• Director Clinical

    Tufts Medicine (Burlington, MA)
    …as a Registered Nurse 3. Five (5) years relevant experience in the management of Clinical Documentation Integrity team 4. CCDS certification through ACDIS or ... advisors and leaders. The Director oversees the manager and clinical documentation specialists (CDSs) in planning, implementing improvements, and… more
    Tufts Medicine (06/11/25)
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  • Medical Director -Payment Integrity

    Humana (Boston, MA)
    …provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals processes, and outpatient services ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (06/06/25)
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  • Director of Clinical Operations

    Astrix Technology (Boston, MA)
    ** Director of Clinical Operations** Clinical Data Management Boston, MA, MA, US Pay Rate Low: 200,000 | Pay Rate High: 230,000 + Added - 28/05/2025 Apply for ... Job ** Director of Clinical Operations** **Onsite-4 days a... studies, including protocol development and preparation of study documentation . + Collaborate closely with the CMO and R&D… more
    Astrix Technology (05/31/25)
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  • Associate Director , Clinical

    Takeda Pharmaceuticals (Cambridge, MA)
    …processes, ensuring they are inspection ready. + Accountable for TMF and Clinical Documentation standard operating procedures, processes, best practices and ... a focus on sustaining compliance and audit preparedness. + Represent VBU for Clinical Documentation and Information related topics in front of CRO Partnership… more
    Takeda Pharmaceuticals (06/12/25)
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  • Senior Director Clinical Revenue

    Tufts Medicine (Burlington, MA)
    …MA **Job Overview** This role oversees the functions and personnel in the Clinical Documentation Integrity (CDI), Coding, HIM Operations, and Utilization ... Integrity , Patient Access; Patient Financial Services (PFS), and Revenue Integrity providing direction on clinical documentation and coding-related… more
    Tufts Medicine (06/21/25)
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  • Director Value Analysis

    Covenant Health (Andover, MA)
    The Director of Value Analysis guides the review and selection of products, services, and technology across the Clinical Spend landscape based on cost, quality, ... quality results, and improve the cost of care. The Director of Value Analysis will direct and be part...Reviews and/or oversees review of new product requests; completes clinical product cross-matches, and cost analysis for consideration by… more
    Covenant Health (05/16/25)
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  • Associate Director , Global Regulator…

    Bristol Myers Squibb (Cambridge, MA)
    …their personal lives. Read more: careers.bms.com/working-with-us . **Associate Director , Global Regulatory Strategy, Neuroscience** **Position Summary:** The ... HAs for respective regions/countries + Prepare content for regulatory strategic documentation and Regulatory Project Reviews. Align regulatory plans with commercial… more
    Bristol Myers Squibb (06/05/25)
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  • Director , Global Regulatory Labeling…

    Takeda Pharmaceuticals (Boston, MA)
    …in order to bring life-changing therapies to patients worldwide. Join Takeda as Director , Global Regulatory Labeling Strategy where you will be responsible for the ... approval from all relevant functional areas with appropriate annotations and supporting documentation . - In a highly efficient manner, develops and executes a… more
    Takeda Pharmaceuticals (06/18/25)
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  • Payment Integrity : Reimbursement Policy…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy ... all clinical editing inquiries, software update, QA/UAT, system updates, documentation and change requests. + Ability to work independently to resolve issues… more
    Blue Cross Blue Shield of Massachusetts (06/22/25)
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  • Clinical RN Nurse Appeals Lead

    Commonwealth Care Alliance (Boston, MA)
    …clinically appropriate clinical care and care management services. + Demonstrate integrity by working with passion, commitment, and honesty, acting in the best ... for Medicare and Medicaid Services requirements. Maintain all appeals documentation according to external agency requirements. **Supervision Exercised:** + None… more
    Commonwealth Care Alliance (06/06/25)
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  • Medical Laboratory Technologist

    Eurofins (Framingham, MA)
    …discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract ... Group also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products. In over just 30 years,… more
    Eurofins (04/23/25)
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  • Cardiovascular Tech II, Per diem

    Beth Israel Lahey Health (Boston, MA)
    …MA. **Job Description:** The Cardiovascular Technologist reports to the Technical Director . This position is responsible for the operation of hemodynamic monitoring ... operates all equipment, devices & consoles necessary to support all clinical situations with appropriate training. Able to independently troubleshoot all equipment… more
    Beth Israel Lahey Health (06/22/25)
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  • Head of Program Management, Research Digital…

    Takeda Pharmaceuticals (Boston, MA)
    …Strategy with Takeda's core values of patient-centricity, innovation, and integrity . **Accountabilities:** + Provide program management support for Research ... a new group focused on chronic autoimmune diseases. **The Senior Director Inflammatory Drug Discovery** + Will be responsible for developing industry-leading… more
    Takeda Pharmaceuticals (06/14/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Year Term **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst ... will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements for Optum… more
    Commonwealth Care Alliance (05/28/25)
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  • Social Worker

    Beth Israel Lahey Health (Woburn, MA)
    …personnel regarding psychosocial issues and provides in-service education as requested. ** Documentation ** + Clinical visit notes support the need formedical ... psychosocial assessment + Provides psychosocial interventions with the highest integrity related to cultural appropriateness and developmental stage along the… more
    Beth Israel Lahey Health (06/09/25)
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  • Hospice Social Worker

    Beth Israel Lahey Health (Woburn, MA)
    …professional personnel regarding psychosocial issues and provides in-service education as requested. Documentation + Clinical visit notes support the need for ... psychosocial assessment + Provides psychosocial interventions with the highest integrity related to cultural appropriateness and developmental stage along the… more
    Beth Israel Lahey Health (06/07/25)
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  • Associate Dean, Finance & Administration

    Boston College (Chestnut Hill, MA)
    …full-time faculty, 50 staff and administrators including 15 research staff, 100 part-time clinical faculty, revenue of $47M+ and expenses of $24M. The Associate Dean ... with the Associate Dean of Research and the Assistant Director of Fiscal and Grant Administration, the Associate Dean...human resources (100+ FT faculty and staff, 100+ PT Clinical Faculty), and operations. The Associate Dean works to… more
    Boston College (06/18/25)
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  • Behavioral Health Clinician

    North Shore Community Health (Salem, MA)
    …exceptional community healthcare delivery. Under the general direction of the Director of Behavioral Health, the Behavioral Health Provider will provide behavioral ... through on what we commit or resolve to do. Integrity Integrity is the foundation of healthy...services (individual, family, group). + Uses standardized tools and clinical judgment to support/ diagnose mental health issues (ie,… more
    North Shore Community Health (06/17/25)
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  • Manager, Reporting Anlaytics & Technology (Hybrid)

    Commonwealth Care Alliance (Boston, MA)
    …Service Center Division in partnership with other stakeholders. Reporting to the Director of Business Strategy and Technology, this position manages the execution of ... Experience, Member Communication, Training and Quality_ ] functional areas and/or clinical lines; managing outcomes and process measures; collecting and reviewing… more
    Commonwealth Care Alliance (06/19/25)
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