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.
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.
Nurse Practitioner & Physician Assistant- ACO for Brooklyn/SI and Bronx/Westchester Essen Medical AssociatesNurse Practitioner & Physician Assistant- ACO for Brooklyn/SI and Bronx/WestchesterBronx, New YorkFull timeJob Summary: Join our ACO REACH High Needs team at Intention Essen House Calls as a Nurse Practitioner or Physician Assistant and play a pivotal role in transforming how healthcare is delivered to some of the most complex, high-risk patients in New York. We also provide nursing home support, care management services, and in-home medical services through our House Calls Division, Intention Health Care and facilitate smooth transitions between care settings including telehealth, in-person medical visits, and home care through Intention Health Care.
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.
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.
Employed OB/GYN Opening in NJ | 30 mi from NYC Ardent Health Partners LLCEmployed OB/GYN Opening in NJ | 30 mi from NYCWestwood, NJAbout the Position:Joining 4 physicians and 1 Gynecologic APPWomens Center includes all private L&D and PP rooms6 LDRs, 2 C/S Suites, 3 PACU bays, 18 PP Rooms, Level 2 SCN 5 baysCall is 1:4 (clinic/in-house hospital)Concierge Service and Room Service available to all maternity patientsHackensack Meridian Pascack Valley Medical Center is home to a Level II NICUMFM and Intensivist available 24/7Equipped with the latest Da Vinci X Robotic Surgical SystemLarge multi-specialty group networkSmart Technology: See more patients without extending your day. Salary starting at $350,000 Recruitment Package may include:Base salary + wRVU production incentiveCME allowanceSign-on bonus 20K +Consultative services by Navigate Student LoansRelocation allowancePaid malpractice coverageMarketing + practice growth assistanceLearn more about Benefits offered by copying and pasting this link in your browser: https://getardentbenefits.com
Coder Abstractor Certified St. Joseph's Healthcare SystemCoder Abstractor CertifiedNJ, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". Work requires the level of knowledge normally acquired through completion of two to three years of occupational-specific education beyond High School or an Associate's Degree in Health Information Technology or a closely related field and two to three years of previous work related experience.
Data and Analytics Engineer III Praxis Precision Medicines IncData and Analytics Engineer IIINY$145,000–$165,000 / yearAt Praxis we share a common vision of reshaping the human condition into a more freeing and fulfilled existence by developing high impact medicines for patients and families affected by and living with complex brain disorders. All unsolicited resumes submitted by recruitment agencies to any Praxis employee in any form or method will be deemed to be the property of Praxis, and Praxis explicitly reserves the right to hire those candidate(s) without any financial obligation to the recruitment agency.
Denials Specialist Westchester Medical Center Health NetworkDenials SpecialistHawthorne, NY$27.08–$34.04 / hourJob 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.
Facility-Fee Emergency Department Medical Coder Sutherland GlobalFacility-Fee Emergency Department Medical CoderClifton, NJThe Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits.
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.
Trauma Registrar Westchester Medical Center Health NetworkTrauma RegistrarValhalla, NY$30.46–$38.29 / hourJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Incumbent reviews medical records and communicates with trauma team staff to identify reportable cases and to collect information related to severity and cause of injury and course of care and outcome, and codes and enters the data into the New York State Trauma Registry database according to program guidelines.