Software Developer - .NET Pride Technologies LLCSoftware Developer - .NETMontvale, NJ$50–$70 / hourOnly applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation. Personal information is collected and used for the following business purposes: evaluating qualifications and eligibility for employment; communication regarding the recruitment and application process; verifying eligibility for employment; and complying with applicable legal, regulatory, and contractual obligations.
Software Engineer - AVP Barclays PlcSoftware Engineer - AVPWhippany, NJDesign, develop and improve software, utilizing various engineering methodologies including Java and relational databases on Windows and Linux platforms, that provides business, platform, and technology capabilities for Barclays. seeks Software Engineer - AVP in Whippany, NJ (multiple positions available): Participate in all aspects of software delivery, including analysis, requirements gathering, design, development, testing, and handover to the production support team.
Assistant VP, TDS Senior Developer Barclays PlcAssistant VP, TDS Senior DeveloperWhippany, NJCross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives. seeks Assistant VP, TDS Senior Developer in Whippany, NJ (multiple positions available): Design architecture for enterprise-grade, distributed, microservices-based, and cloud-native applications.
Sr. Security Engineer Intenseye IncSr. Security EngineerNew York, NY$160,000–$200,000 / yearThat's why we're building the world's most advanced AI-powered platform for industrial environments, designed to help organizations move from reactive programs to proactive risk prevention across safety, operations, and quality management. Deep hands-on expertise in cloud security (GCP strongly preferred): network security, IAM, secrets management, container security (Kubernetes/Docker), and cloud-native threat detection.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NJ$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Associate Director, Clinical Data Management PTC TherapeuticsAssociate Director, Clinical Data ManagementWarren, NJ$163,800–$206,200 / yearParticipate in cross functional team meetings, as requested, and communicate with all departments regarding project statuses/issues, provide ongoing feedback on data management workflows to increase efficiency and provide feedback to CRAs. The Associate Director, Clinical Data Management is responsible for providing leadership and oversight of data management activities to ensure accuracy and consistency of clinical databases for subsequent analysis and reporting.
Staff Backend Software Engineer (Revenue Engine) HeadwayStaff Backend Software Engineer (Revenue Engine)New York, NY$264,000–$330,000 / yearAs one of two staff engineers in the group, you'll partner with engineering leadership to set technical direction across our Payment Platform and Clearinghouse Platform teams: the systems responsible for our integrations with Stripe, Plaid, and the payer clearinghouses that our claims flow through. This role is for engineers who get energized by distributed systems problems with real consequences - concurrency, idempotency, partial failures, all with a substantial potential blast radius - and who want to apply that craft to a mission that actually matters: building a mental healthcare system that everyone can access.
Staff Backend Software Engineer (Revenue Engine) Therapymatch, Inc.Staff Backend Software Engineer (Revenue Engine)New York, NY$264,000–$330,000 / yearAs one of two staff engineers in the group, youll partner with engineering leadership to set technical direction across our Payment Platform and Clearinghouse Platform teams: the systems responsible for our integrations with Stripe, Plaid, and the payer clearinghouses that our claims flow through. This role is for engineers who get energized by distributed systems problems with real consequences - concurrency, idempotency, partial failures, all with a substantial potential blast radius - and who want to apply that craft to a mission that actually matters: building a mental healthcare system that everyone can access.
NewOphthalmic Technician Eye Care Partners Career OpportunitiesOphthalmic TechnicianSomerset, NJThis employee will use ophthalmic techniques to perform preliminary work-up of patients in a clinic setting, scribe for Physicians and may also directly assist Physician(s) with examinations and treatment of patients. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.
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Field Reimbursement Manager - Neurology (NY, NY) Regeneron PharmaceuticalsField Reimbursement Manager - Neurology (NY, NY)New York, New York$165,600–$209,600 / yearIn this role, you will support providers throughout all facets of the reimbursement cycle including coverage, coding, product acquisition, available patient support services and site-of-care decision making to enable sustained patient access in a competitive rare disease environment. A bachelor’s degree and at least 5 years of experience in the biopharma reimbursement, market access or field-based access roles working in a matrix environment – with at least 2 years direct Reimbursement experience supporting medical benefit therapies (buy & bill preferred).
NewDirector, Market Access Analytics Regeneron PharmaceuticalsDirector, Market Access AnalyticsSleepy Hollow, NY$183,100–$305,200 / yearThis role requires: 12+ years of pharmaceutical/biotech commercial experience (or 10+ years for MBA/MS), in roles of increasing accountability; prior experience with market-leading brands required and Insights & Analytics-specific experience is preferred. In addition to strong analytics skills, the Director, Market Access Analytics should have excellent communication skills, a demonstrated track record of effective business partnership, business impact and influence.
Field Reimbursement Manager - Neurology (Ny, NY) Regeneron PharmaceuticalsField Reimbursement Manager - Neurology (Ny, NY)New York, NY$165,600–$209,600 / yearIn this role, you will support providers throughout all facets of the reimbursement cycle including coverage, coding, product acquisition, available patient support services and site-of-care decision making to enable sustained patient access in a competitive rare disease environment. This role requires: A bachelor's degree and at least 5 years of experience in the biopharma reimbursement, market access or field-based access roles working in a matrix environment - with at least 2 years direct Reimbursement experience supporting medical benefit therapies (buy & bill preferred).
Billing & Reconciliation Specialist Release RecoveryBilling & Reconciliation SpecialistNew York, NY$65,000–$75,000 / yearThis individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.
Director, Forward Deployed Engineering & AI GTM Lead Aircall.io IncDirector, Forward Deployed Engineering & AI GTM LeadNew York, NY$160,000–$200,000 / yearOperating at the intersection of Applied AI, technical delivery, and go-to-market execution, this leader works across Sales, Account Management, Product, Engineering, Marketing, and Support to ensure AVA is successfully positioned, implemented, and scaled. • Pilot the team using data-backed operating models, defining and tracking clear input and output KPIs to assess performance, drive accountability, and accelerate AI Agent adoption (e.g., activity metrics, time-to-value, deployment quality, usage and revenue impact).
Senior Quantitative Scientist, Commercial-Facing Verana HealthSenior Quantitative Scientist, Commercial-FacingNew York, NYRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation- JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
NewRCM Accts Receivable Coor OB Hospitalist Group IncRCM Accts Receivable CoorNYRemote$24–$26 / hourThis position plays a critical role in improving reimbursement outcomes, reducing accounts receivable aging, supporting payer enrollment activities, and driving operational excellence across the revenue cycle. Location: Candidates residing in the Upstate South Carolina area are preferred for this remote position and should be within reasonable commuting distance of our Greenville, SC Corporate Headquarters to accommodate occasional in-office needs as requested.
STS Adult Cardiac Data Abstractor : Part Time Carta HealthcareSTS Adult Cardiac Data Abstractor : Part TimeNew York City, NYRemoteCarta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other.
Full-Time NSQIP Clinical Data Abstractor (Hourly) Non-Exempt Carta HealthcareFull-Time NSQIP Clinical Data Abstractor (Hourly) Non-ExemptNew York City, NYRemotePaid Holidays: "Full-time hourly employees receive six paid holidays per year: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas Day, paid at their regular hourly rate. Carta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity.
Clinical Data Abstractor - GWTG - Part Time Carta HealthcareClinical Data Abstractor - GWTG - Part TimeNew York City, NYRemoteCarta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other.
Clinical Data Abstractor - STS / Adult Cardiac - Part Time Carta HealthcareClinical Data Abstractor - STS / Adult Cardiac - Part TimeNew York City, NYRemote$28–$32.10 / hourCarta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other.
A/R Supervisor - Tarrytown ENT and Allergy AssociatesA/R Supervisor - TarrytownTarrytown, New YorkWith a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications.
Pre-Authorization Physical Therapist Metropolitan Jewish Health SystemPre-Authorization Physical TherapistNew York, NY$118,000–$125,000 / yearResponsibilities: Processes initial, concurrent, and retrospective reviews for requests involving rehabilitation and elective clinical services, community‑based outpatient visits, home care services, and durable medical equipment, in accordance with departmental criteria, Medicare regulatory guidelines, and New York State Department of Health requirements. This role works collaboratively with internal and external stakeholders, including Physician Advisors, vendors, providers, members' Primary Care Physicians, and other specialists-to ensure regulatory compliance and the timely delivery of services.
Group Product Manager, SmarterDenials SmarterDx IncGroup Product Manager, SmarterDenialsNYRemote$185,000–$215,000 / yearWe''re looking for a Group Product Manager to own, shape, and scale SmarterDenials - a game-changing AI solution supporting hospitals to appeal their denials more quickly for improved financial outcomes. You''ll collaborate with engineering, data science, design, and client success leadership to scale the existing product - and work cross-functionally to help stand up adjacent products within the denials space.
CDI Leader - Clinical Documentation MercorCDI Leader - Clinical DocumentationNew York, New YorkRemoteMonitor CDI program KPIs including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy. Familiarity with AI-assisted CDI tools (e.g., Nuance DAX , 3M M*Modal ) and comfort evaluating AI-generated clinical content .
Principal, Medical Economics Evergreen Nephrology LLCPrincipal, Medical EconomicsNY$135,000–$150,000 / yearThis role will help ensure the integrity of claims data flowing into enterprise datasets, enable more sophisticated economic and impact modeling, and connect cost insights with clinical and risk stratification efforts to support value-based care performance. Partner with data, actuarial, and analytics teams to validate healthcare claims data structures, ensure data is accurately represented in enterprise datasets, and resolve discrepancies affecting downstream reporting and analysis.
Data Entry Tristate HRHData EntryBayonne, NJ$15.92–$30This hybrid role combines patient sample integrity review, pre- and post-analytical support across the EMR (electronic medical record), coding, and documentation for revenue cycle management, venipuncture, specimen processing, accessioning, and workflow coordination, with periodic field support. Tristate HRH Outreach Management is a growing healthcare services organization that provides on-site staffing and operational support for one of Hudson County’s leading health systems.
Clinical Account Consultant, PBA Capital Rx, Inc.Clinical Account Consultant, PBANew York, NY$139,600–$174,500 / 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. Comprehend and effectively explain formulary, benefit, and clinical programs to clients, including intervention components, member and plan experience, book of business experience, and regulatory requirements as it directly pertains to clinical functions.
Senior Specialist, Pharmacy Systems Operations - Remote EmblemHealth IncSenior Specialist, Pharmacy Systems Operations - RemoteNew York, NYRemote$68,040–$118,800 / yearServe as pharmacy systems coding subject matter expert for Prior Authorization with a focus on medical drug claim processing, review of utilization management, PA processing, and appeals; as well as the following: claims processes and JUDI interoperability with FACETS edits and other connection troubleshooting. Provide technical and subject matter expertise support for implementations and day to day operations of Pharmacy functions and vendor coordination.
Product Cybersecurity Engineer May Mobility IncProduct Cybersecurity EngineerNY$100,000–$155,000 / yearAssist with maintaining Software Bill of Materials (SBOM) and Hardware Bill of Materials (HBOM) using dedicated SBOM tooling to ensure component visibility, vulnerability tracking, and supply chain transparency across products. Based in Ann Arbor, Michigan, May develops and deploys autonomous vehicles (AVs) powered by our innovative Multi-Policy Decision Making (MPDM) technology that literally reimagines the way AVs think.
Salesforce Developer DealerOn IncSalesforce DeveloperNYRemote$77,500–$114,900 / yearWorking closely with business stakeholders and technical teams, the Salesforce Developer evaluates business processes, recommends technical solutions, configures declarative functionality, develops custom applications and integrations, and ensures the platform remains secure, scalable, and aligned with business objectives. This role combines hands-on Salesforce administration with custom application development to deliver scalable business solutions across Sales Cloud, Service Cloud, Experience Cloud, Revenue Cloud, Billing, Marketing Cloud Account Engagement (Pardot), and other integrated technologies.
Senior Software Engineer, Backend - Care Platform Operations RomanSenior Software Engineer, Backend - Care Platform OperationsNew York, NY$182,300–$220,000 / yearIn this role, you'll design, build, and maintain scalable, reliable, and secure backend services that support how Ro delivers care, including systems for patient-provider communication, appointment scheduling, task routing, and care operations workflows increasingly powered by AI and intelligent automation. You'll partner closely with product, design, data, clinical, and care operations teams to build high-quality, compliant systems that reduce manual effort, improve accuracy, and help Ro scale care delivery for millions of patients.
Revenue cycle specialist Affinity Med SolutionsRevenue cycle specialistpark ridge, NJFull timeThis is an excellent opportunity for someone who is detail-oriented, enjoys solving complex billing issues, and takes pride in maximizing reimbursement while providing exceptional service to our physician clients. Affinity Med Solutions is growing, and we're looking for an experienced Medical Biller with a strong background in orthopedic billing to join our team.
Director of Reimbursement and Market Access NeuroPaceDirector of Reimbursement and Market AccessNew York, NY$172,000–$228,000 / yearProven success in coverage expansion working directly with private and public payers on coverage for new product launches, label expansions, or newly approved clinical indications. Based in Mountain View, CA., NeuroPace is a commercial-stage medical device company focused on transforming the lives of people suffering from epilepsy by reducing or eliminating the occurrence of debilitating seizures.
NewCareConnect Advanced Practice Provider NP Remote New York WellBe Senior MedicalCareConnect Advanced Practice Provider NP Remote New YorkNew York, NYRemote$110,001–$150,075 / yearYou will provide clinical triage, clinical management, and clinical oversight for unscheduled needs - through telephonic and video visits or by overseeing facilitated in-home visits in collaboration with other healthcare professionals on the team. Partner with other clinicians including community medical directors, longitudinal advanced practice providers, and community social workers to manage the health and wellbeing of patients living in their homes.
Clinical Documentation Specialist RN Hackensack University Medical CenterClinical Documentation Specialist RNHackensack, NJObtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. The Clinical Documentation Specialist RN facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital in the northern region of Hackensack Meridian Health (HMH).
Senior Staff Dentist LIBERTY Dental PlanSenior Staff DentistStaten Island, NJ$175,000–$185,000 / yearThis role allows you to leverage your clinical expertise beyond traditional practice-impacting care delivery at scale while working alongside a passionate and supportive team. You'll regularly partner with teams across Analytics, Utilization Management, Claims, and Provider Outreach, while also connecting directly with network dentists through peer-to-peer consultations.
Staff Data Engineer Komodo Health IncStaff Data EngineerNY$208,000–$282,000 / yearAs a Staff-level IC, you will set technical direction across data modeling, productization, analytics enablement, and scalable delivery patterns, partnering with Product, Data Science, and consuming application teams to make Healthcare Map data usable at enterprise scale. Scalable Data Systems: Design and implement high-performance data processing and serving patterns across large-scale healthcare datasets, using the right tools for the problem across SQL, Python, Spark, Rust, C++, and emerging AI-enabled engineering workflows.
Manager Patient Accounts (Commercial & Government) University Hospital, Newark NJManager Patient Accounts (Commercial & Government)Newark, New Jersey$120,522–$144,628 / yearFull timeAs the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation. University Hospital considers multiple factors when determining compensation, including (but not limited to) the scope and responsibilities of the position, the candidate’s relevant work experience, education and training, key skills, internal equity, market data, and organizational needs.
Senior Director/Vice President, Access, Policy and Commercial Operations Click Therapeutics IncSenior Director/Vice President, Access, Policy and Commercial OperationsNew York, NY$180,000–$280,000 / yearConsistently named a best place to work, Click fosters an inclusive, diverse workforce of innovators, clinicians, scientists, researchers, designers, technologists, engineers and more, united in a common mission to provide patients everywhere access to safe and effective prescription digital therapeutics. Click Therapeutics may at its business discretion decide to or refrain from obtaining, maintaining and/or extending the temporary visa status and/or sponsoring a colleague for permanent residency and /or employment eligibility, considering factors such as availability of qualified U.S. workers and the colleague's long-term prospects for securing lawful permanent residence, among other reasons.
Director of Revenue Engagement- Anesthesia- Patient Financial Services-Corporate 42nd Street -Full-Time Days Mount Sinai Health SystemDirector of Revenue Engagement- Anesthesia- Patient Financial Services-Corporate 42nd Street -Full-Time DaysNew York, NY$139,748–$209,622 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Director of Revenue Engagement- Patient Financial Services-Corporate 42nd Street -Full-Time Days Mount Sinai Health SystemDirector of Revenue Engagement- Patient Financial Services-Corporate 42nd Street -Full-Time DaysNew York, NY$139,748–$209,622 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Senior Product Manager VideaHealth IncSenior Product ManagerNew York City, NY$160,000–$180,000 / yearUse Claude and Videas AI tooling to build clickable prototypes and test concepts with real users before committing engineering time compressing spec-to-prototype cycles from weeks to days. The mission: build a platform that minimizes claim denials, accelerates provider reimbursement, and automates manual clinical and administrative workflows so dentists and their teams can get back to what matters.
Medical Billing Team Lead Easy ApplyMedical Billing Team LeadMahwah, NJ$50,000–$65,000 / yearProvide customer support to customers with disputes or inquiries concerning invoices or billing process. Our client Medloop is a large multi-specialty medical billing company servicing many clients across the US.
Senior Director/Vice President, Market Access Click Therapeutics Inc.Senior Director/Vice President, Market AccessNew York, NY$180,000–$280,000 / yearConsistently named a best place to work, Click fosters an inclusive, diverse workforce of innovators, clinicians, scientists, researchers, designers, technologists, engineers and more, united in a common mission to provide patients everywhere access to safe and effective prescription digital therapeutics. Click Therapeutics may at its business discretion decide to or refrain from obtaining, maintaining and/or extending the temporary visa status and/or sponsoring a colleague for permanent residency and /or employment eligibility, considering factors such as availability of qualified U.S. workers and the colleague's long-term prospects for securing lawful permanent residence, among other reasons.
Lead Software Engineer (Java) in Test Paramount Skydance CorpLead Software Engineer (Java) in TestNew York, NY$124,000–$170,000 / yearThe premium streaming service features an expansive library of original series, hit shows and popular movies across every genre from world-renowned brands and production studios, including BET, CBS, Comedy Central, MTV, Nickelodeon, Paramount Pictures and the Smithsonian Channel. This senior technical role combines deep Java engineering expertise, advanced test automation, media/streaming domain knowledge, and modern CI/CD practices to accelerate quality, reduce risk, and ensure world-class customer experiences across CTV, SmartTV, mobile, and web.
Medical Assistant Community Medical and Dental Care IncMedical AssistantSpring Valley, NYCommunity Medical & Dental Care, Inc., has over 60 health care providers who offer a wide range of services including Adult Medicine, Pediatrics, Family Practice, Obstetrics/Gynecology, Dentistry/Oral Surgery, Allergy, Dermatology, Endocrinology, Nutrition Counseling, Occupational Therapy, Ophthalmology, Optometry, Podiatry, Speech Therapy, and Urology. The ideal candidate enjoys working with patients, has an upbeat personality, positive attitude, exceptional commitment to customer service, and is a good multi-tasker.
Insurance Eligibility and Medical Billing Assistant Ohel Children's Home and Family ServicesInsurance Eligibility and Medical Billing AssistantBrooklyn, New YorkIn this role, you will play a key part in supporting the revenue cycle by verifying insurance eligibility, minimizing claim denials, facilitating timely reimbursements, and helping maintain the financial integrity of our programs through accurate documentation and effective collaboration with billing staff. Build and maintain positive working relationships with clients, payers, and internal departments to resolve claim denials, reimbursement issues, and payer discrepancies.
Revenue Cycle AI Operations Analyst Hospital for Special SurgeryRevenue Cycle AI Operations AnalystNew York, NY$72,000–$109,500 / yearConduct routine QA and compliance audits on AI-assisted and AI-autonomous outputs across Revenue Cycle workflows (e.g., eligibility/coverage determinations, authorization routing, claim edits, denials workflows, payment/financial assistance interactions, and other AI-mediated decisions). Monitor operational and financial signals to detect drift and emerging compliance riskexplicitly including denial trends, reimbursement impact, and case mix swings (and analogous indicators for non-coding AI such as auth turnaround, inappropriate routing or patient balance errors).
RCM Business Development Manager DistroRCM Business Development ManagerEdison, New Jersey$75,000–$125,000 / yearVensureEmployerSolutions #LI-PROMOTED #LI-Onsite $75,000 - $125,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. You will be responsible for identifying new market opportunities, securing high - value partnerships, and expanding our footprint in the Revenue Cycle Management sector.