Manager, Compliance RWJ Barnabas Health Medical IncManager, ComplianceOceanport, NJ$110,150–$143,195 / yearDetailed knowledge of federal and state statutes, regulations, policies, procedures, and guidance that governs healthcare Compliance programs and operations, Strong understanding of healthcare Compliance programs and processes, and the ability to analyze issues, identify compliance risks and oversee timely and effective remediation, Ability to clearly articulate requirements and complex compliance issues to senior leadership and impacted business units/departments, Expertise with federal and state regulatory audit processes, and the ability to clearly and effectively communicate with auditors and regulators, Strong sense of ethics and integrity to ensure that the organization adheres to regulatory requirements and operates in a compliant manner. You have excellent written and verbal communication skills are necessary for interacting with employees, management, stakeholders, and regulatory bodies, You demonstrate leadership and management Skills: lead and motivate the Compliance team, effectively coordinate with various departments and physician practices to manage projects, and influence others on compliance integrity.
Senior Clinical Database Designer I Everest Clinical ResearchSenior Clinical Database Designer INew JerseyRemoteDevelop new features and functionality within the database design functional areas to increase the efficiency of database design at the study level, and to improve and enhance the company’s database design capabilities. Everest Clinical Research (“Everest”) is a full-service, global, contract research organization (CRO) providing a broad range of expertise-based clinical research services to worldwide pharmaceutical, biotechnology, and medical device industries.
BioMed Engineer I PHS Bio-Medical ServicesBioMed Engineer IDenville, New Jersey$26–$35.10 / hourFull timeResponsibilities: Provide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.’s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Surgical Coordinator-Interventional Pain Management Hackensack University Medical CenterSurgical Coordinator-Interventional Pain ManagementHackensack, NJThe 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. 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.
Surgical Coordinator - Orthopedics - Health and Wellness Center Hackensack University Medical CenterSurgical Coordinator - Orthopedics - Health and Wellness CenterClark, NJThe 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. 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.
Surgical Coordinator - Orthopedics - Physician Practice Hackensack University Medical CenterSurgical Coordinator - Orthopedics - Physician PracticeNorth Bergen, NJThe 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. 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.
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.
Nurse Practitioner - Palliative Care Tal HealthcareNurse Practitioner - Palliative CareBergen County, NJ$180,000In this hybrid role, the Nurse Practitioner delivers evidence-based, high-quality care to complex and seriously ill patients through telemedicine and in-person visits , with a focus on symptom management, timely hospice transitions, and improving quality of life while reducing unnecessary hospitalizations. Complete transition-of-care visits following Emergency Room, hospital, or Skilled Nursing Facility discharge, including warm handoffs and frequent communication to reduce readmission risk.
BioMed Engineer I Prime Healthcare Services IncBioMed Engineer IDenville, NJ$26–$35.10 / hourProvide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.'s medical equipment including equipment used in the Emergency Room (open 24 hours a day, every day of the year), equipment for heart treatments such as EKG, doppler, cardiac catheterization, angioplasty, open-heart surgical devices, equipment used in cardiac rehabilitation and exercise conditioning programs, equipment used for occupational and physical therapy, equipment used for in-patient and out-patient surgical techniques including laser surgery, arthroscopy and laparoscopic procedures, MRI machines, CT Scanners, Ultrasound equipment, Echo/Vascular equipment, Nuclear Medicine equipment, Mammography machines, and equipment used in our Intensive Care Unit. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Director, Clinical Sciences, Oncology ModernaTXDirector, Clinical Sciences, OncologyPrinceton, New JerseyWe are proud to have been recognized as a Science Magazine Top Biopharma Employer, a Fast Company Best Workplace for Innovators, and a Great Place to Work in the U.S. If you want to make a difference and join a team that is changing the future of medicine, we invite you to visit modernatx.com/careers to learn more about our current opportunities. This role is best suited for candidates holding a PhD, PharmD, Masters’ or advanced nursing degree with significant scientific and clinical oncology knowledge, pharmaceutical/biotechnology company experience and a comprehensive knowledge of drug development.
NewDRG Quality Analyst IV - Healthcare ExlService Holdings IncDRG Quality Analyst IV - HealthcareNY$85,000–$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.
Outpatient Coder - Orthopedics - Physician Practice Hackensack University Medical CenterOutpatient Coder - Orthopedics - Physician PracticeNorth Bergen, NJThe Outpatient Coder I 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. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed.
Field Reimbursement Manager-Ophthalmology - Minnesota, Wisconsin Regeneron Pharmaceuticals IncField Reimbursement Manager-Ophthalmology - Minnesota, WisconsinNY$165,600–$209,600 / yearProactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.
Patient Registration Rochester Regional Health SystemPatient RegistrationNY$19.08–$27.99 / hourUnder the general supervision of the Patient Access Services Manager, this position performs imperative duties including registration pre and full, insurance verification, switchboard and life support alarm coverage, data entry, and point-of-service collections, while maintaining patient relations, customer satisfaction, and hospital financial solvency. Switchboard & Communications: Serve as hospital switchboard operator by professionally answering and routing calls, maintaining call schedules, paging providers, monitoring alarms, and providing directions and assistance to patients and visitors.
Billing Services Representative Saint Peter's Healthcare System IncBilling Services RepresentativePiscataway, NJReview outstanding accounts using ATB/queues/payments reports/halt report/electronic billing edits/credit balances. Use technology provided (including hospital information system, contract management system, electronic billing system, payer websites and document imaging system.).
Medical Assistant Eye Care PartnersMedical AssistantMillburn, 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.
NewClinical Data Manager SystImmune, Inc.Clinical Data ManagerPrinceton, NJ$100,000–$170,000 / yearIndependently develop DM documents including but not limited to Data Management Plans (DMP), Case Report Forms (CRFs), CRF Completion Guidelines, Edit Checks, UAT specifications, centralized monitoring plans, data flow and integrity plans, blinding plans, and data review plans. The Clinical Data Manager (CDM) plays a broad role in interfacing with clinical study teams, external partners, and vendors to design, configure, and test clinical database systems, conduct data review, and support company deliverables.
Software Engineer (AI-Driven Billing Automation) Artera IncSoftware Engineer (AI-Driven Billing Automation)NY$120,000–$180,000 / yearDemonstrated experience developing tools using Claude Code is required, for example, building internal automations, integration scaffolding, code generation pipelines, or developer tooling with Claude Code in a real project. Architect and operate a continuously learning Salesforce-initiated AI-driven pipeline, that takes diagnostic test information as input and routes the order through our revenue lifecycle, relying on human intervention, partner APIs, and external systems, as needed.