• Medical Director - Spine

    CVS Health (Boston, MA)
    …Responsible for predetermination reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple computer ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from… more
    CVS Health (08/08/25)
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  • Director of Revenue Cycle

    Ophthalmic Consultants of Boston (Plymouth, MA)
    Join a Leader in Eye Care: Director of Revenue Cycle & Billing at Ophthalmic Consultants of Boston Are you a strategic, hands-on leader ready to take charge of ... ophthalmology practice, is looking for a dynamic and experienced Director of Revenue Cycle & Billing to lead our...Why Join OCB? OCB has a longstanding reputation for clinical excellence and compassionate care. We offer a collaborative… more
    Ophthalmic Consultants of Boston (07/31/25)
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  • Associate Director , Breast Oncology…

    Dana-Farber Cancer Institute (Boston, MA)
    …School-affiliated hospitals. The Statistician in this role will have the title Associate Director of the Breast Oncology Statistical Program and is expected to work ... articulation of the collaborative vision, working with program leaders and clinical research directors on scientific program direction and research portfolio.… more
    Dana-Farber Cancer Institute (08/08/25)
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  • Revenue Integrity Senior Analyst - HMFP

    Beth Israel Lahey Health (Woburn, MA)
    …you're making a difference in people's lives.** Under the direction of the Director , Revenue Integrity and Coding at Harvard Medical Faculty Physicians (HMFP) ... (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, which aims to maximize synergies across HMFP… more
    Beth Israel Lahey Health (07/04/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Boston, MA)
    …authorization and financial scope within Evolent Specialty Services. Reporting to the Director , Clinical Informatics, this role is responsible for acquiring, ... who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of… more
    Evolent (07/18/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    … Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding more
    Commonwealth Care Alliance (05/28/25)
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  • Senior Trauma Registry Analyst

    Beth Israel Lahey Health (Boston, MA)
    …you're making a difference in people's lives.** Reporting to the Trauma Program Director , the Senior Trauma Registrar is responsible for managing the Trauma data ... registry and overseeing the daily workload. This work involves identification, collection, coding , Injury Severity Scoring and entering patient data into the NTRACS… more
    Beth Israel Lahey Health (07/02/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …other administrative and clinical areas under the direction of the Executive Director and the VP of Revenue Cycle/Chief Revenue Officer as part of an integrated ... utilization management experience desirable. **Key Relationships:** **Position Purpose/Activities** Executive Director HIM, Coding & UR: Receives direction… more
    Beth Israel Lahey Health (06/06/25)
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  • Senior Software Engineer

    CODAMETRIX (Boston, MA)
    CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical ... information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports… more
    CODAMETRIX (06/05/25)
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  • Machine Learning Engineer II

    CODAMETRIX (Boston, MA)
    …CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical ... information into accurate sets of medical codes. CodaMetrix's autonomous coding supports improved patient care and drives efficiency under fee-for-service and… more
    CODAMETRIX (07/01/25)
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