Revenue Integrity Specialist, Foundation Job at Boston Children's Hospital (Boston)

Medical Director of Revenue Integrity

The Physician Advisor is a key member of the healthcare organization’s leadershi...

Location

United States , Cheyenne

Salary:

Not provided

Cheyenne Regional Medical Center

Expiration Date

Until further notice

Requirements

Hold and maintain or able to obtain an unrestricted medical license in the state of Wyoming
Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety
Familiarity with InterQual and MCG is preferred
Strong understanding of Medicare Two Midnight Rules
Member of the American College of Physician Advisors (ACPA)
Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) or ACPA is required within 6 months of hire
Ability to build rapport with medical staff and hospital leadership to obtain the buy-in and collaboration necessary to achieve desired outcomes
Prefer Internal Medicine specialist with a background in Hospital Medicine
Maintain active medical practice in their specialty (Can accommodate clinical time up to 0.15 FTE in the specialty (depending on availability))
Demonstrates behavior that supports the organization’s mission

Job Responsibility

Provide functional leadership for the revenue integrity team Including CDI, Coding and Utilization Review
Responsible for oversight revenue integrity optimization
Lead value-based care initiatives for the organization
Chairs the Utilization Management Team
Review medical records of patients identified by case managers or as requested by the healthcare team including physicians to perform quality and utilization oversight
Perform medical necessity reviews including initial level of care, secondary reviews, and continued stay reviews
Conduct Peer to Peer discussion with Payor Medical Directors when requested
Provide regular feedback to physicians and all other stake holders regarding level of care, length of stay, and potential quality issues
Provide necessary clinical education to UR Case Managers regarding clinical criteria and appropriate use of screening tools
Educates individual hospital staff physicians about ICD-10 and DRG coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual patient records

What we offer

403(b) with 4% employer match
ANCC Magnet Hospital
$10,000 relocation bonus
$3,500 in CMEs
216 hours of PTO
Robust Benefits Package

Clinical Content Specialist - Drugs & Biologicals - Payment Integrity

The Clinical Content Specialist – Pharmacy will be responsible for developing an...

Location

India , Bengaluru

Salary:

Not provided

Randstad

Expiration Date

July 16, 2026

Requirements

Passionate about working in the pharmacy and clinical domain, with a focus on learning and growth
Should be passionate about pharmacy and the clinical side
Strong foundation in pharmacy and clinical concepts, including drugs and biologics
Demonstrated experience in research work, college thesis, or complex case study analysis
Strong research mindset with the ability to interpret clinical and medical literature
Excellent communication, articulation, and interpretation skills
Ability to translate complex clinical information into clear and structured insights
Sound clinical knowledge with attention to detail and accuracy
Pharm.D (Doctor of Pharmacy) – Preferred (Priority)
M.Pharm – Pharmacology / Clinical Pharmacy

Job Responsibility

Requires a deep understanding of Pharmacy, Clinical aspects
Good understanding of Drugs and Biologicals and their classification
Awareness of Pharmacy regulatory bodies, like CDSCO, DCGI, DoP
Generic and Brand drugs awareness
Dosage determination, medical necessity, safety and compliance
Dosage and Administration
Medical Necessity
Frequency of Medication
Contraindication
Age/Gender

Fulltime

Global Product Manager, SaaS & AI

At Vodafone, we're not just shaping the future of connectivity for our customers...

Location

Spain , Madrid

Salary:

Not provided

Vodafone

Expiration Date

Until further notice

Requirements

Proven product management experience, ideally with AI Agents and/or Agent Marketplaces
Deep understanding of AI Agent frameworks (including agent-to-agent protocols), AI governance, and compliance
Strong technical acumen in cloud, API integration, identity/security, and observability
Expertise in customer-centric design and Design Thinking
Track record of leading innovation, rapid experimentation, and operationalizing new technologies
Commercial mindset with pricing, packaging, and business case development
Excellent cross-functional collaboration and stakeholder management
Ability to distil customer/partner feedback into clear PRDs and acceptance criteria
Experience taking AI features from concept, prototype, production, scaled adoption with KPIs and measurable ROI
Degree (Upper Second Class or higher preferred)

Job Responsibility

Manage first‑ and third‑party AI agents, ensuring quality, safety, publishing standards and partner readiness
Own vision, strategy, roadmap, pricing, packaging, commercial models, revenue share and partner frameworks for AI Agents and AI‑powered SaaS, aligned to Vodafone growth priorities
Drive market analysis, customer research and competitive benchmarking to inform direction
Lead deployment, release and full lifecycle management of agents—onboarding, configuration, governance, updates and retirement
Monitor and optimise AI agent KPIs, defining standards for onboarding, catalogue rules, versioning, safe updates, rollback and EOL
Develop voice‑enabled agent solutions (call, chat, omnichannel)
Build pre‑built SME templates/workflows (e.g., appointment‑booking agent)
Oversee creation and maintenance of all PLCM artefacts (innovation canvases, PRDs, release notes, adoption guides)
Ensure robust documentation, version control and stakeholder communication
Guide junior product specialist on artefact best practices

What we offer

Hybrid work model
Bonus on top of the gross salary
Flexible working hours from Monday to Thursday, and an intensive schedule on Fridays
Intensive Summer Schedule during July and August
Up to 20 days per year of 100% remote work from other locations
Private Health and Life Insurance for employees and Family
25 vacation days, plus December 24th and 31st off
Optional Pension Plan
Access to an online learning platform for continuous training

Fulltime

Senior Networking Project Manager

As a Senior Networking Project Manager you will engage with customer stakeholder...

Location

United States , Springfield

Salary:

101800.00 - 193800.00 USD / Year

Microsoft Corporation

Expiration Date

Until further notice

Requirements

Bachelor's Degree in related field AND 3+ years' experience in project management OR equivalent experience.
Active U.S. Government TOP SECRET/SCI Security Clearance.
Verification of U.S. citizenship.
Pass Microsoft Cloud background check upon hire/transfer and every two years thereafter.

Job Responsibility

Engage with customer stakeholders to develop partnerships, leveraging broad technical expertise
Drives customer satisfaction by engaging with customers stakeholders in a positive manner, reviewing and analyzing customer feedback, and leveraging trusted relationships with key internal resources to act as the voice of the customer
Adheres to project compliance standards and requirements of the contract and accommodates customer compliance standards
Drives project initiation for projects of medium complexity by delivering a workstream within a larger project/program
Facilitates contracting process for partner resources by briefing partners, coordinating partner candidate interviews, and identifying and acclimating partner resources to the team
Develops detailed project management plan to drive predictable delivery for projects of medium complexity or supports senior colleagues in projects of high complexity
Provides review of defined metrics, proactively monitors and tracks risks, ensures timely completion and quality of deliverables, and manages stakeholder communications
Drives timely project closure by ensuring completion of project sign off tasks
Applies advanced knowledge across project management principle areas, contributes at local team-wide level to share knowledge and support others, serves as a mentor to junior colleagues to grow identified skill gaps, and participates in cross-border mentoring and peer alignment to share lessons learned on challenging projects
Drives and maintains obligations to customer across the delivery lifecycle including envisioning, solution development, delivery planning, cloud consumption and usage, delivery management while ensuring adherence to security best practices in partnership with Solution Area SMEs

Fulltime

Paid Media Specialist

We are Woolworths Group. 200,000+ bright minds, passionate hearts and unique per...

Location

Australia , Surry Hills, Sydney

Salary:

Not provided

Woolworths Supermarkets

Expiration Date

Until further notice

Requirements

Programmatic Expertise (5+ Years): Essential experience in programmatic trading (agency or client-side) with a proven, strong command of major DSPs, including DV360, The Trade Desk, Vistar Media, and CM360
Social Platform Execution: Hands-on experience executing campaigns across key social platforms, including Facebook, Instagram, TikTok, Pinterest, and Snapchat
Advanced Strategic Acumen: Demonstrated expertise in advanced investment decisioning and trading knowledge at scale
Solid understanding of online trends and the ability to develop effective digital communications programs
Technical Data Foundations: Expertise in Tagging solutions necessary for accurate measurement, robust audience building, and ensuring overall data integrity
Resilience and Adaptability: A proven track record of successfully managing complex timelines and budgets
Ability to handle deadline pressures calmly and adapt quickly to evolving business requirements
Stakeholder Influence: Strong ability to establish credibility and rapport with both clients and internal stakeholders
History of delivering effective decision-making, clear communication, and positive client service

Job Responsibility

Campaign Strategy & Execution: Lead high-impact brand and targeted marketing campaigns, focusing specifically on programmatic channels for both Woolworths Supermarkets and Everyday Rewards
End-to-End Media Management: Own the entire digital media lifecycle, from asset collation and trafficking to ad-serving tag creation, technical troubleshooting, and rigorous Quality Assurance
Commercial Outcome Focus: Execute seamless, multi-channel activities that are directly linked to critical commercial goals, such as increasing revenue, growing basket size, and expanding market share
Financial Accountability: Proactively manage campaign budgets, meticulously track expenditure, and ensure maximum Return on Investment (ROI) through efficient and effective spending
Stakeholder Consultancy: Serve as a trusted internal "client service" partner, cultivating strong relationships across the Group and providing stakeholders with data-driven channel recommendations and strategic guidance
Actionable Insights: Go beyond standard reporting to provide insightful performance analysis, translating complex data into clear, actionable recommendations for continuous optimisation and future strategy development

What we offer

Access to Sonder
A progressive and competitive leave policy
Team discounts across our range of Woolworths Group brands
a robust rewards program
Opportunity to Salary Sacrifice
novated leases
superannuation contributions
Qantas Club membership
computing devices

Parttime

Finance Integrations Lead

The Finance Integrations Lead will take end-to-end ownership of finance integrat...

Location

United Kingdom , Ross-on-Wye

Salary:

100000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

ACA, ACCA, CIMA (or equivalent) with a strong foundation in technical accounting
Proven track record of delivering "hands-on" finance integrations within multi-entity or PE-backed environments
Direct experience migrating entities onto ERP systems - Microsoft Dynamics 365 Business Central is highly advantageous
Advanced Excel skills and a natural aptitude for data analysis, mapping, and complex reconciliations
Experience redesigning finance operations, controls, and reporting frameworks during periods of transformation
You take ownership of outcomes rather than waiting for direction, remaining calm and pragmatic under the pressure of evolving priorities
Ability to manage sensitive relationships during change and translate complex financial requirements for non-finance stakeholders
You can balance a meticulous eye for detail with a clear understanding of the "big picture" integration goals
Comfortable navigating ambiguity and supporting teams through the cultural and operational shifts of a merger

Job Responsibility

Lead the end-to-end migration of entities onto D365 Business Central, including COA mapping, data cleansing, and opening balance reconciliations
Act as the primary decision-maker and escalation point between finance users, IT specialists, and external implementation partners
Manage the critical "cutover" period and provide post-go-live support to ensure system stability
Challenge legacy workflows to implement consistent Group processes for AP/AR, revenue recognition, and month-end close
Design and enforce robust financial controls, audit trails, and appropriate segregation of duties across all integrated units
Personally guide entity finance teams through their first month-end close cycle post-integration
Manage the set-up, closure, and mandate changes for bank accounts, ensuring full cash visibility across the Group
Lead finance workstreams for legal entity mergers, liquidations of dormant companies, and post-acquisition restructuring
Own and evolve the "Finance Integration Blueprint," capturing lessons learned to create a repeatable, scalable model for future M&A
Influence senior leadership to secure resources and provide solution-oriented updates on integration milestones

What we offer

Pension scheme
Paid annual leave — 25 days holiday plus bank holidays
Company Sick Pay Scheme
Access to Kinhub (wellbeing & financial support)
Reward Gateway — exclusive employee discounts with hundreds of retailers
Free eye test — every 2 years to support your health
On-site parking — where available, for ease of commuting
Inclusive Culture — HSL promotes equal opportunity and values diversity in team members

Fulltime

Global Product Manager, SaaS & AI

Vodafone is building a trusted, compliant, and monetizable AI Agents ecosystem f...

Location

United Kingdom , London

Salary:

Not provided

Vodafone

Expiration Date

Until further notice

Requirements

Proven product management experience, ideally with AI Agents and/or Agent Marketplaces
Deep understanding of AI Agent frameworks (including agent-to-agent protocols), AI governance, and compliance
Strong technical acumen in cloud, API integration, identity/security, and observability
Expertise in customer-centric design and Design Thinking
Track record of leading innovation, rapid experimentation, and operationalizing new technologies
Commercial mindset with pricing, packaging, and business case development
Excellent cross-functional collaboration and stakeholder management
Ability to distil customer/partner feedback into clear PRDs and acceptance criteria
Experience taking AI features from concept, prototype, production, scaled adoption with KPIs and measurable ROI
Degree (Upper Second Class or higher preferred)

Job Responsibility

Manage first‑ and third‑party AI agents, ensuring quality, safety, publishing standards and partner readiness
Own vision, strategy, roadmap, pricing, packaging, commercial models, revenue share and partner frameworks for AI Agents and AI‑powered SaaS, aligned to Vodafone growth priorities
Drive market analysis, customer research and competitive benchmarking to inform direction
Lead deployment, release and full lifecycle management of agents—onboarding, configuration, governance, updates and retirement
Monitor and optimise AI agent KPIs, defining standards for onboarding, catalogue rules, versioning, safe updates, rollback and EOL
Develop voice‑enabled agent solutions (call, chat, omnichannel)
Build pre‑built SME templates/workflows (e.g., appointment‑booking agent)
Oversee creation and maintenance of all PLCM artefacts (innovation canvases, PRDs, release notes, adoption guides)
Ensure robust documentation, version control and stakeholder communication
Guide junior product specialist on artefact best practices

What we offer

Yearly bonus: 10%
Annual leave: 28 days + bank holidays + the opportunity to buy/sell/carry over 5 days/year
Charity days: 5 days/year
Maternity leave: 52 weeks: the first 13 weeks are fully paid, followed by 26 weeks of half pay
Private pension: You can contribute up to 5% of your basic pay with 2:1 matching from Vodafone up to 10%
Access to: private medical, private dental, free health assessments, share save scheme
Additional discounts: Vodafone retail, gym, cinema, cycle to work, season ticket loan

Fulltime

Revenue Enablement Onboarding Program Manager

We're hiring an Onboarding Program Lead to own the strategy, delivery, and conti...

Location

United States , Denver

Salary:

125000.00 - 150000.00 USD / Year

Hightouch

Expiration Date

Until further notice

Requirements

4-6+ years in sales enablement, sales training, or frontline sales management with proven ability to develop talent
Direct experience designing and facilitating onboarding programs for B2B SaaS sales teams
Track record of coaching individual contributors with measurable improvements in performance and ramp velocity
Experience working with sales methodologies (MEDDPICC, Command of the Message, Challenger, SPIN, etc.) and translating them into practical application
Strong facilitation and presentation skills with ability to engage diverse audiences and make complex topics accessible
Coaching mindset with ability to diagnose capability gaps and deliver targeted, actionable feedback
Data-driven approach to program optimization with comfort analyzing performance metrics and deriving insights
Proven ability to build trust and credibility with sales leaders and individual contributors alike
Bias toward action and iteration. Comfortable shipping programs quickly and refining based on feedback

Job Responsibility

Own end-to-end design and facilitation of sales onboarding bootcamps, including our multi-day in-person cohort weeks
Deliver core training sessions on product, sales methodology, competitive positioning, and industry/persona-specific messaging
Build and iterate onboarding curriculum that balances foundational knowledge with practical, hands-on application
Create certification standards and competency assessments that validate readiness for various sales motions
Conduct 1:1 coaching sessions with new hires to accelerate ramp and address individual development needs
Shadow new sellers on calls and provide actionable feedback on discovery, demos, and deal progression
Partner with frontline managers to ensure consistent coaching standards and seamless handoff post-onboarding
Identify common struggling points and build targeted interventions to address capability gaps
Run regular onboarding check ins with new hires
Define and track key onboarding metrics including time-to-first-meeting, time-to-close, ramp attainment, and certification completion

What we offer

meaningful equity compensation in the form of ISO options
offer early exercise and a 10-year post-termination exercise window

Fulltime

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Revenue Integrity Specialist, Foundation

Job Description

Job Responsibility

Requirements

What we offer

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