Actuarial Data Scientist Berkshire Hathaway GUARD Insurance CompaniesActuarial Data ScientistNew York, New York$120,000–$190,000 / yearFull timeThe successful candidate will help modernize actuarial modeling practices, develop scalable analytical solutions, and promote the adoption of data science and software engineering best practices throughout the organization. Develop and enhance pricing, segmentation, profitability, and risk selection models across Commercial Lines products using both actuarial methodologies and modern machine learning techniques.
Senior Clinical Experience Manager SmarterDx IncSenior Clinical Experience ManagerNYRemote$135,000–$160,000 / yearProvide senior clinical oversight for priority, complex, or escalated client engagements, partnering with Clinical Experience Managers and Client Success to build trust with CDI, coding, physician advisor, clinical, and revenue cycle leaders. 5+ years of progressive leadership experience in Clinical Documentation Integrity (CDI), Health Information Management (HIM), Revenue Cycle, Clinical Operations, or related healthcare leadership roles.
Clinical Documentation Integrity Specialist - Remote Med-Metrix, LLCClinical Documentation Integrity Specialist - RemoteParsippany-Troy Hills, NJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Senior Forward Deployed Engineer, ServiceNow Deloitte Touche Tohmatsu LtdSenior Forward Deployed Engineer, ServiceNowJersey City, NJ$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
RCM Sr Manager Client Executive Veradigm IncRCM Sr Manager Client ExecutiveNY$84,520–$117,483 / yearWorks collaboratively with various departments within RCMS and Allscripts to resolve client concerns or requests and ensures that solutions are effectively implemented throughout the applicable team(s) by working with the relevant RCM Management. Effectively interacts with RCMS cross-functional teams in delivering high-quality work products under set timelines, creating work plans to direct the work of RCM Managers to meet client requirements/KPI's.
VP Quantitative Sciences & Development Astera SearchVP Quantitative Sciences & DevelopmentParamus, New JerseyA well-established, secure and commercially active biopharma is looking to bring on a Vice President, Quantitative Sciences & Development to lead Clinical Pharmacology, Pharmacometrics, Toxicology, DMPK, Biostatistics, Statistical Programming, and Clinical Data Management across all phases of drug development. Build and mentor high-performing teams across Clinical Pharmacology, Biometrics, and Data Management, recruiting and retaining top scientific and operational talent.
Machine Learning Engineer III - AI Agent Engineer - Digital and Technology Partners - Onsite/Hybrid Mount Sinai Health SystemMachine Learning Engineer III - AI Agent Engineer - Digital and Technology Partners - Onsite/HybridNew York, NY$132,000–$198,065 / 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.
Medicaid Risk Adjustment Market Manager CVS Health CorpMedicaid Risk Adjustment Market ManagerNJ$54,300–$145,860 / yearPartner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpData Scientist - Clinical Informatics (Analytics Enablement)NY$79,310–$158,620 / yearA&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Experience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes.
Decision Scientist - Clinical Informatics (Clinical Data Standards) CVS Health CorpDecision Scientist - Clinical Informatics (Clinical Data Standards)NJ$64,890–$158,620 / yearA&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Collaborate with data engineering teams to inform data pipeline development, ensuring clinical data is ingested, transformed, and stored in ways that support downstream analytics needs.
Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice Hackensack Meridian HealthBilling Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician PracticeHackensack, New JerseyFull timeThis position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Senior Provider Claims Dispute Specialist TEMPORARY Zing HealthSenior Provider Claims Dispute Specialist TEMPORARYNY$34.60–$39.40 / hourThe position independently investigates escalated and regulatory-sensitive disputes, processes necessary claim adjustments and overpayment recoveries, conducts root cause and financial impact analyses, develops dispute reporting, and partners across the organization to improve claims accuracy, provider experience, operational performance, and compliance outcomes. SUMMARY DESCRIPTION: The Senior Provider Claims Dispute Specialist is responsible for the timely, accurate, and compliant resolution of complex provider disputes related to claims adjudication, reimbursement, coding, authorization decisions, and benefit application.
Surgical Coordinator - Orthopedics - Health and Wellness Center Hackensack Meridian HealthSurgical Coordinator - Orthopedics - Health and Wellness CenterClark, New JerseyFull timeThe posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. Responsibilities: A day in the life of a Surgical Coordinator at Hackensack Meridian Health includes: Coordinates all aspects of tests, procedures and surgeries under the direction and supervision of the Practice Supervisor or Manager and physician(s) in an efficient manner.
Principal - Architecture LTM LtdPrincipal - ArchitectureNew Jersey, NJ$130,000–$190,000 / yearIntegrate Salesforce B2B Commerce with enterprise systems eg ERP for productmaster data and inventory Salesforce CPQ for quoting processes OMS for fulfillment payment and tax services SSOidentity providers for user authentication by defining robust integration strategies and data flows Choose appropriate integration patterns realtime APIs batch jobs middleware etc to ensure reliable secure and efficient data exchange across systems. Proficient in integration architecture for connecting Salesforce B2B Commerce with enterprise systems such as ERP product inventory pricing synchronization Salesforce CPQ for quotetoorder processes Order Management Systems OMS payment gateways tax calculation services and identityaccess management solutions Skilled in leveraging APIs middleware and eventdriven patterns to ensure seamless data flow and process orchestration across systems.
Inpatient Coding Data Quality Auditor/Educator University Hospital, Newark NJInpatient Coding Data Quality Auditor/EducatorNewark, New Jersey$118,941–$142,009 / 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.
Certified Professional Coder (Accounts Receivable) Accounts ReceivableCertified Professional Coder (Accounts Receivable)Fort Lee, New JerseyThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department.
Medical Coder Surgical Care Affiliates LLCMedical CoderNYAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Beacon Orthopaedics & Sports Medicine is a nationally known and respected leader in providing sports medicine and orthopedic care for over twenty five years with 20+ locations in Southwest Ohio (Cincinnati and Dayton), Northern Kentucky and Southeastern Indiana.
Medical Biller Preventive PlusMedical BillerParamus, NJPart timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Billing Coordinator I - Reproductive Specialists - Wall Street & Bethpage New York University School of MedicineBilling Coordinator I - Reproductive Specialists - Wall Street & BethpageBethpage, NYPreferred Qualifications: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC) preferred. Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.
Authorization Coordinator Phaxis LLCAuthorization CoordinatorNew York, NY$19–$20 / hourExperience with Perceptive Content/ImageNow, MS Access, Adobe, Altruista GuidingCare, Excel, Teams, and OneNote is helpful but not required. This position is ideal for someone with strong administrative skills and experience within healthcare, insurance, authorizations, billing, or a related environment.