Director Risk Adjustment - Remote Inventurus Knowledge Solutions LtdDirector Risk Adjustment - RemoteNYRemote$130,000–$150,000 / yearCore Competencies: Exceptional operational execution across a large span of control, strong analytical data-driven decision-making, and the communication skills necessary to translate highly technical coding jargon into clear requirements for technology teams and executives. Our Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality, and achieve cost savings through forward-thinking solutions.
NewRevenue Cycle Operations Excellence Epic Consultant - Back End Impact AdvisorsRevenue Cycle Operations Excellence Epic Consultant - Back EndNew York, NY$91,000–$210,000 / yearWork closely with Information Services to complete and test charge-related build by having a clear understanding of the charging workflows and triggers built within the EMR.Work collaboratively to assist in the development and implementation of process enhancements or initiatives that enhance charge capture accuracy and reimbursement. Authorized to work in the US.Skills And Competencies7+ years of experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing.2+ years of experience working in an Epic environment.2+ years of healthcare consulting experience.
Field Access Director, Rare Disease IpsenField Access Director, Rare DiseaseNew York City, MassachusettsEnsure access pull-through for all Ipsen Rare Disease therapies by proactively educating HCPs, office staff, and specialty pharmacy partners on coverage requirements, payer policies, prior authorization pathways, and patient out-of-pocket costs across commercial, Medicare Part D, and Medicaid channels. The FAD provides education and reimbursement support to Healthcare Providers (HCPs), healthcare institutions, prior authorization staff, and financial counselors, and addresses patient-specific access challenges including affordability, prior authorization, coverage gaps, and reimbursement.
Senior Data Scientist - Clinical AI CVS Health CorpSenior Data Scientist - Clinical AINY$101,970–$203,940 / 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. Leverage large language models where they add clear value (e.g., training data creation, entity extraction, zero-shot classification) while knowing when traditional ML, rules-based approaches, or simpler statistical methods are the right tool for the job.
Data Scientist - Clinical AI CVS Health CorpData Scientist - Clinical AINY$79,310–$158,620 / yearWork with machine learning engineers, data engineers, clinical informaticists, and business partners to ensure clinical data pipelines support AI/ML workflows and that model outputs are integrated into products and decision-making processes. A&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.
RWJBarnabas Health and Rutgers Health are launching an Administrative Fellowship in Hospital Medicine in 2026 RWJBarnabas HealthRWJBarnabas Health and Rutgers Health are launching an Administrative Fellowship in Hospital Medicine in 2026Jersey City, NJEducational Enrichment: Fellows complete programs such as Lean Six Sigma, Harvard Macy's Educators Program, and Arizona State University's Science of Healthcare Delivery Certificate. RWJBarnabas Health and Rutgers Health have created an Administrative Fellowship in Hospital Medicine, a prestigious two-year program designed for board-eligible or certified physicians in Internal or Family Medicine.
Director, Provider Education & Risk Adjustment Metropolitan Jewish Health SystemDirector, Provider Education & Risk AdjustmentNew York, NY$175,000–$200,000 / yearThey are responsible for implementation of strategic plans and coordination of all aspects of provider and practice education, including but not limited to scheduling, tracking, follow-up, workflow integration, medical record documentation, coding, and electronic health records. Analyze medical record documentation and coding through a chart review process that identifies incorrect coding, coding lacking supporting documentation, and missed opportunities to capture risk adjustment diagnoses and associated revenue.
Senior Medical Secretary Weill Cornell Medical CollegeSenior Medical SecretaryNew York, NY$25.52–$28.79 / hourAs required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Under supervision, is responsible for assisting physicians with patient care, administrative, and organizational tasks as they relate to patient flow and the conveyance of a positive image of the physicians practice Job Responsibilities Responsible for front-end revenue cycle processes, which may include but is not limited to, the check-in/check-out of patients and collection/reconciliation of time-of-service payments,as applicable. Education High School Diploma Experience Approximately 2 or more years of prior related experience Knowledge, Skills and Abilities Previous experience using computerized appointment scheduling systems (EPIC preferred) and/or electronic Medical Record (eMR) system (ideally EPIC-Care).
Neurologist - Optum NY UnitedHealth Group IncNeurologist - Optum NYLake Success, NY$250,500–$440,500 / yearGuaranteed competitive compensation model based on quality not quantity with significant earning potential annual increases and bonus eligibility Financial stability and support of a Fortune 5 Company Robust retirement offerings including employer funded contributions and Employee Stock Purchase Plan ESPP for UHG Stock Physician Partnership opportunities and incentives Comprehensive benefits plan inclusive of medical dental vision STDLTD CME and malpractice coverage Robust clinician learning and development programs. Clinicians are supported to practice at the peak of their license Clinician-centric and clinician focused with shared EMR across businesses to support coordinated care The culture is one of clinical innovation and transformation Affiliations with prestigious organizations We are influencing change on a national scale while still maintaining the culture and community of our local care organizations.
Neurologist- Optum NY UnitedHealth Group IncNeurologist- Optum NYHicksville, NYBe part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously in an ambulatory setting partnering with primary care with a sustainable and thriving national health care organization. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Rheumatologist - Optum NY UnitedHealth Group IncRheumatologist - Optum NYLake Success, NYBlogs Job seeker resources Login Bookmarked jobs 0 Career areas Life here Join our talent community Search jobs Clinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog Job seeker resources Login Bookmarked jobs 0 Career areas Clinical Physicians Advanced practice clinicians Pharmacy Behavioral health Nursing Medical coding Clinical support Corporate and business operations Administrative support Consulting Finance and business analytics Legal and compliance Marketing and communications People team Project management Customer and support services Billing Claims Customer Service Data entry Early careers Sales and account management Account management Sales Sales management Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering Life here U.S. Culture of Belonging Employee Benefits Military Fellowship Program Ireland & UK Culture of Belonging Employee Benefits India Culture of Belonging Employee Benefits Philippines Culture of Belonging Employee Benefits Join our talent community Open search form Keyword or job number Location Go Explore remote jobs Pursue your passion and potential Rheumatologist - Optum NY Lake Success New York Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. Position Highlights Collegial multispecialty group practice with a large referral base Focus on team-based care Excellent support staff and dedicated practice management systems Full complement of clinical and administrative support teams to assist with patient care including a dedicated Medical Assistant for each provider Responsibilities Consults follow-up appointments and in office procedures Manage and treat patients with chronic Rheumatic diseases musculoskeletal systemic autoimmune conditions in outpatient setting Consult with patients to understand their health concerns and perform specialized tests to diagnose and treat musculoskeletal disease Order and interpret appropriate tests and consults What makes an Optum Career Different Be part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously in an ambulatory setting partnering with primary care with a sustainable and thriving national health care organization Compensation & Benefits Highlights Guaranteed competitive compensation model based on quality not quantity with significant earning potential and bonus eligibility Financial stability and support of a Fortune 5 Company Robust retirement offerings including employer funded contributions and Employee Stock Purchase Plan ESPP for UHG Stock APC Partnership opportunities and incentives Comprehensive benefits plan inclusive of medical dental vision STDLTD CME and malpractice coverage Robust clinician learning and development programs Optum NYNJ was formed in 2022 by bringing together Riverside Medical Group CareMount Medical and ProHealth Care.
Endocrinologist- Optum NY UnitedHealth Group IncEndocrinologist- Optum NYHicksville, NYBe part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously in an ambulatory setting partnering with primary care with a sustainable and thriving national health care organization. Clinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support› U.S. › Ireland & UK › India › Philippines › Culture of Belonging› Employee Benefits› Blog.
Associate Patient Care Coordinator UnitedHealth Group IncAssociate Patient Care CoordinatorCedarhurst, NYClinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support›. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Pediatric Dermatologist- Optum NY UnitedHealth Group IncPediatric Dermatologist- Optum NYLake Success, NYWhat makes an Optum Career Different Be part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously in an ambulatory setting partnering with primary care with a sustainable and thriving national health care organization. Position Highlights & Job Responsibilities Provide comprehensive skin consultations by evaluating patient skin conditions and screening for disease Utilize patient medical history as part of skin assessments and prescribing medication for the treatment of skin conditions Treat diverse pediatric and adult patient populations Perform non-invasive surgical procedures on skin Refer patients to advanced specialists as needed Consult with patients about the status of their skin health.
Medical Director MPO CVS Health CorpMedical Director MPONY$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
NewSr Financial Navigation Specialist-REMOTE Weill Cornell Medical CollegeSr Financial Navigation Specialist-REMOTENew York, NYRemote$33.24–$36.32 / hourThe Sr Financial Navigation Specialist is responsible for strengthening the departments ability to deliver accurate insurance education, financial clearance, and patient support through targeted training and real-time operational support. Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of "any person, any study."
CDI Specialist Episcopal Health Services IncCDI SpecialistNYAdditionally, St. Johns is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States. The hospital is a recipient of the Gold-Plus Get with the Guidelines-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines-Heart Failure Quality Achievement Award from the American Heart Association.
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.
NewDevOps Engineer Genesis10DevOps EngineerNew York, NYRemote$70–$90 / hourTemporaryContractorFull timeThis role requires far more than GitLab source control experience—you will own automated software delivery pipelines, implement governance and security best practices, and enable reliable deployments across multiple application stacks and cloud environments. Candidates should understand the unique CI/CD requirements of each platform, including dependency management, build optimization, testing frameworks, artifact creation, security scanning, containerization, and deployment strategies.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerNY$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Lead Full Stack Developer with Code Modernization & GitHub Copilot - 100% Remote The Dignify Solutions, LLCLead Full Stack Developer with Code Modernization & GitHub Copilot - 100% RemoteJersey City, NJRemoteThe candidate will be responsible for modernizing legacy applications, driving engineering best practices, leveraging Al-powered development tools to improve productivity, and leading end-to- end full-stack development efforts. The ideal candidate should have strong expertise in Code Modernization, Al-assisted development tools such as GitHub Copilot, and experience leading development teams through large-scale digital transformation initiatives.
Lead Generative AI Python Engineer - Vice President Citigroup IncLead Generative AI Python Engineer - Vice PresidentJersey City, NJ$142,320–$213,480 / yearLead the design, development, and maintenance of highly complex Python-based GenAI platforms, applications, services, and supporting infrastructure to ensure seamless operation, scalability, and integration of AI capabilities across various Citi business units. Manage multiple concurrent initiatives and projects of varying sizes and complexity, engaging with external vendors and startups for joint initiatives and exploration of new directions, particularly those involving Python-based technologies.
Test and Code Compliance Coordinator KONE CorpTest and Code Compliance CoordinatorNew York, NY$63,000–$82,740 / yearAs our Test and Code Compliance Coordinator, you will manage local and district processes for scheduling, and interface with Service/Repair Supervisors, customers, 3rd party inspection companies and local regulatory bodies to schedule testing and inspections. For Branches not on ATI Tender Creation, create billable tenders for testing and inspections for customers, follow-up to obtain approval, create Billable Service Orders and requisition parts as required.
Senior GenAI Platform Engineer - Python, VP Citigroup IncSenior GenAI Platform Engineer - Python, VPNew York, NY$142,320–$213,480 / yearCiti provides consumers, corporations, governments, and institutions with a broad range of financial products and services, including consumer banking and credit, corporate and investment banking, securities brokerage, transaction services, and wealth management. This role is a key driver in creating a competitive advantage for Citi's lines of business by architecting and delivering high-impact, scalable AI solutions primarily using Python, while also leveraging Node.js and TypeScript.
Associate Project Manager - Code and Complaince Schindler Holding LtdAssociate Project Manager - Code and ComplainceNew York, NY$90,300–$112,900 / yearYou will track and report on key performance indicators such as confirmation of periodic safety inspections, resolution of non-conformances, and adherence to regulatory deadlines, helping deliver safe, reliable, and compliant service to customers. Once sold, coordinate and schedule test dates with third parties (e.g., fire testing), schedule CAT1 inspections with mechanics, and/or arrange repairs while maintaining constant communication with Superintendents and sales reps.
Lead Software Engineer Emerald X LLCLead Software EngineerNY$130,000–$150,000 / yearEmerald's talented and experienced teams grow our customers' businesses 365 days a year with products that create connections, deliver content, and drive commerce. Emerald is seeking an experienced Lead Software Engineer with strong development expertise, architectural leadership, and a passion for AI-enabled engineering to lead a team building Enterprise B2B solutions.
NewMedical Billing Specialist AtriumMedical Billing SpecialistSomerset, NJ$25–$28 / hourThe ideal candidate is detail-oriented, proactive, and confident in managing the billing cycle, especially EOB interpretation, follow-up/denials, and working across multiple insurance payers (including out-of-network scenarios). This is a newly created role reporting to the Billing Manager, with the opportunity to help strengthen day-to-day billing operations for a high-volume pain management/spine practice.
Software Engineer II, Ad Code - Ad Audience RaptiveSoftware Engineer II, Ad Code - Ad AudienceNew York, New York$120,000–$180,000 / yearRaptive combines its position as the world’s largest ad management platform with a comprehensive suite of monetization, audience and business solutions that enable creators to turn their passions and talents into thriving independent companies and enduring brands. Ability to independently deliver moderately complex work that spans multiple components, while identifying risks and communicating clearly.
Test And Code Compliance Coordinator KONE Inc.Test And Code Compliance CoordinatorNew York, NY$63,000–$82,740 / yearAs our Test and Code Compliance Coordinator, you will manage local and district processes for scheduling, and interface with Service/Repair Supervisors, customers, 3rd party inspection companies and local regulatory bodies to schedule testing and inspections. For Branches not on ATI Tender Creation, create billable tenders for testing and inspections for customers, follow-up to obtain approval, create Billable Service Orders and requisition parts as required.
Certified Professional Coder (CPC) Lead/Provider Liaison Integrated Resources, IncCertified Professional Coder (CPC) Lead/Provider LiaisonNewark, New JerseyContractorResponsibilities: Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insightsWorks closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysisCollaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider EducatorsCollaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staffValidates documentation against submitted claims diagnosis codes and prepares detailed reportsSupports Risk Adjustment Data Validation auditsDrives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressedProvides status reports to managementQualificationsCertifications:AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Knowledge:Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model Mastery of medical coding best practices Project management skills Experience displaying ability to think analytically Strong communications and presentation skills Computer skills: Outlook, Excel, Word & Powerpoint Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJDuration: Contract to HireJob Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding client's risk adjustment programs.
NewSenior Code Specialist 2 (DSO) Metropolitan Transportation AuthoritySenior Code Specialist 2 (DSO)New York, NY$84,893–$106,117 / yearAs part of the Metropolitan Transportation Authority, the largest transportation network in North America, C&D plays a key role in modernizing and expanding services that support 15.3 million residents across New York City, Long Island, southeastern New York State, and Connecticut. Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission").
Applications Development Technical Lead Analyst Citigroup IncApplications Development Technical Lead AnalystJersey City, NJ$189,592–$220,000 / yearREQUIREMENTS: Bachelor's degree, or foreign equivalent, in Computer Science, Electronic Engineering, or a related field, and six (6) years of experience in the job offered or in a related IT occupation performing applications development activities. Contributed to cross-functional integration by collaborating with multiple management teams to identify crucial system enhancements, supporting successful new product deployments and optimizing business processes.
NewEPIC Physician Billing Analyst KLM CareersEPIC Physician Billing AnalystHicksville, New York3. Do you have 3+ years of experience and expertise in Epic's Professional Billing module, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates. Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
Inpatient Coder (Remote) Nesco Resource, LLCInpatient Coder (Remote)Garden City, NYRemote$60,000–$65,000 / yearResponsibilities include, but are not limited to: Assign ICD-10-CM/PCS diagnosis and procedure codes in accordance with Official Coding Guidelines, AHA Coding Clinic, CMS, and other regulatory requirements. The Inpatient Coder is responsible for accurately coding and abstracting diagnoses, procedures, and clinical information from inpatient medical records.
ESL Teacher NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL Teacher NJDOE Endorsement Code #1475 RequiredHarrison, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
AI Architect Claude Code Senior Developer BluZincAI Architect Claude Code Senior DeveloperRemote USA, AnyRemoteWe are conducting a confidential search for an experienced AI Business, Solutions and Technical Architect to join a scaled, high-growth US consumer digital business. This role is for a former senior software engineer who now designs and builds production-grade, agentic AI systems.
Product Manager, Code Figma IncProduct Manager, CodeNew York, NY$169,000–$303,000 / yearWe''re looking for deeply technical Product Managers to own the AI Platform that powers Make and the agent: the distributed developer systems behind Figma Make, the agent infrastructure that integrates frontier models and MCP servers, the eval platform that drives continuous quality across our AI suite, and the context platform that personalizes AI outputs to customers'' design systems. What you''ll do at Figma: You''ll help shape how design and code stay in sync, making practical calls on what to prioritize across these areas: Bridge design and code: Own how designs become production-ready code, and how code changes flow back onto the Figma canvas - building a round-trip that''s increasingly powered by agents rather than manual handoff.
NewLow Code / Microsoft Power Platform Developer Nesco Resource, LLCLow Code / Microsoft Power Platform DeveloperNew York, NY$60–$70 / hourYou'll be responsible for developing enterprise applications and workflow automation solutions that support business functions including Regulatory Reporting, Compliance, Risk, Finance, Operations, HR, KYC, and Global Markets . We are seeking an experienced Low Code / Microsoft Power Platform Developer to join a collaborative technology team supporting a leading global financial services organization.
EY-Parthenon - Strategy and Execution - Growth Platforms - AI ML Engineering - Director Ernst & Young Global LtdEY-Parthenon - Strategy and Execution - Growth Platforms - AI ML Engineering - DirectorNew York, NY$205,000–$235,000 / yearIf you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com. Within the EY-Parthenon service line, the EY Growth Platforms AI ML Engineering Director will collaborate with Business Leaders, Data Scientists, Project Managers, and other team members to design, build, and scale innovative AI solutions that power strategic growth initiatives and create enterprise value for F500 clients.
(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time Northwell Health Inc(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full TimeGarden City, NYRemoteWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.
Software Dev Engineer IV StratAcuity Staffing Partners IncSoftware Dev Engineer IVNY$73–$83 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
PROVIDER LIAISON - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) Integrated Resources, IncPROVIDER LIAISON - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)Newark, New JerseyContractorResponsibilities: Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insightsWorks closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysisCollaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider EducatorsCollaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staffValidates documentation against submitted claims diagnosis codes and prepares detailed reportsSupports Risk Adjustment Data Validation auditsDrives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressedProvides status reports to managementCertifications:AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Knowledge:Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment modelMastery of medical coding best practicesProject management skillsExperience displaying ability to think analyticallyStrong communications and presentation skillsComputer skills: Outlook, Excel, Word & Powerpoint; SAS & Access preferredQualificationsEducation Experience:Bachelor's degree in business, healthcare administration, or other related fieldRequires a minimum of three (3) years of healthcare experience, preferably with provider focusRequires CPC or CCS certificationRequires program/project management experience Job DescriptionOne of our direct client is looking for potential candidate with the below mentioned skillsDirect Client: Immediate InterviewContract to HirePosition: Provider LiaisonMUST HAVE:5 years of experience into Project ManagementAt least 2 years of experience after CPC or CCS certificationBachelor's degree is a mustCertificationsAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)Job Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding Client's risk adjustment programs.
Denials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - Days Mount Sinai Health SystemDenials Coordinator - Hospital Billing Patient Financial Services - Corporate 42nd Street - Full-Time - DaysNew York, NY$65,885–$98,827 / yearKey responsibilities include analyzing claim denial reasons, identifying denial trends, sharing trends and findings with owner areas, coordinating the appeals process, collaborating with departments to prevent future denials, maintaining documentation including issue logs with updates, denied dollars and resolutions, and acting as a resource for staff regarding denial-related issues and payer rules. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
ProFee Audit Specialist- PRN Datavant LLCProFee Audit Specialist- PRNNYRemote$35–$45 / hourWhat We're Looking For: As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewRevenue Cycle Denials Analyst Richmond University Medical CenterRevenue Cycle Denials AnalystStaten Island, NY$60,000–$70,000 / yearFamiliarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred. Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes.
[REMOTE] Senior Platform Software Engineer- Oracle Clinical Digital Assistant Oracle Corp[REMOTE] Senior Platform Software Engineer- Oracle Clinical Digital AssistantNY$92,500–$209,500 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. Collaborate closely with AI researchers, software developers, product managers, UX designers, and healthcare domain experts to define and deliver innovative solutions.
NewMedical Biller, SNF US Career PartnersMedical Biller, SNFNew JerseyAs a Medical Biller, you will be responsible for accurately and efficiently processing medical claims and ensuring timely reimbursement for services rendered. Company Overview: Our client is a leading SNF finance company that provides financial solutions to skilled nursing facilities across the country.
Lead, Software Engineer - PGIM Technology (Hybrid - Newark, NJ) Prudential Financial IncLead, Software Engineer - PGIM Technology (Hybrid - Newark, NJ)Newark, NJ$145,000–$200,000 / yearDemonstrated experience with Microsoft Azure, supporting cloud‑native application development, deployments, integrations, and production operations (e.g., App Services, Functions, Azure SQL, Storage, identity, monitoring, and related services). Design, build, and maintain full‑stack application solutions, collaborating across React‑based front ends, NET backend services, and SQL/NoSQL data stores to deliver cohesive, end‑to‑end functionality.
Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingNew York, NYRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
VP, Workplace Automation Lead (Power Platform) Jefferies Financial Group IncVP, Workplace Automation Lead (Power Platform)Jersey City, NJ$160,000–$175,000 / yearDevelop pipelines and data integrations across cloud services (e.g., Azure) to incorporate data from multiple sources into unified analytics solutions (Power BI dashboards, Fabric-style unified data environment). Required Skills & Experience: 5+ years of deep, hands-on experience delivering enterprise-scale solutions using Microsoft Power Platform, including Power Apps, Power Automate, Power BI, and Copilot Studio.