Inpatient Coder Associate, Payment Integrity Clover Health Investments CorpInpatient Coder Associate, Payment IntegrityNYRemote$80,000–$110,000 / yearSuccess in this role looks like: By the end of your initial 90-day period, you will have demonstrated a strong understanding of clinical coding practices and medical records review, while assisting our team in areas of DRG validation. We believe the healthcare system is broken, so we''ve created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
Director, Market Access Analytics and Enablement Danaher CorpDirector, Market Access Analytics and EnablementNew York, NYRemote$185,000–$215,000 / yearAssume full ownership of the development, refinement, and implementation of strategy for data analytics and enablement function including: development of market access enablement tools; market insights/trends generation; healthcare coding analyses (diagnosis codes, billing codes, code modifiers, etc.); pricing and fee schedule evaluations; payer coverage dashboards; team dashboards; analytics frameworks; operational tools; and utilization of AI-based tools to inform decision-making and accelerate business outcomes. Success in this position requires an opportunity mindset, strong executive presence, demonstrated leadership capabilities, innovative thinking to drive actionable insights and tools, the ability to communicate complex insights clearly across senior and cross-functional stakeholders, and disciplined execution to meet critical deadlines.
NewDirector, Market Access Analytics And Enablement DanaherDirector, Market Access Analytics And EnablementNewark, NJRemote$185,000–$215,000 / yearAssume full ownership of the development, refinement, and implementation of strategy for data analytics and enablement function including: development of market access enablement tools; market insights/trends generation; healthcare coding analyses (diagnosis codes, billing codes, code modifiers, etc.); pricing and fee schedule evaluations; payer coverage dashboards; team dashboards; analytics frameworks; operational tools; and utilization of AI-based tools to inform decision-making and accelerate business outcomes. Success in this position requires an opportunity mindset, strong executive presence, demonstrated leadership capabilities, innovative thinking to drive actionable insights and tools, the ability to communicate complex insights clearly across senior and cross-functional stakeholders, and disciplined execution to meet critical deadlines.
Data Exchange Manager - Claims Operations Capital Rx, Inc.Data Exchange Manager - Claims OperationsNew York, NY$150,800–$188,500 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.
Director Of Insurance Hospital for Special SurgeryDirector Of InsuranceNew York, NY$112,000–$170,875 / yearNegotiation, Communication & Market Execution: Demonstrated success leading negotiations with brokers, and insurers to secure favorable coverage terms, pricing, and service structures, coupled with the ability to clearly and effectively communicate concepts, both verbally and in writing, to senior leadership and stakeholders across the organization. Serve as the Hospital's lead strategic advisor for insurance and risk financing, directing executive-level relationships with brokers (Alliant and Marsh) carriers, captive partners, consultants, and other key partners to optimize insurance program performance and market positioning.
Acquisition Specialist - State Farm Agent Team Member Jahhad Crawley - State Farm AgentAcquisition Specialist - State Farm Agent Team MemberN Plainfield, NJFull timeYou’re motivated by goals and growth , and you know how to turn needs-based conversations into confident buying decisions that truly help customers. Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing meaningful work that makes a difference.
Premium Audit Assistant Trean Insurance Group IncPremium Audit AssistantNY$18–$21 / hourThe Premium Audit Assistant plays a critical role in supporting the Workers' Compensation Premium Audit Department by coordinating audit requests, managing insured communications, reviewing submitted audit documentation, maintaining audit records, and ensuring audit files are prepared for auditors in a timely and accurate manner. The ideal candidate is highly organized, detail-oriented, customer-focused, and capable of managing multiple priorities in a fast-paced environment.
Total Loss Associate Manager Tesla IncTotal Loss Associate ManagerNew York, NY$96,000–$144,000 / yearContribute to long-term strategy for total loss handling, act as a thought partner in redefining industry norms, and lead change management as new systems and automations are deployed. Collaborate with Product, Engineering, Data, Salvage, and Compliance teams to pilot innovations such as valuation automation, early total loss detection, digital customer communications, and salvage optimization.
Team Nexa Insurance Agent Team Nexa Insurance SolutionsTeam Nexa Insurance AgentBensalem Township, PALife Insurance Agent – National Team | High Commissions| Daily Live Training | No Cost Lead System Join Team Nexa Insurance Solutions – Where Agents Come First. We are a national agency with a proven, supportive system built for agents who want real income, real support, and real opportunity.
Contract Admin INSURANCE SERVICES OFFICE INCContract AdminJersey City, NJFull timeIdentify legal issues and creatively navigate through difficult circumstances with your counterpart (i.e., customer's Procurement representative, contract administrator or legal counsel) and successfully arrive at resolutions on contract language and positions; identify complex concerns both arising from the customer and sales, and seek to understand a customer's position behind a redline and offer alternative acceptable language when possible. Work independently, as well as on a team, during the contract negotiation process; proactively pull in and collaborate with various Subject Matter Experts (including, but not limited to: Finance, Insurance, Risk and Security, Privacy, Compliance, Audit, product owners) during appropriate junctures to ensure result of effective agreements with properly mitigated risk.
Agentic Solutions Consultant (Insurance Saas) EvolutionIQAgentic Solutions Consultant (Insurance Saas)New York, NYThis includes helping customers understand how EvolutionIQ's solutions will integrate with their claims systems, policies, eligibility feeds, data flows, and workflows, and shaping the transformation narrative that allows executive sponsors to secure buy-in internally. Create reusable solution design artifacts, workflow maps, reference architectures, ROI templates, customer assessment frameworks, and implementation playbooks that help EvolutionIQ scale the agentic sales motion.
SQL Developer Digital Data Services Crum & Forster Holdings Corp.SQL Developer Digital Data ServicesNJRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. The Digital Data Services Developer will work with a group of highly motivated and experienced technologists who have spent the past several years working hard to implement innovative tools to the C&F Surplus & Specialty Division for quick and scalable business solutions.
Senior Director, Global Digital & Technology Systems Engineering BeOne Medicines AGSenior Director, Global Digital & Technology Systems EngineeringNY$207,800–$277,800 / yearManage the systems engineering and product development lifecycle, codebase evolution, patch management, and automated deployments of customized platforms and applications, ensuring long-term technical sustainability for the Research function. Key Competencies: Objective Technical Due-Diligence: A highly analytical approach to reviewing vendor codebases, architecture diagrams, APIs, and SLAs to separate marketing claims from true engineering readiness.
Client Manager, Commercial Risk - Construction Practice BRP Group, Inc.Client Manager, Commercial Risk - Construction PracticeBranchburg, NJ$76,500–$80,000 / yearThe Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. Education & Experience: Obtain and maintain a state insurance license(s), as required by the State Department of Insurance to provide risk management consulting or risk transfer solutions as necessary in states where the firm functions (or be willing and able to obtain all required licenses within the first 90 days of employment).
Analyst, Green Trade Compliance Tapestry, Inc.Analyst, Green Trade ComplianceNew York, NY$65,000–$70,000 / yearCourage: Doesn't hold back anything that needs to be said; provides current, direct, complete, and "actionable" positive and corrective feedback to others; lets people know where they stand; faces up to people problems on any person or situation (not including direct reports) quickly and directly; is not afraid to take negative action when necessary. Building Effective Teams: Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
Litigation Specialist Liability The Travelers CompaniesLitigation Specialist LiabilityNew York City, NY$85,600–$141,200 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Construction Liability Technical Specialist The Travelers Companies IncConstruction Liability Technical SpecialistNew York City, NY$85,600–$141,200 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Patient Accounts Representative, Patient Accounting Virtua Health IncPatient Accounts Representative, Patient AccountingMount Laurel, NJ$19.54–$29.20 / hourInteracts / communicates effectively with various department staff and assists customer service inquires both internally and externally: liaison with Patient Accounting and Physician billing services, employers and insurance carries to ensure accurate and timely billing process. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling.
Senior Business Analyst II INSURANCE SERVICES OFFICE INCSenior Business Analyst IIJersey City, NJFull timeThe Business Analyst II supports the Anti-Fraud Analytics Business Operations team by helping drive process improvement, business intelligence, product development support, sales and customer engagement efforts, and employee experience programs. Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property.
Data Analyst INSURANCE SERVICES OFFICE INCData AnalystJersey City, NJFull timeDevelop in-depth understanding of insurance coverages, actuarial concepts, analytic models, information quality control, and data governance• Bachelor's degree in a STEM major or with STEM coursework learned in associated majors (Actuarial Science, Computer Science, Data Engineering, Data Science, Mathematics, Applied Mathematics, Statistics, Finance, Economics). The Analytical Data Services (ADS) division of Verisk's ISO business is the information refinery for our insurance-industry-experience data stores, ensuring that the country's largest database of P&C policy and claims information can effectively support the analytical engines underlying the pricing of the US P&C insurance market.