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.
NewClinical Services Representative I Rutgers The State University of New JerseyClinical Services Representative INew Brunswick, NJAligned with Rutgers University-New Brunswick and collaborating university wide, RBHS includes eight schools, a behavioral health network, and six centers and institutes that focus on cancer treatment and research, neuroscience, clinical and translational research, advanced biotechnology and medicine, environmental and occupational health, and health care policy and aging research. Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption.
Lead Software Engineer Humana IncLead Software EngineerNew York, NYRemote$155,200–$213,400 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Exercise independent judgment and decision making on complex issues regarding job responsibilities and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
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.
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.
Sr. Analyst, Revenue Operations and Analytics Zuora IncSr. Analyst, Revenue Operations and AnalyticsNY$99,500–$132,000 / yearWhile we share a comprehensive range, a candidate's final base salary will fall within these guidelines and will be determined based on multiple factors including but not limited to: qualifications of the candidate, job related knowledge, prior related experience, specific and unique skills, the location of the role, internal equity and internal budget. Our platform powers modern business models - from subscriptions and usage-based pricing to AI-driven and outcome-based offerings - helping companies launch new products, automate complex billing, and unlock predictable, recurring revenue.
NewPre-Post Analytical Support Specialist Tristate HRHPre-Post Analytical Support SpecialistBayonne, 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.
Registered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days) Boston Medical CenterRegistered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days)NYRemote$89,500–$130,000 / yearKey responsibilities include maintaining data integrity through concurrent abstraction, validation, and audit readiness; managing the trauma registry software in partnership with the vendor and BMC ITS; and implementing required updates from ACS, TQIP, NTDB, and MA DPH. This role supervises five trauma registrars, prioritizes daily workflow, and ensures full compliance with all state and national reporting requirements, including submissions to NTDB/TQIP and the Massachusetts Department of Public Health Trauma Registry.
Benefit Operations Specialist Capital Rx, Inc.Benefit Operations SpecialistNew York, NY$95,000–$100,000 / 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: Join our first-of-its-kind Integrated Benefits team as a Benefit Operations Specialist, where you will play a pivotal role in delivering comprehensive medical and pharmacy benefit programs for Judi Health clients.
Senior Director Mount Sinai Health SystemSenior DirectorNew York, NY$153,723–$245,000 / yearWorking in close partnership with Managed Care Contracting, Revenue Cycle, Finance, Patient Financial Services, Physician Enterprise, Faculty Practice, Information Technology, Data & Analytics, Compliance, Legal, and operational leadership, the Senior Director ensures that contract-performance issues are identified early, appropriately escalated, and resolved through sustainable corrective and preventive actions. Mount 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.
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.
Executive Director of Risk Adjustment UnitedHealth Group IncExecutive Director of Risk AdjustmentNew York, NY$134,600–$230,800 / yearThis leader partners closely with provider organizations, clinical leadership, coding teams, and enterprise stakeholders to embed risk capture into clinical workflows while maintaining regulatory compliance and audit readiness. This role ensures accurate, compliant, and sustainable risk capture across employed and contracted provider networks, directly impacting financial performance in value-based arrangements.
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.
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.
Regional Vice President, Business Development - Healthcare Revenue Cycle Med-Metrix, LLCRegional Vice President, Business Development - Healthcare Revenue CycleParsippany-Troy Hills, NJPhysical 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. This role is responsible for identifying opportunities with health systems, hospitals, physician groups, and other healthcare organizations, positioning revenue cycle management (RCM) solutions that improve reimbursement, operational efficiency, and financial performance.
Vice President, Tranformation Services - Denials Prevention Med-Metrix, LLCVice President, Tranformation Services - Denials PreventionParsippany-Troy Hills, NJThe Vice President, Transformation Services- Denials Prevention is responsible for leading enterprise-wide transformation strategies that prevent avoidable denials, protect revenue yield, and drive top-tier revenue cycle performance across health system clients. Physical Demands: While performing the duties of this job, the employee is required to move around the work area; light lifting required; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Clinical 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.
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.
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.