Mental Health - $50-55 per hour DGE Psychological ServicesMental Health - $50-55 per hourburlington, VTRemote$53–$55 / hourWe are seeking a dedicated and compassionate mental health professional to join our team as a Licensed Mental Health Counselor (LMHC), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), or Psychologist with the necessary license or permit to practice. This position offers an exciting opportunity to make a meaningful impact through direct support, clinical counseling, and innovative therapeutic interventions in various settings such as outpatient clinics, inpatient facilities, or telehealth platforms.
Senior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsVT$77,000–$131,000 / 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. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
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, Vermont$18.50–$21 / hourFull timeCOLLECTIONS: 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.
RN Readmission Manager, Payment Integrity Centene Corporation GroupRN Readmission Manager, Payment IntegrityVT$87,700–$157,800 / yearEducation/Experience: Bachelor's degree in Healthcare Administration, Business, Public Health, Health Information Management, Nursing, or a related field required; an additional four (4) years of directly related experience may be considered in lieu of a degree. License/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required.
NewLaboratory Clinical Coordinator Copley HospitalLaboratory Clinical CoordinatorMorrisville, Vermont$19–$20.50 / hourFull timeThis position is responsible for the collection and validation of accurate referring providers on referrals, communication with physicians’ offices as needed and all requests via phone and zoom chat. Organizes and facilitates clerical administrative duties including answering the phone to coordinate referrals and results between all outpatient referring offices.
NewLaboratory Clinical Coordinator COPLEY HEALTH SYSTEMS INCLaboratory Clinical CoordinatorMorrisville, VT$19–$20.50 / hourThis position is responsible for the collection and validation of accurate referring providers on referrals, communication with physicians' offices as needed and all requests via phone and zoom chat. Organizes and facilitates clerical administrative duties including answering the phone to coordinate referrals and results between all outpatient referring offices.
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.
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.
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.
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.
NewCare Manager - Discharge Planner Copley HospitalCare Manager - Discharge PlannerMorrisville, Vermont$33–$37 / hourPer diemThis 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 Manager- Discharge Planner 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.
Patient Access Navigator The University of Vermont Health NetworkPatient Access NavigatorBerlin, VT$23.18–$33.78 / hourJob Ref:R0089007 Category:Administration Employment Type:Full-Time Health Care Partner:Central Vermont Medical Center Location: 130 Fisher Rd, Berlin, VT Department:CVMC - Admitting Job Type:Regular Primary Shift:Day-8hr Hours:8:00 AM - 4:30 PM Hours per Week: 40 Weekend Needs:Other Pay Rate: $23.18 - $33.78 per hour. The navigator coordinates scheduling, registration, insurance and payer eligibility management and financial screening activities as well as ADT order management activities to provide an exceptional customer service experience for patients, families and visitors.
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.
Medical Director -Spine CVS Health CorpMedical Director -SpineVTRemote$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. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications.
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.