Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally, this role will review issuance of ID Cards, and Welcome Kits for accuracy. This role will also conduct reviews to verify a

We are hiring for a Full Time Home Health Physical Therapist Assistant (PTA, LPTA). This is a field role that will serve our our patients in the Somerville, Cambridge, Brighton, and Arlington surrounding areas. Base Pay starts at $45+ Pay per Visit rates At Caretenders, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy themeaningful conne

Performs patient service and administrative duties and office work. Coordinates diagnostic tests referrals and tracks appointments visits and authorization Verifies Insurance Prepares Billing Collects data and generates quality assurance reports May provides cross coverage to other practices and/or positions, as appropriate Provides basic information to patients Triages P

The Senior Director, Medical Affairs, Parenteral Nutrition (PN) is a critical role as this individual serves as the lead for the US PN Medical Affairs team and is responsible for developing and executing the US Medical Affairs strategy. This individual also collaborates closely with the Global business unit (BU) and the regional marketing organization to identify US nutri

Leading up to the patient visit, Patient Service Representatives schedule all appointments and obtain Prior Authorizations from insurances when needed for specific exams. During the patient's visit, the focus is check in, which includes greeting patients, answering all of their questions, and assisting with any pre visit paperwork/forms. At the conclusion of the visit, du

Referral Coordinator The Referral Coordinator is responsible for all administrative processing in regard to patient's personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co workers, possesses strong time management skills and the ability to complete assigned job duties with applicab

This is a remote role with occasional (roughly 1x/every other month) onsite team meetings in Somerville, MA. Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our

We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. Hours 40 hours per week; Monday through Friday from 8 00 AM to 4 30 PM Location Onsite at New England Eye Center in Cambridge, MA Free parking! Company Description It takes a lot of very smart, hard working and talented people to provide the level of care that we give to

Chief of Pulmonary & Critical Care Medicine (PCCM) at Kent Hospital, Warwick, RI Brigham and Women's Hospital (BWH) seeks a dynamic physician leader for our collaborative PCCM program at Kent Hospital, a Care New England 359 bed, acute care hospital. BWH and Kent have a long standing clinical affiliation that includes a comprehensive PCCM program, as well as collaboration

The Medical Director of Ophthalmology will be a key contributor to the Ophthalmology Program at Apellis. This position will have oversight of the clinical studies in Geographic Atrophy , and potentially participate in clinical development activities for future indications . This individual will be responsible for monitoring clinical studies, review and interpret clinical

Support the centralized monitoring program by performing risk based testing and oversight reviews, electronic communication monitoring, and market abuse testing. Identify, escalate, address, and validate potential policy violations identified through monitoring activities. Partner with business and compliance colleagues to enhance and develop compliance controls and new c

The following describe the general nature and level of work being performed by this position. Project Management Directly accountable for the New Cancer Hospital construction project delivery team, including refinement and fulfillment of capital project budget and schedule. The Construction Executive of the New Cancer Hospital will report directly to this position. Change

PER DIEM NEED VARIABLE SHIFTS Wentworth Douglass Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal ac

Manage the calendars of the Managing Director and other assigned individuals, keeping them free of scheduling conflicts. Write and/or review correspondence and other written materials upon request and interpret information necessary to draft responses as needed. Prepare and regularly update planning documents and progress reports. Make travel arrangements according to req

The Executive Medical Director of Ophthalmology, Clinical Development holds the responsibility to lead clinical programs across different diseases and supervising the clinical development team. This individual will be the primary point person for medical monitoring and oversight of assigned clinical programs including monitoring of clinical studies, review & interpretatio