Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystNJRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
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.
Surgical Scheduling Specialist - PMPH Penn MedicineSurgical Scheduling Specialist - PMPHPlainsboro, NJ$18.11–$28.86 / hourSummary: Surgical Scheduling Specialist schedules all surgical procedures, associated pre-admission testing and assures that all of the appropriate clinical coding and insurance information is collected for the surgical procedure. Provides accurate and timely information so that all departments may view the schedule daily and maintains open communication with hospital departments and physician offices regarding schedule changes etc.
Senior Engineering Manager, Billing Infrastructure HeadwaySenior Engineering Manager, Billing InfrastructureNew York, New YorkBeyond 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.
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.
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.
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).
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.
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.
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.
NewRN Field Clinician Nursing Homes - Ocean County NJ UnitedHealth Group IncRN Field Clinician Nursing Homes - Ocean County NJJackson, 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.
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 #: 12600 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).
Prospective Payment System Coordinator - Per Diem Catholic HealthProspective Payment System Coordinator - Per DiemRockville Centre, New YorkRanked among the top hospitals in New York State, Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center – the only hospital in the region and one of only two in NY State to receive this prestigious award. This role collaborates closely with the interdisciplinary team including physicians, nursing, therapy, case management, and coding professionals to ensure documentation reflects the patient’s clinical condition, functional status, and services provided.
Prospective Payment System Coordinator - Per Diem St. Catherine of Siena Medical CenterProspective Payment System Coordinator - Per DiemRockville Centre, NYRanked among the top hospitals in New York State, Mercy offers a NYS designated Stroke Center, Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region and one of only two in NY State to receive this prestigious award. This role collaborates closely with the interdisciplinary team including physicians, nursing, therapy, case management, and coding professionals to ensure documentation reflects the patient's clinical condition, functional status, and services provided.