- Huron Consulting Group (Boston, MA)
- …and results-driven Director of Hospital Coding Operations to lead and optimize coding functions across our health system . This role is central to ... create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems , hospitals and medical clinics are under immense… more
- Baylor Scott & White Health (Providence, RI)
- …oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly ... **Job Summary** The Director , Denial Resource Center is responsible for the...+ EXPERIENCE - 3 Years of Experience As a health care system committed to improving the… more
- CenterWell (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... situations or data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and reviews health claims. The Medical… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group… more
- Takeda Pharmaceuticals (Boston, MA)
- …to inspire you and empower you to shine? Join us as the Associate Director , Software Architect - AI/ML based in Cambridge, MA. **_GOALS_** _:_ We are inviting ... Biotech is optional. A strong curiosity for a deeper understanding of human health and disease to deliver innovative medicine for patients is a must.… more
- State of Massachusetts (Boston, MA)
- …of requested health care services. The primary purpose of the Director of Pharmacy Benefit Manager Oversight is to assist the Commissioner of Insurance ... talents to serve our citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the...Health Policy Commission and the state legislature regarding health care delivery systems . * Call meetings… more
- Public Consulting Group (Providence, RI)
- …public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in ... Business Solutions + Project Assurance PCG is hiring a Director with focus on delivering management consulting services and...and candidate should also be versed in big data, coding , project management, technical writing, and cloud services. The… more
- FranklinCovey (Providence, RI)
- …schools and institutions. To learn more, visit franklincovey.com **Title:** Director of Engineering - FranklinCovey Enterprise **Payroll Title:** Director ... the Admin Platform, analytics and assessments (eg, 360s), the 4DX Operating System , extensive client integrations and emerging AI experiences like the FranklinCovey… more
- Takeda Pharmaceuticals (Boston, MA)
- …Biotech is optional. A strong curiosity for a deeper understanding of human health and disease to deliver innovative medicine for patients is a must. ... With 8+ years of experience architecting, building, launching, and maintaining end-to-end ML systems from whiteboard to production at scale across a range of models… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding ... will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements… more
- Children's Hospital Boston (Boston, MA)
- …in revenue cycle operations, preferably in an extensive academic or pediatric health system . + Demonstrated success in leading complex, multi-functional teams ... leadership across core revenue cycle functions, including Financial Clearance, Coding , Revenue Integrity, and Accounts Receivable Management. This role is… more
- Danaher Corporation (Boston, MA)
- …- innovating at the speed of life. At Cepheid, we are passionate about improving health care through fast, accurate, molecular diagnostic systems and tests. As a ... and your unique viewpoint matter. And by harnessing Danaher's system of continuous improvement, you help turn ideas into...to develop groundbreaking solutions for the world's most complex health challenges. Together, we bring MORE change to the… more
- Medtronic (Boston, MA)
- …of Medtronic Surgical Operating Unit medical device solutions. Reporting to the Director of Product Security, this role supports the integration of advanced ... this engineering-focused role, you will join a world-class team of systems , mechanical, electrical, software, and quality engineers within Medtronic's Surgical… more
- Medtronic (Boston, MA)
- …of Medtronic Surgical Operating Unit medical device solutions. Reporting to the Director of Product Security, this role drives the integration of advanced ... this engineering-focused role, you will join a world-class team of systems , mechanical, electrical, software, and quality engineers within Medtronic's Surgical… more
- Datavant (Providence, RI)
- …and/or CIOX Health Standards + Work directly with the provider(s) and health plan Medical Director as needed to facilitate timely authorizations and/or ... plus + Experienced computer skills, Word, Excel, Outlook, experience working in a health plan medical management documentation system a plus. Minimum Education:… more
- Lumen (Providence, RI)
- …ethernet and IP access networks. This role will report directly into the Director of Metro Engineering and provide expertise in network design and automation. ... Interacts with Network Architecture (IP, and Security), Planning, Operations, Lab, Systems (automation, alarming) to implement equipment and designs necessary to… more
- Point32Health (Canton, MA)
- …sector or management consultancy. + Experience working with CMS, state agencies, health insurers, medical provider systems and/or risk adjustment desired. ... **Who We Are** Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving… more
- J&J Family of Companies (Raynham, MA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com **Job Function:** Data Analytics… more