Analyst II Application Development Hospital for Special SurgeryAnalyst II Application DevelopmentNew York, NY$99,000–$150,750 / yearKey responsibilities include designing, building, testing, and implementing solutions within the Epic Resolute Hospital Billing application and its functionality such as Single Billing Office (SBO), Claims and Remittance, Charge Router, Patient Statements, and related modules. The Epic Resolute Hospital Billing Analyst II is responsible for configuring, supporting, and maintaining the hospital's EMR and billing applications to ensure accurate and efficient claims processing, payment posting, and revenue cycle operations.
Technical Account Director RedSail Technologies, LLCTechnical Account DirectorLong Island, NY$135,000–$145,000 / yearThe Technical Account Director provides strategic leadership for RedSail's technical account management function and is accountable for the operational health, technical success, and long-term value delivered to assigned strategic and enterprise customers. The Director develops strong executive relationships, provides oversight for complex escalations and customer-impacting incidents, and ensures the organization proactively manages account risk, service performance, and continuous improvement.
Manager, Government Programs Enrollment Capital Rx LLCManager, Government Programs EnrollmentNew York, NY$146,000–$182,500 / yearBy 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. Position Summary: The Government Programs Enrollment Manager is responsible for the implementation, overall management, oversight and continuous improvement of Medicare enrollment and eligibility operations for the Health Plan EGWP line of business.
NewClaims Expert, Professional Liability Claims Swiss Re LtdClaims Expert, Professional Liability ClaimsNew York, NY$116,000–$194,000 / yearThe specific salary offered for this or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. Key Responsibilities Include: Confidently navigate in both primary and excess insurance claim environments while actively managing Construction Professional Liability claims, as well as other Professional Liability claims, including Lawyers, Insurance Agents, and Miscellaneous Professional claims.
NewCPC Processor Customer Support Datavant LLCCPC Processor Customer SupportNY$15–$18 / hourGuided 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. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.
Senior Claims Examiner, Ocean Marine Claims Markel Group IncSenior Claims Examiner, Ocean Marine ClaimsRed Bank, NJ$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Typically handles moderate to complex exposure ocean marine bodily injury and property damage claims including, but not limited to, Commercial General Liability, Protection & Indemnity, Marina Operator's Protection & Indemnity, and Marine Excess (Bumbershoot) Liability, as well as Hull, Piers, Wharves & Docks, and Ocean Cargo.
Claims Referral Specialist II LIBERTY Dental PlanClaims Referral Specialist IIUniondale, NYRemoteThe successful candidate will bring strong dental claims knowledge, experience with Coordination of Benefits (COB) and Orthodontic claims processing, and the ability to collaborate effectively across departments while working independently in a remote setting. We are seeking a detail-oriented and experienced Claims Referral Specialist II to join our Claims team and play a vital role in ensuring accurate and timely claims processing for our members and providers.
Account Manager IV (National Large Group) Horizon Healthcare ServicesAccount Manager IV (National Large Group)Newark, New JerseyThis compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The Account Manager acts as a trusted advisor to the client and consultants while coordinating across internal Horizon teams to ensure service delivery, compliance, and performance expectations are met.
AI Solution Architect TechDigitalAI Solution ArchitectHolmdel, NJSolution & Enterprise Architecture Deep expertise in solution architecture disciplines: capability modelling, application architecture, integration architecture, data architecture, and security architecture. Technology Stack (Hands-On Proficiency) Java / J2EE: Java 11–21, Spring Boot, Spring Framework, Jakarta EE, microservices with REST/gRPC, Apache Kafka, JPA/Hibernate, PostgreSQL, Oracle.
Software Engineer (Senior) Candid HealthSoftware Engineer (Senior)New York City, New YorkCollaborate closely with customers, product managers, designers, and cross-functional partners to understand customers’ needs and develop creative ways to address them. With our cutting-edge revenue cycle automation platform, we are transforming this space through an intelligent, data-driven approach that simplifies billing, enhances claims processing, and eliminates administrative waste.
PART TIME PHARMACIST ICARE PHARMACY PLUSPART TIME PHARMACISTPaterson, NJFull timeWe are looking for a professional who can dispense medications accurately, provide excellent pharmaceutical care, and ensure compliance with all relevant laws and regulations. Job Description: Icare Pharmacy Plus is seeking a dedicated and highly skilled Pharmacist to join our team.
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesNJ$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Business Systems Analyst TechDigital CorporationBusiness Systems AnalystFlorham Park, NJRemoteFDB Drug Nomenclature, Formulary & Preferred Drug List Design. • Drug Coverage Configuration: Inclusions, Exclusions & Prior Authorization Criteria.
PHARMACIST IN CHARGE ICARE PHARMACY PLUSPHARMACIST IN CHARGEPaterson, NJFull timeWe are looking for a professional who can dispense medications accurately, provide excellent pharmaceutical care, and ensure compliance with all relevant laws and regulations. Job Description: Icare Pharmacy Plus is seeking a dedicated and highly skilled Pharmacist to join our team.
Pharmacist in Charge PIC ICARE PHARMACY PLUSPharmacist in Charge PICMorris Plains, NJFull timeWe are looking for a professional who can dispense medications accurately, provide excellent pharmaceutical care, and ensure compliance with all relevant laws and regulations. - Balanced Schedule: Maintain a healthy work-life balance with our balanced work schedules.
Senior Accountant Catholic Charities Community ServicesSenior AccountantNew York, NY$92,000–$100,000 / yearFull timeReporting to the Finance Manager(s), the Senior Accountant ensures timely and accurate fiscal operations, including claims processing, budget development, audit preparation, forecasting, and financial reporting. Summary: The Senior Accountant plays a key role within the CCCS Finance Department's Program Support team, overseeing operational financial reporting and contract compliance.
Trainer II Horizon Healthcare ServicesTrainer IINewark, New Jersey63,000 - $84,420 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. Assists with the development and customizing of training materials including, but not limited to; content, lesson plans; exercises and assessments in the partnership with the Sr Trainer and ISD team.
Ai/Ml Engineer Starr CompaniesAi/Ml EngineerNew York, NY$135,000–$175,000 / 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. 2+ years expert level R or Python analytics experience with a proven track record in advanced analytics as well as hands-on experience with digital and CRM data (structured and unstructured).
Account Manager III (Public Sector) Horizon Healthcare ServicesAccount Manager III (Public Sector)Newark, New JerseyMust be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; Should be knowledgeable in the use of intranet and internet applications. This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Senior Quality Analyst, Assistant Manager ExlService Holdings IncSenior Quality Analyst, Assistant ManagerNY$73,000–$110,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. This role will be responsible for embedding AI into QA processes, improving product quality proactively, and driving intelligent automation initiatives that reduce manual effort, improve defect prevention, and accelerate delivery timelines.