The Senior Program Manager is responsible for overseeing all aspects of large-scale, complex programs, including budget management, scheduling, and strategic alignment. They lead cross-functional teams, analyze program data, and proactively identify and mitigate risks to ensure organizational goals are met.
Mass General Brigham
32 Remote Job Openings at Mass General Brigham
The Program Manager coordinates MassHealth operational activities, including regulatory reporting, compliance tracking, and stakeholder communications. They also support the appeals and claims resolution process by managing documentation and facilitating interdepartmental coordination.
The Senior Healthcare Analyst designs and performs complex medical cost and utilization analyses for Medicare Advantage and Dual Eligible populations. They collaborate with clinical, finance, and operations teams to monitor trends, evaluate program effectiveness, and support regulatory reporting requirements.
The Customer Service Representative acts as the primary point of contact for members and providers, handling inquiries regarding benefits, eligibility, and claims. They are responsible for troubleshooting complex issues, documenting interactions in call logs, and escalating priority concerns to ensure first-call resolution.
The Procurement Specialist manages the end-to-end procurement process, including requisition handling, order fulfillment, and supplier relationship management. They ensure organizational compliance, fiscal responsibility, and timely delivery of products and services while maintaining strong partnerships with internal stakeholders.
Inpatient Consult Services, Operations Specialist
Mass General Brigham
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Full Time
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5 days ago
Mass General Brigham
The Operations Specialist is responsible for supporting day-to-day administrative functions and ensuring efficient workflow across departments. They will collaborate with teams to resolve operational issues, prepare performance reports, and assist with special projects and staff training.
Coding Quality Specialist - Inpatient
Mass General Brigham
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Full Time
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6 days ago
Mass General Brigham
The Coding Quality Specialist is responsible for developing and implementing quality assurance programs to ensure the accuracy, completeness, and compliance of medical coding practices. They will also analyze medical documentation and provide training to healthcare staff to improve coding accuracy and documentation standards.
Managed Care Services Representative
Mass General Brigham
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Full Time
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9 days ago
Mass General Brigham
Acts as a liaison between hospitals, insurance companies, and patients to verify coverage and obtain pre-authorizations for medical procedures. Educates patients on insurance benefits and manages the submission of accurate insurance claims.
The role manages the financial aspects of research grants, including budget development and proposal coordination. It ensures strict adherence to institutional and sponsor compliance while facilitating grant applications and financial reporting.
The Denials Liaison executes denials prevention strategies and drives improvement efforts to reduce insurance rejections and write-offs. This involves analyzing performance variations, leading prevention workgroups, and collaborating with various revenue cycle departments to implement process improvements.
Appeals & Grievances Coordinator
Mass General Brigham
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Full Time
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12 days ago
Mass General Brigham
Coordinate and document the lifecycle of member appeals and grievances for Medicare lines of business. Collaborate with internal stakeholders and external regulators to resolve cases within contractual and regulatory timeframes.
The Research Assistant will conduct interviews with healthcare providers in Ukraine and perform transcription, translation, and qualitative data coding. They will also serve as a cultural liaison and contribute to the preparation of research manuscripts and reports.
Research Community Health Worker
Mass General Brigham
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Full Time
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13 days ago
Mass General Brigham
Deliver a structured virtual coaching intervention to educate and support caregivers of cancer patients. Assist caregivers in navigating the healthcare system and building psychosocial coping skills to improve patient outcomes.
Grant Administrator Fully Remote
Mass General Brigham
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Full Time
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15 days ago
Mass General Brigham
Collaborate with Principal Investigators to develop grant submissions, perform budget forecasting, and monitor fund statements. Act as a liaison to grantor agencies while managing accounts payable, receivable, and purchase orders for research departments.
The Program Manager serves as the operational hub for the Programs Team, coordinating logistics, managing project plans, and ensuring smooth communication. The role involves managing program data in Salesforce, improving operational workflows, and supporting training and event execution.
The IRB Vice Chair chairs convened IRB meetings and conducts expedited reviews to ensure compliance with federal, state, and local regulations. They lead the Other Events Committee and collaborate with Principal Investigators and leadership to protect human subject research.
ACO Medicaid Claims Review Specialist
Mass General Brigham
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Full Time
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20 days ago
Mass General Brigham
Review and adjudicate medical and pharmacy claims to ensure accurate coding, documentation, and compliance with billing regulations. Collaborate with external departments to resolve errors and identify potential fraud or system configuration issues.
Finance Operations Lead, Payer Contracting
Mass General Brigham
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Full Time
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20 days ago
Mass General Brigham
Lead the optimization of data and analytic processes to support the negotiation and management of health insurance contracts. Develop strategic analyses of value-based care models and provide financial insights to influence organizational decision-making.
New Initiatives Program Manager, Revenue Cycle Operations
Mass General Brigham
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Full Time
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21 days ago
Mass General Brigham
Manage large-scale complex programs and projects related to Revenue Cycle Operations strategic initiatives. Lead cross-functional teams, manage budgets, and provide regular data-driven updates to leadership.
Medical Economics Senior Analyst
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
Oversees the design and delivery of regulatory reports and financial analyses to support external filings and internal interpretation. Partners cross-functionally to translate complex regulatory specifications into actionable data logic and ensures audit readiness.
Executive Director, Physician Compensation
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
The Executive Director executes the physician compensation strategy and manages a team of professionals to oversee provider compensation programs. This includes managing financial, operational, and regulatory aspects while driving process improvements and operational excellence.
Ensure regulatory requirements for clinical trials are met by managing study binders and submitting protocol amendments to the IRB. Coordinate with clinical teams, sponsors, and federal agencies to document adverse events and maintain trial correspondence.
Inpatient Coding Quality & Education Specialist
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
The specialist serves as a subject matter expert in inpatient coding to ensure accuracy, reimbursement integrity, and compliance through auditing and data analysis. They lead coder education, onboarding, and collaborate with multidisciplinary teams to improve quality reporting and operational workflows.
Accounts Receivable Supervisor, Commercial
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
The role involves monitoring work queue volumes and supervising a billing and follow-up team to ensure timely claims submission and denial resolution. The supervisor is responsible for team coaching, performance evaluations, and identifying payer trends to improve operational efficiency.
Outpatient Technical Advisor, Coding
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
The Technical Advisor oversees the integrity of ambulatory surgery coding and charging programs, providing guidance on audits and regulatory impacts. They collaborate with leadership and staff to implement coding systems, write policies, and provide education to ensure accuracy.
Acts as the primary liaison between hospital sites and the Revenue Cycle Operations team to optimize billing, coding, and financial performance. Responsibilities include analyzing performance data, managing issue lists, and executing improvement initiatives to enhance revenue capture.
Coding Specialist, Pain Management
Mass General Brigham
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Full Time
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2 months ago
Mass General Brigham
Responsible for reviewing patient medical records to assign accurate diagnostic and procedural codes for insurance reimbursement. The role involves auditing clinical documentation, resolving complex coding queries, and providing technical guidance to medical staff.
Support online graduate-level healthcare data analytics coursework by delivering instruction and managing course content via D2L. Responsibilities include conducting assessments, assigning grades, and providing academic mentoring to students.
Senior Science Editor and Awards Coordinator
Mass General Brigham
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Full Time
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2 months ago
Mass General Brigham
Leads the editorial strategy and scientific review for departmental publications, press releases, and executive communications for the Chair of Ophthalmology. Manages the end-to-end nomination and application process for over 60 local, national, and international awards annually.
Coding Education Specialist, Remote
Mass General Brigham
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Full Time
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3 months ago
Mass General Brigham
Responsible for designing and implementing coding education programs and e-learning modules for medical coders. The role involves conducting audits, providing feedback, and ensuring compliance with healthcare coding guidelines.
The Inpatient Coding Specialist is responsible for reviewing patient medical records and translating clinical information into accurate ICD-10-CM/PCS codes. They must ensure compliant documentation and determine the appropriate Diagnosis Related Group (DRG) to maximize reimbursement.
NP/PA - Provider In-Basket - MGH
Mass General Brigham
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Full Time
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9 months ago
Mass General Brigham
The APP works remotely to manage provider in-basket folders, including patient messages and urgent refills. They collaborate with MA and nursing staff to ensure patient care and coverage during provider absences.