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.
(USA) Asset Protection Operations Coach Walmart(USA) Asset Protection Operations CoachPlainfield, New JerseyBachelor of Science in Business Management and Leadership through Live Better U and Bellevue University, Certificate of Completion in People and Business Leadership through Live Better U and Bellevue University, Certification in an asset protection related field (for example, Loss Prevention Qualified, Loss Prevention Certified), General work experience supervising 5 or more direct reports to include the responsibility of performance management, mentoring, hiring, and firing, Investigative experience. Associates will be required to attend and successfully complete all job-required trainings and assessments (for example, Academy trainings, Open Door trainings, etc.).
Configuration and Quality Audit Analyst | Hybrid NY HealthfirstConfiguration and Quality Audit Analyst | Hybrid NYNew York, NY$68,900–$99,620 / yearAt least three years of experience in a managed care organization, commercial health plan, government program, third-party administrator, or other healthcare operations environment performing claims analysis, configuration audit, provider reimbursement, payment integrity, or healthcare data analysis. Candidate must display effective communication skills and have detailed skillset to configure Office365, effectively communicate product updates, interface with the vendor on potential issues, and ensure platform governance rules are followed.
Field Reimbursement Manager-Ophthalmology - Minnesota, Wisconsin Regeneron Pharmaceuticals IncField Reimbursement Manager-Ophthalmology - Minnesota, WisconsinNY$165,600–$209,600 / yearProactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.
Senior Software Engineer, Backend Grow Care, Inc.Senior Software Engineer, BackendNew York City, NY$182,000–$250,000 / yearAs a Software Engineer on this team, you'll work across search, ranking, profiles, and booking flows to build a fast, resilient, and intelligent marketplace that helps every client find the right fit provider and convert that intent into a booked appointment. As a Software Engineer on this team, you'll build and harden systems for scheduling, authentication, notifications, and early-journey flows that directly determine whether clients show up, come back for visit two, and build lasting relationships with their providers.
Coordination Of Benefits Specialist Conduent IncCoordination Of Benefits SpecialistNYRemote$39,960–$46,200 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. As a Coordination of Benefits (COB) Specialist, you''ll investigate insurance coverage, determine the correct order of benefits, communicate with insurance carriers and healthcare providers, and ensure claims are processed accurately while remaining compliant with Medicare and federal regulations.
Commercial SME(Commercial Analytics Consultant (Pharmaceutical Domain DS TechnologiesCommercial SME(Commercial Analytics Consultant (Pharmaceutical DomainPiscataway, New JerseyProvide functional leadership on the management and utilization of Longitudinal Access and Adjudication Data (LAAD), ensuring the successful integration of longitudinal data to support patient-centric commercial activities. Act as the primary SME for commercial operations, providing insights and leadership in Sales, Marketing, Incentive Compensation (IC), Patient Data Management, Longitudinal Access and Adjudication Data (LAAD), and Claims.
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.
Construction Field Investigator GallagherConstruction Field InvestigatorPleasantville, New York$28–$35 / hourFull timeAs a Construction Field Investigator, you will conduct on-site investigations, gather and analyze evidence, interview witnesses, document accident scenes, and prepare detailed reports that help clients determine the facts surrounding construction incidents and claims. Unlike traditional investigator positions, this role provides the opportunity to develop expertise in construction-related claims and losses while supporting some of the nation's largest contractors, insurance carriers, and risk management programs.
Adjuster Supervisor NovolexAdjuster SupervisorElizabeth, New Jersey$22–$25 / hourFull timePrograms include company and industry training curricula, support for formal education through the Tuition Reimbursement Program (Non-Union), and a Learning Management System that supports and enhances employee skills at all levels of the organization. Novolex is a leading manufacturer of food, beverage, and specialty packaging that supports multiple industries including foodservice, restaurant delivery and carryout, food processing, grocery and retail, and industrial sectors.
NewCustomer Service Representative Brighton Health Plan Solutions, LLCCustomer Service RepresentativeNew York, NY$40,560–$47,840 / yearBrighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals.
NewCustomer Service Representative/ Bilingual (Spanish) Brighton Health Plan Solutions, LLCCustomer Service Representative/ Bilingual (Spanish)New York, NY$45,760–$47,840 / yearBrighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. About The Role The Customer Service Representative, Bilingual, assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals.
NewStaff Product Manager, Legal & Insurance DatavantStaff Product Manager, Legal & InsuranceNew York, NY$192,000–$240,000 / yearThis is an individual contributor role who can operate at multiple altitudes: setting long-term vision, shaping product architecture, influencing executive investment decisions, and still diving deep into workflows, data, AI, operations, and customer pain. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Adjuster Supervisor Pactiv Evergreen IncAdjuster SupervisorElizabeth, NJ$22–$26.65 / hourPrograms include company and industry training curricula, support for formal education through the Tuition Reimbursement Program (Non-Union), and a Learning Management System that supports and enhances employee skills at all levels of the organization. Novolex is a leading manufacturer of food, beverage, and specialty packaging that supports multiple industries including foodservice, restaurant delivery and carryout, food processing, grocery and retail, and industrial sectors.
Head of Risk & Insurance ViaHead of Risk & InsuranceNew York, 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.
Senior Underwriter, Commercial Insurance Specialty Chubb LtdSenior Underwriter, Commercial Insurance SpecialtyWhite Plains, NY$100,000–$165,000 / yearStrong sales and marketing skills are critical; must be able to demonstrate successful agency and broker management, including building, maintaining and managing producer and customer relationships. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
AVP- Cyber and E&O Insurance Broker Aon PlcAVP- Cyber and E&O Insurance BrokerNew York, NY$120,000–$150,000 / yearAon is recognized as one of the industry's best-in-class resources in cyber risk management, and our multidisciplinary team of 600+ global professionals offers strong technical and investigative proficiency, enhanced consulting and risk transfer expertise, long-standing carrier relationships, and robust claims handling capabilities. Own all aspects of client service for your assigned book of business and new business opportunities in coordination with other team members and by using the deal flow process; optimally connect with other team members and administrative staff to ensure accurate prioritization of workflow.
RCM Accts Receivable Coor OB Hospitalist Group IncRCM Accts Receivable CoorNYRemote$24–$26 / hourThis position plays a critical role in improving reimbursement outcomes, reducing accounts receivable aging, supporting payer enrollment activities, and driving operational excellence across the revenue cycle. Location: Candidates residing in the Upstate South Carolina area are preferred for this remote position and should be within reasonable commuting distance of our Greenville, SC Corporate Headquarters to accommodate occasional in-office needs as requested.
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.
MDM Consultant P&C Insurance TechDigital CorporationMDM Consultant P&C InsuranceWarren, NJCollaborate with the Enterprise Architecture team to align MDM solutions with the broader Data Mesh / Data Platform strategy , ensuring master data is published as trusted data products to domain teams. Architecture & Integration Design MDM integration patterns using REST APIs, Azure Service Bus, Event Hub , and ETL/ELT pipelines to ensure bi-directional synchronization between Profisee and enterprise systems.