Referral Specialist Brown University HealthReferral SpecialistProvidence, RI$19.03–$31.39 / hourBrown University Health employees are expected to successfully role model the organization''s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. Acts as a liaison/resource with patients, referring providers, community providers and practice team members regarding referral issues utilizing the highest level of customer service.
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.
Senior Director, Field Reimbursement Alexion Pharmaceuticals IncSenior Director, Field ReimbursementBoston, MAProven 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.
Surgical Services Coordinator II - New England Eye Center - Boston Tufts MedicineSurgical Services Coordinator II - New England Eye Center - BostonBoston, MA$21.53–$26.91 / hourThis position monitors and coordinates all surgical scheduling functions for the department, including answering patient inquiries, initial patient interviews, scheduling and facilitating surgical dates with patients and families or other support systems as noted, assuring surgeon preferences regarding surgical sites, assistants, processes and any additional materials necessary to properly support specific resources. 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.
Associate Director, Medical Review Lead, MSRM Agios Pharmaceuticals IncAssociate Director, Medical Review Lead, MSRMCambridge, MA$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DORI$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.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteBoston, MARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Associate Medical Director, Pharmacovigilance Tango TherapeuticsAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company's medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Associate Medical Director, Pharmacovigilance Tango Therapeutics IncAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company''s medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Lead Software Engineer - AI Humana IncLead Software Engineer - AIBoston, MA$129,300–$177,800 / yearExercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Clinical and Product Partnership: Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features.
Manager Clinical Data Monte Rosa Therapeutics, IncManager Clinical DataBoston, MassachusettsFull timeThis individual will work closely with Clinical Operations, Biostats and Programming, Medical, Safety, Regulatory, external CROs, and technology vendors to ensure high-quality, inspection-ready clinical data. Manage CROs, EDC vendors, central labs, imaging vendors, eCOA providers, IRT vendors, and other data providers.
Gene Therapy Account Management, Associate Director Vertex Pharmaceuticals IncGene Therapy Account Management, Associate DirectorBoston, MA$160,000–$240,000 / yearOwn account planning and lead field team coordination to internally drive future account success; facilitates and provides appropriate and timely feedback to Vertex cross functional partners, management and key stakeholders regarding account level business trends, changes in the therapeutic landscape, business issues and opportunities. Build and maintain strong relationships with key stakeholders (e.g., HCPs, C-Suite level personnel, administrators, pharmacists, and care coordinators involved in Gene Therapy delivery key decision makers) at sites of care and referring sites, with the goal of building awareness for Casgevy.
Supervisor Non-clinical Boston Medical CenterSupervisor Non-clinicalBrockton, MA$23.80–$34.62 / hourThis position ensures patient health information is accurately scanned, indexed, quality reviewed, and made available in the electronic health record (EHR) in a timely manner to support safe patient care, regulatory compliance, and revenue cycle performance. Partner with Patient Access, Coding, Clinical Documentation Improvement (CDI), Case Management, and Patient Financial Services to ensure documentation is available for coding and billing.
NewGene Therapy Account Management, Associate Director - Southeast territory which includes FL, GA and AL Vertex PharmaceuticalsGene Therapy Account Management, Associate Director - Southeast territory which includes FL, GA and ALBoston, MassachusettsOwn account planning and lead field team coordination to internally drive future account success; facilitates and provides appropriate and timely feedback to Vertex cross functional partners, management and key stakeholders regarding account level business trends, changes in the therapeutic landscape, business issues and opportunities. Build and maintain strong relationships with key stakeholders (e.g., HCPs, C-Suite level personnel, administrators, pharmacists, and care coordinators involved in Gene Therapy delivery key decision makers) at sites of care and referring sites, with the goal of building awareness for Casgevy.
Surgical Services Coordinator II - New England Eye Center - Boston Lowell General HospitalSurgical Services Coordinator II - New England Eye Center - BostonBoston, MA$21.53–$26.91 / hourThis position monitors and coordinates all surgical scheduling functions for the department, including answering patient inquiries, initial patient interviews, scheduling and facilitating surgical dates with patients and families or other support systems as noted, assuring surgeon preferences regarding surgical sites, assistants, processes and any additional materials necessary to properly support specific resources. 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.
Supervisor, Medicaid Claims Reviewer Mass General BrighamSupervisor, Medicaid Claims ReviewerSomerville, Massachusetts$79,560–$115,720.80 / yearWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Sr Prior Authorization Specialist - Winchester Hospital Lahey Hospital and Medical CenterSr Prior Authorization Specialist - Winchester HospitalWinchester, MA$21.53–$28.98 / hourContacts patients, providers and insurance companies to validate data, collect missing information and resolve information discrepancies, Understands clinical guidelines for payors requiring authorization to better build cases for authorization requests and provide feedback to clinical departments on required notes. Works with the Financial Counselors, clinical departments, outside providers, third party insurers and any other individual or entity to assist in resolving patient financial clearance questions or problems in the most effective and positive manner possible.
Supervisor, Medicaid Claims Reviewer Brigham and Women's HospitalSupervisor, Medicaid Claims ReviewerSomerville, MA$79,560–$115,720.80 / yearWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
PFS Denial Specialist 3 Lahey Hospital and Medical CenterPFS Denial Specialist 3MA$24.15–$32.50 / hourWorking in an SBO (Single Billing Office), environment the Denial Specialist 3 will need to know Hospital and Professional Billing to assist customers with questions and accurate registration of insurance and or processing physician billing denials. Provides support for the mentoring and training of new and end existing A/R staff as required following the training program set forth to include but not limited to policy and procedures, EHR system functionality, audits and staff reviews.
Professional Coder, ObGyn Lahey Hospital and Medical CenterProfessional Coder, ObGynBoston, MA$27.03–$43.25 / 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. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training.