Field Registered Nurse - (Hybrid Remote - Lawrence, MA) Maximus IncField Registered Nurse - (Hybrid Remote - Lawrence, MA)Lawrence, MARemoteMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS), through the MassHealth Office of Long-Term Services and Supports (LTSS), provides a robust system of care for individuals of all ages with disabilities and chronic conditions.
Field Registered Nurse - (Hybrid Remote - Lynn, MA) Maximus IncField Registered Nurse - (Hybrid Remote - Lynn, MA)Lynn, MARemoteMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS), through the MassHealth Office of Long-Term Services and Supports (LTSS), provides a robust system of care for individuals of all ages with disabilities and chronic conditions.
Clinical Assessor, Registered Nurse - (Hybrid Remote - Lowell, MA) Maximus IncClinical Assessor, Registered Nurse - (Hybrid Remote - Lowell, MA)Lowell, MARemoteIn this field-based role, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings, evaluate medical, functional, behavioral health, and social needs, develop person-centered service plans, and collaborate with healthcare providers and community partners to coordinate care. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Clinical Assessor, Registered Nurse - (Hybrid Remote-Boston, MA) Maximus IncClinical Assessor, Registered Nurse - (Hybrid Remote-Boston, MA)Boston, MARemoteIn this field-based role, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings, evaluate medical, functional, behavioral health, and social needs, develop person-centered service plans, and collaborate with healthcare providers and community partners to coordinate care. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Clinical Assessor, Registered Nurse - (Hybrid Remote -Brockton, MA) Maximus IncClinical Assessor, Registered Nurse - (Hybrid Remote -Brockton, MA)Brockton, MARemoteIn this field-based role, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings, evaluate medical, functional, behavioral health, and social needs, develop person-centered service plans, and collaborate with healthcare providers and community partners to coordinate care. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Healthcare Compliance Operations Manager/ Senior Manager Ionis Pharmaceuticals IncHealthcare Compliance Operations Manager/ Senior ManagerBoston, MARemote$72,800–$129,967 / yearWith multiple marketed medicines and a leading pipeline in neurology, cardiology and select areas of high patient needs, we continue to drive innovation in RNA therapies in addition to advancing new approaches in gene editing to provide greater value to patients and are well positioned financially to deliver on our strategic goals. The Compliance Operations Manager or Senior Manager supports the day-to-day execution of Ionis' Healthcare Compliance Operations activities, including HCP engagement operations, transparency reporting, compliance systems, operational data quality, reporting and dashboards, and business process execution.
Lead Customer Service Representative - Somerville, MA (Hybrid/Remote) SharecareLead Customer Service Representative - Somerville, MA (Hybrid/Remote)Somerville, MassachusettsRemoteThrough its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs.
Lead Software Engineer - Remote or Hybrid in MN and DC UnitedHealth Group IncLead Software Engineer - Remote or Hybrid in MN and DCBoston, MARemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
Clinical Manager Registered Nurse - (Hybrid Remote - Boston, MA) Maximus IncClinical Manager Registered Nurse - (Hybrid Remote - Boston, MA)Boston, MARemoteMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. About the Program: Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS)/ MassHealth Office of Long-Term Services and Support (LTSS) provides a robust system of care for people with disabilities and chronic conditions of all ages.
Customer Care L3 - Medical Imaging - Hybrid PaxeraHealthCustomer Care L3 - Medical Imaging - HybridNewton, MARemoteFull timeTheir unique mix of skills and qualifications matches our customers’ needs, to ensure the delivery of great, purpose-built, customized software applications for healthcare providers – now and for the future. Our entire team shares a passion for exploring new ideas, overcoming challenges as well as designing, creating, and delivering market-leading health IT solutions and services.
Senior Manager, Clinical Study Quality Lead (Hybrid) Vertex Pharmaceuticals IncSenior Manager, Clinical Study Quality Lead (Hybrid)Boston, MARemote$137,800–$206,800 / yearGeneral Summary: The Senior Manager, Clinical Study Quality Lead provides study-level quality oversight for assigned clinical trials to help ensure they are conducted in compliance with Good Clinical Practice (GCP), applicable global regulations, study protocols, and Vertex procedures. This is an individual contributor role focused on GCP quality assurance oversight for clinical trials, including risk-based audit strategy, quality risk identification, issue escalation, CAPA support, compliance trend analysis, and inspection readiness.
Faculty - Director of Clinical Education - Hybrid Doctor of Physical Therapy Program Massachusetts College of Pharmacy and Health SciencesFaculty - Director of Clinical Education - Hybrid Doctor of Physical Therapy ProgramBoston, MARemoteThe Director of Clinical Education serves as the primary liaison between the program and clinical education partners and is responsible for the development, implementation, assessment, and continuous improvement of the clinical education program. The position requires expertise in physical therapist practice, clinical education, student mentoring, and management of clinical education processes within a hybrid learning environment.
NewDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available) A&E Television Networks, LLCDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available)MARemote$159,643–$186,783 / yearThis role partners closely with Global Content Sales leadership and cross-functional stakeholders to develop business strategies, evaluate new market opportunities, structure commercial partnerships, and deliver executive-level insights that inform key strategic decisions. WHAT YOU'LL DO: Lead and execute business development initiatives across international FAST channel platforms, strategic distribution partnerships, and emerging digital media platforms to drive revenue, growth and expand market presence.
Clinical & Translational Research Innovation Analyst III - Remote or Hybrid Lowell General HospitalClinical & Translational Research Innovation Analyst III - Remote or HybridBoston, MARemote$84,300.22–$107,481.20 / yearIn addition, this role focuses on performing the following Software Product Development duties: Designs, tests, and develops software products (end user applications, systems software, mobile/web applications, database products, etc.); Conducts requirements analysis and high-level design/modeling to convert external customer needs into software solutions; designs and specifies the overall software structure, core elements, and properties by analyzing the software requirements, constraints, interfaces, and dependencies. Examples of day to day tasks include: extract and manage data from institutional data warehouses; develop, maintain and document high quality reusable queries, and pipelines; translate complex research questions into structured data requests and analytic workflows; collaborate with CTSI informatics, and research teams to support grant-funded and investigator-initiated studies; contribute to data governance and quality assurance processes that ensure regulatory compliance; and facilitate process improvement initiatives.
(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth Opportunity Rivia Mind - Mental Healthcare(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth OpportunityQuincy, MARemote$220,000–$260,000 / yearLocation Eligibility: At this time, we are only able to consider applicants whose primary residence is in one of the following states within the United States of America: Connecticut, Florida, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Texas. Compensation Determination: The pay range listed reflects the minimum and maximum base salary for this role, determined through an internal compensation assessment that considers similar labor markets to our practice across the United States.
Managed Care Coordinator - Hybrid / Remote | M-F Lahey Hospital and Medical CenterManaged Care Coordinator - Hybrid / Remote | M-FWakefield, MARemote$22.50–$30 / hourJob Description: The Managed Care Coordinator''s Responsibilities are: Work collaboratively with BILH PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with BILHPN and BILH Hospitals contractual rules and agreements for multiple managed care insurance payers. Retrieve patient referral requests through venues such as Clinical Computing, Patient Site, OMR notes, e-mails from Primary Care Physicians, nurse triage, and voice mails from patients; follow up appropriately with processing the referrals and promptly communicating the information back to the patient and/or specialty office.
Benign Gynecologist, Menopause focus, Hybrid Remote Lahey Hospital and Medical CenterBenign Gynecologist, Menopause focus, Hybrid RemoteBurlington, MARemote$350,000–$450,000 / yearApply now | Copy link Location: Burlington, MA Organization: Lahey Hospital and Medical Center Type: Full-time • Day When you join the growing BILH team, youre not just taking a job, youre making a difference in peoples lives. Pay Range: $350,000.00 USD - $450,000.00 USD The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time.
Clinical Reviewer Utilization Management Registered Nurse # 26-07418 US Tech Solutions, Inc.Clinical Reviewer Utilization Management Registered Nurse # 26-07418Canton, MARemote$60–$61 / hourKey Responsibilities/Duties – what you will be doing Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines or Medical Necessity Guidelines for clinically complex services / coverage requests in a consistent manner and within established, product specific time frames. Interfaces between Precertification staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage decisions timely within all accrediting and regulatory guidelines.
Clinical Reviewer Outpatient Registered Nurse # 26-10731 US Tech Solutions, Inc.Clinical Reviewer Outpatient Registered Nurse # 26-10731Canton, MARemote$50 / hourKey Responsibilities/Duties – what you will be doing: Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines or Medical Necessity Guidelines for clinically complex services / coverage requests in a consistent manner and within established, product specific time frames. Interfaces between Precertification staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage decisions timely within all accrediting and regulatory guidelines.
Registered Nurse, Clinical Delivery Care AccessRegistered Nurse, Clinical DeliveryBoston, MARemote$70,000–$100,000 / yearWith programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up.
NewNurse Auditor Humana IncNurse AuditorMARemote$78,400–$107,800 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Nurse Practitioner, Compass Plus Program Brigham and Women's HospitalNurse Practitioner, Compass Plus ProgramSomerville, MARemote$126,838.40–$173,867.20 / yearThe program brings together providers, nurses, behavioral health specialists, and other care team members to deliver coordinated, patient-centered care focused on improving health outcomes, enhancing access to services, and supporting long-term health management. We are seeking a full-time, 40-hour Nurse Practitioner to join the Compass Plus team, caring for a panel of approximately 120 patients throughout the Northern Massachusetts region, including but not limited to Lawrence, Lowell, Peabody, and Newburyport.
Nurse Practitioner, Compass Plus Program Mass General BrighamNurse Practitioner, Compass Plus ProgramSomerville, MassachusettsRemoteThe program brings together providers, nurses, behavioral health specialists, and other care team members to deliver coordinated, patient-centered care focused on improving health outcomes, enhancing access to services, and supporting long-term health management. We are seeking a full-time, 40-hour Nurse Practitioner to join the Compass Plus team, caring for a panel of approximately 120 patients throughout the Northern Massachusetts region, including but not limited to Lawrence, Lowell, Peabody, and Newburyport.
NewUtilization Review Nurse #26-17499 US Tech Solutions, Inc.Utilization Review Nurse #26-17499Canton, MARemote$55–$60 / hourWe are seeking an experienced Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior authorization activities for a leading healthcare organization. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Scheduling Coordinator Activate CareScheduling CoordinatorBoston, MARemote$52,000–$58,240The Scheduler serves as the central point of contact for appointment booking, changes, and cancellations, and works closely with the nursing team to ensure timely completion of assessments. Our Community Care Record platform, Care Link, enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs (HRSN).
Assistant/Associate Professor of Practice & Clinical Simulation Learning Specialist Simmons UniversityAssistant/Associate Professor of Practice & Clinical Simulation Learning SpecialistBoston, MARemote$85,196–$116,716 / yearInterested candidates should submit the following electronically with their application: (1) a letter of application addressing teaching experiences, (2) teaching philosophy, course or content interests, and clinical/professional interests and expertise; and (3) curriculum vitae. Simmons is committed to creating, developing, promoting, and enhancing inclusive hiring practices-at all levels, for all positions-ensuring diverse talent pools and the delivery of a consistent positive candidate experience.
Clinical Guide: Cardiology Nurse Devoted Health IncClinical Guide: Cardiology NurseWaltham, MARemote$80,000–$100,000 / yearThats why were 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. Collaborating with an interdisciplinary team of registered nurses, advanced practice nurses, physicians, social workers, and pharmacists on shared members, to ensure were working together to meet the needs of the members.
NewUtilization Management Behavioral Health Professional Humana IncUtilization Management Behavioral Health ProfessionalMARemote$65,000–$88,600 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.
RN, BH Transition of Care Coordinator Greater Lawrence Family Health CenterRN, BH Transition of Care CoordinatorMethuen, MassachusettsRemoteThis important nursing role focuses on individuals with behavioral health needs, with the goal of improving care continuity, reducing avoidable utilization (reducing total cost of care), supporting ACO quality outcomes and serves as liaison with hospitals, inpatient facilities, behavioral health and integrated care teams to support coordinated and timely transitions of care. Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorBoston, MARemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Bilingual (Spanish) Advanced Practice Provider (NP or PA): Cardiology Devoted Health IncBilingual (Spanish) Advanced Practice Provider (NP or PA): CardiologyWaltham, MARemoteAs part of the clinic you will also provide dedicated clinical services during part of your clinical time to our heart failure clinic which is a highly tailored, specialty center focused on providing best in class heart failure management including optimizing guideline directed medical therapy, providing health coaching, and managing volume overload. That'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.
Bilingual (Spanish) Advanced Practice Provider (NP or PA): Cardiology Devoted Health ServicesBilingual (Spanish) Advanced Practice Provider (NP or PA): CardiologyMassachusettsRemoteAs part of the clinic you will also provide dedicated clinical services during part of your clinical time to our heart failure clinic which is a highly tailored, specialty center focused on providing best in class heart failure management including optimizing guideline directed medical therapy, providing health coaching, and managing volume overload. That’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.