NewSenior Revenue Analyst Mass General BrighamSenior Revenue AnalystSomerville, MassachusettsThe 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. Ensures accurate billing, identifies revenue enhancement opportunities, and collaborates with departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements.
Business Analyst Marchon PartnersBusiness AnalystQuincy, MAExcellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel; as well as interact with representatives from external agencies and companies. The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the program specifically projects to support the member community.
Epic Resolute HB Analyst ClinDCastEpic Resolute HB AnalystMassachusetts, AlabamaAs a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.
Senior Software Engineer, Rules - Athenacollector Athenahealth inc.Senior Software Engineer, Rules - AthenacollectorBoston, MA$119,000–$203,000 / 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. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
NewSenior Revenue Analyst Brigham and Women's HospitalSenior Revenue AnalystSomerville, MA$79,560–$115,720.80 / yearThe 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. Ensures accurate billing, identifies revenue enhancement opportunities, and collaborates with departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements.
Salesforce Solutions Architect MassMutualSalesforce Solutions ArchitectBoston, MassachusettsThe Opportunity: We are seeking a highly skilled Salesforce Solutions Architect with deep expertise in Salesforce Financial Services Cloud (FSC) and a strong background in the insurance industry. Provide technical leadership to Salesforce development teams, ensuring adherence to Apex, Lightning Web Components (LWC), and API best practices.
Managed Care Services Representative Mass General BrighamManaged Care Services RepresentativeSomerville, MassachusettsThe 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. Managed Care Services Insurance Verification Representative is vital for the team and you will be serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.
Senior Software Engineer - RPA v2 LiveDataSenior Software Engineer - RPA v2Cambridge, MARemote$145,000–$175,000Our immediate focus is new automation interfaces to Oracle Health/Cerner; you will own the lifecycle from process discovery through implementation, developing automation code with extensive use of modern AI development tools, while collaborating with DevOps on deployment and operational support. You will work directly with clinical stakeholders to understand and automate complex workflows, turning loosely defined processes into reliable automation using sound engineering judgment.
MMIS Senior Business Analyst LancesoftMMIS Senior Business AnalystQUINCY, MA$60Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel;as well as interact with representatives from external agencies and companies. The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community.
Customer Service Representative ServiceMaster RestoreCustomer Service RepresentativeWilmington, MAAs the hub of all claims, CSR is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Senior Consultant, Supplemental Health Sun Life FinancialSenior Consultant, Supplemental HealthWellesley Hills, MA$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.
Managed Care Services Representative Brigham and Women's HospitalManaged Care Services RepresentativeSomerville, MA$21–$28.30 / hourThe 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. Managed Care Services Insurance Verification Representative is vital for the team and you will be serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.
Customer Service Representative ServiceMaster Disaster Associates 5253Customer Service RepresentativeWilmington, Massachusetts$20–$26 / hourAs the hub of all claims, CSR is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Director of Telecommunication Harvard Partners Trusted IT AdvisorsDirector of TelecommunicationBoston, Massachusetts$120,000–$170,000Qualifications: Bachelor's degree in Information Technology, Telecommunications, or a related field; and10+ years of progressive leadership experience in telecommunications or IT infrastructure, preferably in a healthcare setting; or equivalent combination of education and experience. As the Director of Telecommunications, you will be responsible for the following: Responsibilities: Lead the development of a multi-year telecommunications and contact center strategy, aligning voice and omnichannel capabilities with the goals of both clinical care and health plan operations.
VP/Director of Operations Blue Castle AgencyVP/Director of OperationsBoston, MassachusettsOur client is currently seeking a VP/Director of Operations to oversee and lead property teams to achieve top-tier financial, operational, and resident satisfaction outcomes. This role involves shaping strategies for sales, marketing, financial performance, and service across multifamily residential properties within the region.
Administrative Support CCMSIAdministrative SupportReading, Massachusetts$15.50–$19 / hourAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. The Administrative Support role provides essential administrative and clerical support, helping ensure accurate documentation, timely distribution of correspondence, and efficient day‑to‑day operations.
Patient Business Representative Brigham and Women's HospitalPatient Business RepresentativeFoxborough, MARemote$19.81–$28.30 / hourThe 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. The Patient Business Rep (PBR) functions as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for the purpose of determining eligibility for government and pharmacy financial assistance programs.
Sr Physician Billing Associate Boston Children's HospitalSr Physician Billing AssociateBoston, MAWith limited supervision, this position reviews and resolves billing issues, claim edits, denials, appeals, and outstanding balances while ensuring compliance with government and payer regulations and department policies. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team.
Senior EDI Developer Mass General BrighamSenior EDI DeveloperSomerville, MassachusettsMGB Health Plan is seeking an experienced EDI Developer responsible for the design, development, implementation, and ongoing maintenance of healthcare EDI solutions supporting HIPAA transactions, including but not limited to 270/271, 276/277, 278, 820, 834, 835, 837, and 999. Working 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.
Fraud Investigator II University of Massachusetts Medical SchoolFraud Investigator IIWestborough, Massachusetts5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience. The Investigator II collaborates with the Associate Director on more complex case reviews as needed, in addition to performing activities related to data mining, data analysis and recoveries.