Mgr, Payer Access & Reimbursement Quest Diagnostics IncMgr, Payer Access & ReimbursementSecaucus, NJ$125,000–$155,000 / yearAssist in the execution of MA strategies aligned with business needs and the evolving external health system environment (private and government payers, regulatory environment) for optimal utilization and reimbursement of Quest products with emphasis on oncology, particularly MRD.Identify and harness opportunities to improve coverage and reimbursement (C/R) for assigned Payer Access category in all phases (e.g., idea to market, lifecycle management). Job DescriptionThe Manager supports Payer Access & Reimbursement (PAR) activities as a member of a cross-functional team, oriented to Medical Affairs (MA) activities related to medical access, evidence generation, value proposition creation, and coverage in policy, all of which impact the reimbursement of Quest's portfolio of tests.
Billing Representative -Full-Time Holy Name Medical CenterBilling Representative -Full-TimeHackensack, NJ$20–$25 / hourFull timeHoly Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs.
Medical Director - ENT CVS Health CorpMedical Director - ENTNJ$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Executive Medical Director, Neurology, Clinical Development Katalyst HealthCares & Life Sciences IncExecutive Medical Director, Neurology, Clinical DevelopmentBridgewater, NJThis individual will be the primary point person for medical monitoring and oversight of assigned clinical programs, including monitoring of clinical studies, review and interpretation of clinical trial data, authoring clinical study and regulatory communications and documents, and monitoring of competitor activities and data. Provide medical/clinical expertise to internal (Marketing, Sales, Manufacturing, Market Access, Patient Services, Regulatory Affairs, R&D, and Legal) and external (healthcare professionals, Data Safety Monitoring Boards, patients, advocacy groups, etc.) customers.
Dental Practice Manager The SmilistDental Practice ManagerStaten Island, NY$75,000–$80,000 / yearAbout Us: We are seeking a dynamic and experienced practice manager for our Staten Island Dental Practice who excels at leadership, team development, and business operations in a high-end, fast-paced environment. Develop and execute marketing strategies to attract new patients and retain current ones, including managing the practice’s online presence, social media, and local advertising.
Resident Assessment Coord. Sunrise Senior Living LLCResident Assessment Coord.Edison, NJWhat You'll Do: • Coordinate and complete MDS, CAA and Care Plans per federal and state regulations • Maintain MDS schedules and ensure timely, accurate submissions • Facilitate Triple Check and weekly Medicare meetings • Review clinical documentation for accuracy and reimbursement support • Ensure Care Plans are individualized and aligned with resident goals • Monitor Quality Indicators and analyze CASPER/iQIES reports • Participate in IDT and QAPI meetings to drive quality improvement • Provide MDS and documentation training to clinical team members • Support ICD-1 coding accuracy and skilled services documentation • Collaborate with Business Office to ensure timely billing Resident Assessment Coordinator (RN/LPN) - Lead MDS Accuracy and Drive Quality Care Outcomes MDS Coordinator | Resident Assessment Coordinator | RN | LPN | Skilled Nursing | Care Planning | RAI. The Resident Assessment Coordinator (RAC) leads the Resident Assessment Instrument (RAI) process for Skilled Nursing, ensuring accurate MDS completion, individualized care planning and regulatory compliance.
Mainframe Developer Q1 Technologies, IncMainframe DeveloperJersey City, NJWork closely with business analysts, developers, testers, and support teams to deliver high-quality solutions. Roles & Responsibilities: Design, develop, enhance, and maintain Mainframe applications using COBOL, DB2, JCL, CICS, VSAM, and MQ.
Dental Billing Specialist scotchplain fanwood sdentalcareDental Billing Specialistfanwood, NJFull timeThe ideal candidate will be responsible for handling billing and insurance claims, processing patient payments, verifying insurance benefits, and supporting front office operations. This role is essential to ensuring accurate and timely financial transactions and maintaining excellent patient communication regarding billing matters.
NewSenior Manager, Provider Experience and Clinical Transformation Big Health IncSenior Manager, Provider Experience and Clinical TransformationNY$140,000–$160,000 / yearThe Senior Manager, Provider Experience and Clinical Transformation is responsible for driving revenue growth and patient impact by ensuring that health systems, provider groups and other organizations are actively engaged with, understand and have a smooth experience supporting their patients to use Big Health's FDA cleared treatments. In pursuit of our mission, we've pioneered the first at-scale digital therapeutic business model in partnership with some of the most prominent global healthcare organizations, including leading Fortune 500 healthcare companies and Scotland's NHS.
Senior Software Engineer, Backend Applied AI SmarterDx IncSenior Software Engineer, Backend Applied AINYRemote$190,000–$230,000 / yearYou'll work closely with Data Scientists and other Product engineers to turn models, experiments, and emerging AI techniques into reliable product experiences used by healthcare teams. Experience with traditional machine learning is valuable, particularly if you have more recently worked on applications powered by LLMs, multimodal models, or other modern AI systems.
Medical Assistant - Internal Medicine UnitedHealth Group IncMedical Assistant - Internal MedicineSpringfield, NJIreland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialMedical Assistant - Internal Medicine Springfield New Jersey Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. BlogsJob seeker resources Login Bookmarked jobs 0 Career areasLife hereJoin our talent communitySearch jobsClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONY$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Communications Associate Thea EnergyCommunications AssociateKearny, New JerseyThe first is telling the stories of the people who work here, building the surfaces where candidates and colleagues learn who we are, and helping a fast-growing team stay informed and connected as it scales – all with a heavy but not exclusive focus on internal communications. The ideal candidate has spent a few years in an agency or communications coordinator seat, is exceptionally organized, is fluent in generating and editing content with Adobe Creative Cloud and leveraging AI tools, and would rather build a system than repeat a task.
Field Registered Nurse, Montgomery Bucks Counties UnitedHealth Group IncField Registered Nurse, Montgomery Bucks CountiesPA$60,200–$107,400 / yearAs a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
Physician Part-time Consensus HealthPhysician Part-timeWest Orange, New JerseyProper and complete medical documentation (without copy/paste) for all patient care in order to assure accuracy (above 80% with goal of 95%) of E/M coding – and closing/sign off after review of all patient charts in accordance with company policies. Located in: West Orange, New Jersey 07052Position Summary The Physician operates in a team with other clinic healthcare providers and support staff.
Risk Adjustment Revenue Cycle Analysis and Solutions AnewHealthRisk Adjustment Revenue Cycle Analysis and SolutionsNJRemoteActing as a strategic partner, the Client Service Liaison collaborates closely with PACE program financial teams to interpret Medicare payment data, identify variances or risks, and support accurate and timely premium payments in the Medicare revenue cycle for PACE programs. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly.
Medical Office Manager Floater (NYC & Hoboken) ENT and Allergy AssociatesMedical Office Manager Floater (NYC & Hoboken)Brooklyn Heights, 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.
Technology Consultant - Multiple Location Infosys LtdTechnology Consultant - Multiple LocationJersey City, NJ$78,430–$108,589 / year146141BRFlorida, New Jersey, PennsylvaniaUSAInfosys Limited Technical Test Lead - USITL USA Jersey City, NJ, Lake Mary, FL, Pittsburgh, PAIndependent Verification and Validation TestingTechnology(IBPO)|Validation Services - Automation testing|Selenium, Technology|Java|Java - ALLTechnology ConsultantInfosys is a global leader in next-generation digital services and consulting. You'll have the opportunity to work with cutting-edge AI technologies, collaborate with industry experts, and contribute to transformative projects across banking, wealth management, and insurance sectors.
Sales Director Akasa IncSales DirectorNY$150,000–$185,000 / yearSome of our recent recognitions include being named one of Americas Top Startup Employers 2026 by Forbes, #1 most promising healthcare RCM startup of 2025 by Black Book Market Research, and one of the fastest-growing GenAI startups to watch by AIM Research. Lead entire sales cycle from initial opportunity creation to finalizing opportunity outcome (including prospecting, driving the discovery process, developing and presenting proposed solutions, navigating procurement and legal processes, and closing the deal).
NewDigital Assets trader StoneX GroupDigital Assets traderNew York, New York$80,000–$150,000 / yearAs a Fortune 100, Nasdaq-listed provider, we connect clients to the global markets – focusing on innovation, human connection, and providing world-class products and services to all types of investors. Whether you want to forge a career connecting our retail clients to potential trading opportunities, or ingrain yourself in the world of institutional investing, StoneX Group is made up of four business segments that offer endless potential for progression and growth.