Surgical Coordinator - Orthopedics - Physician Practice Hackensack Meridian HealthSurgical Coordinator - Orthopedics - Physician PracticeNorth Bergen, New JerseyFull timeThe posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. Responsibilities: A day in the life of a Surgical Coordinator at Hackensack Meridian Health includes: Coordinates all aspects of tests, procedures and surgeries under the direction and supervision of the Practice Supervisor or Manager and physician(s) in an efficient manner.
Clinical Documentation Expert - Fully Remote MercorClinical Documentation Expert - Fully RemoteNew York, New YorkRemoteMonitor CDI program KPIs, including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy. 5+ years of experience in clinical documentation integrity or improvement, with 2+ years in a manager or leadership role.
Wound Care Nurse - Lpn-Lvn - Full Time Project RestorixWound Care Nurse - Lpn-Lvn - Full TimeRahway, NJWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Senior Provider Claims Dispute Specialist TEMPORARY Zing HealthSenior Provider Claims Dispute Specialist TEMPORARYNY$34.60–$39.40 / hourThe position independently investigates escalated and regulatory-sensitive disputes, processes necessary claim adjustments and overpayment recoveries, conducts root cause and financial impact analyses, develops dispute reporting, and partners across the organization to improve claims accuracy, provider experience, operational performance, and compliance outcomes. SUMMARY DESCRIPTION: The Senior Provider Claims Dispute Specialist is responsible for the timely, accurate, and compliant resolution of complex provider disputes related to claims adjudication, reimbursement, coding, authorization decisions, and benefit application.
Decision Scientist - Clinical Informatics (Clinical Data Standards) CVS Health CorpDecision Scientist - Clinical Informatics (Clinical Data Standards)NY$64,890–$158,620 / yearA&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Collaborate with data engineering teams to inform data pipeline development, ensuring clinical data is ingested, transformed, and stored in ways that support downstream analytics needs.
CDI Leader - Clinical Documentation MercorCDI Leader - Clinical DocumentationNew York, New YorkRemoteMonitor CDI program KPIs, including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy. 5+ years of experience in clinical documentation integrity or improvement, with 2+ years in a manager or leadership role.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerManhattan, NY$160,000–$170,000 / yearJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world. Field Reimbursement Managers will be responsible for understanding the unique market issues of their geography, specifically part B reimbursement, health care delivery models, transitions of care and patient pathways.
Senior Post-Market Pharmacovigilance Specialist (Remote) MMSSenior Post-Market Pharmacovigilance Specialist (Remote)Jersey City, NJRemoteWith a global footprint across four continents, MMS not only maintains an industry-leading customer satisfaction rating but also fosters a collaborative and inclusive work environment where employees can thrive. We support the pharmaceutical, biotech, and medical device industries with our proven scientific approach to complex trial data and regulatory submission challenges.
Medical Director - ENT CVS Health CorpMedical Director - ENTNY$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Clinical Documentation Specialist - CDI MercorClinical Documentation Specialist - CDINew York, New YorkRemote$50–$150 / hourComfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets. Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
Physician Educator III University HealthCare AlliancePhysician Educator IIINewark, New Jersey$44.13–$57.36 / hourProvides on-site specialty specific training to individuals or groups of clinicians regarding documentation of services and appropriate coding of level of service, diagnoses, and procedures; including tips and techniques to help clinicians work more efficiently in Epic. Educates and guides healthcare providers and staff on accurate clinical documentation and coding practices, particularly concerning Hierarchical Condition Categories (HCCs) and risk adjustment methodologies.
NewSenior Manager, Provider Experience and Clinical Transformation Big Health IncSenior Manager, Provider Experience and Clinical TransformationNY$140,000–$160,000 / yearThe Senior Manager, Provider Experience and Clinical Transformation is responsible for driving revenue growth and patient impact by ensuring that health systems, provider groups and other organizations are actively engaged with, understand and have a smooth experience supporting their patients to use Big Health's FDA cleared treatments. In pursuit of our mission, we've pioneered the first at-scale digital therapeutic business model in partnership with some of the most prominent global healthcare organizations, including leading Fortune 500 healthcare companies and Scotland's NHS.
Senior Software Engineer, Backend Applied AI SmarterDx IncSenior Software Engineer, Backend Applied AINYRemote$190,000–$230,000 / yearYou'll work closely with Data Scientists and other Product engineers to turn models, experiments, and emerging AI techniques into reliable product experiences used by healthcare teams. Experience with traditional machine learning is valuable, particularly if you have more recently worked on applications powered by LLMs, multimodal models, or other modern AI systems.
NewDental Practice Manager The SmilistDental Practice ManagerClifton, NJ$70,000–$75,000 / yearAbout Us: We are seeking a dynamic and experienced practice manager for our Clifton Dental Practice who excels at leadership, team development, and business operations in a high-end, fast-paced environment. Develop and execute marketing strategies to attract new patients and retain current ones, including managing the practice’s online presence, social media, and local advertising.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONY$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Physician Part-time Consensus HealthPhysician Part-timeWest Orange, New JerseyProper and complete medical documentation (without copy/paste) for all patient care in order to assure accuracy (above 80% with goal of 95%) of E/M coding – and closing/sign off after review of all patient charts in accordance with company policies. Located in: West Orange, New Jersey 07052Position Summary The Physician operates in a team with other clinic healthcare providers and support staff.
Senior Clinical Research Director SanofiSenior Clinical Research DirectorMorristown, NJ$236,250–$393,750 / yearCollaborates with other CRDs within the project, ensures leadership, builds consensus, coordinates action plans with stakeholders to resolve project-related study issues, anticipates potential issues (sharing lessons learned) across the project or study teams. Collaborate with other CRDs within the project, ensure leadership, buildsconsensus, coordinate action plans with stakeholders to resolve project-related study issues, anticipate potential issues (sharing lessons learned) across the project or study teams.
Advance Practice Practitioner Lead CINQCAREAdvance Practice Practitioner LeadBrooklyn, NY$150,000–$185,000 / yearReporting to the Regional Chief Medical Officer, the APP Lead is responsible for training and day to day management of Nurse Practitioners (NPs), Physician Assistants (PAs), and RN’s, ensuring effective collaboration, proper clinical management, documentation of visits, and high-quality patient care delivery to Grace at Home family members. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes.
Referrals Specialist I - Bilingual English/Spanish Urban Health Plan IncReferrals Specialist I - Bilingual English/SpanishBronx, NYAbout Urban Health Plan: At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago.
NewReferrals Specialist I- Hybrid- Bilingual English/Spanish Urban Health Plan, IncReferrals Specialist I- Hybrid- Bilingual English/SpanishBronx, NYAbout Urban Health Plan: At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago.