Senior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsME$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 Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)ME$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Field Service Specialist I - Imaging PHS Bio-Medical ServicesField Service Specialist I - ImagingLEWISTON, Maine$36–$52.14 / hourFull timePrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple low to medium-end specialty imaging modalities (CT, Cath Lab, X-ray, Ultrasound, Injectors). Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Revenue Integrity Analyst InterMed, P.A.Revenue Integrity AnalystSouth Portland, MEPart timeGiven InterMed's payer mix and its blend of fee-for-service and value-based reimbursement, this role requires fluency across multiple reimbursement methodologies and the ability to prioritize work based on financial materiality and risk. Perform contract yield analysis: compare expected reimbursement (per commercial and Medicare Advantage fee schedules) to actual payments to identify underpayments and variance patterns.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistME$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.
BioMed Engineer I Prime Healthcare Services IncBioMed Engineer ILEWISTON, MEProvide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Senior Consultant, Supplemental Health Sun LifeSenior Consultant, Supplemental HealthPortland, MaineThrough 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.
Senior Consultant, Supplemental Health Sun Life Financial IncSenior Consultant, Supplemental HealthPortland, ME$71,100–$106,700 / 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.
Senior Observation Medical Coder UnitedHealth Group IncSenior Observation Medical CoderPortland, ME$24–$43 / hourWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)ME$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.
Clinical Documentation Improvement Nurse Coder (Certified) Martin's Point Health Care LLCClinical Documentation Improvement Nurse Coder (Certified)Portland, METhe Clinical Documentation Improvement (CDI) Nurse Coder supports accurate and complete clinical documentation that reflects the severity of illness, quality of care, and services provided to patients. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteMERemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
Medical Director MPO CVS Health CorpMedical Director MPOME$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.
NewHospice Nurse Practitioner Gentiva Health Services Inc (Inactive)Hospice Nurse PractitionerPortland, ME$50–$55 / hourComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Care Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubME$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Senior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)ME$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.
BioMed Engineer I PHS Bio-Medical ServicesBioMed Engineer ILEWISTON, Maine$26–$35.10 / hourFull timeResponsibilities: Provide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.’s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Field Service Specialist III - Imaging PHS Bio-Medical ServicesField Service Specialist III - ImagingLEWISTON, Maine$40.22–$74.56 / hourFull timePrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple high-end specialty imaging modalities (MRI, CT, Cath Lab, X-ray, Nuc-med) and on low end modalities (Ultrasound, injectors) as needed. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Field Service Specialist I Imaging Prime Healthcare Services IncField Service Specialist I ImagingLEWISTON, MEPrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple low to medium-end specialty imaging modalities (CT, Cath Lab, X-ray, Ultrasound, Injectors). Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Field Service Specialist III Imaging Prime Healthcare Services IncField Service Specialist III ImagingLEWISTON, MEPrimary duties include, but are not limited to, performing preventive maintenance inspections, installation support, testing, calibration, troubleshooting and maintenance on multiple high-end specialty imaging modalities (MRI, CT, Cath Lab, X-ray, Nuc-med) and on low end modalities (Ultrasound, injectors) as needed. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.