Professional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA AL Capital HealthProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA ALNJRemote$29.27–$38.25 / hourFrequent physical demands include: Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
NewPhysician Practice Coder - Remote Boston Medical CenterPhysician Practice Coder - RemoteNYRemote$24.04–$33.65 / hourAble to share/transfer knowledge or train co-workers, peers, billing managers on coding - Able to provide education with physicians in small group or one-on-one sessions as needed or requested. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness.
Special Investigation Unit Investigator Centene Corporation GroupSpecial Investigation Unit InvestigatorNJ$56,200–$101,000 / yearEducation/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience (or) An Associates or Bachelor's degree in criminal justice or a related field; (or) employment as an investigator in the MMCO's SIU on or before the effective date of this SubPart required. Minimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven years of professional investigation experience involving economic or insurance related matters.
Payment Operations Associate Maven Clinic coPayment Operations AssociateNY$81,000–$95,000 / yearThrough Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women''s and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife - improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Our teams primarily operate from the New York Metropolitan area, NY, and remotely via San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week (Tuesday, Wednesday, Thursday).
Manager, Data Mining - Payment Integrity Oscar HealthManager, Data Mining - Payment IntegrityNew York, New York$111,780–$146,711 / yearThe Manager of Data Mining leads a team of individual contributors, ensuring the team is meeting savings and recovery targets in the payment integrity space. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week.
Medical Office Manager, Queens The Dermatology SpecialistsMedical Office Manager, QueensRidgewood, New Jersey2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; This position requires a hands-on manager with exceptional communication skills, a thorough knowledge of office operations, human resource management, business development and financial oversight.
Quality Analyst / Medical Auditor SourcePro SearchQuality Analyst / Medical AuditorClifton, New JerseyThis role will manage and execute all audit procedures to ensure adherence to expected consistency of quality expectations as well as monitor and track all audit scores by employees. SourcePro Search has a fantastic opportunity for an experienced Quality Audit/Analyst for one of our top clients in Norther New Jersey.
Employed OB/GYN Opening in Montvale, NJ | 30 mi from NYC Pascack Valley Medical CenterEmployed OB/GYN Opening in Montvale, NJ | 30 mi from NYCWestwood, New JerseyOverview: Pascack Valley Medical Group is searching for a full-time, BE/BC OB/GYN physician to join an employed, established practice comprised of 4 physicians at its Montvale, NJ, outpatient location and providing services at Hackensack Meridian Pascack Valley Medical Center in Westwood, NJ. Nicknamed, “The Hub of Bergen County’s Pascack Valley,” downtown Westwood is bustling with specialty shops and unique boutiques as well as hometown general stores, plenty of parking and excellent restaurants from casual to sophisticated, Westwood has it all.
Employed OB/GYN Physician Opening in NJ | 30 mi from NYC Pascack Valley Medical CenterEmployed OB/GYN Physician Opening in NJ | 30 mi from NYCWestwood, New JerseyNicknamed, “The Hub of Bergen County’s Pascack Valley,” downtown Westwood is bustling with specialty shops and unique boutiques as well as hometown general stores, plenty of parking and excellent restaurants from casual to sophisticated, Westwood has it all. Our 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.
Medical Office Manager-Bronx The Dermatology SpecialistsMedical Office Manager-BronxNew York City2 years’ + experience in Hospitality or Medical management as a minimum; Experience in managing a team; Ability to give direction with confidence; Hard-working and willing to be part of a team; Desire to grow with the practice; Flexible availability. - Knowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records.
Senior Post-Market Pharmacovigilance Specialist (Remote) MMSSenior Post-Market Pharmacovigilance Specialist (Remote)Jersey City, NJRemoteFull timeWith a global footprint across four continents, MMS not only maintains an industry-leading customer satisfaction rating but also fosters a collaborative and inclusive work environment where employees can thrive. We support the pharmaceutical, biotech, and medical device industries with our proven scientific approach to complex trial data and regulatory submission challenges.
Call Center Service Associate Blue Cross and Blue Shield AssociationCall Center Service AssociateHopewell, NJ$47,961–$63,820 / yearThis compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience.
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.
Sr. Call Center Service Assoc Blue Cross and Blue Shield AssociationSr. Call Center Service AssocHopewell, NJ$52,787–$70,172 / yearThis compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. Responsibilities: Receive escalated customer inquiries and provide second level resolution by initiating or continuing investigation process, utilizing available resources and accurately documenting customer inquiry and actions taken in accordance with departmental quality guidelines.
Full-Time TVT/LAAO Clinical Data Abstractor Hourly Non-Exempt Carta Healthcare Inc.Full-Time TVT/LAAO Clinical Data Abstractor Hourly Non-ExemptNYRemotePaid Holidays: "Full-time hourly employees receive six paid holidays per year: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas Day, paid at their regular hourly rate. Carta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity.
Employed OB/GYN Physician Opening in Paramus, NJ | 30 mi from NYC Pascack Valley Medical CenterEmployed OB/GYN Physician Opening in Paramus, NJ | 30 mi from NYCWestwood, New JerseyOverview: Pascack Valley Medical Group is searching for a full-time, BE/BC OB/GYN physician to join an employed, established practice comprised of 4 physicians at its Paramus, NJ, outpatient location and providing services at Hackensack Meridian Pascack Valley Medical Center in Westwood, NJ. Nicknamed, “The Hub of Bergen County’s Pascack Valley,” downtown Westwood is bustling with specialty shops and unique boutiques as well as hometown general stores, plenty of parking and excellent restaurants from casual to sophisticated, Westwood has it all.
Revenue Cycle Manager/ Pre-Certification Regional Cancer Care AssociatesRevenue Cycle Manager/ Pre-CertificationTeaneck, New Jersey$81,685–$85,000 / yearWhile performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Collaborate with healthcare providers to gather necessary documentation required for pre-authorization and ensure timely approval of oncology treatments and oral pharmacy prescriptions.
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.
Billing Supervisor PRIMARY HEALTH NETWORK, INC.Billing SupervisorMercer County, NJEssential Function: Ensures the activities of the billing operations within the Network are conducted in a manner that is consistent with overall department protocol, and are in compliance with federal, state, and payer regulations, guidelines and requirements. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring inclusive and equitable access to healthcare that is both compassionate and exceptional.
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.