NewDenial RN DRG Appeal Writer2 / HIM Coding Hartford HealthCare Corp.Denial RN DRG Appeal Writer2 / HIM CodingGranby, CTThe level 2 Denial Specialist Appeal Writer reviews and analyzes Diagnostic Related Grouper (DRG) downgrades, preparing detailed, evidence-based appeal letters to defend assigned DRGs and optimize reimbursement. · Provide ongoing education to HHC Institute leaders, providers, coding and CDI teams on DRG validation, documentation best practices, payer guidelines and best practices to minimize future denials.
NewQuality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeQuality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareWoodstock Valley, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
NewHospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeHospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareEllington, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorMassachusetts, MARemote$38.46–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments.
NewClinic Billing & Scheduling Coordinator Northeast Center for Youth and Families Inc.Clinic Billing & Scheduling CoordinatorEasthampton, MAThe Clinic Billing & Scheduling Coordinator will assist in tracking and obtaining client payments owed, and this position will handle processing all referrals, schedule appointments, and verify current insurance for clients. Northeast Center for Youth & Families, Inc. (NCYF) is made up of a team of devoted and highly skilled professionals and paraprofessionals who provide quality care to the individuals we serve.
NewClinic Billing & Scheduling Coordinator Northeast Center for Youth and Families IncClinic Billing & Scheduling CoordinatorEasthampton, MAThe Clinic Billing & Scheduling Coordinator will assist in tracking and obtaining client payments owed, and this position will handle processing all referrals, schedule appointments, and verify current insurance for clients. Northeast Center for Youth & Families, Inc. (NCYF) is made up of a team of devoted and highly skilled professionals and paraprofessionals who provide quality care to the individuals we serve.
NewClinic Billing & Scheduling Coordinator Northeast Center for Youth & Families, Inc. (NCYF)Clinic Billing & Scheduling CoordinatorEasthampton, MAFull timeThe Clinic Billing & Scheduling Coordinator will assist in tracking and obtaining client payments owed, and this position will handle processing all referrals, schedule appointments, and verify current insurance for clients. Northeast Center for Youth & Families, Inc. (NCYF) is made up of a team of devoted and highly skilled professionals and paraprofessionals who provide quality care to the individuals we serve.
Quality Improvement Specialist II Baystate HealthQuality Improvement Specialist IISpringfield, MA$66,081–$75,982 / yearActively pursues effective and efficient operations of their respective areasin accordance withHealth New England’s Values, its Code ofConductand the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct. + Usingmedical record and clinical qualityexpertise, performs HEDIS clinical abstraction in both directelectronic medical record (EMR) and physical medical records to auditprovider compliance with HEDIStechnical specifications.
Practice Manager - Ludlow, MA ConvenientMDPractice Manager - Ludlow, MALudlow, Massachusetts$73,000–$95,000 / yearWhile this position is currently assigned to oversee a single clinic, all Practice Managers at ConvenientMD are expected to support surrounding clinics during team member PTO, leaves, and other coverage needs, with the potential to transition into permanent dual-site management. As a Practice Manager at our Ludlow, MA urgent care clinic, you will play a pivotal role in the day-to-day operational efficiency of the clinic while contributing to its long-term strategic goals.
Clinical Patient Navigator (Part-Time) Healogics IncClinical Patient Navigator (Part-Time)Athol, MA$19.69–$24.20 / hourLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Payment Posting Specialist Behavioral Health NetworkPayment Posting SpecialistSpringfield, MassachusettsSupportive Team Culture – Join a collaborative workplace guided by our HEART values: Humanity, Empowerment, Accountability, Respect, and Teamwork. Since 1938, BHN has delivered high-quality, culturally responsive behavioral health care, building deep roots in Western Massachusetts while expanding our impact in communities throughout the state.
NewSenior Manager, Clinical Product Quality - Medical Device/Complaint Handling & Cardiovascular RN Edwards Lifesciences CorpSenior Manager, Clinical Product Quality - Medical Device/Complaint Handling & Cardiovascular RNWashington, MARemote$145,000–$205,000 / yearAs a Senior Manager, Clinical Product Quality, you will be a member of Complaint Handling and Post Market Surveillance/Risk Management team to provide clinical guidance/clinical expert knowledge to Quality, Engineering and other cross functional teams to understand the nature of complaints and possible health risks. How you will make an impact: Provides medical/clinical guidance to complaint investigators and engineers related to event interpretation, event investigation, proper coding, required regulatory reporting (Medical Device Reports, Medical Device Vigilance, etc.), and complaint closure.
Outpatient Business Office Manager, 40hrs, Sign on Bonus! MiraVistaOutpatient Business Office Manager, 40hrs, Sign on Bonus!Holyoke, MA$75,000–$85,000 / yearThe Outpatient Billing Office Manager is responsible for the daily management and oversight of all outpatient billing, collections, accounts receivable, and revenue cycle activities for behavioral health and substance use disorder (SUD) services. Manage all outpatient revenue cycle operations including billing, claims submission, payment posting, collections, denials, and accounts receivable follow-up.
VP of Revenue Cycle Caring Health Center IncVP of Revenue CycleSpringfield, MA$105,000–$150,000 / yearPart timeReporting to the Chief Financial Officer (CFO), the VP collaborates closely with finance, clinical, operations, billing, compliance, pharmacy, and credentialing teams to drive operational excellence and mitigate risk across all service lines, including medical, dental, behavioral health, and pharmacy (retail and 340B). This role plays a key part in ensuring financial sustainability by maximizing reimbursements, improving cash flow across all clinical and pharmacy service lines, strengthening payer relationships, and ensuring full compliance with FQHC-specific billing regulations.
VP of Revenue Cycle Caring Health CenterVP of Revenue CycleSpringfield, MassachusettsReporting to the Chief Financial Officer (CFO), the VP collaborates closely with finance, clinical, operations, billing, compliance, pharmacy, and credentialing teams to drive operational excellence and mitigate risk across all service lines, including medical, dental, behavioral health, and pharmacy (retail and 340B). This role plays a key part in ensuring financial sustainability by maximizing reimbursements, improving cash flow across all clinical and pharmacy service lines, strengthening payer relationships, and ensuring full compliance with FQHC-specific billing regulations.
Accounts Receivable Supervisor Behavioral Health NetworkAccounts Receivable SupervisorSpringfield, MassachusettsOversees the identification, categorization, and root cause analysis of denied claim to ensure appropriate and timely appeal submission, reconsiderations, or corrected claim and done timely, while developing and implementing denial prevention strategies based on trend and root cause analysis. Maintains accurate documentation of follow-up and appeal activities for audit readiness, monitors and reports on Key metrics such as Denial rate, appeal success rate, Days in accounts receivable (A/R), and claims touch per days per staff.
Primary Medical Care Assistant (Springfield, MA) CareSourcePrimary Medical Care Assistant (Springfield, MA)Springfield, MA$35,900–$57,300 / yearJob Summary: The Primary Care Medical Assistant provides care to patients in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, health history, and measurement of vital signs, preparing the patient for examination, assisting provider during the examination and follow up needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Senior Director, Security Engineering RippleSenior Director, Security EngineeringWashington, MATHE WORK: As the Senior Director of Security Engineering, you will be responsible for building and leading a dedicated, humble, and paranoid team of Security Engineers to secure Ripple's products, infrastructure, and corporate IT systems. WHAT YOU'LL DO: Set the strategic vision and roadmap for the Security Engineering team, focusing on product security, infrastructure security, and IT security, with a particular focus on AI security, including agentic guardrails and AI-assisted development risk.
NewSenior Performance Engineer- JMeter, JavaScript - Remote MaximusSenior Performance Engineer- JMeter, JavaScript - RemoteSpringfield, MARemoteFull timeDesign, develop, and maintain performance testing frameworks, automation utilities, CI/CD integrations, and cloud-native testing capabilities supporting AWS services, Kubernetes clusters, Docker containers, Helm deployments, and microservices architectures. Maximus 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.
Cancer Program Nurse Manager Baystate HealthCancer Program Nurse ManagerSpringfield, MassachusettsThe base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This is inclusive of, but not limited to, ambulatory adult hematology/oncology infusion and practice nurse navigation, radiation oncology, the procedure and post-anesthesia recovery units, and outpatient clinics at the locations.