• Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Boston, MA)
    …provider documentation teams, coders, or concurrent review vendors. + Clinical experience or deep engagement with clinician stakeholders. + Familiarity with ... managers and product designers and collaborate deeply with data science, clinical experts, engineering, and commercial teams to accelerate innovative solutions that… more
    Datavant (08/08/25)
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  • Acute/Post Acute Field RN

    Beth Israel Lahey Health (Woburn, MA)
    …HIPAA guidelines. Documentation 1. Demonstrates proficiency in OASIS completion 2. Clinical visit notes explain the need for the skilled nursing service in light ... the patient's home, in partnership with the Command Center multidisciplinary clinical team. **Job Description:** Essential Duties & Responsibilities including but… more
    Beth Israel Lahey Health (06/28/25)
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  • Palliative LICSW

    Commonwealth Care Alliance (Boston, MA)
    …may have significant behavioral, psychosocial, and medical complexities that require intensive clinical support (in addition to that provided by the member's primary ... Care Social Worker (Mobile) is the part of a team responsible for the clinical , behavioral health, and care coordination related to serious illness for their panel… more
    Commonwealth Care Alliance (06/25/25)
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  • Medical Assistant Infectious Disease

    Beth Israel Lahey Health (Burlington, MA)
    …designated supervisor (depending on the location) and in collaboration with a clinical overseer, where applicable, the Medical Assistant is responsible for assisting ... in the delivery of high quality and safe clinical care. S/he will assist with patient care and...and best practice indicators and advises providers of potential documentation and care gaps + Prepares supportive documentation more
    Beth Israel Lahey Health (07/30/25)
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  • CIC Advanced Practice Clinician

    Commonwealth Care Alliance (Springfield, MA)
    …centric individualized plan of care. The APC uses evidence-based care approaches, clinical skills, education, and training to influence the clinical outcomes ... the community across various locations. This position reports to the CIC APC Clinical Manager. Supervision Exercised: * No, this position does not have direct… more
    Commonwealth Care Alliance (07/09/25)
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  • Primary Care Triage Nurse

    Commonwealth Care Alliance (Boston, MA)
    …in nursing required **Desired Education:** + Bachelor's Degree in nursing preferred . **Required Experience:** Meaningful clinical experience including: + 3+ ... Triage Nurse acts as the patient's primary point of clinical contact in the practice, and takes all incoming...workflows, or nursing judgment + Maintains timely and accurate documentation + Coordinate and schedule urgent medical appointments. +… more
    Commonwealth Care Alliance (06/05/25)
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  • Pre-Certification/Authorization Coordinator

    Tufts Medicine (Stoneham, MA)
    …for resolution prior to services being rendered. 9. Obtains all applicable clinical documentation when required by insurance payers for elective services ... and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. Collects patient's necessary demographic and financial… more
    Tufts Medicine (08/09/25)
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  • Behavioral Health Services Regional Medical…

    Advocates (Framingham, MA)
    …The Behavioral Health Regional Medical Director (RMD) is a leadership and clinical role within Advocates' Behavioral Health Services Division. The RMD serves as ... oversight, and administration of medical services in the region. The RMD provides clinical supervision for assigned medical staff and delivers direct clinical more
    Advocates (07/24/25)
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  • Regulatory Coordinator - Gynecologic Oncology

    Dana-Farber Cancer Institute (Brookline, MA)
    …business environment preferred . + Fundamental knowledge of the conduct of clinical trials is preferred . **REQUIRED COMPETENCIES:** + Must be able to ... Principal Investigator(s), Regulatory Operations Manager and / or directly for the Clinical Trials Office to complete the regulatory requirements of the GYN Oncology… more
    Dana-Farber Cancer Institute (07/23/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Boston, MA)
    …customer inquiries / audits. + Other duties as assigned or requested ** PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical ... quality standards are consistently met in all forms of documentation . + Review and interpret inherent risk assessment results,...related and progressive experience in lieu of Bachelor's degree ** Preferred ** + Degree in Nursing or other clinical more
    Highmark Health (07/04/25)
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