NewSenior VP - Population Health HarmonyCares.Senior VP - Population HealthNYThis leader establishes the roadmap, leads a focused portfolio of high-impact clinical programs, and partners with Market Operations, Central Operations, and Medical Leadership to deliver performance across key population health measures. Identify actionable cost drivers and develop interventions for high-risk populations, avoidable acute utilization, care transitions, medication-related risk, chronic disease management, and other significant opportunities.
Billing Representative -Full-Time Holy Name Medical CenterBilling Representative -Full-TimeHackensack, NJ$20–$25 / hourFull timeHoly Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs.
Medical Director Therapy Cohere Health Technologies LLCMedical Director TherapyNYRemote$210,000–$260,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
Nurse Practitioner Resident Henry J Austin Health CenterNurse Practitioner ResidentTrenton, NJDevelops patient treatment plans and/or explains treatment plans as formulated to patients, taking into consideration any cultural, linguistic, financial, educational, health literacy, accessibility or other patient factors that might affect communication and patient engagement in shared decision-making and adherence to treatment plans. REQUIREMENTS: EDUCATION & EXPERIENCE: Master of Science in Nursing or Doctor of Nursing Practice from an accredited educational institution, Nurse Practitioner board certification by the American Association of Nurse Practitioners or the American Nurses Credentialing Center.
Dental Practice Manager The SmilistDental Practice ManagerStaten Island, NY$75,000–$80,000 / yearAbout Us: We are seeking a dynamic and experienced practice manager for our Staten Island 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.
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.
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 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.
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.
Resident Assessment Coord. Sunrise Senior Living LLCResident Assessment Coord.Edison, NJWhat You'll Do: • Coordinate and complete MDS, CAA and Care Plans per federal and state regulations • Maintain MDS schedules and ensure timely, accurate submissions • Facilitate Triple Check and weekly Medicare meetings • Review clinical documentation for accuracy and reimbursement support • Ensure Care Plans are individualized and aligned with resident goals • Monitor Quality Indicators and analyze CASPER/iQIES reports • Participate in IDT and QAPI meetings to drive quality improvement • Provide MDS and documentation training to clinical team members • Support ICD-1 coding accuracy and skilled services documentation • Collaborate with Business Office to ensure timely billing Resident Assessment Coordinator (RN/LPN) - Lead MDS Accuracy and Drive Quality Care Outcomes MDS Coordinator | Resident Assessment Coordinator | RN | LPN | Skilled Nursing | Care Planning | RAI. The Resident Assessment Coordinator (RAC) leads the Resident Assessment Instrument (RAI) process for Skilled Nursing, ensuring accurate MDS completion, individualized care planning and regulatory compliance.
Mgr, Payer Access & Reimbursement Quest Diagnostics IncMgr, Payer Access & ReimbursementSecaucus, NJ$125,000–$155,000 / yearAssist in the execution of MA strategies aligned with business needs and the evolving external health system environment (private and government payers, regulatory environment) for optimal utilization and reimbursement of Quest products with emphasis on oncology, particularly MRD.Identify and harness opportunities to improve coverage and reimbursement (C/R) for assigned Payer Access category in all phases (e.g., idea to market, lifecycle management). Job DescriptionThe Manager supports Payer Access & Reimbursement (PAR) activities as a member of a cross-functional team, oriented to Medical Affairs (MA) activities related to medical access, evidence generation, value proposition creation, and coverage in policy, all of which impact the reimbursement of Quest's portfolio of tests.
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.
Wound Care Nurse - RN - PRN Project RestorixWound Care Nurse - RN - PRNSomerville, NJWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Wound Care Nurse - Lpn-Lvn - PRN Project RestorixWound Care Nurse - Lpn-Lvn - PRNHamilton Township, 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.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystNJRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
Medical Assistant - Internal Medicine UnitedHealth Group IncMedical Assistant - Internal MedicineSpringfield, NJIreland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialMedical Assistant - Internal Medicine Springfield New Jersey Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. BlogsJob seeker resources Login Bookmarked jobs 0 Career areasLife hereJoin our talent communitySearch jobsClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Communications Associate Thea EnergyCommunications AssociateKearny, New JerseyThe first is telling the stories of the people who work here, building the surfaces where candidates and colleagues learn who we are, and helping a fast-growing team stay informed and connected as it scales – all with a heavy but not exclusive focus on internal communications. The ideal candidate has spent a few years in an agency or communications coordinator seat, is exceptionally organized, is fluent in generating and editing content with Adobe Creative Cloud and leveraging AI tools, and would rather build a system than repeat a task.
Join a Leading Surgical Team at Mountainside Medical Center - Thoracic Surgeon Opportunity Ardent Health Partners LLCJoin a Leading Surgical Team at Mountainside Medical Center - Thoracic Surgeon OpportunityMontclair, NJQualificationsMD or DO degree from an accredited institutionBoard Certified or Board Eligible in Thoracic SurgeryEligible for New Jersey medical licensure, including CDS and DEADemonstrated excellence in clinical and surgical careExperience in robotic and minimally invasive techniques highly preferredNew graduates and experienced surgeons are encouraged to applySalary starting at $554,668 Compensation & BenefitsMountainside Medical Center is committed to supporting its providers with a competitive and comprehensive benefits package, which may include:Guaranteed base salary plus wRVU productivity incentiveSign-on bonus and relocation assistanceCME allowance and paid professional developmentMedical debt advisory services via Navigate Student LoansPaid malpractice insuranceLearn more about the benefits offered for this jobMarketing and practice development supportAbout Mountainside Medical CenterLocated in Montclair, NJ, Mountainside Medical Center is a 365-bed acute care hospital delivering world-class healthcare in a community setting. Our providers use Epic EMR and Ambience AI scribe technology to automate documentation, reduce administrative burden, improve patient flow, and ensure accurate coding-leading to better work-life balance and revenue.
Join a Leading Surgical Team at Mountainside Medical Center – Thoracic Surgeon Opportunity Hackensack Meridian Mountainside Medical CenterJoin a Leading Surgical Team at Mountainside Medical Center – Thoracic Surgeon OpportunityMontclair, New JerseyOur providers use Epic EMR and Ambience AI scribe technology to automate documentation, reduce administrative burden, improve patient flow, and ensure accurate coding—leading to better work-life balance and revenue. Overview: Mountainside Medical Center, a proud member of Hackensack Meridian Health and Ardent Health Services, is actively seeking a Board-Certified or Board-Eligible Thoracic Surgeon to join our dynamic and collaborative surgical team.
Ophthalmic Technician Eye Care PartnersOphthalmic TechnicianMillburn, NJThis employee will use ophthalmic techniques to perform preliminary work-up of patients in a clinic setting, scribe for Physicians and may also directly assist Physician(s) with examinations and treatment of patients. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.