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.
Certified Medical Coding Specialist, HB – Emergency Department SolutionHealthCertified Medical Coding Specialist, HB – Emergency DepartmentNew HampshireAnchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing and analyzing Emergency Department medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes for both professional and facility services.
NewProfessional Production Coder - Professional Coding Services - Full Time SolutionHealthProfessional Production Coder - Professional Coding Services - Full TimeNew HampshireThe Professional Production 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 Professional Production Coder is responsible for accurately assigning CPT, HCPCS, and ICD-10 codes to professional services in accordance with current coding guidelines, payer requirements, and regulatory 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.
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.
Clinical Practice Manager - Littleton, NH ConvenientMDClinical Practice Manager - Littleton, NHLittleton, New HampshireThis is a dual-role position: in addition to practice management 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. While 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.
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.
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.
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.
Senior Manager, Market Access & Reimbursement GE HealthCare Technologies IncSenior Manager, Market Access & ReimbursementNHRemote$145,600–$218,400 / yearThis role will develop and execute payer engagement strategies, influence coverage decisions, and drive patient access through strong partnerships with payers, providers, and internal stakeholders. Collaborate with Evidence Generation/HEOR and Clinical teams to deliver compelling value propositions, clinical evidence, and economic models to payers and providers.
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 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.
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.
Lead Software Engineer HealthPlanOne LLCLead Software EngineerNHThe Lead Software Engineer will collaborate with cross-functional teams to design, build, and enhance scalable solutions supporting agent sales and business operations, while driving best practices in software architecture, code quality, and agile delivery. NET (Core/9), with hands-on experience across a diverse suite of applications including Blazor, Razor Pages, legacy WebForms, WCF, and Worker Services.
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.
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.
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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.
NewStaff Accountant Northern Counties Health CareStaff AccountantVTJob Summary: The Staff Accountant performs a variety of accounting support functions related to accounts payable, banking transactions, journal entries, and general financial recordkeeping. This position is responsible for timely vendor payments, maintaining accurate accounting records, processing banking activities, and serving as backup for payroll processing.
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.
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.
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.
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.
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.
Health Information Management Manager Cottage HospitalHealth Information Management ManagerWoodsville, New HampshireThis role is responsible for the maintenance, accuracy, and completeness of all patient medical records, ensuring compliance with Critical Access Hospital (CAH) Conditions of Participation, HIPAA, and all applicable federal and state regulations. The role also involves analyzing health data, monitoring chart completion, and generating reports to support quality care and operational decision-making.
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.