- Dana-Farber Cancer Institute (Brookline, MA)
- …New England states (ME, NH, VT, MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, ... physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. + Assist in creation and manage execution of… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …New England states (ME, NH, VT, MA, RI, CT)** Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits, ... analyzes documentation and coding for medical necessity and regulatory adherence, and recommends corrective actions to mitigate compliance risk. The role evaluates… more
- Point32Health (MA)
- …by adherence to established timeframes. The Clinical Pharmacist consults as required with Medical Directors (MD) on prior authorization that fails to meet drug prior ... to perform drug prior authorization (PA) requests and consults as required with Medical Directors (MD) on cases that fail to meet coverage criteria + Communicates… more
- Oracle (Boston, MA)
- …base, launching new GPU as well as traditional hardware products, improving internal policy , processes, and tools in support of business growth. The Supply Chain ... 4-5 individuals led by an experienced Oracle supply chain director . All team members must have a common set...a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical… more
- Beth Israel Lahey Health (Jamaica Plain, MA)
- …people's lives.** Job Summary: Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the ... care or family medicine practice and serves as a clinical resource for the medical practice. The Team Nurse provides high quality, direct patient care in a team… more
- Beth Israel Lahey Health (Boston, MA)
- …Supervisor (ACS) is the on-site senior administrative/clinical person for the Medical Center. The ACS works in collaboration with staff, departmental leaders, ... of resources including staff and materials. Leads response to Code Help policy in collaboration with Admission Facilitator, Patient Access Services, and Emergency… more
- Beth Israel Lahey Health (Burlington, MA)
- …providers and clinical partners to ensure an accurate, complete, and compliant medical record. The Manager leads regional CDI initiatives, ensuring consistency in ... . Institute improvement action plans and compliance monitoring. . Assist the CDI Director in evaluating systems and processes in collaboration with Revenue Cycle .… more
- Option Care Health (Marlborough, MA)
- …the appropriate purchasing, control and security of all drug products and medical supplies. **Job Description:** **Job Responsibilities** (listed in order of ... the pharmacist in charge per state regulation. Assists the director of pharmacy with ensuring that all state and...purchase, management and security of all medications, pumps and medical supplies in accordance with the Option Care policies… more
- Point32Health (Canton, MA)
- …& utilization analytics required by other departments within Point32Health including Medical Management, Contracting, Payment & Policy , etc. + Utilizing ... (https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Network Performance Analyst will be… more
- Cambridge Health Alliance (Somerville, MA)
- …referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. ... Summary: Under the general supervision of the Director of Care Management, the RN Case Manager provides...resources and to ensure reimbursement. Utilize criteria to confirm medical necessity for admission and continued stay. With the… more