Data Entry Tristate HRHData EntryBayonne, New JerseyThis 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. Collaborate with Ancillary Teams, Clinical Teams, Revenue Cycle Management, Vendors, phlebotomy, couriers, customer service, and technical departments.
Physician Westchester Medical Center Health NetworkPhysicianValhalla, NY$290,000–$394,000 / yearJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.
Patient Engagement Associate Maimonides Medical CenterPatient Engagement AssociateBrooklyn, New York$50,000–$55,000 / yearFull timeThe system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. About Us: We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers.
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.
Ophthalmic Technician EyeCare Partners LLCOphthalmic TechnicianMillburn, 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.
Clinical Documentation Specialist Northwell Health IncClinical Documentation SpecialistLake Success, NYWhen determining a team member s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures.
Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.
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.
Business Analytics Advisor - Clinical & Affordability Trend Analytics - Hybrid CignaBusiness Analytics Advisor - Clinical & Affordability Trend Analytics - HybridMorris Plains, NJ$98,200–$163,600 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Nurse Practitioner- Yonkers, NY - Hybrid Remote DaVita Inc.Nurse Practitioner- Yonkers, NY - Hybrid RemoteYonkers, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
APP - Nurse Practitioner Or Physician Assistant ConcertoCareAPP - Nurse Practitioner Or Physician AssistantBrooklyn, NY$150,000–$175,000 / yearOur Advanced Practice Providers build meaningful relationships with patients and their caregivers, delivering proactive and timely care aligned with what matters most to our patients to improve their quality of life and to avoid unnecessary ER visits and hospitalizations. Nurse Practitioner and Physician Assistant Responsibilities: Provision of compassionate, individualized, and holistic patient care including comprehensive care, urgent care, and chronic condition management focused on gaps in care, patient risk stratification, and integration with multidisciplinary team services.
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).
Nurse Practitioner - Southern CT/Yonkers, NY- Hybrid-Remote DaVita IncNurse Practitioner - Southern CT/Yonkers, NY- Hybrid-RemoteYonkers, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
Nurse Practitioner- White Plains, NY - Hybrid Remote DaVita IncNurse Practitioner- White Plains, NY - Hybrid RemoteWhite Plains, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
Quality Analyst & Trainer for Home Health ExlService Holdings IncQuality Analyst & Trainer for Home HealthNYRemote$60,100–$98,700 / yearContinuous Improvement/Education actively participates with team to ensure alignment and sustained results; attends training (assigned or self-initiated) to improve performance or capitalize on new overpayment trends; keeps up with CMS, OIG, and other publications related to our business. The analyst undertakes quality review of random and targeted clinical coding audits, involving and consulting with clinical auditors, clinicians, and managers to enhance the accuracy and completeness of audits performed.
Nurse Practitioner- Stamford, CT - Hybrid Remote DaVita Inc.Nurse Practitioner- Stamford, CT - Hybrid RemoteStamford, CTRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
Quality Analyst IV - Clinical Validation Auditor (CVA), Healthcare ExlService Holdings IncQuality Analyst IV - Clinical Validation Auditor (CVA), HealthcareNY$60,100–$98,700 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Quality Analyst - Diagnosis-Related Group (DRG), Healthcare ExlService Holdings IncQuality Analyst - Diagnosis-Related Group (DRG), HealthcareNY$70,000–$110,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Senior Staff Dentist, Utilization Management (Remote) NY LIBERTY Dental PlanSenior Staff Dentist, Utilization Management (Remote) NYNew York, NYRemote$175,000–$185,000 / yearJoin LIBERTY Dental Plan as a Senior Staff Dentist and play a critical role in improving quality, supporting providers, and ensuring members receive clinically appropriate, evidence-based dental care across Commercial, Medicare Advantage, and Medicaid programs. In this influential clinical leadership role, you'll leverage your expertise to guide utilization management decisions, support quality improvement initiatives, mentor colleagues, and help drive better oral health outcomes on a broader scale.
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.