- Beth Israel Lahey Health (Wakefield, MA)
- …including but not limited to:** + Understands the medical and pharmacy claims adjudication circle terminology, healthcare quality and EHR terminology and ... exists in the reporting documentation repository. + Collaborates with the Medical Director (s) and business associates (eg, healthcare plan, PBM, consultants) to… more
- Robert Half Technology (Lexington, MA)
- …client-facing teams and both inter-departmental and intra-departmental teams to address complex healthcare challenges. Take the lead in communicating with ... (2) Roles & Responsibilities Oversee an offshore team of Healthcare Data Analysts and QA engineers under the direction... data compliance, including HIPAA, GDPR, and HITECH Act. Claims & Billing Data - Experience analyzing claims… more
- Medtronic (Boston, MA)
- …other stakeholders to close deals effectively and compliantly. + Advise on federal healthcare laws, antikickback, antitrust, False Claims Act, HIPAA, state data ... can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down… more
- Humana (Boston, MA)
- …for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must be able to work core business hours on EST time between ... of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering… more
- Riverside Community Care (Dedham, MA)
- …for our Behavioral Health Community Partner team! Community Partners are healthcare and human service organizations that partner with Accountable Care Organizations ... to integrate and improve health outcomes for members with complex and long-term medical and behavioral needs. We seek...Coordinator, nurses, and interns. In consultation with the Program Director , they will implement and monitor the adoption of… more
- Sanofi Group (Cambridge, MA)
- …by providing strategic input into the rare blood portfolio and reports to the Director of Medical Operations. We are an innovative global healthcare company with ... regulations, policies and guidance + Analyze whether clinical and non-clinical promotional claims are supported + Provide insight, judgment and sound decisions on… more
- Beth Israel Lahey Health (Burlington, MA)
- …a large healthcare environment. Computer skills to include use of complex revenue cycle systems, Microsoft, and other basic computer skills are a requirement. ... Under the managerial oversight of the Manager of Customer Service and Director of Executive - International Health the Specialty Billing Coordinator serves as… more
- Cardinal Health (Boston, MA)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- Evolent (Boston, MA)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... the country to improve patient outcomes and reduce avoidable healthcare costs. We are a lean, nimble, fast-paced team...and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure… more
- Takeda Pharmaceuticals (Lexington, MA)
- …and consumers. As part of the US Medical team, you will report to the Director , US Medical Information and Review. This is a hybrid role based in Lexington, MA. ... Units within R&D, commercial Brand teams) and external stakeholders such as healthcare professionals, patients and advocacy groups + Provide advanced medical and… more