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.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)NHRemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
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.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistVT$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.
Clinical Supervisor - Littleton, NH ConvenientMDClinical Supervisor - Littleton, NHLittleton, New HampshireThis is a dual-role position: in addition to practice supervisory responsibilities, you will be required to support clinical operations by working scheduled clinical shifts in your licensed role, actively practicing alongside your team as part of the clinical staffing model. As a Clinical Supervisor at our Littleton, New Hampshire urgent care clinic, you will play a pivotal role in ensuring day-to-day operational efficiency while contributing to the clinic’s long-term strategic goals within ConvenientMD.
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.
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.
NewSenior 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.
Laboratory 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.
Laboratory 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.
Hospital Inpatient Coder - Revenue Integrity - Full Time SolutionHealthHospital Inpatient Coder - Revenue Integrity - Full TimeNew HampshireThe Hospital Inpatient Coder collaborates with providers and coding leadership to resolve coding discrepancies, contribute to quality improvement efforts, and uphold organizational goals related to revenue cycle performance and compliance. The Hospital Inpatient Coder is responsible for accurately assigning ICD-10 and DRG codes to hospital inpatient services in accordance with current coding guidelines, payer requirements, and regulatory requirements.
Informatics Consultant CVS Health CorpInformatics ConsultantNH$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Senior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)VT$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.
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 - 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.
Advanced Practice Clinician (NP/CNM/PA) Planned Parenthood of Northern New EnglandAdvanced Practice Clinician (NP/CNM/PA)Barre, VTRemotePart timePOSITION TITLE: Advanced Practice Clinician (NP/CNM/PA) LOCATION : Remote Care Team (Tuesdays), White River Junction ( Wednesdays), Barre (Thursdays), Rutland ( Fridays) HOURS: Part Time, 28.5/week, Hourly (Non-Exempt) UNION MEMBERSHIP: This position is represented by AFT union in VT POSITION PURPOSE: Advanced Practice Clinicians (APC) provide patient-centered, personalized health care to clients. Counsels/educates patients regarding general reproductive health care; all FDA-approved methods of birth control, including emergency contraception; pregnancy options including abortion, adoption as well as Gender Affirming Hormone Therapy.
Care 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.
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.
Care Manager Discharge Planner COPLEY HEALTH SYSTEMS INCCare Manager Discharge PlannerMorrisville, VT$33–$37 / 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 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.