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.
CDI Leader - Clinical Documentation MercorCDI Leader - Clinical DocumentationNew 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.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerManhattan, NY$160,000–$170,000 / yearJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world. Field Reimbursement Managers will be responsible for understanding the unique market issues of their geography, specifically part B reimbursement, health care delivery models, transitions of care and patient pathways.
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.
Software Engineer II Cohere Health Technologies LLCSoftware Engineer IINYRemote$107,000–$130,000 / yearBy 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. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
Clinical Documentation Specialist - CDI MercorClinical Documentation Specialist - CDINew York, New YorkRemote$50–$150 / hourComfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets. Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
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.
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.
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.
Physician Educator III University HealthCare AlliancePhysician Educator IIINewark, New Jersey$44.13–$57.36 / hourProvides on-site specialty specific training to individuals or groups of clinicians regarding documentation of services and appropriate coding of level of service, diagnoses, and procedures; including tips and techniques to help clinicians work more efficiently in Epic. Educates and guides healthcare providers and staff on accurate clinical documentation and coding practices, particularly concerning Hierarchical Condition Categories (HCCs) and risk adjustment methodologies.
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.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteNew York, NYRemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Dental Treatment Coordinator (Must Have Dental Experience) Expert Dental PCDental Treatment Coordinator (Must Have Dental Experience)New york, New York$25–$35 / hourMust be familiar with Dentrix Enterprise or regular Dentrix functionalities, including financial ledger, treatment planning, insurance billing and coding, clinical charting, office resource setup and appointment schedule management. Busy, modern, high-end, multi-specialty dental office with two locations in Manhattan (Midtown and Tribeca) looking to add a Treatment Coordinator to join our team.
AI Engineer Joyful HealthAI EngineerNew York City, New YorkThe healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. We're looking for a talented and ambitious machine learning engineer with 5+ years of experience building production AI systems who's excited to solve one of the toughest challenges in healthcare - automatically resolving claim denials.
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.
Billing Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours) New York University School of MedicineBilling Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours)New York, NY$66,299.99–$71,400 / yearIn this role, the successful candidate This position is responsible for overseeing/posting charges for all supplies and implants used in operating room cases (inpatients and outpatients) for surgical locations within Tisch Hospital and Ambulatory Sites, and ensures the accuracy of all billable supplies are captured and submitted in accordance to departmental policies. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.
Join a Leading Surgical Team at Mountainside Medical Center – Thoracic Surgeon Opportunity Hackensack Meridian Mountainside Medical CenterJoin a Leading Surgical Team at Mountainside Medical Center – Thoracic Surgeon OpportunityMontclair, New JerseyOur providers use Epic EMR and Ambience AI scribe technology to automate documentation, reduce administrative burden, improve patient flow, and ensure accurate coding—leading to better work-life balance and revenue. Overview: Mountainside Medical Center, a proud member of Hackensack Meridian Health and Ardent Health Services, is actively seeking a Board-Certified or Board-Eligible Thoracic Surgeon to join our dynamic and collaborative surgical team.