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.
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.
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.
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.
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.
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.
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.
Associate Director, Global Insurance and Risk Management 3310 Takeda Pharmaceuticals U.Associate Director, Global Insurance and Risk ManagementCambridge, MassachusettsThe actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Working closely with the Head of Global Insurance and Risk Management to support the development, implementation, and management of the Global Risk Financing Strategy and ensuring there is alignment with the overall group strategy.
Financial Operations Recovery Specialist I Elevance HealthFinancial Operations Recovery Specialist IBoston, MA$19.54–$35.50 / hourWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Minimum qualifications: Requires a H.S. diploma or equivalent and a minimum of 1 year of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background.
Payment Integrity Program Development Manager Devoted Health ServicesPayment Integrity Program Development ManagerMassachusettsRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
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.
IT Project Coordinator- REMOTE Sierra Solutions GroupIT Project Coordinator- REMOTEBoston, MARemoteSoft Skills: Exceptional organizational skills and the ability to "translate " technical jargon into plain language for non-technical business partners. Risk & Issue Tracking: Maintain the RAID (Risks, Actions, Issues, and Decisions) log, ensuring that technical roadblocks are escalated promptly.
NewOperations Analyst – ECR Inquiry & Dispute Intake ZelisOperations Analyst – ECR Inquiry & Dispute IntakeBoston, MassachusettsThis role serves as the primary operational owner of the inquiry and dispute intake process, ensuring work is accurately categorized, prioritized, and routed to the appropriate teams while supporting client service level agreements (SLAs) and operational excellence. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Lead Analyst, Channel Systems & Projects Analog DevicesLead Analyst, Channel Systems & ProjectsWilmington, MassachusettsOwn Model N 2.0 initiatives across channel design registrations, claims, POS, and inventory — speeding turnaround to distributors, reducing internal workload, and fully utilizing Model N functionality, including: Automating Negative Claims submissions, POS & Inventory processing, price bucket sync, and inventory reconciliation. ADI combines analog, digital, AI, and software technologies into solutions that combat climate change, reliably connect humans and the world, and help drive advancements in automation and robotics, mobility, healthcare, energy and data centers.
Principal Machine Learning Engineer, Foundation Models Cambridge Mobile TelematicsPrincipal Machine Learning Engineer, Foundation ModelsCambridge, MA$177,000–$221,300 / yearPioneer advanced self-supervised learning techniques, including the design and implementation of innovative tasks tailored to multi-modal telematics sensor data to learn rich representations of movement and driver behavior. Experience building and maintaining large-scale data processing pipelines and machine learning infrastructure using tools like Spark, Airflow, Docker, and cloud platforms (e.g., AWS, GCP, Azure).
Senior Software Engineer - RPA V2 LiveDataSenior Software Engineer - RPA V2Cambridge, MARemote$145,000–$175,000 / yearOur 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.
Senior Software Engineer, Billing Workflows - Athenacollector Athenahealth inc.Senior Software Engineer, Billing Workflows - 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. 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.