Pre-Litigation Case Manager Brandon J. BroderickPre-Litigation Case ManagerHackensack, New Jersey$65,000–$75,000 / yearE-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Compensation: The base salary or hourly range for this position will be determined during the interview process and will vary based on multiple factors, including but not limited to; prior relevant experience, business needs and market factors.
Pharmacy Technician Azend PharmaPharmacy TechnicianValley Stream, New York$20–$30 / hourAssist pharmacists in verifying the accuracy and completeness of prescriptions and enter prescription and patient information accurately into the pharmacy's computer system. Technician License (preferred but not required) PTCB – Pharmacy Technician Certification Board (Certified Pharmacy Technician, CPhT).
Insurance Specialist I Regional Cancer Care AssociatesInsurance Specialist IHackensack, New Jersey$18.99–$29.22 / hourWhile performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
Veterinary Practice Manager Veterinary Practice PartnersVeterinary Practice ManagerBrooklyn, NY$100,000–$120,000 / yearMust have strong capabilities in: balancing needs of business and staff, organization and prioritization, data management & interpretation, problem-solving, computer systems (our practice management system), and the ability to both formulate plans and drive results on your own and in conjunction with the leadership team. Oversee day-to-day operations in collaboration with Partner Doctors, Medical Director, and Operations Director, with a primary focus on operational excellence, including: Manage scheduling of staff, including veterinarians, technician, and support personnel, to ensure adequate coverage and efficient workflow.
SIU Analyst Argo Group International Holdings IncSIU AnalystNew York City, NY$86,190–$101,490 / yearA Certified Insurance Fraud Investigator (CIFI) designation plus one other industry designation (such as CIFA, CIFR, AIC, or CPCU or four additional years of related experience beyond the minimum experience required above may be substituted in lieu of a degree. Essential Responsibilities: Working under technical direction, applies established investigative methodologies and analytical techniques to support the identification, investigation, and deterrence of suspected instances of insurance fraud under both the Argo and Farm Family brands in both claims and underwriting.
Risk Manager RWJ Barnabas Health Medical IncRisk ManagerNewark, NJ$95,000–$115,000 / yearEnter Potentially Compensable Events (PCEs) into the event reporting system and conduct/document initial investigations, Manage and investigate actual and potential claims involving patients, visitors, employees, and property, including referral to insurance carriers as appropriate. RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team.
Staff Regulatory Affairs Specialist, Advertising & Promotion Becton Dickinson and CoStaff Regulatory Affairs Specialist, Advertising & PromotionFranklin Lakes, NJ$135,500–$216,800 / yearOur Staff Regulatory Affairs Specialist position is primarily focused on compliant advertising and promotion of our existing Specimen Acquisition and Lab Specimen Management product portfolios, in addition to opportunities to provide regulatory support for new product claims. This role ensures claims and communications are truthful, non-misleading, appropriately substantiated, aligned to approved indications/intended use, and compliant with applicable US, EU, and global medical device/IVD requirements.
Director, Logistics Maiden HomeDirector, LogisticsNew York, NY$180,000–$210,000 / yearDevelop a tariff risk monitoring and cost modeling capability: track tariff schedules, Section 301 classifications, and trade policy changes; model financial exposure by origin country, product category, and lane; and bring scenario analyses to leadership with enough lead time to inform procurement and pricing decisions. Own claims management for damaged, lost, and delayed shipments: file and track claims, maintain an open claims log with aging, analyze patterns to drive carrier accountability, and ensure recoveries are captured in financial reporting.
Associate, Payment Integrity IBR Oscar HealthAssociate, Payment Integrity IBRNew York, NY$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Director, Logistics Cosette PharmaceuticalsDirector, LogisticsBridgewater, New JerseyThe Director, Logistics collaborates with our North Carolina manufacturing site; CMO’s; CPO’s; third-party logistics providers (3PL’s); freight forwarders; material suppliers; wholesalers; specialty pharmacies; payers; and internal stakeholders to optimize service levels, maintain regulatory compliance, and drive operational excellence. The Director, Logistics is the primary negotiator for all 3PL Master Service Agreements (MSA’s) and works in partnership with senior Operations staff (SVP, Operations and the Vice President, Supply Chain & Sourcing) and Finance to negotiate with the 3PL to result in an MSA that provides strong cost benefits for Cosette.
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.
Outpatient Payment Integrity Production Coder MedReviewOutpatient Payment Integrity Production CoderNew York, NY$58,000–$65,000 / yearPerform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments.
NewAssociate Senior Claim Counsel TravelersAssociate Senior Claim CounselNew York City, New York$126,500–$208,700 / yearWith minimal oversight, provide a variety of legal and business support to underwriting colleagues which varies by business unit and may include negotiating indemnity documentation, drafting product forms and endorsements, reviewing contracts and bond forms, all involving matters of moderate complexity, and supporting marketing and/or risk management efforts through broker visits and seminars. Retain, monitor, and manage outside counsel (and other vendors as applicable) by actively utilizing incident response and/or litigation management plans and budgets, and negotiate settlements when appropriate to ensure effective legal and/or claim outcomes involving litigation matters of moderate severity and complexity.
NewVendor Management & Sourcing Specialist Pie Insurance Holdings IncVendor Management & Sourcing SpecialistNYRemote$100,000–$125,000 / yearThe Vendor Management & Sourcing Specialist is the operational backbone of Pie's Claims Vendor Management and Procurement function, owning end-to-end work across both sourcing/procurement execution and vendor relationship and performance management. You will also manage the Claims vendor portfolio by coordinating stewardship meetings, monitoring scorecard performance, handling day-to-day vendor communications, and driving issues through the escalation log from identification to resolution.
NewField Service Agent - Brooklyn - Spanish HF Management ServicesField Service Agent - Brooklyn - SpanishBrooklyn, New YorkThis individual receives and addresses member & provider inquiries, de-escalates and resolves complaints, educates clients, engages in member retention activities, and escalates issues requiring additional intervention across all Lines of Business (LOBs) within a face-to-face, telephonic, and/or Omni-channel contact center environment. The Field Service Agent maintains the Healthfirst culture and drives improvements to ensure the best possible customer experience as measured by First Encounter Resolution and Customer Experience measures for our “North Star” Members and the Providers who service them.
Home Office Leader, E&S Casualty AXA SAHome Office Leader, E&S CasualtyNew York, NY$132,200–$257,100 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. This is a unique opportunity to be part of an innovative team that has been unlocking the future since 1978, creating teams that excel at innovation, expanding geographically, building new products, and serving our wholesale partners with excellence.
Regional Safety Manager Vesta HomeRegional Safety ManagerBlauvelt, NYAs the leading home staging brand in the country, Vesta leverages its deep design and local market knowledge in Los Angeles, New York, San Francisco, and South Florida to help sell multimillion-dollar properties faster and above the asking price, allowing buyers to seamlessly move into beautifully furnished spaces. The Regional Safety Manager is a senior, field-level safety leader who owns all workplace safety and workers’ compensation outcomes across their assigned coast (East or West) — including all Vesta Home and Showroom Interiors locations, acquired companies, and partner facilities within that geography.
Machine Adjuster Pactiv Evergreen IncMachine AdjusterElizabeth, NJ$22–$25 / 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.
Independent Insurance Claims Adjuster in New Rochelle, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in New Rochelle, New YorkNew Rochelle, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Dover, New Jersey MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Dover, New JerseyDover, New JerseyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.