NewClinical Review Specialist - Fully Remote MercorClinical Review Specialist - Fully RemoteNew York, New YorkRemoteManage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. 5+ years of experience in prior authorisation, utilisation management, or clinical review, with at least 2 years in a management role.
NewClinical Social Work Specialist MercorClinical Social Work SpecialistNew York, New YorkRemote$40–$50 / hourBuild tasks across clinical social work practice , child and family welfare , healthcare/medical social work , and community-based case management . Construct social work scenarios for complex case assessment, multi-stakeholder care coordination, and crisis intervention.
NewClinical Documentation Expert - Fully Remote MercorClinical Documentation Expert - Fully RemoteNew York, New YorkRemoteMonitor CDI program KPIs, including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy. 5+ years of experience in clinical documentation integrity or improvement, with 2+ years in a manager or leadership role.
Clinical Case Manager II - ICM NYC Criminal Justice AgencyClinical Case Manager II - ICMNew York, NYInformation collected about these arrestees and subsequent case processing is maintained in the agency's internal and externally shared database systems, which are used to conduct descriptive and evaluation research on arrestee characteristics, case processing and court outcomes, and on issues and potential reforms to criminal justice policy in New York City. CJA is also strongly committed to professional learning and development for its staff members and offers staff varied opportunities for learning and development through partnerships and vendor services for web based, in-person professional development training, as well as in-house job training and development.
Rheumatology Territory Account Specialist – Jersey City NovartisRheumatology Territory Account Specialist – Jersey CityJersey City, New JerseyRemoteCOVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers’ (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. Commercial Excellence, Communication Skills (Inactive), Compliance (Inactive), Conflict Management, Cross-Functional Coordination, Customer Insights, Healthcare Industry, Influencing Skills, Key Account Management, Professional Ethics, Selling Skills (Inactive), Technical Skills (Inactive)
Rheumatology Territory Account Specialist - Jersey City Novartis AGRheumatology Territory Account Specialist - Jersey CityJersey City, NJRemote$77,000–$143,000 / yearNovartis Compensation Summary:The salary for this position is expected to range between:Associate Territory Account Specialist: $77,000 and $143,000 per yearTerritory Account Specialist: $93,800 and $174,200 per yearSenior Territory Account Specialist: $119,700 and $222,300 per yearExecutive Territory Account Specialist: $132,300 and $245,700 per yearThe final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination.
Rheumatology Territory Account Specialist - Manhattan Novartis AGRheumatology Territory Account Specialist - ManhattanBrooklyn, NYRemote$77,000–$143,000 / yearNovartis Compensation Summary:The salary for this position is expected to range between:Associate Territory Account Specialist: $77,000 and $143,000 per yearTerritory Account Specialist: $93,800 and $174,200 per yearSenior Territory Account Specialist: $119,700 and $222,300 per yearExecutive Territory Account Specialist: $132,300 and $245,700 per yearThe final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination.
Field Applications Scientist, Immunoassay Specialist Bio-Techne CorpField Applications Scientist, Immunoassay SpecialistNew York, NY$85,600–$140,800 / yearWe are currently seeking an outstanding Field Applications Scientist, Immunoassay Specialist based in the Metro New York area to provide exceptional sales and customer support for our revolutionary immunoassay analysis instrumentation and assays. The candidate will be a key member of a team of Field Applications Scientists, responsible for providing pre- and post-sales assay development and technical support for several product families, including Simple Plex Ella and Luminex platforms.
Advanced Breast Procedures Specialist (ABPS) -New York and New England Applied MedicalAdvanced Breast Procedures Specialist (ABPS) -New York and New EnglandNew York, New York$80,000–$100,000 / yearOur dedication to delivering the highest quality products combined with our unique business model allows team members the ability to truly partner with hospital accounts and contribute in a larger capacity than is possible in most sales positions. Working alongside Applied Medical’s Field Implementation and Advanced Procedural Specialist teams, the ABPS develops and executes strategic sales plans that drive long term growth of thesetechnologies.
Insurance Authorization Specialist - NYC Human HireInsurance Authorization Specialist - NYCNew York, NYHumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. If this is not the ideal position for you but are still interested in hearing about what other job opportunities are in your area, please visit www.humanhirellc.com and email your resume to jobs[at]humanhirellc.com!
Pediatric Front Desk Specialist Full-Time Summer PediatricsPediatric Front Desk Specialist Full-TimeStamford, CTFull timeAt Summer Pediatrics , we believe every child deserves exceptional care—and every family deserves to feel welcomed from the moment they walk through our doors. If you're passionate about delivering outstanding customer service and want to build a rewarding career in pediatrics, we'd love to hear from you!
Surgical Commercial Billing & Collections Specialist Human HireSurgical Commercial Billing & Collections SpecialistClifton, NJ$26–$30 / hourYoull be working in a fast-paced, specialty-driven setting supporting neuro-spine, orthopedic, and podiatry surgical billing where accuracy, persistence, and strong payer knowledge directly impact reimbursement outcomes. Youll gain deep exposure to complex commercial payer strategies, out-of-network reimbursement negotiation, and high-dollar surgical billing workflows in a specialized clinical environment.
Outreach and Retention Specialist Research Foundation of The City University of New YorkOutreach and Retention SpecialistLong Island, New YorkThese functions include legal assessment and signing of agreements where RFCUNY is named as a fiscal agent; setting up award accounts; preparing sub-awards and assisting PIs in monitoring the work of the recipients of sub-awards; supporting project directors with hiring and managing research project and sponsored program staff; supporting the purchasing and paying for goods and services with grant and program funds; managing financial aspects of projects including accounts receivable, financial reporting, invoicing, budget monitoring, and cost compliance with uniform guidance; ensuring that sponsor financial requirements are met; monitoring compliance with applicable project and financial management rules and laws; supporting the management of independent and external audits and financial reviews; and providing data, information, management expertise, and other supports to CUNY’s research and sponsored programs. The program focuses on healthcare-related training, including Emergency, Medical Technician (EMT) (Basic), Certified, Medical Administrative Assistant (CMAA)/Certified Clinical Medical Assistant (CCMA), and Central Service Technician/Central Sterile Technician (CST) certifications.
LSP Control Room Specialist CHILDRENS VILLAGE, THELSP Control Room SpecialistDobbs Ferry, NYMinimum of two (2) years direct care experience working with at-risk youths or a college degree with a minimum of one (1) year direct care experience working with at-risk youths preferred. This person is primarily responsible for monitoring entrance and exit doors, admitting authorized persons access to the Limited Secure facility, conducting various searches and monitoring live footage of the program.
Health Services Specialist (RN) JEA Senior Living LLCHealth Services Specialist (RN)Newark, NJEnsures that residents' care needs are met by coordinating care services with other community professionals, including physicians, discharge planners, nurses, home health agency staff, case managers, and state agency personnel. When a Community is not assigned, the HSD Specialist may assist in quality assurance efforts with assigned site visits, implementation of systems, and/or delegation of task to health services staff per state regulations such as medication training or skills.
RCM Product Specialist Sofie Biosciences IncRCM Product SpecialistTotowa, NJRemoteThe RCM Product Specialist will lead the development, implementation, and validation of manufacturing and analytical methods of new diagnostic and therapeutic radiopharmaceuticals for SOFIE within the itheranostic / FAPI Division. Working closely with SOFIE's pharmaceutical partners and internal staff, they will ensure that these radiopharmaceuticals are in full compliance with all regulatory requirements (specifically, 21 CFR 211and 212).
Sr. Long Term Disability Claims Specialist MetLife IncSr. Long Term Disability Claims SpecialistNY$58,000–$69,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. Excellent interpersonal and communication skills in both verbal/written form and excellent customer service skills proven through internal/external customer interactions with demonstrated conceptual thinking, risk management, ability to handle complex situations effectively with organizational and time management skills.
Procurement Specialist Integrated Resources, IncProcurement SpecialistSouth Plainfield, New JerseyContractorPrevious Pharmaceutical or Biopharmaceutical experience a plus but not a requirement• Computer experience: Word/ Excel with Procurement Software or Microsoft AX a plusQualificationsEssential Functions• Confirms and issues Purchase Orders; expedites orders, communicates any purchase order delivery changes and processes returns as requested.• Job DescriptionPosition: Purchasing/BuyerDuration: 6 Months Contract to HireLocation: South Plainfield, NJImmediate InterviewPosition Summary• Responsible for the Procurement/Sourcing of materials, goods and services, order accuracy, change orders, invoice approval/discrepancies and the management of Company approved vendors.•
Healthcare Admin Specialist - Operations MercorHealthcare Admin Specialist - OperationsNew York, New YorkRemote$40–$50 / hourDirect experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna). Evaluate and improve administrative workflows in healthcare settings, focusing on patient access and front-end operations .
Assistant Accounts Receivable Ria Money Transfer (Dandelion)Assistant Accounts ReceivableKuala Lumpur, Federal Territory of Kuala LumpurFull timeRia Money Transfer, a business segment of Euronet Worldwide, Inc. (NASDAQ: EEFT), delivers innovative financial services including fast, secure, and affordable global money transfers to millions of customers along with currency exchange, mobile top-up, bill payment and check cashing services, offering a reliable omnichannel experience. The role ensures agent invoices are processed accurately and on time, payments are allocated correctly, outstanding accounts are monitored and followed up, and agent account enquiries are resolved promptly.