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Payment Integrity Program Development Senior Manager – Clinical & Facility Specialist Devoted Health Services

Payment Integrity Program Development Senior Manager – Clinical & Facility Specialist
Massachusetts
Remote

Data Hypothesis Validation: Perform primary data analysis (utilizing modern AI tools for SQL query generation) to test your clinical hypotheses across clinical settings, prove financial viability on real-world datasets, and design parameters that prevent provider abrasion. Cross-Functional Policy Leadership: Pitch your original clinical concepts to directors and executive stakeholders; drive consensus across Clinical Operations, SIU, Claims, and Legal to approve novel policy interpretations and rule architectures.

6 days ago

Medical Equipment Customer Service Representative Rotech Healthcare Inc.

Medical Equipment Customer Service Representative
Southborough, Massachusetts
  • $20–$23 / hour

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.

30+ days ago
New

Supervisor, Medicaid Claims Reviewer Mass General Brigham

Supervisor, Medicaid Claims Reviewer
Somerville, Massachusetts
  • $79,560–$115,720.80 / year

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. 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.

1 day ago

Health Plan Sales Specialist L Brigham and Women's Hospital

Health Plan Sales Specialist L
Somerville, MA
  • $63,648–$92,570.40 / year

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. 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.

9 days ago

Revenue Integrity Senior Analyst - HMFP Beth Israel Lahey Health

Revenue Integrity Senior Analyst - HMFP
Woburn, Massachusetts
  • $55,370–$74,110 / year

5 or more years physician/professional revenue operations experience with a focus in one or more of the following areas: coding, revenue integrity, charge reconciliation, charge compliance, charge auditing, CDM management. Sensory Requirements Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity> 20 feet, Visual clarity feet, Conversation, Telephone.

18 days ago
New

Claims Review Specialist, DSNP Mass General Brigham

Claims Review Specialist, DSNP
Somerville, Massachusetts
Remote
  • $17.71–$25.28 / hour

The ideal candidate brings hands‑on experience with SCO and One Care claims processing and demonstrated proficiency in QNXT or similar claims adjudication systems (e.g., Facets).Essential Functions: Adjudicate claims to pay, deny, or pend as appropriate in a timely and accurate manner according to company policy and desktop procedure. 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.

2 days ago

Clinic/Practice Assistant, Orthopedics Mass General Brigham

Clinic/Practice Assistant, Orthopedics
Beverly, Massachusetts

Our nationally recognized sports medicine specialists provide advanced care for the full spectrum of sports-related injuries and orthopedic conditions, serving athletes and non-athletes of all ages through innovative, research-based treatment and rehabilitation services. Under general supervision, the Medical Administrative Assistant performs a combination of administrative and clerical duties to support patient visits, scheduling, registration, check-in and check-out, documentation, and day-to-day office operations.

30+ days ago

Global Trade Classification & Country of Origin Specialist (US Remote) Medtronic

Global Trade Classification & Country of Origin Specialist (US Remote)
Boston, Massachusetts
Remote

As a Global Trade Operations Specialist , you will serve as a subject matter expert supporting Medtronic's global import compliance program by determining Country of Origin, assigning Harmonized Tariff Schedule (HTS) classifications, applying Rules of Origin, and maintaining the trade data required to support compliant importation of medical devices worldwide. If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.

14 days ago

Outpatient Technical Advisor, Coding Mass General Brigham

Outpatient Technical Advisor, Coding
Somerville, Massachusetts

The Technical Advisor advises on external/internal coding reviews and audits, new coding/billing regulations impacts, coding and billing interlinking billing issues, coding education and workflow training for outpatient coding, claim edits and denials related to ambulatory surgery coding/charging. 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.

30+ days ago

Client Development Specialist Contact Discovery Services LLC

Client Development Specialist
Boston, MA
Remote
  • $55,000–$65,000 / year

Provide client and internal communication support by helping respond to sales-related inquiries, coordinating next steps with project management, accounts receivable, leadership, and other internal teams, and keeping stakeholders aligned. Support sales proposals, RFP responses, client presentations, supporting materials, and related documentation, including formatting, organizing assignments, tracking progress, compiling supporting materials, and maintaining knowledge libraries.

30 days ago

Phlebotomist - Per Diem - 2Nd Shift - Hospital - In-Patient Tufts Medical Center LabCorp

Phlebotomist - Per Diem - 2Nd Shift - Hospital - In-Patient Tufts Medical Center
Boston, MA
  • $23.87–$28 / hour

As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes.

14 days ago
New

Senior PLM & Configuration Management Specialist Locus Robotics

Senior PLM & Configuration Management Specialist
Wilmington, MA

If you enjoy bringing order to complexity, influencing business-critical decisions, and serving as a trusted expert across the organization, this is a unique opportunity to make a visible impact in a fast-growing robotics leader. Working cross-functionally with Engineering, Manufacturing, Supply Chain, Quality, and Product teams, you'll have a direct impact on how products are built, scaled, and delivered worldwide.

1 day ago
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