Ophthalmic Technician Eye Care PartnersOphthalmic 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.
Advance Practice Practitioner Lead CINQCAREAdvance Practice Practitioner LeadBrooklyn, NY$150,000–$185,000 / yearReporting to the Regional Chief Medical Officer, the APP Lead is responsible for training and day to day management of Nurse Practitioners (NPs), Physician Assistants (PAs), and RN’s, ensuring effective collaboration, proper clinical management, documentation of visits, and high-quality patient care delivery to Grace at Home family members. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes.
Senior Engineering Manager, Billing Infrastructure Therapymatch, Inc.Senior Engineering Manager, Billing InfrastructureNew York City, NY$265,200–$331,500 / yearBeyond orchestration: guardrail APIs that gate other systems' writes, automated payer remittance ingestion, automatic refunds and recoups, and the non-happy-path machinery (refilings, fee-schedule corrections, settled state that has to reopen and re-settle safely) where the real engineering difficulty lives. Nice to have: ledger, double-entry, invoicing, or reconciliation systems experience; healthcare billing or EDI exposure; fintech or payments background; experience through external audit or a financial close-cycle transition; has built simulation, shadow-mode, or backtesting infrastructure for consequential financial logic.
Marketing Director, Biomarkers Photocure ASAMarketing Director, BiomarkersPrinceton, NJThis role will initially focus on commercialization of centralized laboratory-developed testing (LDT) services while supporting the long-term strategic transition toward distributed FDA-regulated in vitro diagnostic (IVD) products. Partner effectively across Global Marketing, Sales, Medical Affairs, Clinical Affairs, Regulatory Affairs, Research & Development, Market Access, Laboratory Operations, Quality, Finance, and Executive Leadership.
Associate Director, HEOR Analytics Axsome Therapeutics IncAssociate Director, HEOR AnalyticsNew York, NYRemote$175,000–$195,000 / yearOur industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer's disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. The individual will lead the development of study protocols, statistical analysis plans, and study reports in partnership with the HEOR Lead & Medical Strategy colleagues, oversee programming and execution of analyses inclusive of quality control procedures, and deliver high-quality evidence to inform value demonstration, payer engagement, and scientific publications.
RCM Business Development Manager - NJ - On Site Vensure Employer ServicesRCM Business Development Manager - NJ - On Site[Edison, NJ, 08837], NJ$75,000–$125,000 / yearYou will be responsible for identifying new market opportunities, securing high-value partnerships, and expanding our footprint in the Revenue Cycle Management sector. Market Intelligence: Stay ahead of industry shifts including regulatory changes, payer trends, and AI-driven billing technologies to keep our offerings competitive.
Prior Authorization Systems Technician Capital Rx, Inc.Prior Authorization Systems TechnicianNew York, NY$75,000–$80,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital 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. Judi Health provides full-time employees with the following benefits at no cost to the employee: basic life insurance, basic accidental death and dismemberment insurance, paid time off, sick time, holidays, short-term disability, long-term disability, an employee assistance program, and a wellness program.
Clinical Account Consultant, PBA Capital Rx, Inc.Clinical Account Consultant, PBANew York, NY$139,600–$174,500 / 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. 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.
NewRN Field Clinician Nursing Homes - Ocean County NJ UnitedHealth Group IncRN Field Clinician Nursing Homes - Ocean County NJLakewood, NJ$60,200–$107,400 / yearAs a team member of our Senior Community Care (SCC) team, we work to provide care to patients in nursing homes, senior housing and assisted living settings. 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.
Associate Director, HEOR Analytics Axsome TherapeuticsAssociate Director, HEOR AnalyticsNew York, NYRemote$175,000–$195,000 / yearOur industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer's disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. The individual will lead the development of study protocols, statistical analysis plans, and study reports in partnership with the HEOR Lead & Medical Strategy colleagues, oversee programming and execution of analyses inclusive of quality control procedures, and deliver high-quality evidence to inform value demonstration, payer engagement, and scientific publications.
Service Center Clerical Support-FT Ward Transport & Logistics Corp.Service Center Clerical Support-FTSouth Plainfield, NJ$20–$25 / hourJob Title: Service Center Clerical Support-FT Advertising Title: Req #: 12601 Company: Ward Trucking, LLC Job Code: SVCCTRCS Location: South Plainfield Employment Status: Full Time City: South Plainfield Area of Interest: Administrative Support State: NJ Rate of Pay: $20 to $25 an hour. All linehaul driver envelopes are to include: trailer number, Pro number of one shipment on the trailer, road driver's name, tractor number, seal number, weight, driving (route) instructions and any hazardous placards that may be required (if applicable).
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.
Physician Consensus HealthPhysicianNew 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: Blairstown, New Jersey 07832 The Physician operates in a team with other clinic healthcare providers and support staff.
Physician Assistant Consensus HealthPhysician AssistantNew JerseyThe duties include, but are not limited to: Contributes to physician's effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives. The employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer).
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.
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.
Hospital CDI Specialist - PT - Day - Clinical Documentation Improvement Pennington NJ Capital HealthHospital CDI Specialist - PT - Day - Clinical Documentation Improvement Pennington NJHopewell, New JerseyExperience: Two years’ recent clinical experience in an acute care setting, preferable ICU or Medical/Surgical, or three years related coding experience or clinical documentation improvement specialist experience in a hospital setting. Ensures that medical record documentation provides an accurate representation of the patient's clinical complexity, diagnoses, severity, and expected risk of mortality to support accurate DRG assignment and quality measure reporting.
Physician Advisor (Clinical Assistant Professor, HS) SUNY Downstate Medical CenterPhysician Advisor (Clinical Assistant Professor, HS)Brooklyn, NY$275,000–$325,000 / yearOptimizing Discharge Planning: Collaborate with case managers, Social works, and healthcare providers to develop care plans that meet patients'' clinical needs while optimizing resource utilization to improve Length of Stay. The Physician Advisor plays a critical role in optimizing healthcare delivery by providing guidance on medical necessity, utilization management, and quality improvement initiatives.
Risk Adjustment Revenue Cycle Analysis and Solutions AnewHealthRisk Adjustment Revenue Cycle Analysis and SolutionsNew JerseyRemoteActing 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.