Healthcare & Pharma Careers

Candidate Profile: JD from a top-tier law school with a strong academic record.. 10+ years of experience advising clients or engaging in policymaking related to healthcare billing and reimbursement, including Medicare, Medicaid, and VA/Tricare.. Deep knowledge of federal fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and False Claims Act. Experience guiding healthcare entities such as hospitals, physician groups, academic medical centers (AMCs), skilled nursing facilities (SNFs), and home health agencies on regulatory compliance.. Key Responsibilities: Counsel clients on Medicare, Medicaid, and VA/Tricare reimbursement requirements.. Advise on fraud and abuse compliance, including structuring transactions to align with Stark, Anti-Kickback, and False Claims Act regulations.

With its proprietary FORCE™ platform, Dyne is developing modern oligonucleotide therapeutics that are designed to overcome limitations in delivery to muscle tissue.. Dyne has a broad pipeline for serious muscle diseases, including clinical programs for myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD), and a preclinical program for facioscapulohumeral muscular dystrophy (FSHD).. Role Summary:The Executive Director, Clinical Development serves as a key member of the Company’s Clinical Development and Program Team and will have primary responsibility for the design and oversight of an integrated development strategy, including both in-house development and potential strategic partnerships to augment the internally developed pipeline.. The Executive Director, Clinical Development will be responsible and accountable for the development of the medical aspects of the FSHD clinical program.. This role will be responsible for delivering quality and timely medical input and interpretation on specific program data in fulfilment of the program objectives, working in partnership with regulatory affairs and pharmacovigilance in providing medical support for pharmacovigilance activities, responses to regulatory agency queries, and development.

Job Description Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.. Manages core pharmacy workflow and drives excellence in pharmacy operations.. Supports Pharmacy Manager with diversion monitoring and reports any concerns that would compromise the security of the pharmacy to the Pharmacy Manager.. Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager, assigns pharmacists to off-site immunization clinics and community events.. Seeks professional development by monitoring one’s own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach.

This position works in close collaboration with the counterpart BI Manager (IT) supporting many of the same or similar projects and deliverables.. Supports Harris Health System's quality, outcomes and financial initiatives.. Master's degree in aligned disciplines preferred (MBA, MS, MHA, MPA)2.. Systems:Allscripts Enterprise Analyst and Decision Support Suite, PeopleSoft, Trendstar (McKesson), EMR/Epic, Clarity, SAP Business Objects (Business Intelligence), Oracle SQLSpecial Requirements: (Check Applicable Areas)1.. Advanced Education:Bachelor's DegreeMajor:Bachelor's Degree in Accounting, Finance, IT or Healthcare AdministrationMaster's DegreeMajor:Master's degree in aligned disciplines preferred (MBA, MS, MHA, MPA) 4.

Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.. Signature Rehab is dedicated to providing top rehab care to residents of Signature HealthCARE nursing homes nationwide, as well as other individuals on an outpatient basis.. To learn more about our benefits offered, please contact Jenny Collins, Senior Director of Talent Acquisition, directly at (561) 234-0371 or jcollins@signaturehealthcarellc.com.. At Signature HealthCARE, our team members are permitted – no, encouraged – to employ their talents and abilities to solve problems.. Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories

The Regional Patient Safety Risk Manager (RPSRM) provides management, expertise and oversight of a comprehensive quality, health, safety, and risk management program for the medical services contract at assigned regional medical units of the U.S. Customs and Border Protection (CBP), U.S. Border Patrol Station Medical Units, and Office of Field Operations Ports of Entry Medical Units.. Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States.. CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004).. Serves as direct supervisor for the Electronic Health Records Specialist, providing administrative oversight, mid-term review, and annual performance evaluation, under the guidance and oversight of the NPSQMD.. Supervisory Controls Works under the administrative direction of the National Patient Safety Risk Manager and in his/her absence the National Deputy Program Director.

We are located in Boston's vibrant Seaport district near South Station.. Collaborate with clinical operations, biostatistics, translational medicine, and regulatory teams to design robust, scientifically sound clinical trials that address unmet needs in neurological disease.. Develop and implement high quality clinical studies to support the clinical development plans including biomarker and translational studies, natural history studies, and clinical trials.. Actively contribute to the development of presentations, abstracts, manuscripts, and other scientific communications for medical conferences and peer-reviewed journals.. A minimum of 3 years of experience in clinical development within the biotechnology or pharmaceutical industry, preferably with experience in CNS, rare disease, or related therapeutic area

Job duties primarily include billing and following up with all medical insurance payors for claims.. Experience working on NextGen is a plus, and working within Excel is required.. Qualified candidates should have previous experience in medical claim billing, insurance follow-up, and have knowledge of AHCCCS guidelines.. In addition, qualified candidates must have a stable work history and have the ability to pass a drug screen and background check.. TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields.

QuVa Pharma is excited to support the growth and development of a Quality Assurance – Lot Disposition Intern.. Assists in the reviews of Variances associated with batch records for impact to the product disposition. QuVa is a national, industry-leading provider of pharmacy services, including ready-to-administer sterile outsourcing and advanced AI-generated insights providing clarity for revenue capture and inventory management.. LogicStream, a QuVa company, partners with health systems to aggregate, normalize, and analyze large amounts of complex data through AI and machine learning tools that generate actionable insights supporting revenue optimization, inventory management, and inventory-related workflows.. QuVa's Equal Opportunity Policy prohibits harassment or discrimination due to age, ancestry, color, disability, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, race, religious creed, sex (including pregnancy, childbirth, breastfeeding, and any related medical conditions), sexual orientation, and any other characteristic or classification protected by applicable laws.

ImmunityBio is developing cutting-edge technology with the goal to transform the lives of patients with cancer and develop next-generation therapies and vaccines that complement, harness and amplify the immune system to defeat cancers and infectious diseases.. Clinical Research Associate II will participate in clinical research teams to ensure the most effective and efficient conduct of clinical research studies by providing training, protocol interpretation, document collection and review and overall clinical trial support.. Oversee and support collection of essential documents during study start-up. Minimum of 2 years’ experience as a Clinical Research Associate I required. Voluntary Legal Services, Identity Theft Protection, Pet Insurance and Employee Discounts, Rewards and Perks

The Regional Medical Director is responsible for the professional, organizational, and administrative aspects of providing quality medical care to our Treatment Center patients throughout NYC area.. Key Responsibilities: Clinical Duties: Provide high-quality patient care 1-2 days a week (as needs arise) Team Development: Spend 3-4 days a week visiting sites to mentor and develop clinical staff.. Manage Care : Understand and Implement utilization management tactics Requirements: MD or DO degree from an accredited medical school.. Board certification in Family Medicine, Internal Medicine, or a related field.. Valid New York medical license, DEA, Medicare Provider ID, and Medicaid Provider ID. Proven experience in a leadership role within a healthcare setting.

This process also includes internal system and documentation audits as well as external audits of clinical sites, CROs, bioanalytical laboratories, etc.. Manage regulatory agency and other audits/inspections of Unither Bioengineering and prepare investigator sites for FDA or other regulatory agency inspections. Serve as in-house consultant for understanding project-specific requirements regarding federal and international regulations (e.g., privacy, data protection, ethics) to facilitate GCP compliance throughout the lifecycle of a trial. Travel up to 25% to conduct site and vendor compliance audits and attend meetings. Certified Quality Manager (CQM)-ASQ RQAP-GCP and/or ASQ-CQA

Upon hire attend a mandatory company-paid 15-hour online certification training with the NY State Department of Health; complete course requirements and pass all certification tests to become a registered and certified CAC (Consumer Assistance Counselor) with the NY State of Health Marketplace.. Attend training provided by Nassau-Suffolk Hospital Council to remain knowledgeable and current with all state and local rules and requirements of the following programs: Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home. Additional trainings regarding the Medicare Telephone Assistant program will also be provided, including an overview of the Medicare program.. Provide application assistance to special populations for enrollment into government sponsored health insurance programs throughout Nassau and Suffolk counties for the following programs: Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home.. HANYS is the only statewide hospital and continuing care association in New York. We are located near Albany and represent 500 not-for-profit and public hospitals, nursing homes, and other healthcare organizations.. HANYS advocates before Congress, the Governor's office, the State Legislature, and state and federal agencies.

Implement data governance processes to manage metadata, data lineage, and data access controls.. Expertise in implementing data governance frameworks, including metadata management, data lineage, and data stewardship.. Hands-on experience with data integration tools (e.g., Informatica, Talend, Apache NiFi) and cloud data services.. Familiarity with technologies like Snowflake, Redshift, Databricks, or Google BigQuery.. Experience with data visualization tools (e.g., Tableau, Power BI) and analytical frameworks (e.g., Spark, Hadoop).

Job Description Join a world-class academic healthcare system, Ingalls Memorial Hospital, as a Patient Financial Services Representative in the PFS Medicare and Commercial department.. Job SummaryThe Patient Financial Services Representative (“PFS Representative”) will be responsible for the account receivables management for Ingalls Memorial Hospital.. This position promotes revenue integrity and accurate reimbursement for the organization by enduring timely and accurate billing and collection of accounts.. The PFS Representative maintains an understanding of federal and state regulations, as well as requirements specific to Medicare, Medicaid, and fiscal intermediaries to promote compliant claims for governmental claims.. All PFS representatives will participate in process improvement and cross-training activities on an ongoing basis.

Based in New York City and Waltham, Mass., Dianthus is comprised of an experienced team of biotech and pharma executives who are leading the development of next-generation antibody complement therapeutics, aiming to deliver transformative medicines for people living with severe autoimmune and inflammatory diseases.. 10-15 years of experience in the pharmaceutical or medical device industry as a clinical research professional, including successful project leadership role and hands-on managerial experience running high quality clinical trials from inception to completion.. Experience in direct line management preferred and hands-on experience in monitoring and managing high-functioning clinical trial project teams.. Experience and understanding of the drug development process, clinical development planning and clinical trial execution.. Prior experience using computer applications including spreadsheets, email, word-processing software & web-based systems (EDC, IVR/IWRS, CTMS).

The Patient Account Biller is responsible for the timely and accurate billing of patient accounts.. Education:High school diploma or GED required, Associate's degree in healthcare administration, business, or a related field preferred.. Experience in appeals, denials, underpayments, UB92 and 1500 forms.. Skills and Abilities:Strong understanding of medical billing codes (CPT, ICD-10) and insurance reimbursement processes.. Other Requirements:Knowledge of federal and state healthcare billing regulations, including HIPAA.Understanding of Chronic Care Management (CCM) and Provider Psychiatric billing.

With two hospital campuses, Level III Trauma Center, Level III Special Care Nursery, Breast Health Center, Cardiovascular Center and over 20 locations and 50 specialties, MelroseWakefield Hospital offers many opportunities to grow your career.. MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston.. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services.. Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts.. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network.

One of our healthcare clients located in Cherry Hill, NJ is seeking a Medicare Billing Representative to join their team.. Monday-Friday 8:00 AM - 4:30 PM (No Holidays, Evenings, Weekends). - Analyzing/Understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client. - NThrive experience or EPIC Experience. - Understanding of Medical Terminology including CPT and ICD-10 Codes

Job Description – VA and Medicaid Credentialing Specialist Reports To RCM Management Summary The VA and Medicaid Credentialing Specialist is responsible for managing the credentialing and enrollment processes for VA and Medicaid agencies.. Experience Requirements 2+ years of experience in agency credentialing, healthcare administration, or a related field.. Flexible work arrangements, including remote work options.. About AxisCare According to Pew Research, roughly 10,000 baby boomers turn 65 every day, and the American Society on Aging calculated that an American has a 70% chance of needing help with activities of daily living such as dressing, bathing, hygiene, etc.. This has led to an unprecedented increase in Home Care agencies in the U.S. and abroad who strive to help those who have difficulty helping themselves, specifically offering non-medical (also referred to as non-skilled) services to seniors in their homes.