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.
Office Support Specialist I - Medical Records - Recovery from Addictions Program Commonwealth of MassachusettsOffice Support Specialist I - Medical Records - Recovery from Addictions ProgramTaunton, MAOffice Support Specialist I'',''Office Support Specialist I'',''United States-Massachusetts-Taunton-60 Hodges Avenue'',''United States-Massachusetts-Taunton-60 Hodges Avenue'',''Administrative Services'',''Administrative Services'',''Department of Mental Health'',''Department of Mental Health'',''Full-time'',''Full-time'',''Day'',''Day'',''Aug 25, 2026, 2:15:29 PM'',''Aug 25, 2026, 2:15:29 PM'',''1'',''1'',''81,582.28'',''57,865.34'',''81,582.28'',''Yearly'',''Christina The selected candidate's main function will be the daily census, but will perform a variety of administrative functions including, but not limited to, answering phones; printing ID cards; auditing MHIS activity; analyzing inpatient and discharge medical records for compliance with RAP, Joint Commission, and DMH requirements; responding to requests for information in a timely manner; and providing back up support to OSS I for SLS (Safety Learning System - Datix) and OSS II in absence of both.
Associate Director, Medical Review Lead, Msrm Agios PharmaceuticalsAssociate 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.
Senior Principal AI Engineer Vertex PharmaceuticalsSenior Principal AI EngineerBoston, Massachusetts$188,000–$282,000 / yearWorking within the Agentic AI Platform team, thisrole will focus on delivering production-grade platform services for model integration, prompt and workflow orchestration, evaluation, observability, performance optimization, and agent lifecycle management. Own thedeveloper experiencefor the platform, delivering intuitive self-service onboarding, SDKs, CLIs, sandbox environments, reference implementations, and clear documentation that let builders move from idea to production quickly.
Summer Intern 2027 - AI ManulifeSummer Intern 2027 - AIBoston, MassachusettsYou’ll receive guidance from experienced practitioners while gaining exposure to the end-to-end lifecycle of data science, machine learning, and emerging AI solutions in an enterprise environment. As part of our internship program, you will gain early access to Manulife John Hancock’s premier early talent program, GRO, tailored to graduating students!
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyWellesley Hills, MA$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Manager, Pharmacovigilance Case Processing Les Laboratoires Servier SASManager, Pharmacovigilance Case ProcessingBoston, MA$131,000–$150,000 / yearMonitoring Outsourced Activities & Case Management: Manage pre- and post-marketing pharmacovigilance cases processed by Service provider: book-in, data entry, coding, narratives, quality control, medical review, and submission of applicable cases. The Manager, Pharmacovigilance Case Processing is responsible for overseeing the end-to-end management of pharmacovigilance cases outsourced to a vendor, encompassing activities from initial collection to final submission.
Clinical Scientist, Associate Director Candel TherapeuticsClinical Scientist, Associate DirectorNeedham, MA$181,000–$194,000 / yearCandel Therapeutics is seeking an experienced and intellectually curious Clinical Scientist to support our oncology clinical development programs, with an initial focus on prostate cancer and opportunities to contribute across additional solid tumor programs, including lung and brain cancer studies. Author and contribute to key clinical and regulatory documents including Clinical Study Reports (CSRs), Investigator Brochures (IBs), protocols, informed consent forms (ICFs), DSURs, clinical narratives, and IND/BLA regulatory submissions.
Director of Community Geriatrics - Full-Time | Lead & Transform Senior Care The Staff PadDirector of Community Geriatrics - Full-Time | Lead & Transform Senior CareBoston, MassachusettsWe are seeking an experienced, board-certified primary care physician with strong geriatric experience to join the multidisciplinary team as Director of Community Geriatrics in Boston, MA, providing clinical leadership, direct patient care, and oversight of advanced practice providers and senior living programs. If you are a board-certified/eligible primary care physician with strong geriatric experience and are ready to take on a leadership role while making a meaningful impact on the care of older adults, we invite you to apply today!
Sr Utilization Management Nurse RN - Field Position UnitedHealth Group Inc.Sr Utilization Management Nurse RN - Field PositionBoston, MA$72,800–$130,000 / yearAs a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting quality patient care. Required to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits.
Associate Director, Bioinformatics Rhythm PharmaceuticalsAssociate Director, BioinformaticsBoston, MARemoteFull timeA core focus of this position will be the development and implementation of algorithmic phenotyping approaches using electronic medical records (EMR) and real-world datasets, enabling robust patient stratification, cohort definition, and integration with genomics and biomarker data. We are seeking a highly motivated Associate Director of Bioinformatics within Rhythm's Research group to support of our clinical, regulatory, and scientific objectives in the rare neuroendocrine/obesity/metabolic disease therapeutic area.
Senior Clinical Pharmacist, COMM and Exchange Mass General BrighamSenior Clinical Pharmacist, COMM and ExchangeSomerville, Massachusetts$134,316–$164,087.04 / yearo* Develops, implements, and leads managed care programs such as prior authorization and quantity limitations programs o* Ensures clinical compliance with law and regulatory bodies o* Develops educational materials, newsletters, member, and provider talking points, and disseminates clinical information for both internal and external audiences. -Formulary trend management: o* Develops and implements clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes o* Develops, analyzes, reports on clinical programs, handles, and coordinates between Pharmacy and other collaborators throughout Mass General Brigham Health Plan.
Grievance and Appeals Coordinator (44872) Neighborhood Health Plan of Rhode IslandGrievance and Appeals Coordinator (44872)Smithfield, RIThe Coordinator maintains organized and secure record-keeping systems, communicates effectively with internal and external stakeholders, and fosters collaborative relationships across departments to ensure compliance and exceptional service. This role ensures timely and compliant correspondence to members and providers, monitors case progress, and alerts staff when deadlines approach.
Clinical Scientist, Associate Director Candel Therapeutics IncClinical Scientist, Associate DirectorNeedham, MA$181,000–$194,000 / yearCandel Therapeutics is seeking an experienced and intellectually curious Clinical Scientist to support our oncology clinical development programs, with an initial focus on prostate cancer and opportunities to contribute across additional solid tumor programs, including lung and brain cancer studies. Author and contribute to key clinical and regulatory documents including Clinical Study Reports (CSRs), Investigator Brochures (IBs), protocols, informed consent forms (ICFs), DSURs, clinical narratives, and IND/BLA regulatory submissions.
NewDirector of Revenue Cycle VITRA HealthDirector of Revenue CycleBoston, MA$160,000–$180,000Partner with the Compliance function on all billing-related matters, ensuring that MassHealth Adult Foster Care (AFC) and Group Adult Foster Care (GAFC) billing practices adhere to 130 CMR 408.000 and 130 CMR 450.000, including conditions for payment, prior authorization, non-covered days, medical and nonmedical leave-of-absence limits, and supporting documentation requirements, and engage Compliance in the review of billing policies, void and adjustment activity, and any identified billing irregularities. Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.