Hands-on CTO Startup TalentsHands-on CTONew York, New YorkDelivered products in regulated, transaction-heavy domains (preferably healthcare payments/RCM/fintech) or equivalent complex workflow environments—owning integrations, secure/scalable system design, and AI-enabled workflow automation for payment/claims/reconciliation workflows. - Domain & leadership combo: healthcare payments / revenue‑cycle (RCM) domain understanding plus early‑stage engineering leadership (recruiting and leading the first engineers).
Director, Medical Underwriting, C&F Stop Loss Crum & ForsterDirector, Medical Underwriting, C&F Stop LossEATONTOWN, New JerseyRemoteWith 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 Director, Medical Underwriting role utilizes a high level of experience and advanced clinical expertise regarding nursing, insurance, medicine, stop loss insurance, reinsurance, claims, medical underwriting, and/or underwriting to direct a team responsible for delivering accurate and timely cost projections and savings opportunities to C&F.
Senior Litigation Manager Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Senior Litigation ManagerNYRemote$127,000–$171,000 / yearWhat You'll Do: Complex Claim & Litigation Execution: Use your claims-handling expertise to enable great outcomes on complex and litigated claim files through leading independent contributors, direct managers and consulting on high-stakes claim roundtables. Compliance, Quality & Risk Management: Work closely with internal Compliance, Legal, and Risk Management teams to enable consistent execution against everything from SOX controls to third-party audit execution on behalf of major capital providers.
Recovery Representative II (Subrogation) biBerk Business Insurance IncRecovery Representative II (Subrogation)NY$85,000–$99,000 / yearCollection: Reviews referred Claim Files and verifies amounts owed on liability deductibles, initiates formal demands to the policyholders, follows up with policyholders on diary, tracks recovery amounts and enters recoveries in Claim File. Recovery: Reviews first party claims such as Physical Damage, Cargo, PIP, Property claims and evaluates for subrogation potential by a careful analysis of the facts surrounding the loss, the probable liability of each involved party, and the investigation needed to document the liability of and damages to be sought from the responsible party.
Senior Technical Trainer - Medical Enterprise Solutions Capital Rx LLCSenior Technical Trainer - Medical Enterprise SolutionsNew 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.
Manager, Payments Carrot Fertility IncManager, PaymentsNY$100,000–$120,000 / yearYou will be accountable for SLA's and quality performance of your direct reports, coaching/developing your team, queue management, identifying process improvements and partnering cross‑functionally (e.g., Product, Analytics, Member Support, Finance) to improve Payments operations. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more.
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.
Epic Denials Manager DeloitteEpic Denials ManagerStamford, CTRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Director, Payment Integrity Capital Rx LLCDirector, 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.
AVP & Counsel, MBU - Eatontown, NJ or Remote Crum & ForsterAVP & Counsel, MBU - Eatontown, NJ or RemoteEATONTOWN, New JerseyRemoteDemonstrated experience with (i) ERISA, COBRA, FMLA, ACA, NSA (No Surprises Act), and applicable federal and state insurance laws and regulations governing welfare benefit plans and accident and health insurance; and (ii) providing legal advice and counsel regarding an insurance company's or third-party administrator's handling of group benefit and insurance solutions, third-party self-funded plan claim administration, and regulatory compliance matters. Manage and coordinate complex claims litigation, including preparing case summaries and legal analysis, leading settlement negotiations, drafting releases and settlement agreements, coordinating with outside counsel, and providing strategic litigation guidance to claims and business teams, ensuring proactive and cost-effective handling that minimizes risk to the Company.
Sr. Lead, Payer Gateway Management Capital Rx LLCSr. 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.
Analyst, Data Exchange Medical, Dental & Vision Capital Rx LLCAnalyst, Data Exchange Medical, Dental & VisionNew 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.
AVP & Counsel, MBU Eatontown, NJ or Remote Crum & Forster Holdings Corp.AVP & Counsel, MBU Eatontown, NJ or RemoteEatontown, NJRemoteDemonstrated experience with (i) ERISA, COBRA, FMLA, ACA, NSA (No Surprises Act), and applicable federal and state insurance laws and regulations governing welfare benefit plans and accident and health insurance; and (ii) providing legal advice and counsel regarding an insurance company''s or third-party administrator''s handling of group benefit and insurance solutions, third-party self-funded plan claim administration, and regulatory compliance matters. Manage and coordinate complex claims litigation, including preparing case summaries and legal analysis, leading settlement negotiations, drafting releases and settlement agreements, coordinating with outside counsel, and providing strategic litigation guidance to claims and business teams, ensuring proactive and cost-effective handling that minimizes risk to the Company.
Staff 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.
Benefits Operations Rockefeller Capital ManagementBenefits OperationsNew York, New York$100,000–$115,000 / yearFull timeExecute day-to-day compliance activities across benefits operations, including monitoring eligibility, enrollments, and plan administration against ERISA, ACA, and HIPAA requirements; maintaining accurate records; and supporting audits and reporting to ensure processes remain controlled, accurate, and compliant. Originally founded in 1882 as the family office of John D. Rockefeller, the Firm has evolved to offer strategic advice to ultra- and high-net-worth individuals and families, institutions, and corporations from offices in 35 markets throughout the United States, as well as an office in London.
Risk Management Liability Analyst Windstream Communications, LLCRisk Management Liability AnalystNY$50,000–$71,500 / yearPhysical Tasks- Standing Occasionally: 0-33% | Walking Occasionally: 0-33% |Sitting and Stationary: Continuously: 67-100% | Bending: Occasionally: 0-33% | Crouching: Occasionally: 0-33% | Carrying: Occasionally: 0-33% | Reaching: Occasionally: 0-33% |Lifting -Lowering >1-15 lbs: Occasionally: 0-33% | Repetitive Hand Action: Medium Dexterity: Continuously: 67-100% | Fine Manipulating: Frequently: 34-66%. With a steadfast commitment to customer service, operational excellence, and superior network capabilities, Uniti builds, operates and delivers critical fiber-based communications services to connect and empower people and businesses.
Manager of Food, Safety and Risk Insomnia Cookies LLCManager of Food, Safety and RiskNew York City, NY$90,000–$100,000 / yearReporting to the Director of Risk, you''ll own food safety, quality assurance, workplace safety, OSHA compliance, and workers'' compensation across a growing network of bakeries while partnering closely with Operations, Supply Chain, People, Legal, and external partners to continuously reduce risk and improve performance. later, our innovative bakery + delivery concept has become a cult brand known for its rabid following of cookie lovers who crave Insomnia's warm, delicious delivery all day and late into the night.
CPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.
Human Resources Generalist LegendsHuman Resources GeneralistBrooklyn, NYAs a Human Resources Generalist, you'll play a key role in attracting, developing, and supporting the talented employees who bring world-class sports and entertainment to life. Successful candidates are collaborative HR professionals who thrive in a dynamic environment and are passionate about supporting employees and business leaders.
Contracts Manager The Circana GroupContracts ManagerNY$90,000–$110,000 / yearThe Contracts Manager supports Circanas Legal and Compliance team by managing commercial contracts, reviewing advertising and marketing claims, and partnering with stakeholders across the business to deliver practical, timely solutions. An employee's position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, shift, travel requirements, sales or revenue-based metrics, any collective bargaining agreements, and business or organizational needs.