- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Director of Health Information Management, the Senior HIM Specialist is responsible for following processes to ensure compliant validation and entry ... released by CCA for tracking and metrics. - Obtain documentation from outside EMRs in preparation of HEDIS review,...and consistently in CCAs electronic medical record. - Support clinical teams by obtaining medical record requests in a… more
- Parexel (Boston, MA)
- …ROI reporting of team efforts, and supporting internal and external review / approval clinical & MLR process and related documentation tracking + Manages Patient ... **Job Summary:** Parexel is seeking a Patient Recruitment & Retention Specialist to join our dynamic FSP team. This role will be key in supporting the successful… more
- Curia (Hopkinton, MA)
- Quality Assurance Specialist I in Hopkinton, MA 2nd shift: Monday-Friday, 3:00 pm - 11:00 pm Build your future at Curia, where our work has the power to save lives. ... The Quality Assurance (QA) Specialist I is responsible for maintaining Quality databases and...audits + Perform QA visual inspection activities associated with clinical and commercial drug product + With supervision, may… more
- Commonwealth Care Alliance (Boston, MA)
- …needs, goals, and preferences. The Community Health Worker is knowledgeable of clinical care, health systems, and social drivers of health, and ensures that ... and social needs. + CHWs ensure appropriate, comprehensive, and timely documentation of all contacts, outreaches, assessments, and interventions in the Centralized… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments;… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... Excellence:** + Collaborate with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services, Provider Services, Regulatory Affairs,… more
- Beth Israel Lahey Health (Boston, MA)
- …in Nursing with 5-8 years of acute care clinical experience. + Certified Clinical Documentation Specialist (CCDS) or Certified Clinical ... taking a job, you're making a difference in people's lives.** The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …medical denials by conducting a comprehensive review of relevant clinical documentation . The Clinical Appeals Specialist will write compelling arguments ... supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work...based on clinical documentation and payer medical policies and submit the appeal… more
- Dana-Farber Cancer Institute (Newton, MA)
- …a member of the multidisciplinary oncology team, and under moderate supervision, the Clinical Social Worker, LICSW I Program Specialist , for the Universal ... individual, couples, family, and group interventions, and short-term bereavement support. The Clinical Social Worker, LICSW I Program Specialist is responsible… more
- Beth Israel Lahey Health (Boston, MA)
- …Israel Deaconess Medical Center is growing our transplant program and seeking a Clinical Pharmacy Specialist position with advanced clinical , management and ... advance a clinical pharmacy practice model for abdominal transplant services. The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy… more
- Cambridge Health Alliance (Cambridge, MA)
- Clinical Pharmacist Specialist , Inpatient Psychiatry **Requisition Number:** 9908 **Location:** 1035 Cambridge Street **Work Days:** Monday through Friday ... increasing patient satisfaction, and contributing to CHA's financial sustainability. The Clinical Pharmacist Specialist in Inpatient Psychiatry is responsible… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Under minimal supervision, the Senior Clinical Research Accounting Specialist is responsible for billing reconciliation and accounts payable and assists with ... and reconciliation of financial transactions generated from Dana-Farber Cancer Institute Clinical Research activity. Handles complex issues and problems and refers… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** Clinical Pharmacist Specialist - Oncology (Mon-Fri Evenings, No Weekends) The Cancer ... excellence, and compassionate support. The Department of Pharmacy is seeking an Evening Clinical Pharmacy Specialist to join our team and support the expanding… more
- Beth Israel Lahey Health (Boston, MA)
- …a difference in people's lives.** The Pharmacy Department is recruiting for a Clinical Specialist to support primary practice area of cardiology that includes ... heart failure, general cardiology, and cardiac transplant services. The Clinical Specialist will be expected to participate in multidisciplinary patient care… more
- Canon USA & Affiliates (Boston, MA)
- **Ultrasound Clinical Sales Specialist - North East/Mid Atlantic USA - req1429** **OVERVIEW** Represents Canon Medical Systems, USA in a professional manner at ... both clinically and technically, as well as provide the clinical and business solution (value) to each specific customer....feedback. + Demonstrate ability to plan, implement, and complete documentation in all job duties in an effective and… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical ... rationale. + Completes medical review of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information… more
- Cognizant (Boston, MA)
- …determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party ... an impact by performing advanced level work related to clinical denial management and managing clinical denials...related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The… more
- Beth Israel Lahey Health (Plymouth, MA)
- …in the absence of the Administrative Laboratory Director and / or Clinical Manager or Anatomic Pathology Manager. + Responsible for ensuring total compliance ... standards. Reviews maintenance logs. Initiates corrective action, and maintains documentation of activities. + Responsible for reviewing and evaluating daily,… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …license, accumulating the required number of CEU's and submits the associated documentation to the Administrative Director. + Presents clinical cases for ... by weaving together the expertise of a child development expert, the HealthySteps Specialist , and the pediatric primary care provider. Together, just at the time… more
- Dana-Farber Cancer Institute (Boston, MA)
- The Nursing Informatics Specialist is a member of the Nursing and Epic Operations teams and is responsible to ensure clinical information system implementations ... model for Nursing and Patient Care Services. The Nursing Informatics Specialist integrates nursing science, computer science, and information science to manage… more
