System Manager, Coding The University of Vermont Health NetworkSystem Manager, CodingVTRemote$46.89–$70.34 / hourJob Ref:R0087725 Category:Medical Billing and Coding Employment Type:Full-Time Health Care Partner:University of Vermont Medical Center Location: Remote Department:Health Information Management Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 40 Weekend Needs:None Pay Rate: $46.89 - $70.34 per hour. Acts as a content expert to ensure regulatory or operational coding issues impacting correct billing is communicated to IS analysts, Revenue Cycle, Revenue Integrity, Compliance and/or other relevant system department leaders as needed to support compliant coding and data quality.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorVT$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Manager The University of Vermont Health NetworkCoding ManagerVTRemote$39.17–$58.76 / hourJob Ref:R0087796 Category:Administration Employment Type:Full-Time Health Care Partner:Champlain Valley Physicians Hospital Location: Remote Department:UVMHN - CVPH - Revenue Cycle Job Type:Regular Primary Shift:Day Hours:8:00 AM - 4:30 PM Estimated Hours per Week: 40 Bi-Weekly Hours: 80 Weekend Needs:As Scheduled Pay Rate: $39.17 - $58.76 per hour. POSITION SUMMARY: Under the direction of the Director of Health Information Management and according to established CVPH policies and procedures, the Manager, HIM (Facility Coding) is responsible for planning and organizing the Facility Coding program at CVPH and ensures that all hospital, state and federal reporting guidelines are followed.
Urgent Care - Partner Veterinarian - Burlington , {State_Code UsvtaUrgent Care - Partner Veterinarian - Burlington , {State_CodeBurlington, VermontAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Medical Records Coder II - Part Time The University of Vermont Health NetworkMedical Records Coder II - Part TimeVTRemote$22.82–$34.23 / hourJob Ref:R0086034 Category:Medical Billing and Coding Employment Type:Part-Time Health Care Partner:Central Vermont Medical Center Location: Remote Department:CVMC - Medical Records Coding Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 20 Weekend Needs:None Pay Rate: $22.82 - $34.23 per hour. Utilizes various electronic information systems to accomplish coding including 3M Coding and Reimbursement Systems, EPIC, and various web based tools such as Anthem and CMS for Medical Necessity and other regulatory information as deemed appropriate.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)VT$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.
Patient Account Representative Billing COPLEY HEALTH SYSTEMS INCPatient Account Representative BillingVT$18.50–$21 / hourCOLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.
Patient Account Representative - Billing Copley HospitalPatient Account Representative - BillingMorrisville, VT$18.50–$21 / hourCOLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.
National Conference Field Reimbursement Manager (Market Access) ADMA Biologics IncNational Conference Field Reimbursement Manager (Market Access)South Burlington, VTThis remote role is responsible for representing ADMA Biologics at national, regional, and state-level conferences, industry meetings, provider educational programs, reimbursement forums, and customer engagements throughout the U.S.This individual will attend in person all major national and regional immunology, allergy, infusion, specialty pharmacy, and rare disease conferences relevant to ADMA Biologics throughout the year and will spend the majority of their time traveling throughout the U.S. The NC-FRM will maintain a highly visible presence at major immunology, allergy, infusion, specialty pharmacy, and rare disease conferences throughout the year. Candidates should thrive in a highly travel-intensive road-warrior environment with significant time spent attending conferences, educating healthcare professionals, networking with stakeholders, and representing ADMA Biologics across the country.
Field Reimbursement Manager Immunology Gastroenterology - Albany NY AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Albany NYBurlington, VTThe amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.
Manager, Healthcare Revenue Cycle KPMG International CooperativeManager, Healthcare Revenue CycleBurlington, VTEpic) Bachelor's degree in a relevant field (e.g., Business Administration, Engineering, Computer Science) Exceptional organizational and time management abilities Strong analytical and problem-solving skills Excellent verbal and written communication skills Proficient in project management software and tools Ability to travel every other week to client site Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Required Qualifications: Minimum of 6 years of experience in Healthcare provider revenue cycle and has served in a Manager capacity Experience in Front End RCM (Insurance Verification, Authorizations, Patient Collections), Coding, CFB/DNFB End-to-end Revenue Cycle experience and knowledge and experience with healthcare provider EHR and revenue cycle management systems (e.g.
Medical Director MPO CVS Health CorpMedical Director MPOVT$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.
Business Development Executive (MedInsight) Milliman IncBusiness Development Executive (MedInsight)South Burlington, VTRemote$120,635–$199,065 / yearMedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.
Associate Optometrist - LensCrafters - South Burlington, VT EssilorLuxottica SAAssociate Optometrist - LensCrafters - South Burlington, VTSouth Burlington, VTIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
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)VT$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.
NewEPIC Revenue Cycle Optimization Analyst - Remote/Nationwide Signature PerformanceEPIC Revenue Cycle Optimization Analyst - Remote/NationwideBurlington, VTRemote$110,000–$125,000 / yearIn the role of EPIC Revenue Cycle Optimization Analyst, you will be responsible for optimizing, configuring, and supporting EPIC revenue cycle modules to drive measurable financial performance for managed services clients. We need someone who can bridge operations, technology, and analytics to ensure EPIC workflows align with real-world revenue cycle processes across patient access, coding, billing, and accounts receivable.
Care Management Supervisor COPLEY HEALTH SYSTEMS INCCare Management SupervisorVT$30–$35 / hourThis position is responsible and accountable for coordinating the interdisciplinary process that occurs throughout the continuum of care to ensure care coordination, communication and collaboration with patients, families, providers, ancillary services and community partners in order to achieve goals and maximize positive patient outcomes based upon individual assessments of patients'' needs. The Care Management Supervisor is a core member of the hospital care team and leads discharge planning through full partnerships with caregivers, internal and external providers/customers, and patients and their families and communities.
Medical Records Technician Ho-Chunk, Inc.Medical Records TechnicianColchester, Vermont$17.25–$22.22 / hourFull timeThe Medical Records Technician supports Vermont Army National Guard (VTARNG) medical readiness operations by maintaining, processing, reconciling, uploading, and safeguarding Soldier medical and dental records in accordance with Army medical records requirements, HIPAA, PII protections, and applicable Government system procedures. The position supports the accuracy, completeness, timeliness, and availability of Soldier health readiness documentation across electronic and hard copy records, including support for Periodic Health Assessment, Soldier Readiness Process, mobilization, Medical Evaluation Board, and other medical readiness activities.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)VT$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Medical Director - ENT CVS Health CorpMedical Director - ENTVT$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.
Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerVT$83,430–$222,480 / yearCVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Senior Software Development Engineer with deep expertise in Java/JEE, Spring Boot, RESTful microservices, and Kafka to lead the design and development of scalable, secure cloud-native solutions.
Medical Records Technician Flatwater GroupMedical Records TechnicianColchester, Vermont$17.25–$22.22 / hourFull timeThe Medical Records Technician supports Vermont Army National Guard (VTARNG) medical readiness operations by maintaining, processing, reconciling, uploading, and safeguarding Soldier medical and dental records in accordance with Army medical records requirements, HIPAA, PII protections, and applicable Government system procedures. The position supports the accuracy, completeness, timeliness, and availability of Soldier health readiness documentation across electronic and hard copy records, including support for Periodic Health Assessment, Soldier Readiness Process, mobilization, Medical Evaluation Board, and other medical readiness activities.
Staff Development Engineer - Fulfillment CVS Health CorpStaff Development Engineer - FulfillmentVT$106,605–$284,280 / yearCollaborate closely with engineering, platform, and business teams to deliver cost optimized, scalable solutions-leveraging cloud cost profiling tools, storage tiering strategies, service right sizing, and architectural simplification. Apply advanced software engineering practices across the full SDLC-including domain driven design (DDD), design patterns, secure coding, automated testing strategies (unit, contract, integration), code quality gates, trunk based development, and continuous observability.
NewSenior Manager - Software Development Engineering CVS Health CorpSenior Manager - Software Development EngineeringVT$106,605–$284,280 / year3+ years of experience defining technology strategy and leading the adoption and operationalization of technologies such as AI/ML, cloud services, automation, and developer productivity tools in a large-scale enterprise environment with evidence of measurable impact (e.g., reduction in MTTR, cost savings, efficiency gains, or adoption KPIs). Currently, we are seeking Senior Manager - Software Development Engineering who will lead and manage a team of software engineers, providing hands-on technical direction, architecture guidance, and mentorship while establishing measurable engineering goals aligned with business outcomes.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerVT$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Application Security Engineer Ryder System IncApplication Security EngineerMontpelier, VTCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOVT$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.
Data Conversion Lead MaximusData Conversion LeadBurlington, VTFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
NewSoftware Engineer Sensata Technologies Holding plcSoftware EngineerSouth Burlington, VT$115,620–$173,440 / yearDynapower, Part of Sensata Technologies, is seeking a Software Design Engineer specializing in real-time NI Linux and LabVIEW development platform for development, integration, and validation of deterministic control and monitoring software for mission critical military applications across land, sea, and air platforms. The engineer designs and implements software architectures on NI real-time hardware platforms, leveraging LabVIEW for rapid development, hardware in the loop testing, and automated system verification.