Patient Family Relations Representative Mass General BrighamPatient Family Relations RepresentativeBoston, 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. Bachelor's Degree Healthcare Administration required or Bachelor's Degree Social Work required or Bachelor's Degree Related Field of Study required.
Education Program Coordinator Brigham and Women's HospitalEducation Program CoordinatorBoston, MA$22.22–$31.71 / hourThe role supports critical departmental functions, including provider and research personnel onboarding, credentialing, visa coordination, and compliance tracking, while contributing to the efficiency of neurosurgery clinical, research and academic operations. The 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.
Supervisor, Ophthalmology Surgical Services Tufts MedicineSupervisor, Ophthalmology Surgical ServicesBoston, MA$60,908.12–$76,140.43 / yearIn addition, this role focuses on performing the following Clinical Administration duties: Long-term strategic planning, determines strategic issues and opportunities that could affect practice success, prioritizes and tracks investments across practices, allocates resources and makes decisions regarding practice growth, and develops need to accomplish the practice's vision. Minimum Qualifications: Associate's degree in Healthcare Administration, Business Administration, or related field AND Three (3) years of experience in a healthcare setting AND One (1) year of progressive administrative experience in a healthcare environment; OR High School diploma or equivalent AND Five (5) years of experience in a healthcare setting AND Three (3) years of progressive administrative experience in a healthcare environment.
Clinical Documentation Specialist Quincy Physician Administrative ServicesClinical Documentation SpecialistQuincy, MaineWorking collaboratively with providers, clinical leaders, coding professionals, and operational teams, you will identify opportunities for documentation improvement, provide individualized education, and help implement best practices that enhance the accuracy and completeness of the medical record. As a Clinical Documentation Specialist at Quincy Medical Group, you will play a key role in advancing our Value-Based Care initiatives by partnering with providers to improve clinical documentation, diagnosis capture, and coding accuracy.
Senior Manager, Corporate Compliance - Risk Adjustment CVS Health CorpSenior Manager, Corporate Compliance - Risk AdjustmentWoonsocket, RI$75,400–$165,954 / yearThis position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements. As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements.
Rheum/Derm Staff Nurse-Rn South Shore HealthRheum/Derm Staff Nurse-RnNorwell, MA$36–$58.15 / hourDermatology Specialty Tasks · Triage dermatology concerns - rash changes, wounds, lesions, signs of infection · Identify and escalate urgent issues - rapidly changing lesions, severe infection, concerning biopsy results · Review and route test/biopsy results - melanoma results communicated directly by provider · Manage medication refills - topicals, antibiotics, isotretinoin, biologics · Address medication questions and coverage issues - includes prior authorizations · Monitor for medication side effects - e.g., isotretinoin · Coordinate Accutane monitoring - monthly labs and iPLEDGE compliance · Perform suture removals - dermatology nurse only; disposable kits · Assist with basic wound care and reinforce care instructions · Support injection teaching and administration - includes shared bone-health injections · Manage in-basket messages - shared rheum/derm pool · Complete outgoing patient calls - results and follow-up · Assist with scheduling - procedures, biopsies, Accutane visits, injections · Support walk-ins and prioritize urgent cases · Provide patient education - skin care, medications, wound care · Assist with documentation and forms as needed. Rheumatology Specialty Tasks · Triage rheumatology concerns - joint pain, swelling, stiffness, flare symptoms, medication reactions · Identify and escalate urgent issues - severe flares, suspected infection, adverse medication effects · Review and route test results - labs, imaging; escalate abnormal findings · Manage medication refills- DMARDs, biologics, steroids, NSAIDs · Address medication questions and coverage issues - includes prior authorizations · Monitor for medication side effects and report concerns to provider · Support injection visits- Prolia, Evenity, Reclast; coordinate bone-health follow-ups · Provide injection teaching and patient education · Manage in-basket messages - shared rheum/dermatology pool · Complete outgoing patient calls - results and follow-up · Assist with scheduling - injection visits and urgent flare evaluations · Support walk-ins and help prioritize urgent cases · Provide patient education - disease management and medication adherence · Assist with documentation and forms as needed.
Pediatric Registered Nurse South Shore HealthPediatric Registered NurseNorwell, MA$36–$58.15 / hourResponsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification- American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification- American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Advanced Cardiac Life Support (ACLS)- American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS)- American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse- Board of Registration in Nursing (Massachusetts). Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, coordinating cross continuum care and assessing outcomes of interventions in accordance with system, departmental and ambulatory policies and procedures.
Cardiology Nurse South Shore HealthCardiology NurseWeymouth, MAOpportunity for competitive shift differentials•Newly enhanced triaging and improved workflow processes designed to support our staff and patient experience.•Flexible shifts are available & minimal holiday/weekend requirement & onsite parking at the office•Opportunities to explore or support different outpatient services across South Shore Medical Center. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, coordinating cross continuum care and assessing outcomes of interventions in accordance with system, departmental and ambulatory policies and procedures.
Rheum/Derm STAFF NURSE-RN South Shore HealthRheum/Derm STAFF NURSE-RNNorwell, MADermatology Specialty Tasks · Triage dermatology concerns — rash changes, wounds, lesions, signs of infection · Identify and escalate urgent issues — rapidly changing lesions, severe infection, concerning biopsy results · Review and route test/biopsy results — melanoma results communicated directly by provider · Manage medication refills — topicals, antibiotics, isotretinoin, biologics · Address medication questions and coverage issues — includes prior authorizations · Monitor for medication side effects — e.g., isotretinoin · Coordinate Accutane monitoring — monthly labs and iPLEDGE compliance · Perform suture removals — dermatology nurse only; disposable kits · Assist with basic wound care and reinforce care instructions · Support injection teaching and administration — includes shared bone-health injections · Manage in-basket messages — shared rheum/derm pool · Complete outgoing patient calls — results and follow-up · Assist with scheduling — procedures, biopsies, Accutane visits, injections · Support walk-ins and prioritize urgent cases · Provide patient education — skin care, medications, wound care · Assist with documentation and forms as neededRheumatology Specialty Tasks · Triage rheumatology concerns — joint pain, swelling, stiffness, flare symptoms, medication reactions · Identify and escalate urgent issues — severe flares, suspected infection, adverse medication effects · Review and route test results — labs, imaging; escalate abnormal findings · Manage medication refills — DMARDs, biologics, steroids, NSAIDs · Address medication questions and coverage issues — includes prior authorizations · Monitor for medication side effects and report concerns to provider · Support injection visits — Prolia, Evenity, Reclast; coordinate bone-health follow-ups · Provide injection teaching and patient education · Manage in-basket messages — shared rheum/dermatology pool · Complete outgoing patient calls — results and follow-up · Assist with scheduling — injection visits and urgent flare evaluations · Support walk-ins and help prioritize urgent cases · Provide patient education — disease management and medication adherence · Assist with documentation and forms as needed. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, coordinating cross continuum care and assessing outcomes of interventions in accordance with system, departmental and ambulatory policies and procedures.
["Lead Learning Consultant - Electronic Health Records (EHR) Experience","Lead Learning Consultant - Electronic Health Records (EHR) Experience"] Oracle["Lead Learning Consultant - Electronic Health Records (EHR) Experience","Lead Learning Consultant - Electronic Health Records (EHR) Experience"]Boston$71,200–$166,100 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Key responsibilities include customizing training delivery for diverse client audiences, addressing client questions and concerns during sessions, and ensuring a positive, productive learning experience.
NewCare Facilitator (Behavioral Health) UnitedHealth Group Inc.Care Facilitator (Behavioral Health)Quincy, MA$20–$36 / hourThis role supports coordinated, patient‑centered care for at‑risk individuals by facilitating care plans, monitoring adherence, and serving as a key liaison between primary care, behavioral health teams, and patients or their families. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
Education Program Coordinator - ACI Division of Allergy and Clinical Immunology Brigham and Women's HospitalEducation Program Coordinator - ACI Division of Allergy and Clinical ImmunologyBoston, MA$22.22–$31.71 / hourReporting directly to both AMC Division of Allergy and Clinical Immunology (ACI) Fellowship Training Program Directors and the ACI Senior Administrative Director, the candidate is responsible for coordinating and managing medical education programs by fostering relationships with healthcare providers, including fellow-trainees, physicians, nurses, and other clinical professionals, to support their professional development and ensure the organization offers high-quality educational activities and opportunities. New Fellows and Transitioning Fellows: This involves credentialing, orientation, and licensing all incoming clinical and research fellows, promoting and documenting for continuation for all ACGME fellows, as well as documenting graduating fellows as being ready for independent practice.
Associate Strategic Account Manager Neuronetics IncAssociate Strategic Account ManagerBoston, MACollaborate closely with Area Sales Managers, Clinical Training Managers, and Regional Practice Managers - learning how high‑performing sales teams operate. Now joined with Greenbrook Mental Wellness Centers, we offer FDA-cleared NeuroStar TMS and Spravato therapies for major depressive disorder and treatment-resistant depression across 95+ clinics nationwide.
["Senior Health Care Coordinator","Senior Health Care Coordinator"] Saviance["Senior Health Care Coordinator","Senior Health Care Coordinator"]CharlestownImplements telephonic outreach strategies to engage members in Health Care Coordination using Motivational Interviewing techniques which increases the likelihood that Members join Care Coordination. Provides member coaching and education on how to access community resources and assists them in removing barriers to service access; outreaches and coordinates with providers when necessary.
Lead Patient Care Representative MFM HealthLead Patient Care RepresentativeDanvers, MA$24–$32 / hourThe Lead Patient Care Representative will work closely with the PCR Supervisor to support staff development, monitor departmental performance, assist with training and onboarding, and provide coverage across departments as needed. MFM Health is seeking an experienced and motivated Lead Patient Care Representative to provide leadership and daily operational support to our Patient Care Representative (PCR) team.
["Compliance Coordinator","Compliance Coordinator"] Senior Living Residences["Compliance Coordinator","Compliance Coordinator"]BraintreeInstead, you'll serve as the organizational backbone of our compliance program by helping coordinate regulatory initiatives, supporting community operations, improving internal systems, monitoring compliance activities, and ensuring important projects stay organized and on track. The next, you could be helping coordinate a quality improvement audit, researching new regulatory requirements, tracking OSHA or HIPAA initiatives, supporting Workers' Compensation administration, or creating dashboards that help leadership monitor organizational compliance.
NewClinical Claim Review RN UnitedHealth Group Inc.Clinical Claim Review RNBoston, MARemote$29–$52 / hourThe Program Integrity Clinical Compliance Auditor will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. Preferred Qualifications: Clinical or administrative experience in long term care, for example, nursing facility care delivery/administration and/or community-based LTC service programs like Home Health.
Vice President, Surgical Services Boston Medical CenterVice President, Surgical ServicesBoston, MA$270,000–$310,000 / yearPOSITION SUMMARY: The position, under the supervision of the Chief Operating Officer, is responsible for partnering with chairs to develop strategies for and run clinical operations across multiple departments: Anesthesiology, Neurosurgery, Ophthalmology, Oral Maxillofacial Surgery, Orthopedic Surgery, Otolaryngology, Surgery, and Urology. The incumbent will help lead multidisciplinary strategic projects for the hospital as well as ensure that daily operations achieve quality improvement, fiscal accountability, and productivity and patient satisfaction goals/objectives as established by the leadership team.
Manager of Regulatory Compliance Signature HealthcareManager of Regulatory ComplianceBrockton, MAConducting detailed data analysis to identify trends, risks, and areas for improvement in regulatory compliance and patient safety, the Manager utilizes data to inform decision-making and develop actionable insights related to accreditation and payor contracts. We believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients.
Vendor Manager Alto IncVendor ManagerMARemote$108,000–$135,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. You'll be managing a broad portfolio of technology and services vendors across our five entities, driving governance into an estimated $10-15M of currently unmanaged spend, and working directly with Legal, Finance, Compliance, Security, and business leadership to make sure our vendor relationships are structured, compliant, and delivering value.