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.
Senior Analyst, Audit and Compliance Analytics (Hybrid NY) HealthfirstSenior Analyst, Audit and Compliance Analytics (Hybrid NY)New York, NY$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
Ancillary Services Network Account Manager I HealthfirstAncillary Services Network Account Manager INew York, NY$68,900–$99,620 / yearUnder the direction of the Manager of Ancillary Services, the Ancillary Services Contractor develops and maintains an Ancillary provider network that ensures Healthfirst members have superior access to the highest quality by focusing efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Create contracts in HF contract software and review credentialing documents submitted by Provider/facility via Universal Credentialing Data Source, The Council for Affordable Quality Healthcare (CAQH) or PDF application to ensure that all the required credentials are included and that valid documents for behavioral Providers and facilities are provided.
Loss Control and Risk Management Specialist BerkleyLoss Control and Risk Management SpecialistParsippany, New Jersey$125,000–$195,000 / yearThe company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes: Base Salary Range: $125,000 - $195,000 The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. This individual will be instrumental in leveraging emerging technologies, delivering enhanced value to our insureds and broker partners, and strengthening collaboration across underwriting, loss control, and claims to drive improved loss performance.
Counsel, Claim The Travelers Companies IncCounsel, ClaimMorristown, NJ$106,300–$175,400 / yearAs a Counsel with Travelers you will be responsible for high quality, proactive case handling and will have the opportunity to use your legal expertise and litigation skills to handle a caseload of predominantly low to moderate complexity and deliver optimal results for Travelers'' insured customers. Travelers offers the strength of a national legal organization committed to your professional development while maintaining a local focus, positioning you as a strong business partner and trusted advisor who delivers exceptional value through local expertise and outstanding client service.
Claims Quality Review Sr Consltant CNA Financial CorpClaims Quality Review Sr ConsltantNew York, NY$72,000–$141,000 / yearWorks with the Claim Quality Review Director and the Claim Quality Technical Lead for assigned line of business to aggregate and analyze results from quality and manager reviews to identify trending of best practice and opportunity areas for assigned line of business and across the Claim organization. Performs a combination of duties in accordance with departmental guidelines: Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles.
Senior Restoration Crew Chief Voda Cleaning & RestorationSenior Restoration Crew ChiefBernardsville, New Jersey$70,000–$100,000 / hourVoda Cleaning & Restoration of Northern New Jersey Location: Bernardsville, NJ (Serving Northern New Jersey) Earn $70,000–$100,000+ Per Year $28–$40/hour + Overtime + Paid Time Off + Paid Sick Leave + Company-Paid IICRC Certifications + Advancement Opportunities At Voda Cleaning & Restoration , our Senior Restoration Crew Chief own projects from the initial inspection through completion. You'll inspect losses, determine the proper remediation protocol, develop the field scope for our Xactimate estimating team, lead the technicians, work alongside your crew, communicate with homeowners and insurance professionals, and ensure every project is completed the right way.
Head of Portfolio Architecture, Group Benefits The Guardian Life Insurance Company of AmericaHead of Portfolio Architecture, Group BenefitsHolmdel, NJ$178,690–$293,560 / yearPosition Overview: The Head of "Business Unit" Architecture is a senior architecture leader responsible for shaping the end-to-end architecture and portfolio roadmap for "Business Unit", while influencing key investment decisions required to deliver it. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian's jobs website (Careers at Guardian at https://www.guardianlife.com/careers
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.
Staff Dentist (Part-Time, Remote, New Jersey License) LIBERTY Dental PlanStaff Dentist (Part-Time, Remote, New Jersey License)Englishtown, NJRemote$74–$82 / hourYou will review dental claims, prior authorizations, referrals, and treatment requests across Commercial, Marketplace Exchange, Medicare Advantage, and Medicaid populations, helping ensure members receive appropriate, evidence-based care while supporting quality outcomes and regulatory compliance. This fully remote opportunity offers a consistent 20-hour-per-week schedule, allowing experienced dentists to apply their clinical expertise in a collaborative managed care environment while helping improve access to high-quality oral healthcare.
Commercial SME(Commercial Analytics Consultant (Pharmaceutical Domain DS TechnologiesCommercial SME(Commercial Analytics Consultant (Pharmaceutical DomainPiscataway, New Jersey$70–$75 / hourProvide 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. Role: Commercial SME(Commercial Analytics Consultant (Pharmaceutical Domain) Location: New Jersey– Hybrid role If you are currently open to market opportunities, completion of a short AI assessment is required as part of the initial evaluation process.
Senior Associate, Mass Torts Alvarez & Marsal Disputes and Investigations, LLCSenior Associate, Mass TortsNew York, NYFull timeRecognized by Global Arbitration Review and Who's Who Legal as a leading independent expert practice, we advise corporations, law firms, and financial institutions on complex disputes, forensic investigations, and clai-ms-resolution programs across a range of industries. The Mass Torts team supports clients facing large-scale litigation and liability exposures by providing valuation, allocation, and recovery analyses that bridge the gap between financial data and legal strategy.
Cyber Claim Counsel The Travelers Companies IncCyber Claim CounselMorristown, NJ$111,600–$184,200 / yearTravelers'' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer crime, infrastructure attacks and restoration, notification to affected parties and regulators, business interruption, consumer privacy liability, and identity fraud/theft. The First-Party Cyber Claim Team partners with and supports business units including Private-Non-Profit, Public Companies, Financial Institutions, Insurance Companies, Investment Advisors, and Professional Liability.
First Notice of Loss Associate - Hourly New Jersey ManufacturersFirst Notice of Loss Associate - HourlyTrenton, New JerseyThey are responsible for addressing customer inquiries concerning the claim process and collecting essential details about the incident, to accurately and efficiently establish new Auto, Property and Commercial claims. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
New["Full-Time Patient Account Representative","Full-Time Patient Account Representative"] Acadia Healthcare["Full-Time Patient Account Representative","Full-Time Patient Account Representative"]RiverdaleGather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment. • Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
Case Manager Finch LegalCase ManagerNew York City, New York$60,000–$85,000 / yearYou’ll focus on the operational heart of pre-litigation—opening claims, managing medical record requests, securing police reports, and resolving lien issues—so attorneys can work with complete, timely information. We combine expert operators with purpose-built AI to handle intake, claim opening, medical records, police reports, lien management, demands, and everything in between.
Agentic Solutions Consultant Insurance SaaS Evolution IQAgentic Solutions Consultant Insurance SaaSNew York, NYThis includes helping customers understand how EvolutionIQ's solutions will integrate with their claims systems, policies, eligibility feeds, data flows, and workflows, and shaping the transformation narrative that allows executive sponsors to secure buy-in internally. Create reusable solution design artifacts, workflow maps, reference architectures, ROI templates, customer assessment frameworks, and implementation playbooks that help EvolutionIQ scale the agentic sales motion.
Senior Underwriter, Inland Marine Chubb LtdSenior Underwriter, Inland MarineNew York, NY$100,000–$165,000 / yearIdeally, this Senior Underwriter will underwrite Ocean Cargo, Builder's Risk, Civil Construction projects, Fine Arts, Contractors Equipment, Motor Truck Cargo, Transit, Installation Floaters, Equipment Dealers, and other Marine coverages. Strong 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.
Feed Integrations Associate Garner Health Technology IncFeed Integrations AssociateNY$54,000–$70,000 / yearOur products are trusted by the most sophisticated employers and providers in the industry, and we are building a team of talented, mission-driven individuals who are motivated to make a meaningful impact on healthcare at scale. You'll serve as a key point of contact for external partners, including health insurance carriers, TPAs, and benefits administrators, while working closely with internal teams to identify opportunities for automation and efficiency gains.
Tech Lead (Guidewire) Flex On -Demand ConsultantsTech Lead (Guidewire)Florham Park, Florham ParkDeep know how of XML, Code Scan Plugin/Tools, Code Coverage, GIT/TFS/Subversion, GUnit, Netsparker, Sonarqube and relevant technologies. Plan, oversee and execute staffing needs, liaise with relevant business units (BA/Product/PM etc) in development, planning, scope, sizing and implementation of the Claims portfolio.