The analyst is responsible for the design, configuration, and maintenance of research applications such as OnCore, Advarra, and Mural Link. They collaborate with stakeholders to translate business needs into system solutions and provide ongoing operational support and training to end-users.
Mass General Brigham
49 Remote Job Openings at Mass General Brigham
Conducts reviews of human subject research applications to ensure compliance with federal regulations, HRO policies, and ethical standards. Provides regulatory consultation to investigators and assists in the development of educational initiatives and institutional policies.
Utilization Review Manager - Remote - Faulkner
Mass General Brigham
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Full Time
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3 hours ago
Mass General Brigham
Perform utilization reviews to evaluate appropriate levels of care and manage the case management process from assessment to discharge. Coordinate clinical denials and appeals while collaborating with payers and physicians to ensure reimbursement and patient safety.
New Initiatives Program Manager, Revenue Cycle Operations
Mass General Brigham
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Full Time
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4 hours 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.
The coordinator manages patient medication requests, facilitates renewals, and handles prior authorization paperwork. They act as a resource for patients regarding insurance procedures and coordinate with prescribers to ensure medication access.
Establish and maintain strong connections with community partners and healthcare providers to promote hospital services. Facilitate seamless patient transitions and develop outreach strategies to create referral pathways.
Responsible for managing all aspects of a large-scale and complex program and corresponding projects. Oversees communication and collaboration with stakeholders while developing program schedules and budgets.
Responsible for administering leave programs and ensuring compliance with relevant policies and regulations. Serve as the main point of contact for employees seeking information and guidance on leave programs.
Execute integrated communication plans for the Neurosciences Institute and related departments to enhance faculty and staff engagement. Draft persuasive internal communications and collaborate with cross-functional teams to align messaging with institutional priorities.
Lead and manage nursing research projects from conceptualization to completion, focusing on supportive care for breast cancer patients. Responsibilities include designing protocols, collecting and analyzing data, and publishing findings in peer-reviewed journals.
Collaborates with Principal Investigators to develop grant submissions and perform budget forecasting. Manages fund statements, resolves accounting issues, and acts as a liaison between grantor agencies and subcontracting institutions.
Responsible for assigning accurate ICD-10, CPT, and HCPCS codes to patient encounters based on medical documentation. Ensures compliance with AMA and CMS guidelines to optimize reimbursement and minimize claim denials.
Investigate potential recoveries for Coordination of Benefits through research, phone calls, and claims processing. Manage communications with providers, members, and health plans to ensure compliance with federal and state mandates.
Oversee and enhance hospital administrative operations through strategic planning and operational oversight. Manage administrative staff and ensure compliance with healthcare regulations and accreditation standards.
Ensure a smooth patient check-in and discharge process by collecting demographic information and verifying insurance coverage. Handle patient inquiries, process payments, and obtain necessary pre-authorizations for procedures.
Clinical Research Data Specialist I
Mass General Brigham
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Full Time
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6 days ago
Mass General Brigham
The specialist extracts clinical and research data from electronic medical records and enters it into electronic data capture systems for oncology clinical trials. They are responsible for tracking subject appointments, managing adverse event data, and resolving data queries with sponsor representatives.
Medicare Member Service Representative
Mass General Brigham
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Full Time
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6 days ago
Mass General Brigham
Provide exceptional customer service to Medicare beneficiaries by handling inquiries regarding benefits, claims, billing, and enrollment. Collaborate with clinical and billing teams to resolve complex issues while maintaining strict HIPAA confidentiality.
Nurse Practitioner/Physician Assistant, Virtual Clinical Support
Mass General Brigham
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Full Time
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6 days ago
Mass General Brigham
Conduct virtual patient consultations and manage high-volume clinical in-basket tasks including prescription refills and patient messages. Coordinate care between patients and primary care providers while managing chronic conditions and referrals in a virtual setting.
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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11 days 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.
Oversees a diverse portfolio of sponsored research grants, contracts, and division sundries. Manages all phases of grant administration, including budget development, proposal submission, and ensuring compliance with sponsor and institutional guidelines.
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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14 days 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.
Responsible for selecting and purchasing quality products while providing procurement support to customers and suppliers. Duties include administering purchase orders, negotiating pricing with vendors, and analyzing market trends to make buying decisions.
Accounts Receivable Supervisor, Commercial
Mass General Brigham
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Full Time
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18 days 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.
Manage a portfolio of research departments by negotiating and administering research contracts, subcontracts, and awards. Ensure contractual compliance and alignment with business objectives through collaboration with internal and external stakeholders.
The Accountant II manages the month-end general ledger close process, including journal entries and the preparation of financial statements. They perform detailed account reconciliations and analyze revenue and expense budget variances to support management decisions.
Assists the Revenue Cycle Manager in coordinating patient billing office activities, including reporting, analysis, and accounts receivable management. Responsibilities include resolving Epic work queue edits, analyzing rejections, and training new staff.
Extract knowledge and insights from data to investigate business and operational problems using modeling and visualization techniques. Collect, analyze, and report data to support strategic planning and day-to-day operations while ensuring data validity.
Outpatient Technical Advisor, Coding
Mass General Brigham
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Full Time
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21 days 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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a month 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.
Coordinates and facilitates clinical components of charge audits and forensic reviews to preserve revenue. Prepares detailed audit responses and appeals to defend clinical charging policies and practices.
Perform financial analysis and reporting duties as a Financial Analyst I. Support the organization's financial planning and monitoring processes.
Inpatient Clinical Documentation Integrity Risk Adjustment Specialist
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
Conduct advanced second-level clinical documentation reviews for inpatient encounters to ensure accurate risk-adjusted reporting. Identify documentation gaps and issue compliant queries to providers to improve quality outcomes and O/E ratios.
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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a month 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.
Senior Program & Communications Coordinator (NEALS)
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
Coordinates strategic initiatives, communications, and program deliverables for the NEALS program, including facilitating working groups and managing timelines. Supports marketing efforts, member engagement, and the operational execution of the Annual NEALS Meeting.
Coding Specialist II, Anesthesia
Mass General Brigham
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Full Time
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a month ago
Mass General Brigham
Responsible for assigning accurate ICD-10, CPT, and HCPCS codes to patient encounters based on medical documentation. Ensures compliance with AMA and CMS guidelines to optimize reimbursement and minimize claim denials.
The role involves creating, reviewing, and overseeing contracts to ensure legal compliance and alignment with company goals. It also focuses on identifying operational efficiencies, mitigating risks, and providing guidance to junior contract team members.
Health Coach/Virtual Group Visit Coordinator
Mass General Brigham
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Full Time
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2 months ago
Mass General Brigham
Coordinate virtual group medical visits and provide individualized health and wellness coaching to patients with chronic conditions. Support primary care providers by managing patient goals, educational materials, and scheduling to drive sustainable lifestyle changes.
NP/PA - Provider In-Basket - MGH
Mass General Brigham
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Full Time
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2 months ago
Mass General Brigham
The provider manages indirect clinical work including patient messages, urgent refills, and critical results via the provider in-basket. They provide direct care, counseling, and diagnostic evaluations for a designated patient population in various settings.
Inpatient Coding Quality Specialist
Mass General Brigham
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Full Time
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2 months ago
Mass General Brigham
Responsible for monitoring and improving the quality of inpatient coding processes to ensure accuracy and regulatory compliance. This includes developing quality assurance programs, analyzing medical records, and providing coding education to healthcare professionals.
Coding Education Specialist, Remote
Mass General Brigham
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Full Time
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2 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.
Perform detailed data analysis, forecasting, and modeling of revenue and financial data to drive business operations. Partner with leaders to provide accurate metrics and insights while supporting junior analysts with training.
The Quality STARS Specialist monitors quality measures and translates data into actionable insights to improve CMS Star Ratings performance. They collaborate with clinical, pharmacy, and operational teams to execute quality improvement initiatives and ensure regulatory compliance.
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.
Duals Supervisor, Appeals and Grievances
Mass General Brigham
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Full Time
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6 months ago
Mass General Brigham
The Duals Supervisor oversees a team of appeals and grievance coordinators, ensuring compliance with regulatory requirements and optimizing departmental performance. They also collaborate with leadership on operational metrics and process improvements.
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.
