Claims Negotiation Manager CVS Health CorpClaims Negotiation ManagerME$66,330–$145,860 / yearDemonstrated expertise in the No Surprises Act (NSA), out-of-network reimbursement methodologies, provider billing practices, and healthcare claims adjudication, with the ability to interpret complex regulations, evaluate claim and reimbursement disputes, guide negotiation strategies, ensure compliance, and drive favorable financial and operational outcomes. Lead daily negotiation operations while partnering closely with Product, Operations, Compliance, Analytics, and Client teams to enhance negotiation strategies, support product development, drive operational excellence, and ensure compliance with federal and state regulations.
Patient Service Representative - Cancer Care - Part Time Northern Light HealthPatient Service Representative - Cancer Care - Part TimePortland, MEScreens calls, documents detailed messages and routes to the appropriate individual in a timely manner Schedules, reschedules, confirms, acknowledges, and cancels patient appointments including surgical and ancillary service Monitors daily schedules, notifying manager or all team members of potential issues or access opportunities Collects co pays/patient due balances General understanding of insurance plans with a greater detailed knowledge of the most frequently seen insurance plans Utilizes insurance verification system and takes appropriate action based on eligibility response Obtains patient consents and signatures, schedules follow-up appointments when indicated. As a member of Northern Light Health, an integrated statewide health delivery system, employees benefit from the stability, resource, and career pathways of a larger organization while working in a hospital that feels personal and connected.
Travel Nurse RN - ICU - Intensive Care Unit - $3,436 per week Healthtrust Workforce Solutions Maine HealthTravel Nurse RN - ICU - Intensive Care Unit - $3,436 per weekPortland, METhis role is ideal for experienced critical care nurses who thrive in a fast-paced environment and enjoy the variety of caring for critically ill patients across multiple specialty ICUs. Located in the heart of Portland, you’ll have the opportunity to work at one of New England’s premier academic medical centers while enjoying Maine’s beautiful coastline, vibrant food scene, and endless outdoor recreation.
Travel Nurse RN - Behavioral Health - $2,866 per week TNAA TotalMed RNTravel Nurse RN - Behavioral Health - $2,866 per weekBangor, MEPeds: Common diagnoses include, but are not limited to: Eating Disorders, Depression, Suicidal Ideation, Anxiety, Schizophrenia, Bipolar Disorder, Oppositional Defiant Disorder, Gender Dysphoria. Patient Types/Common Diagnoses: Free standing Acute Inpatient facility – contracted ER 5 min away.
Travel Cath Lab & Interventional Radiology RN - $2,655 per week TNAA TotalMed RNTravel Cath Lab & Interventional Radiology RN - $2,655 per weekYork, MEAs a Cath Lab RN, you'll work with a highly skilled team of medical professionals in a cardiovascular surgical environment providing assistance to the physician including maintenance and monitoring of EKG equipment, and assisting during angioplasty, cardiac catheterization and electrophysiology. Because of the fast-paced environment, Cardiac Cath Lab Travel Nurses must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.
Travel Med Surg RN - $2,156 per week TNAA TotalMed RNTravel Med Surg RN - $2,156 per weekRumford, MEAs a Medical Surgical Travel Nurse, you should be prepared to perform the following tasks: Provide bedside care for a variety of patients, including pre- and post-op patients. TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health.
Local Contract Operating Room RN - $52-61 per hour Medical SolutionsLocal Contract Operating Room RN - $52-61 per hourBelfast, ME$52–$61 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
Travel OR RN Circulator - $2,742 per week Stability HealthcareTravel OR RN Circulator - $2,742 per weekBelfast, MEYou can start the year off in sunny California, spend the Spring in the Colorado Rockies, enjoy the Summer in the Mid-West, experience the change of seasons in Boston and New York, and hit the beaches of Florida in the winter. *Guaranteed stipend if facility calls you off *Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours.
Travel Cath Lab & Interventional Radiology RN - $2,829 per week Nightingale NursesTravel Cath Lab & Interventional Radiology RN - $2,829 per weekYork, METhat’s why hospitals prefer us, allowing us to offer exceptional travel nursing assignments all over the US, as well as the highest pay rates and most extensive benefits in the industry. Nightingale Nurses is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in York, Maine.
PACS Technical Support Management Manager - Full Time - Remote Experity IncPACS Technical Support Management Manager - Full Time - RemoteMERemote$90,900–$110,000 / yearCommunicate and collaborate effectively with other functional leaders by solving business challenges together, identifying growth opportunities, and collaborating to drive efficiency and effectiveness across the organization, while focusing on support. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Registered Nurse Premise Health Holding CorpRegistered NurseNorth Berwick, MECurrent certification with hands-on training in AHA, ARC or equivalent Basic Life Support for health care providers is required; Advanced Cardiac Life Support may also be required based on contract scope of services. Were seeking an experienced RN with a background in occupational health, emergency, or urgent care who is confident working independently and thrives in a hands-on clinical environment.
Manager, Medicaid Market Research and Competitive Analysis CVS Health CorpManager, Medicaid Market Research and Competitive AnalysisME$60,300–$132,600 / yearCollaboration: Collaborate with the Capture Director and critical business partners, including consultants (some of which might be junior level who this individual would influence and/or direct, as appropriate) to develop documents and tools for each assigned opportunity; including research reports, customer and competitor analyses, capture workshop deliverables, and other identified deliverables. The role collaborates closely and directly with capture leadership, proposal teams and consultants to ensure research is timely, strategic, and aligned with Aetna's pursuit of all Medicaid managed care contracts, including recompetes and new business.
NewHospital Senior Account Manager, Anti-Infectives - Boston, MA / NH / ME GSK plcHospital Senior Account Manager, Anti-Infectives - Boston, MA / NH / MEPortland, MERemote$165,000–$275,000 / yearCollaborate effectively across GSK's highly matrixed sales organization, partnering closely with Organized Provider Account Directors, Reimbursement Managers, and other cross-functional stakeholders to drive aligned execution and business success. This role engages Infectious Disease physicians, as well as hospitalists, pharmacists, case management teams, discharge planners, as well as key decision makers of IDNs (CMO, Pharmacy Directors, P&T Committee members) as needed, to drive sales.
Operations Manager CVS HealthOperations ManagerLewiston, MaineThe Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. The Operations Manager is responsible for supporting the Store Manager in the total leadership and strategic operation of a CVS/pharmacy store including: Overall store management, supervision, and policy implementation.
Mgr, Business Analysis, Workforce Initiatives, Data & Analytics CVS Health CorpMgr, Business Analysis, Workforce Initiatives, Data & AnalyticsME$54,300–$119,340 / yearThe successful candidate will serve as the business owner for the Workforce Initiatives data ecosystem, ensuring data quality, governance, reporting consistency, and scalability across key platforms including Workday, Applicant Tracking Systems (ATS), LearningHub, Sophia, and other enterprise technologies. CVS Health is seeking a strategic, data-driven Manager, Business Analysis, Workforce Initiatives, Data & Analytics to lead workforce intelligence and analytics initiatives that support enterprise workforce planning, talent pipeline development, program effectiveness, and business decision making.
Manager Digital Product CVS Health CorpManager Digital ProductME$83,430–$222,480 / yearThis role requires exceptional collaboration skills, as the Product Manager will work intimately with cross-functional teams including data engineering, software engineering teams, business intelligence, and various business stakeholders. Minimum of 6 years professional experience including 4 or more years specifically in product based roles, with a significant focus on data products or platforms (governance, catalog, quality, or analytics platforms preferred).
Senior Manager, Business Consulting - Payment Integrity Center of Excellence CVS Health CorpSenior Manager, Business Consulting - Payment Integrity Center of ExcellenceME$67,900–$199,144 / yearThe candidate should exhibit the ability to identify and manage project implementation activities across the enterprise that includes increasing the contractual terms, reimbursement accuracy and performance of our claim editing vendors, proposing opportunities to lowering G&A (reducing appeals, claim rework, and provider settlements), maximizing revenue, centralizing vendor data accuracies and service level agreements, and improving overall consistency and credibility of our Payment Integrity programs. It requires a strong background in complex program management, business or healthcare consulting, or strategic planning and process improvement, with demonstrated ability to work independently, build collaborative relationships, communicate clearly, gain alignment and consensus, build comprehensive execution plans, and meet difficult deliverables in a dynamic environment.
Sr. Manager, Pricing - Pharmacy Appeals CVS Health CorpSr. Manager, Pricing - Pharmacy AppealsME$67,900–$182,549 / yearThis role requires a thorough knowledge of claim adjudication, appeals related processes, and being a leader working with other internal business units to develop new solutions to meet the ever-increasing number of complex appeal bill compliance requirements. Leads with strategic leadership and guidance to pharmacy reimbursement appeals teams, ensuring effective strategies and operations are effectively progressed to improve performance.
Home Health Registered Nurse FULL-TIME POSITION Senior Helpers MaineHome Health Registered Nurse FULL-TIME POSITIONBangor, MaineAs a Home Health Registered Nurse at Senior Helpers Maine LLC in Penobscot county of Maine, you will be responsible for providing essential care to patients in their homes. Working closely with healthcare providers, you will deliver high-quality nursing services to ensure the comfort and well-being of patients.
Registered Nurse - Orono, ME - DK Central Business SolutionsRegistered Nurse - Orono, ME - DKMaineProvide specialized patient care, diagnostic, therapeutic, rehabilitative, or clinical support services within healthcare settings. Job Title: Registered Nurse.