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38 open rolesLatest: Jun 5, 2026, 7:26 AM UTCCompany Site
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Title: Community Health Specialist - Northern Region Location: North - Middlesex, Essex, & Worcester counties Job Description: Job Title: Community Health Specialist We are hiring for individual to support the following covered regions: - North - Middlesex, Essex, & Worcester counties Role is hybrid with limited travel in the above counties. Job Overview This position delivers culturally-competent services to help patients navigate and access community services, other resources and adopt health behaviors. Assists with care coordination tasks such as setting up appointments and/or transportation; providing basic patient education; assistance with navigating medical and behavioral health systems; and facilitating communications with providers and other care team members. Helps patients’ self-management by identifying their non-medical needs, assisting with care plan development, and working towards patient-centered goals. Job Description Minimum Qualifications: 1. High school diploma or equivalent. 2. One (1) year of experience in healthcare setting such as a hospital, health center, home health provider, or community-based agency. 3. Valid, state-issued driver’s license and reliable transportation. Preferred Qualifications: 1.Bachelor’s degree in Health Sciences, Healthcare, Customer Service, or Administration. 2. Three (3) years of experience in healthcare setting such as a hospital, health center, home health provider, or community-based agency. 3. Customer Service experience. 4. Bilingual. 5. Experienced working in a multi-cultural, multi-lingual setting. Duties and Responsibilities:The duties and responsibilities listedbelow are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1.Supports the care team by communicating with patients to follow up after appointments, to confirm materials were received, to help coordinate non-medical services, and to obtain needed medical supplies and devices. 2.Coordinates referrals to community partners, services and resources, researchesresources, maintains resource databases, and establishes and maintains relationships with local/community institutions. 3.Acts as a patient advocate and liaison among internal and external providers, and community resources to integrate complex services and identify gaps and challenges in care and communication. 4.Conducts telephonic and face to face patient outreach to activate patients to become involved in managing their health, and collaborating with the healthcare team to develop patient-centered care plans and patient goals. 5.Identifies the need for services based on barriers (e.g. language, literacy, and cultural preferences). 6.Provides patient-centered health promotion, coaching on self-management and education. 7.Maintains collaborative, team relationships with peers and colleagues in order to effectively. contribute to the working group’s achievement of goals, and tactics to meet the overall organizational goals. 8.Community outreach, such as home visits and health screenings will also be . Physical Requirements: 1.Occasionally lift and/or move up to 25 lbs. 2.This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending / descending stairs and operating office equipment. 3.Frequently to speak, hear, communicate and exchange information. 4.Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols. Skills & Abilities: 1.Lives in and/or has familiarity with the target community and feels connected to that community. 2.Ability to work well with people of various ages, backgrounds, ethnicities, cultures and life experiences. 3.Excellent interpersonal and communication skills telephonically, as well as face to face. 4.Strong customer services skills. 5.Detail oriented, with strong organizational skills and multi-tasking abilities. 6.Ability to work independently with minimal supervision and as part of a team. 7.Knowledge of medical terminology. 8.Very strong working knowledge and proficiency with technology and business software (Microsoft Office). Job Profile Summary ​This role focuses on providing medical and clinical support services to patients. In addition, this role focuses on performing the following Community Health duties: Delivers training, facilitates sessions, and educates the community on a variety of clinical topics. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An entry level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range: $21.53 - $26.91

Massachusetts
$21 - $26 / hour

Title: Pediatric Clinical Social Worker - LICSW Location: Tufts Medical Center Job Description: Job Profile Summary ​This role focuses on safeguarding and promoting the welfare of patients and can provide services if necessary. In addition, this role focuses on performing the following Social Work duties: Provides social work assistance to patients and families relating to illness, disease, hospitalization and life events in all areas of service as a member of multi-disciplinary team and in liaison with community resources. Responsibilities also include identification, assessment, and coordination of cases and anticipation of needs related to illness, hospitalization, finances, education, and home/community service. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An entry level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area. Job Overview This position oversees a range of clinical social work services to patients/clients and families in inpatient, ambulatory and community settings utilizing individual, family or group modalities and practicing within the guidelines of professional social work ethics and standards. Participate in multi-discipline case conferences. Consult with agency care providers regarding social service needs of clients and families. Job Description Minimum Qualifications: 1. Master’s degree in Social Work. 2. Licensed Independent Clinical Social Worker (LICSW). Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Provide psychosocial assessment of the individual and family, including limitations, deficits and strengths in their current situation and environment, as well as functional level. May conduct a psychiatric social work assessment according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Develop treatment plans with appropriate and competent interventions. 2. Responsible for psychosocial assessment and intervention in crisis situations that often involve issues of suicide, homicide, family violence, elder or child abuse. 3. Clinically assess the patient's needs for long-term care, evaluate the home and family situation, help the patient and family to develop an in-home care plan, explore alternatives to in-home care and arrange for placement if necessary. 4. Provide treatment, therapy, psycho-education and/or counseling utilizing individual, family or group modalities. 5. Provide information, referral and creative resource acquisition for specific individual and family needs both within the Hospital and in the community as indicated. Assist patients/families to understand psychosocial factors impeding their maximal utilization of hospital and community resources. 6. Collaborate with and provide psychosocial consultation to the health care team to promote a smooth, coordinated plan of care. Aid the team in understanding and integrating the significance of psychosocial factors in relation to patient's illness, treatment and recovery. Identify psychosocial issues that may impede progress. Make recommendations to the team regarding patient/family care and management. Assist health care team to assist patient/family level of understanding to make informed decisions. 7. Provide medical social services to the patient’s family member or caregiver on a short-term basis when necessary to remove a clear and direct impediment to the effective treatment of the patient’s medical condition or rate of recovery. 8. Treat patients and families with dignity and respect at all times. Offer time for questions and answers. Be empathetic in communication while working toward optimal health goals. 9. Provide outreach, case finding/screening for high-risk issues that may impact on patient's progress, participation in plan, discharge or ability to utilize resources. 10. Assist with discharge planning issues to ensure continuity of care. Formulate, coordinate and implement the psychosocial components of outpatient care. 11. Consult, collaborate and communicates with a wide range of social, governmental and legal agencies, courts, schools, clinics, other hospitals, physicians and other sources. 12. Serve as a patient/family advocate with a variety of systems both internally and externally as required. May be called upon to testify in court. 13. Ensure clinical documentation is complete and according to departmental standards. Perform other administrative documentation and record keeping, such as accountability and statistical reports, billing forms, student intern evaluations, performance evaluations, etc. in complete and timely manner. 14. Initiate policy and program development in specific service area or team, utilizing knowledge of state-of-the-art programs and promoting social work values such as patient self-determination and social justice. Initiate, participate in and support policy and program development in the Department of Social Work Services. 15. Engage in regularly scheduled meetings, programs and activities of the Department. Serve on departmental committees. Represent the profession and Department in hospital and community meetings and committees. 16. Participate in social work professional education, supervision and teaching activities. 17. Maintain collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment. 18. Continually monitor, assess and modify social work practice and programs. Conduct quality improvement activities and research regarding service delivery and effectiveness of interventions, as required. 19. Conduct or participate in professional organizations, grant writing, teaching, public presentations, seminars and workshops. 20. Ensure compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.). Practice confidentiality principles set by the agency and federal HIPAA/HITECH guidelines. Physical Requirements: 1. Normal office setting, work from home, and community locations. 2. Inpatient and/or outpatient clinic patient care setting. 3. Frequent sitting, occasional standing & walking, and lifting of 5-10 lbs. 4. Requires manual dexterity using fine hand manipulation to operate computer keyboard. 5. Requires ability to see computer screen and reports. Skills & Abilities: 1. Possess and apply the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Knowledge of casework process and community resources in relation to health (including mental health), illness, and disability. 3. Knowledge of current social work theory and practice, the ability to apply treatment and case management methods, and familiarity with community issues and resources. 4. Diagnostic, treatment, interpersonal, organizational, and communication skills. 5. Analytical skills required assessing patient needs, to develop associated treatment modalities and to provide effective counseling. 6. Computer skills and knowledge of general office programs, spreadsheet programs, database programs, and presentation programs (Word, Excel, Access, PowerPoint). 7. Ability to read/write and communicate in English. 8. Excellent interpersonal skills. 9. Ability to function well in very busy situations. 10. Responsible and reliable. 11. Good organization skills. 12. Ability to engage a wide variety of patients and collaterals in the acute treatment and discharge planning process. 13. Ability to identify and access community resources. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range: $60,908.12 - $76,140.43

Massachusetts
$60.9K - $76.1K / year

Role Description The Health & Welfare Benefits Analyst supports the administration, analysis, and continuous improvement of Tufts Medicine’s health and welfare benefit programs, including: - Medical - Pharmacy - Dental - Vision - Life - Disability - COBRA - Leave-related programs This position focuses on data integrity, reporting, vendor coordination, and operational execution, enabling the Benefits team to: - Scale efficiently - Strengthen compliance - Enhance employee experience The role works closely with HRIS, vendors, payroll, and the Employee Service Center (ESC) to ensure accurate and timely benefit delivery. Qualifications - Bachelor’s degree in Human Resources, Business, Finance, or related field. - Two (2) years of experience in benefits. - Experience with Workday or similar HRIS strongly preferred. - Experience supporting case management or ticketing systems. Requirements - Supports day-to-day administration of health & welfare programs (medical, dental, vision, life, disability, COBRA, leave integration). - Partners with the Employee Service Center team to resolve escalated employee issues and ensure consistent service delivery. - Monitors eligibility, enrollments, and life event processing within Workday. - Assists with Open Enrollment execution, including audits, testing, and employee communications. - Manages and resolves escalated benefit-related cases within Workday. - Serves as Tier 2 support for complex benefit inquiries, including eligibility issues, enrollment discrepancies, and payroll deduction concerns. - Partners with HRIS to troubleshoot system issues, business process errors, and integration discrepancies. - Ensures timely case resolution and adherence to service level expectations (SLAs). - Develops standard responses, job aids, and knowledge articles to support Tier 1 (ESC) teams. - Develops and maintains recurring audits: Per-pay-period deduction audits, Monthly eligibility audits, and Vendor file reconciliation. - Partners with HRIS to build and enhance reporting capabilities. - Supports compliance reporting (ACA, nondiscrimination testing, audit requests). - Serves as a day-to-day contact for benefit vendors. - Assists in managing vendor performance and issue resolution. - Supports implementation and ongoing management of vendors such as: Blue Cross Blue Shield, Liviniti, HealthEquity, and The Hartford. - Coordinates file feeds and ensures data accuracy between systems. - Documents and maintains standard operating procedures (SOPs). - Supports transition of work to ESC where appropriate. - Assists with system enhancements and testing in partnership with HRIS. - Ensures adherence to plan documents and regulatory requirements. - Supports internal and external audits. - Tracks and manages exceptions to ensure proper documentation and oversight. Benefits At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range $72,371.94 - $90,464.92

United States
$72.4K - $90.5K / year

Role Description The Retirement Analyst supports the administration, compliance, and ongoing operations of the organization’s retirement programs. This role partners closely with internal stakeholders and external vendors to ensure accurate plan execution, regulatory compliance, and strong employee experience. Qualifications - Bachelor’s degree in Human Resources, Business, Finance, or related field. - Two (2) years of experience in retirement benefits or plan administration. Experience should include working with recordkeepers. - Experience working with Fidelity Investments (preferred). Requirements - Supports day-to-day administration of retirement plans (e.g., 403(b), 457(b), pension and RMSA). - Monitors and reconciles employee and employer contributions. - Reviews eligibility, enrollment, and distribution activity for accuracy. - Tracks and resolves operational issues in partnership with vendors. - Acts as a primary contact for recordkeepers and partners such as Fidelity Investments and other legacy providers. - Submits, tracks, and resolves service tickets (e.g., contribution errors, eligibility issues). - Coordinates data exchanges and ensures file accuracy between systems. - Supports annual audits in partnership with external firms (e.g., Willis Towers Watson, CBIZ). - Prepares and validates audit documentation and census data. - Assists with regulatory compliance activities (e.g., 5500 filings, plan testing). - Generates and analyzes reports related to contributions, participation, and plan activity. - Identifies discrepancies and recommends corrective actions. - Supports ad hoc reporting requests from leadership. - Identifies opportunities to improve workflows, reduce manual processes, and enhance data accuracy. - Documents standard operating procedures (SOPs) and maintains process documentation. - Assists with complex employee inquiries and escalations. - Partners with HR, Payroll, and HRIS teams to resolve cross-functional issues. Benefits - Comprehensive Total Rewards package that supports health, financial security, and career growth. - Base pay ranges reflect the minimum qualifications for the role. - Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity. Pay Range $77,333.26 - $98,603.60

United States
$77.3K - $98.6K / year

Role Description This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Patient Access duties: - Performs the administrative and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. - Collects patient's necessary demographic and financial information from physician offices, acute-care entities, or the patients themselves. - Schedules services for patients and handles referrals from primary care doctors to ensure patients are scheduled for recommended appointments/procedures. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands on” environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is closely supervised and communicates information that requires little explanation or interpretation. Qualifications - High School Diploma or equivalent - One year (1) customer service and/or patient experience. - Experience with Epic (preferred) - One (1) year experience in a medical office or healthcare access center (preferred) Requirements - Complete appointment request processes as received through Epic, telephone, or faxed based requests for care by a clinician. - Demonstrates Tufts Medicine service standards through professionalism and empathy with patients and colleagues. - Demonstrates excellent productivity through reaching workload volume goals as measured by completed work queue events and expected time to complete ratios. - Ensures compliance with data entry protocols and decision trees. - Verifies patient insurance coverage for specialist visits and diagnostic tests. - Informs patients about their referral appointment, including date, time, location, and any special instructions. - Meets all required competencies for department. - Adheres to the standards identified in the Center’s Organizational Competencies. Benefits - Comprehensive Total Rewards package that supports your health, financial security, and career growth. - Fair, competitive pay that attracts, retains, and motivates highly talented individuals. Pay Range $20.12 - $25.15

EST (UTC-5)
$20 - $25 / hour
Job Closed

Role Description This role focuses on the design, development, and implementation of information technology (IT) solutions in order to meet the organization's needs through new and existing applications, systems architecture, network systems and applications infrastructure, and the management of the IT infrastructure. In addition, this role focuses on performing the following Client Applications Support duties: - Designs, develops, implements, and updates internal IT applications in accordance with specifications and business needs. - Designs, codes, tests, and debugs computer programs. - Prepares systems documentation and training. A professional individual contributor role that may direct the work of other lower-level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation, or delivery of processes, programs, and policies using specialized knowledge and skills typically acquired through advanced education. An entry-level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies, and practices related to job area. Qualifications - High school diploma or equivalent and four (4) years of relevant experience OR - Associate degree in information technology, finance, clinical field, or related field and two (2) years of relevant experience OR - Bachelor’s degree in information technology, finance, clinical field, or related field. Requirements - On-call rotation required every 4 weeks. Duties and Responsibilities - Develop detailed understanding of application functionality by working with senior staff, attending training and/or reading documentation. - Collaborate with end users to understand and define requirements. - Use technical and analytical skills to determine the best approaches to tailoring systems to meet individual requirements. - Build and configure systems to meet requirements, using available application tools. - Create documentation of custom builds as appropriate. - Develop test scenarios based on requirements. - Execute testing and identify issues. - Research and resolve issues, with assistance from more senior and/or more technical staff as needed. - Provide input to application implementation event plans. - Provide support during application implementation events, including occasional off-hours support. - Build enhancements to current functionality using application tools. - Participate in detailed testing of software updates and upgrades. - Respond to issues reported by users; research and resolve issues in a timely fashion. - Provide excellent customer service: communicate in a friendly and professional manner, empathize with users on system issue impacts, set appropriate expectations on issue resolution. - Participate in after-hours on-call support rotation, to troubleshoot and resolve system issues escalated by the Help Desk. - Collaborate with vendor support personnel to research and resolve vendor product issues. - Participate in vendor user groups and online listservs, and review contents of vendor updates, to ensure optimization of the capabilities of the assigned applications. - Participate in cross-training, as a trainer and a learner, for personal development and to ensure adequate secondary coverage on all applications. Physical Requirements - Frequent sitting, occasional standing & walking, and lifting of 5-10 lbs. - May be required to travel to a healthcare site or other designated location. - Mental requirements will be intense at times with involvement in many concurrent multi-faceted projects. - Manual dexterity using fine hand manipulation to operate a computer keyboard or related equipment. - Ability to see computer screen, monitoring equipment, and reports. Skills & Abilities - Excellent customer service orientation and good communication skills. - Ability to be flexible with changing priorities, initiatives, and tasks. - Ability to work within a team and to be successful in a team environment. - Skilled at supporting applications in a healthcare environment. - Knowledge and ability to clearly explain findings and answer questions about the work. - Communicate complex information in a way that their users can understand. - Ability to interpret data and find meaningful information from it. - Ability to analyze a situation and make decisions based on the information available. - Ability to make decisions about the data they analyze and the conclusions they make about the data. - Ability to find the cause of issues, develop strategies to resolve them, find ways to improve processes, and develop new methods. - Ability to understand the needs of the organization and how to meet those needs. Pay Range $77,333.26 - $98,603.60

EST (UTC-5)
$77.3K - $98.6K / year
Job Closed

Role Description This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Revenue Cycle Leadership duties: - Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. - Responsibilities include long-term strategic planning, determining the policies of the organization, and allocating its resources. - Making decisions regarding organization growth and diversification to accomplish the entity's vision. - Supervises employees focusing on tactical, operational activities within a specified area. - Majority of time spent overseeing area of responsibility, planning, prioritizing, and/or directing the responsibilities of employees. - Goal achievement is typically accomplished through performance of direct and/or indirect reports. - Directs a department or small unit that includes multiple teams led by managers and/or team leaders. - Ownership of short to mid-term (1-3 years) execution of functional strategy and operational direction of the Department. - Problems faced are often complex and require extensive investigation and analysis. - Requires ability to influence others to accept practices and approaches. - Ability to communicate and influence executive leadership. Qualifications - Bachelor’s degree. - Seven (7) years of access center experience and three (3) years of management experience within a healthcare access center. - Epic Cadence Certification or obtain within two years of hire. Preferred Qualifications - Bachelor’s degree. - Five (5) years of management experience within a healthcare access center. Duties and Responsibilities - Oversees the clinical referral process to eliminate delays to care and achieve other key performance indicators. - Enables patient-focused, customer service-driven culture, ensuring compassionate, high-quality experiences in every referral interaction. - Demonstrates Epic referral and work queue expertise, including report generation and training programs for clinical referral team and allied stakeholders. - Implements tactics to achieve growth and other goals for TMMG. - Supports roll out of new Epic functionality in partnership with Access Informatics and Network Outreach. - Coordinates with IT and phone/technology systems to troubleshoot issues, optimize workflows, and enhance referral tracking. - Coaches, mentors, and develops staff in preparation for increasing responsibilities or optimizing strengths within role. - Develops all competencies for the department, ensuring staff adherence. - Adheres to the standards identified in the Center’s Organizational Competencies. Physical Requirements - Professional office environment with typical office requirements such as computers, phones, photocopiers, filing cabinets, etc. - This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending/descending stairs, and operating office equipment. - Frequently required to speak, hear, communicate, and exchange information. - Able to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers, and symbols. - Occasionally lift and/or move up to 25 pounds. Skills & Abilities - Ability to read and write in the English language. - Attention to detail, strong organizational skills, and ability to switch tasks frequently. - Experience with Excel, Word, Visio, and other Microsoft applications. - Strong complex problem-solving skills and ability to make decisions independently. - Ability to manage and prioritize multiple priorities in a dynamic fast-paced environment. - Ability to create a collaborative team-oriented environment. - Ability to influence stakeholders without supervisory authority. - Excellent communication skills and able to tailor messaging to audience. - Analyze data for strategically planning improvements within work portfolio for team or other stakeholders. Pay Range $122,301.82 - $155,933.24

United States
$122.3K - $155.9K / year

Director, Compliance, Quality & Risk Care at Home Location: 847 Rogers Street, Suite 201, Lowell, MA 01852 Job Description: About Tufts Medicine Care at Home Care at Home is the region’s most trusted provider of home health and hospice care for infants, children and adults. Our care teams proudly serve 110 cities and towns in the Merrimack Valley, northeastern Massachusetts and southern New Hampshire. Please Note: This is a full-time onsite position. After a successful 6-month period, there may be the option to work remotely up to 1 day per week depending on business needs Job Overview This position has overall responsibility for the Quality and Risk Management program. Responsible for regulatory compliance including external reporting requirements for the Department of Public Health (DPH). Provide oversight of risk management and patient safety processes to minimize risk to the organization and provide a culture of safety and healing. In conjunction with the medical staff and system leadership, directs and coordinates Safety, Quality, and Performance Improvement initiatives. Collaborate closely with medical staff leadership to ensure physician competency and quality patient care. Minimum Qualifications: 1. Bachelor’s degree in Nursing, Physical Therapy, Occupational Therapy or related field. 2. Current state license in clinical field. 2. Five (5) years progressive leadership experience in Home Care system management overseeing Compliance, Quality, Patient Safety, or related area. Preferred Qualifications: 1. Master’s degree in nursing, public health, health administration, or related field. 2. Ten (10) years progressive leadership experience in Home Care/Hospice system management overseeing Compliance, Quality, Patient Safety, or related area. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Initiates and oversees the development of a comprehensive Safety, Quality, and Performance Improvement program inclusive of the analysis and trending of data related to initiatives. 2. Provides strategic oversight for patient safety and quality committees with accountability for distribution of organizational communication. 3. Provides overall direction necessary to ensure clinical services are provided in accordance with standards established through state and federal regulations, including National Patient Safety Goals, and are evidence-based. 4. Accesses organizational compliance related to clinical care in collaboration with entity leadership and staff. 5. Identifies areas of vulnerability and directs the development of strategies to enhance compliance. 6. In conjunction with medical staff and system leadership, directs and coordinates safety, quality, and performance improvement initiatives. 7. In collaboration with clinical staff and leadership, participates in the monitoring, reporting and improvement activities related to clinical guidelines, healthcare quality and safety initiatives, accreditation, and regulatory requirements. 8. Manage department staff in the performance of duties, setting standards, providing development and training, perform evaluations and set goals. 9. Prepare standard reports for leadership and board use. 10. Manage a team of coding clinicians, providing oversight of accuracy, performance metrics and consistent and timely submissions. 11. Leads program and location through CMS survey- complete audit and documentation request 12. Represent Care at Home on system wide quality initiatives Physical Requirements: 1. Must be able to sit, stand, walk, and talk most of the time; stoop, kneel, or crouch occasionally. 2. Must be able to use hands to finger, grasp and feel. 3. Ability to lift up to 10 pounds occasionally. 4. Close, distance, color, peripheral, depth perception, and the ability to adjust focus. 5. Must be able to clearly recognize alarms, understand and follow calls and instructions. Skills & Abilities: 1. Working knowledge of healthcare quality and patient safety management, data sets and databases, benchmarking, outcome measurement, team development. Knowledge of regulatory compliance, quality improvement science and analytics. 2. Working knowledge of home care and hospice regulations, Oasis and Hope assessment tools and data sets, industry best practice and performance metrics, and ICD-10 coding protocols. 3. Possess strong analytic skills, ability to interpret data; facility with using Excel. 4. Sound critical thinking/decision-making skills and the ability to function well under pressure. 5. Ability to cooperate in working with others to facilitate problem resolution with focus on process or system improvement. 6. Excellent verbal, written and presentation communication skills and ability to build relationships. 7. Highly developed organizational, interpersonal, and management skills. 8. Proficiency with Microsoft office applications. 9. Good leadership skills. 10. Knowledge of credentialing and peer review. 11. Ability to lead/facilitate change and motivate staff and physicians. Job Profile Summary This role focuses on ensuring the organization's business activities are conducted ethically and in compliance with relevant regulations, laws, and standards. In addition, this role focuses on performing the following Compliance duties: Defines and documents policies and procedures related to the standards established by the business that comply with applicable external legislation/regulations, but may also reflect a higher standard than the legally required minimum. Responsibilities also include employee compliance training, auditing compliance, investigating complaints, and verifying that deficiencies are corrected. A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. A role that directs a department or small unit that includes multiple teams led by managers and/or team Leaders. Responsibilities typically include: ownership of short to mid-term (1-3 years) execution of functional strategy and the operational direction of the Department, problems faced are often complex and require extensive investigation and analysis, and requires ability to influence others to accept practices and approaches, and ability to communicate and influence executive leadership. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range: $134,525.66 - $171,524.44

Massachusetts
$134.5K - $171.5K / year

Role Description This role focuses on performing a variety of financial activities, including accounting, financial analysis, audit, tax, and collections, while ensuring compliance with regulatory standards. In addition, this role focuses on performing the following Financial Planning & Analysis duties: - Short and long-term financial planning and/or financial analysis of business operations for the purpose of measuring and forecasting future business performance. - Analysis of internal financial information (e.g., profit loss accounts, financial statements, working capital, costs, prices, expenses, revenues, rates of return, etc.) and of external economic conditions and their impact on business operations (e.g., inflation, interest rates, exchange rates, etc.). - Conducts financial modeling to measure and forecast potential impacts of financial transactions and corporate development activities. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An entry level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area. Qualifications - Bachelor’s degree in Accounting, Finance, or a related financial field. Requirements - Three (3) years of finance and budget experience (preferred). Benefits - Comprehensive Total Rewards package that supports your health, financial security, and career growth. - Base pay ranges reflect the minimum qualifications for the role. - Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity. Job Overview This position helps manage spending to ensure that funds are allocated appropriately and used according to the organization’s annual finance projections. Creates and maintains budget records in accordance with company guidelines. Analyzes budget data and recommends strategic funding for various initiatives. Also evaluates program effectiveness to determine if redistribution of funds is required. Duties and Responsibilities - Assists in the preparation of annual operating budgets and transitions to a rolling forecast model. - Maintains and oversees the budget and forecasting systems, ensuring data integrity, accuracy, and timely updates. - Facilitates the preparation of capital budgets for business units and ensures alignment with financial strategies. - Collaborates with department heads, senior management, and key stakeholders to develop organizational and departmental budgets using platforms like Strata OB. - Reviews reports, proposals, and budgets for compliance and accuracy. - Provides guidance on financial profitability analysis across various departments. - Ensures departmental budget requests are merit-based and authentic. - Creates monthly variance reporting. - Prepares financial analyses for the Financial Leadership Team to support committee and board meetings. - Assists in preparing monthly accounting and productivity monitoring for the hospitals. - Prepares financial reports and provides proactive financial estimates and recommendations. - Works with senior management, physician leaders, and department directors to assess and support capital budgeting and cash flow impacts. - Assists in the annual capital budget process and in the development of strategies for efficient fund allocation. - Ensures compliance with regulatory agency reports and third-party cost reports. - Assists with filings and ad-hoc financial analyses or special projects as required. - Reviews payroll reports, reconciles expenses, and assists departments with staffing cost management. - Collects and reports contract labor data, ensuring accurate budgeting and staffing levels. - Assists with the position control process, including submissions, approvals, and managing related communications. - Assists with the maintenance of position control reports, including new requests and approvals. - Collects and reports all data related to productivity for ActionOI. - Works with consultants and other business partners to report the data quarterly. - Assists in the preparation of the five-year financial plan that ties to the Corporate Strategic Plan. - Works with DS team to ensure the integrity and accuracy of the Decision Support System (DSS). - Provides accounting support as needed, including general ledger entries and reconciliations. - Maintains and updates financial reports like balance sheets, income statements, and trial balances. - Supports monthly actual-to-budget variance analysis with the Accounting department. Physical Requirements - Professional office environment with typical office requirements such as computers, phones, photocopiers, filing cabinets, etc. - This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending/descending stairs, and operating office equipment. - Frequently required to speak, hear, communicate, and exchange information. - Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers, and symbols. - Occasionally lift and/or move up to 25 pounds. - Requires manual dexterity using fine hand manipulation to operate computer keyboard. Skills & Abilities - Analytical skills needed for analyzing and reconciling accounts. - Interpersonal skills needed for interacting effectively with managers, banks, and staff. - Effective organizational and interpersonal skills. - Ability to manage multiple tasks and delivery dates. - Ability to communicate effectively, exhibit judgment, and deal constructively with staff and department managers. - Strong teamwork skills. - Ability to work in a complex, fluid environment and to work independently. - Proven track record of working with key stakeholders to determine and track budgets. - Strong analytical and communication skills. Pay Range $66,397.24 - $82,991.27

EST (UTC-5)
$66.4K - $83.0K / year

Role Description This role focuses on activities related to revenue cycle operations including, but not limited to billing, collections, cost estimates, and payment processing. In addition, this role focuses on performing the following Patient Access duties: - Performs the administrative and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. - Collects patient's necessary demographic and financial information from physician offices, acute-care entities, or the patients themselves. - Schedules services for patients and handles referrals from primary care doctors to ensure patients are scheduled for recommended appointments/procedures. - Most of the time is spent in the delivery of support services or activities, typically under supervision. - An entry-level role that typically requires little to no prior knowledge or experience. Qualifications - High school diploma or equivalent. - Two (2) years of related experience in a hospital, physician office, or financial services. - Associate’s degree (Preferred). - Five (5) years of related experience in a hospital, physician office, or financial services (Preferred). Requirements - Contacts insurance companies and workers compensation carriers to obtain verification of insurance, eligibility, and level of benefits. - Contacts patients for updates of financial and demographic information. - Obtains financial data from various sources including both in-state and out-of-state payers. - Arranges for coordination of benefits when more than one insurance carrier is involved. - Seeks administrative approval of admission (precertification) for surgeries, admissions, procedures, imaging, outpatient specialty referrals, home health, hospice, and all other in-scope services. - Identifies procedures & services that are not covered by individual insurance policies. - Communicates all identified financial risk concerns to the ordering department and Patient Access leadership. - Collaborates with Financial Coordination and Pre-Registration colleagues regarding patients with identified financial risk concerns. - Obtains all applicable clinical documentation when required by insurance payers for elective services. - Closely follows case statuses and communicates/document in the hospital system. - Immediately identifies denied claims and works closely with department leaders toward their appeal and peer-to-peer workflow. - Monitors productivity and quality of workflow directly. - Acts as a resource to other departments regarding precertification policies and resolution of accounts. - Maintains collaborative, team relationships with peers and colleagues. - Works closely with Case Management and Admitting colleagues to confirm level of care changes. - Learns and adapts to new workflow changes and updates. - Assists in the training and shadowing of new team members. Benefits - Comprehensive Total Rewards package that supports health, financial security, and career growth. - Fair, competitive pay that attracts, retains, and motivates highly talented individuals. - Base pay range: $20.12 - $25.15. Physical Requirements - Frequent sitting, occasional standing & walking, and lifting of 5-10 lbs. - A valid driver’s license is required for local travel to remote hospital sites. - Mental requirements will be intense at times with involvement in many concurrent multi-faceted projects. - Requires manual dexterity using fine hand manipulation to operate a computer keyboard or related equipment. - Requires ability to see computer screen, monitoring equipment, and reports. Skills & Abilities - Knowledge of medical terminology. - Knowledge of ICD-10 and CPT coding. - Thorough working knowledge of insurance, payer precertification requirements for in-network, out-of-network, Medicare, and Medicaid. - Knowledge and willingness to learn computer systems (Microsoft Word/Excel). - Strong verbal and written communication skills with a patient service focus. - Excellent organizational skills, ability to prioritize work assignments, and attention to detail. - Ability to respond effectively to changing priorities and work processes. - Ability to work independently and participate in teams. - Strong customer service skills including excellent interpersonal and telephone skills. - High degree of tact due to frequent interaction with patients, physicians, and insurance companies. - Knowledge and understanding of health care delivery systems with emphasis on the referral management process for managed care providers.

EST (UTC-5)
$20 - $25 / hour

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