• Medicaid Provider Hospital…

    Humana (Boston, MA)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (07/09/25)
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  • Reimbursement Analyst II-PO

    Children's Hospital Boston (Boston, MA)
    …including meeting with department managers. + Assists Government Finance with analytics on Medicaid reimbursement strategy with the goal of improving Medicaid ... 80945BRJob Posting Title: Reimbursement Analyst II-PODepartment:Physician's OrganizationAutoReqId:80945BRStatus:Full-TimeStandard Hours per Week:40 Job Posting… more
    Children's Hospital Boston (07/08/25)
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  • Director, Net Revenue

    Beth Israel Lahey Health (Charlestown, MA)
    …(2) Produce data and analytics that deliver actionable business insights to BILH hospital , physician, and system leaders; (3) Provide strategic solutions that ... applying a deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare, Medicaid , and payment system expertise in support of BILH… more
    Beth Israel Lahey Health (06/09/25)
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  • RN Case Manager - Inpatient Case Management

    Cambridge Health Alliance (Everett, MA)
    …Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend rotation **Category:** Registered ... medical illness. Casework or therapy takes place in the hospital setting. Under the general supervision of the Director...and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case… more
    Cambridge Health Alliance (06/04/25)
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  • Patient Care Technician - PCT - Training Provided

    Fresenius Medical Center (Westwood, MA)
    …2,600+ dialysis centers, 350+ research sites across North America + Largest provider of renal care products and services in the nation, including state-of-the-art ... renal specialty laboratories + Up to $5,200 RN tuition reimbursement per calendar year Great for Nursing Assistants ,...and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as… more
    Fresenius Medical Center (07/12/25)
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  • Director, Billing Compliance

    Dana-Farber Cancer Institute (Brookline, MA)
    …compliance programs that adhere to regulations and industry standards, focusing on hospital and professional billing compliance. The Director acts as the 'second ... We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design… more
    Dana-Farber Cancer Institute (07/01/25)
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  • Clinical Manager

    Tufts Medicine (Malden, MA)
    …utilization of resources to achieve desired clinical outcomes and within episode reimbursement . + Provide effective guidance to professional staff regarding: ... + Evaluate staff understanding of documentation and compliance with regulations ( Medicaid , Medicare, DPH, OSHA, JCAHO, State and Federal) with QA input.… more
    Tufts Medicine (07/19/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is ... director. *_Essential Functions_* * * Knowledge regarding current and evolving provider payment methodologies . Reviews and monitors contract/payer performance .… more
    Atrius Health (06/04/25)
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