Audit Coordinator II (Repricing), Healthcare ExlService Holdings IncAudit Coordinator II (Repricing), HealthcareNYRemote$21.63–$26.44 / hourJoin our growing team as an Audit Coordinator II - Repricing, where you'll play a critical role in ensuring accurate claim payments, maximizing savings, and supporting top-tier healthcare clients. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Billing Specialist Community OptionsBilling SpecialistPrinceton, New JerseyThis person will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers. Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states.
A&H Claims Specialist Sirius International Insurance Group Ltd (Inactive)A&H Claims SpecialistNew York, NY$110,000–$125,000 / yearThe Claims Specialist will interact frequently with brokers and clients, evaluate claim notices, and approve authorizations and financial transactions on behalf of SiriusPoint. In this capacity, you will handle claims emanating from the A&H Direct and Reinsurance books, including core MGA's and developing claim strategies to drive the best possible results.
Senior Director, Data Engineering Starr CompaniesSenior Director, Data EngineeringNew York, NY$170,000–$225,000 / yearThe Senior Director, Data Engineering is a senior leadership role, responsible for driving the transformation and execution of Starr's enterprise data ecosystem in direct support of core insurance business functions-including underwriting, claims, risk, finance, and regulatory reporting. The Senior Director will optimize and enable critical finance and actuarial workflows-such as month-end close cycles and daily general ledger/reinsurance data processing-while safeguarding reliability and compliance for business operations.
Data Governance Lead ExlService Holdings IncData Governance LeadNY$120,000–$150,000 / yearExperience with data governance and data quality platforms such as Collibra, Ataccama, Informatica Axon/EDC, Alation, or similar tools for business glossary management, stewardship workflows, policy compliance, data quality monitoring, and governance KPI reporting. Define and implement data quality frameworks covering profiling, validation rules, completeness, accuracy, consistency, timeliness, uniqueness, exception management, issue tracking, root-cause analysis, and remediation workflows.
Associate General Counsel - Risk Transfer Solutions Markel Group IncAssociate General Counsel - Risk Transfer SolutionsRed Bank, NJ$116,080–$159,610 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The ideal candidate must be an excellent writer and communicator, a strategic thinker, have strong analytical skills, significant experience with the review of commercial contracts (specifically Insurance and Indemnity provisions), comfort communicating with other insurers and drafting lawsuits, and a demonstrated ability to manage multiple tasks and priorities.
Staff Dentist LIBERTY Dental PlanStaff DentistStaten Island, NJ$150,000–$165,000 / yearYour work directly influences patient outcomes, supports providers, and strengthens the integrity of dental benefits across Commercial, Marketplace, Medicare Advantage, and Medicaid programs. In this role, your day is highly focused and structured around clinical review and collaboration: ~90% of your time reviewing prior authorizations and dental claims using internal systems (including AI-supported platforms).
CLX Senior Manager, Pet Lemonade IncCLX Senior Manager, PetNY$110,000–$135,000 / yearDevelop a strategic technical vision for Pet Claims handling growth and scale, focusing on accurate payments, delightful customer experiences, and optimized handling times. We're looking for a senior-level, customer centric leader and technical expert to manage our Pet Claims Experience (CLX) teams and vendor relationships.
Litigation Counsel Geico InsuranceLitigation CounselNew York City, NY$135,300–$235,750 / yearContribute to trial strategy and trial preparation, including evaluating case posture, advising on legal and business risk, coordinating with outside counsel, preparing witnesses, and supporting overall case strategy through trial. The ideal candidate will have 5-7 years of substantive litigation experience in a law firm or in-house legal department, including experience handling or managing bad faith and other extra-contractual allegations.
Mgr, Network & Physician Contracting Horizon Healthcare ServicesMgr, Network & Physician ContractingHopewell, New JerseyManage the development and execution of the network contracting strategy, including methods to adopt value-based contracting for providers operating under fee-for-service models, minimize special arrangements, and align to enterprise affordability objectives. Work with the Director on the fee-for-service (FFS) and value-based payment contracting initiatives, collaborating with payment evolution team to introduce the appropriate updated payment models (whether FFS or value based) and provider experience team to meet provider expectations.
Commercial Development Specialist Henry Schein IncCommercial Development SpecialistNY$62,893–$86,479 / yearVendor Management: Oversee monthly data exchange and communication with approximately 14 vendors, including preparing and submitting sales files, consolidating incoming claims data, and supporting accurate vendor billing and reimbursement processes. Rate Sheet Development & SKU Management: Support the creation and maintenance of rate sheets and SKU lists, including generating and managing item codes to ensure accurate product identification and pricing across the extended warranty program.
Regional Risk Manager Tutor Perini CorpRegional Risk ManagerNew Rochelle, NY$125,000–$150,000 / yearFrom coast to coast, notable projects include The Purple Line (D Line) Extensions in Los Angeles, SR 99 Viaduct replacement tunnel in Seattle, East Side Access projects and the Hudson Yards Platform in New York, Central Subway Third Street Light Rail in San Francisco, and multiple airport expansions and bridge projects. DESCRIPTION: As a Regional Risk Manager at Tutor Perini Corporation., you will have the opportunity to: Manage the overall insurance program for assigned business units, including policy renewals, risk assessments, and program optimization to ensure proper coverage and cost control.
Senior Director, Escalated Provider Issue Resolution Oscar Health IncSenior Director, Escalated Provider Issue ResolutionNew York, NY$218,592–$286,902 / yearThis role will build and scale the operating model for escalated provider issue resolution, lead a multi-disciplinary team, and partner across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Account Management, Technology, Analytics, and senior leadership to improve how Oscar identifies, routes, resolves, and prevents provider issues. Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact Center, Account Management, Technology, and Analytics to improve handoffs, reduce avoidable escalations, and address recurring root causes.
ISO Regulatory Reporting Analyst ExlService Holdings IncISO Regulatory Reporting AnalystNew Jersey, NJThis position requires strong insurance domain expertise, advanced data analysis capabilities, excellent stakeholder management skills, and the ability to identify and resolve complex reporting and data quality issues. Prepare, validate, and submit complex regulatory reports and data calls to various State Insurance Departments, regulatory bodies, and industry bureaus within established deadlines.
Medical Collections Specialist High End HiringMedical Collections SpecialistNew York, NY$28–$32 / hourWe are seeking an experienced Medical Collections Specialist to join our team and help manage insurance collections, claim follow-up, and revenue recovery from a variety of commercial insurance carriers, including BCBS and other out-of-network payers. If you are a motivated collections professional with a strong understanding of insurance reimbursement and a passion for helping healthcare practices succeed, we would love to hear from you.
Manager, Healthcare Data Management ExlService Holdings IncManager, Healthcare Data ManagementNY$75,100–$107,300 / yearStrong problem solving and analytical skills and the ability to "roll up your sleeves" and work to create timely solutions and resolutions, to validate, verify, communicate, and resolve application issues. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.
Epic HB & HB Claims Analyst Computer Task Group, IncEpic HB & HB Claims AnalystNYRemote$120,000–$130,000 / yearDuration: 2-Year Contract Location: Remote (Must work West Coast business hours) On-Call Requirement: Participation in scheduled on-call rotation required Position Summary We are seeking an experienced Epic HB Home Health Billing Analyst to support the ongoing optimization, maintenance, and enhancement of Epic revenue cycle workflows related to Home Health services. The ideal candidate will possess an active Epic Hospital Billing (HB) certification and demonstrate hands-on experience supporting Home Health billing, charge capture, claims processing, reimbursement, and revenue cycle operations within Epic.
Accounting Analyst, Reinsurance Finance Morristown, NJ Crum & Forster Holdings Corp.Accounting Analyst, Reinsurance Finance Morristown, NJMorristown, NJSalary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Medical Biller (Fertility Specialty) Actalent IncMedical Biller (Fertility Specialty)New York, NYRemote$62,400–$83,200 / yearWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Outpatient Auditor III ExlService Holdings IncOutpatient Auditor IIINYRemote$70,000–$90,000 / yearAs a Remote Certified Outpatient Facility Auditor, you will apply your in‑depth knowledge of CPT/HCPCS coding, APC payment methodologies, and outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing. Conduct audits across infusion therapy, outpatient surgeries, imaging, and interventional radiology, such as: Verifying correct APC assignment for chemotherapy and non-chemotherapy infusions, hydration services, and observation-related services.