bio is a platform biotechnology company pioneering AI-guided protein design and massively multiplexed in vivo screening to unlock tissue-targeted medicines and organism-scale models of living systems. Using proprietary molecular barcoding technology, we screen hundreds of thousands of protein designs simultaneously in living systems, producing in vivo-validated datasets at a scale no one else can match.
Senior Director, Field Reimbursement AlexionSenior Director, Field ReimbursementBoston, MassachusettsProven 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.
NewMedical Scribe Tufts MedicineMedical ScribeBoston, MAAt the direction of a physician or licensed independent practitioner, the duties of the position are to document the physician dictated patient history, review of systems, medications and allergies, physical examination, family, social and past medical history as well as to document procedures, lab results, dictated radiographic impressions made by the supervising physician and other information pertaining to the patient's encounter in the outpatient clinic. 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.