NewSenior 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.
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.
NewMedical Billing Specialist (GSD) ConnectAmerica LLCMedical Billing Specialist (GSD)VTThe purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.
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 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.
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.
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.
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.
NewMedical Claim Analyst CVS Health CorpMedical Claim AnalystVT$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)VT$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
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.
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.
NewPatient 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.
NewSenior Software Engineer (Python) - Senior Associate PricewaterhouseCoopers LLPSenior Software Engineer (Python) - Senior AssociateMontpelier, VT$77,000–$202,000 / yearWithin our Cloud Engineering, Data & Analytics practice, you will leverage your technical skills and creative thinking to design, code, and test applications that redefine industries and deliver exceptional user experiences. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
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 - 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.
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.
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.
NewPatient Access Navigator Central Vermont Medical CenterPatient Access NavigatorBerlin, VTThe 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. The incumbent navigates complex regulatory requirements while coordinating activities across multiple disparate information systems to support physician and hospital operations while delivering a caring message in a streamlined, transparent and cohesive 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.
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.
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.
Senior 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.
Software Engineer Sensata TechnologiesSoftware EngineerDynapower South 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.