Senior Learning And Development Insurance Trainer Starr CompaniesSenior Learning And Development Insurance TrainerNew York, NY$115,000–$147,800 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs. Reporting to the Director, Global Learning and Development, you will oversee the creation, design, and delivery of high-impact, insurance-specific training programs that support both new and experienced employees.
Head Of Risk & Insurance Via TransportationHead Of Risk & InsuranceNew York City, NY$200,000–$300,000 / yearPartner with senior leadership on risk strategy, including coverage decisions, alternative risk transfer (captives, self-insured retentions), and how risk and insurance figure into Via's broader operational and financial planning. Stand up the analytics that tell us whether the program is working: monitor loss ratios, claim frequency and severity, cost per mile, and retention thresholds and use them to inform every renewal.
Assistant Vice President, Complex Casualty Sompo InternationalAssistant Vice President, Complex CasualtyNew York City, NY$150,000–$175,000 / yearProviding coverage and analytical analysis of potential exposures, developing successful litigation and resolution strategy, establishing appropriate reserves on files; Timely identifying and elevating potential large losses and communicate effectively internally and externally. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Client Services Manager - Middle Market/Construction CNA Financial Corp.Client Services Manager - Middle Market/ConstructionMelville, NY$54,000–$103,000 / yearExternally focused, this role partners closely with brokers and agents and provides hands-on support for complex or high-impact accounts, requiring a high level of client engagement to maintain competitiveness and strengthen key relationships. Performs a combination of duties in accordance with departmental guidelines: Remains externally focused while serving as primary contact for assigned clients, commercial branch contacts, agents and brokers on all issues related to the client's service relationship with CNA.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Union, New JerseyThe Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes. Interns will gain hands-on experience in Medicaid claims processing, billing compliance, and healthcare administration while working under the direct supervision of experienced billing professionals.
Client Services Manager - National Accounts CNA Financial CorpClient Services Manager - National AccountsNew York, NY$72,000–$141,000 / yearExternally focused, this role partners closely with brokers and agents and provides hands-on support for complex or high-impact accounts, requiring a high level of client engagement to maintain competitiveness and strengthen key relationships. Performs a combination of duties in accordance with departmental guidelines: Remains externally focused while serving as primary contact for assigned clients, commercial branch contacts, agents and brokers on all issues related to the client's service relationship with CNA.
Senior Technical Trainer - (Enterprise Solutions) Capital Rx, Inc.Senior Technical Trainer - (Enterprise Solutions)New York, NY$98,400–$123,000 / 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. Develop and maintain engaging and effective technical training materials and resources (including user guides, job aids, video content, eLearning modules, and SOPs) that enable users to successfully navigate and utilize the Unified Claims Processing platform.
Soarian Financials (SF) Principal Consultant Oracle CorpSoarian Financials (SF) Principal ConsultantNew York, NY$29.42–$63.65 / hourOngoing Services include Solution Architect which includes working in conjunction with Cerner Client Alignment Executive, Upgrade Center Team, AMS and when applicable, the contract management and recovery services (CMARS) team to provide ongoing services to support and maintain the Billing System. Service Requests: These are requests for support or changes to be made to the Billing System in the following categories: Incident: An unplanned disruption in system or business operations either reported by OMH users, found by the Vendor's staff, or uncovered by the Vendor's monitoring tools.
Procedural Billing Specialist II-MSW-FT Days Mount Sinai Health SystemProcedural Billing Specialist II-MSW-FT DaysNew York, NY$59,895–$89,843 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
VP - Reinsurance Operations United Fire Group IncVP - Reinsurance OperationsNY$163,000–$286,000 / yearOfficer-level employees may also be eligible for additional compensation components, including performance-based incentives, long-term incentive plans, and participation in executive benefit programs. The VP ensures robust control frameworks, timely and accurate reporting, regulatory compliance, strong stakeholder relationships, efficient operational processes, prudent expense management, and claims oversight.
NewRating/Claims System Analyst Elevance Health IncRating/Claims System AnalystIselin, NJ$65,680–$94,415 / yearThree or more years of experience leading end-to-end User Acceptance Testing (UAT), including: (Test strategy and planning, Test scenario and test case development, Test execution, Defect management and validation, Production readiness activities, Code editing and claims knowledge) preferred. How you will make an impact: Responsible for collaborating with cross-functional stakeholders, including business partners, Product Owners, developers, Quality Engineering teams, and vendors, to ensure solutions meet business and technical requirements.
Risk Adjustment Coding Specialist VNS HealthRisk Adjustment Coding SpecialistNew York, New York$33.88–$42.35 / hourFull timeMinimum two years of payor work experience with medical records, including ICD-10-CM or current coding system and medical record systems required Working knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS and CPT-4 coding, coordination of benefits required Additional years of experience/specialized certification/training may be considered in lieu of educational requirements required Knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures required Strong knowledge of claims processing procedures and systems, State, Federal and Medicare Regulations and Coordination of Benefits applications required Strong planning, organizational, interpersonal, verbal and written communication skills required Must be PC literate and possess a strong understanding of Microsoft applications required Ability to handle multiple priorities and meet deadlines required Knowledge of HIPAA, understanding a commitment to Privacy, Security and Confidentiality of all medical chart documentation required Ability to work both in a fast-paced environment and/or be independently self-driven to complete day to day tasks required Ability to switch gears and independently collaborate with other departments for all ad lib projects as necessary required. Provider Engagement, Audit, Training and Support and supports supervisor in preparing internal presentations, knowledge libraries, coding guidelines, and summary reports of coding review for department infrastructure, maintains professional communication with provider engagement team by assisting with analysis, trending, and presentation of audit/review findings, outcomes, and issues.
Director, Payment Integrity Capital Rx, Inc.Director, Payment IntegrityNew York, NY$206,400–$258,000 / yearPosition Summary: The Director, Payment Integrity will build and lead Judi Health's payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Construction Legal Assistant HylanConstruction Legal AssistantHolmdel, NJThe Construction Legal Assistant assists the Corporate Counsel with the review, preparation, management, and negotiation of construction-related contracts, including client contracts, subcontracts, change orders, and vendor agreements and actively interfaces with the operations team throughout the life a project to ensure compliance with all applicable contract terms. Must be familiar with legal concepts, legal processes, systems and rules relevant to the construction industry including, for example, indemnity, insurance coverage, risk transfer, liability for delays, general negligence, and workers' compensation with demonstrated interest and ability to learn.
Senior Director, Product, Care Foundations Spring Care IncSenior Director, Product, Care FoundationsNew York, NY$245,000–$328,000 / yearWith outcomes independently validated by JAMA Network Open and the Validation Institute, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners. Build strong cross-functional partnerships with leaders across Engineering, Design, Clinical Operations, Revenue Operations, and Finance to ensure operational readiness and alignment.
Subrogation Collections Negotiator Element Fleet Management CorpSubrogation Collections NegotiatorNY$60,400–$83,050 / yearActual compensation will be determined based on several factors, including the successful candidate's qualifications, knowledge, skills, experience, internal pay equity, and relevant market data. Ability to demonstrate empathy, consideration of our customers public image, and industry knowledge while exhibiting strong negotiation capabilities to generate maximum recovery.
General Counsel, Construction E-J Electric Installation Co.General Counsel, ConstructionLong Island City, NYWith over 4,000 employees across 31 offices nationwide, E-J delivers full-service electrical solutions for rail systems, transit facilities, office buildings, hospitals, power generation, substations, transmission and distribution, renewables, co-generation facilities, roadway and outdoor specialty work, airports, industrial facilities, data centers, chip plants, universities, sports stadiums, extra high voltage distribution, utility, and gas infrastructure. Job Title: General Counsel, Construction Reporting to: President Location: New York Metropolitan Area Position Overview: We are seeking a business leader who brings a legal focus to strategic planning for the General Counsel role to join our team.
Senior Director of Provider Network Operations Metroplus Health Plan IncSenior Director of Provider Network OperationsNew York, NY$220,000–$230,000 / yearSuccess in this role will be measured by high-performing and successful provider partnerships, ensuring excellent provider experience, accuracy of our provider directory and optimal results with access and availability leading to positive member experiences. Required Education, Training & Professional Experience: Bachelor's Degree in Business Administration, Healthcare, or any analytical field required; Master's Degree preferred.
Analyst, Data Exchange (Medical, Dental & Vision) Capital Rx, Inc.Analyst, Data Exchange (Medical, Dental & Vision)New York, NY$96,800–$121,000 / yearPosition Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Sr. Lead, Payer Gateway Management Capital Rx, Inc.Sr. Lead, Payer Gateway ManagementNew York, NY$174,800–$218,500 / yearPosition Responsibilities: Oversee payer gateway and clearinghouse operations supporting HIPAA EDI transactions, including 837 claims, 270/271 eligibility, 276/277 claims status, 835 remittance/payment support, acknowledgments, rejects, and related file exchanges. This role ensures accurate, timely, and compliant processing of HIPAA EDI transactions and hosted gateway solutions supporting claim submissions, eligibility verification, claims status checks, acknowledgments, rejections, file reconciliation, and production issue resolution.