NewSenior Implementation Project Manager Capital Rx LLCSenior Implementation Project ManagerNew York, NY$131,600–$164,500 / yearThis role supports implementations for self-funded employers, municipalities, government entities, and third-party administrators with software licensing arrangements, ensuring a seamless onboarding experience that positions clients for long-term success. 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.
Mobile Developer Capital Rx LLCMobile DeveloperNew York, NY$108,800–$136,000 / 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: We are seeking a highly motivated and talented React Native Developer to join our team and play a critical role in shaping the future of our member facing mobile apps.
Formulary Operations Specialist Capital Rx LLCFormulary Operations SpecialistNew York, NY$70,000–$85,000 / 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. Uploads formulary composites in the adjudication platform and supports Benefits team testing by uploading adjudication data to applicable Salesforce cases.
Lead, Medical Network Pricer Capital Rx LLCLead, Medical Network PricerNew York, NY$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
Product Manager IV SS&C Technologies Holdings IncProduct Manager IVNJRemoteLeads medium to large initiatives or complex, high‑visibility product efforts requiring broad business perspective, conceptual thinking, and in‑depth analytical problem solving. Partners closely with cross‑functional teams-including technical architecture, engineering, development, analytics, operations, and commercial teams-to ensure solutions meet financial, timing, and customer expectations.
NewCPC 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.
Legal Case Manager – Personal Injury Talent Search PROLegal Case Manager – Personal InjuryPort Washington, WashingtonIf you've built your career managing personal injury cases and negotiating settlements, this is an opportunity to join a nationally recognized plaintiff law firm that has spent more than two decades advocating for injured clients across the country. You'll work with experienced attorneys on a wide variety of personal injury matters, including motor vehicle accidents, premises liability, medical malpractice, labor law, and nursing home neglect.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeNew Hyde Park, NY$64,500–$69,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Billing Specialist LOA ZUFALL HEALTH CENTER, INC.Billing Specialist LOADover, NJ$19.50–$22.61 / hourUnder the direct supervision of the Revenue Cycle Manager, the Billing Specialist LOA will be responsible for reviewing eligible claims for submission to the State (LOA). Validating/Confirming patient payments is a part of Billing meetings regarding loss of revenue due to missing payments.
Customer Care Specialist SaiaCustomer Care SpecialistLong Island, New York$24.45–$29.75 / hourRead, write, communicate and comprehend the English language in order to perform the various tasks of the job, including but not limited to: converse with co-workers and members of the general public, including customers; understand oral and written instructions as well as governmental regulations; respond to questions and inquiries from management and government representatives; and accurately complete various documents, reports and records required of the position. Delivers escalated support to customers while working closely with terminal operations to resolve disputes, scheduling conflicts, and service concerns.
Claims Associate - NJ/NY/GA American Global, LLCClaims Associate - NJ/NY/GAWhippany, NJOver time, through structured training, mentoring, and hands-on experience, this position is expected to progress into a claims handling role focused on General Liability and Automobile claims while continuing to deliver exceptional customer service to our clients. We are seeking someone with experience working with claims data and analytics who can help identify trends, reconcile claim information, and support meaningful reporting for clients and internal teams.
Staff Applied Ai/Ml Scientist Capital Rx, Inc.Staff Applied Ai/Ml ScientistNew York, NY$189,600–$237,000 / yearAs a Staff Applied Scientist, you will play a crucial role in developing, improving, and exploring the capabilities of multimodal LLMs to solve complex real-world problems geared towards building automation and Conversational AI products enabling increased productivity and magical experiences for our customers. We want people who like working in a collaborative team environment and enjoy creating practical, efficient, and high-performance software that leverages Large Language Models (LLM), Multimodal Language Models(MLM), and other ML models and techniques to build amazing capabilities for our customers, partners, and employees.
IT Manager Capital Rx, Inc.IT ManagerNew York, NY$120,000–$150,000 / yearThis role manages a team of IT Engineers, ensures the reliability and scalability of enterprise IT systems, and drives continuous improvement across identity, endpoint management, and SaaS platforms. 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.
IT Engineer I Capital Rx, Inc.IT Engineer INew York, NY$92,000–$115,000 / 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. This role focuses on operational excellence, user experience, and execution of established processes while building deeper technical skills across endpoint management, SaaS administration, and automation.
NewAccount Executive, PBA Client Services Capital Rx, Inc.Account Executive, PBA Client ServicesNew York, NYRemote$163,600–$204,500 / yearPartner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Judi Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs. Position Overview: The Account Executive/Strategic Account Executive - PBA Client Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services.
Senior Analyst, Analytics - Corporate Insights Capital Rx, Inc.Senior Analyst, Analytics - Corporate InsightsNew York, NY$92,100–$115,000 / 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. The ideal candidate will have a strong background in executing analytics projects, collaborating with cross-functional teams, and presenting actionable insights to support business decisions.
Commercial Insurance Producer GpacCommercial Insurance ProducerMorris Plains, NJ90000–150000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. The agency is known for its strong employee tenure, collaborative culture, and commitment to supporting producers with the resources needed to succeed.
Account Executive Capital Rx, Inc.Account ExecutiveNew York, NY$163,600–$204,500 / yearThis role serves as a trusted advisor to executive stakeholders, leads the client lifecycle starting in sales support and implementation through renewal, coordinates cross-functional resources, and provides proactive guidance on pharmacy benefit management strategies, healthcare trends, contractual obligations, performance guarantees, and regulatory considerations. The ideal candidate brings deep healthcare and health system expertise within pharmacy benefits management, strong business acumen, and the ability to build consensus across complex stakeholder groups while delivering measurable value and long-term client success.
Carrier Revenue Analyst Progyny, Inc.Carrier Revenue AnalystNew York, NY$65,000–$70,000 / yearHeadquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.
NewLead Analyst, Analysis & Efficiencies Capital Rx, Inc.Lead Analyst, Analysis & EfficienciesNew York, NY$120,000–$150,000 / 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 Lead Analyst, Analysis and Efficiencies within Government Program Operations, plays a pivotal role in advancing operational excellence across government programs including Medicare, Medicaid, and Exchange.