Wound Care Nurse - Lpn-Lvn - Full Time Project RestorixWound Care Nurse - Lpn-Lvn - Full TimeRahway, NJWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Surgical Coordinator-Interventional Pain Management Hackensack Meridian HealthSurgical Coordinator-Interventional Pain ManagementHackensack, New JerseyThe posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. Responsibilities: A day in the life of a Surgical Coordinator at Hackensack Meridian Health includes: Coordinates all aspects of tests, procedures and surgeries under the direction and supervision of the Practice Supervisor or Manager and physician(s) in an efficient manner.
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.
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.
Nurse Clinical Documentation Specialist St. Joseph's Healthcare SystemNurse Clinical Documentation SpecialistPaterson, NJMedical school graduate (MD, MBBS) or Registered Nurse (RN) and Certified Clinical Documentation Specialist (CCDS) by the Association of Clinical Documentation Integrity Specialists or Certified Documentation Integrity Practitioner (CDIP) or Certified Coding Specialist (CCS) by the American Health Information Management Association within two years or hire. The 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".
NewSenior Actuarial Support Analyst Cohere Health Technologies LLCSenior Actuarial Support AnalystNYRemote$105,000–$115,000 / yearWhat you'll need: 5 years of experience in healthcare analytics, cost containment, or similar roles in the healthcare industry, preferably within a payer, provider, or managed care setting, Proficiency in data analytics and visualization tools, for example SQL, Tableau, Power BI, advanced Excel, Strong understanding of healthcare cost drivers and medical claims data, Demonstrated experience in data cleaning, data analysis and problem-solving skills, Ability to transform complex data into actionable insights and clear, concise reports. By 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.
Customer Support Coach - NORAM Digital Arbitrage IncCustomer Support Coach - NORAMNYRemote$55,000–$77,000 / yearOur Customer Support Team: Join a dynamic, fully remote team of over 60 global Customer Support professionals united by our goal of delivering exceptional customer experiences across live chat, email, and phone. Since our founding in 2012, we''ve become the World''s Best Hotel PMS Solutions Provider and landed on Deloitte''s Technology Fast 500 again in 2024, but we''re just getting started.
Sr. Software Engineer, Data Platform Cohere Health Technologies LLCSr. Software Engineer, Data PlatformNYRemote$130,000–$160,000 / 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. As a Senior Software Engineer of the data platform team, you'll operate across the end-to-end data lifecycle-from ingestion to transformation to integration-driving solutions that align with architectural best practices, governance needs, and business outcomes.
NewSenior VP - Population Health HarmonyCares.Senior VP - Population HealthNYThis leader establishes the roadmap, leads a focused portfolio of high-impact clinical programs, and partners with Market Operations, Central Operations, and Medical Leadership to deliver performance across key population health measures. Identify actionable cost drivers and develop interventions for high-risk populations, avoidable acute utilization, care transitions, medication-related risk, chronic disease management, and other significant opportunities.
Medical Director Therapy Cohere Health Technologies LLCMedical Director TherapyNYRemote$210,000–$260,000 / 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.
Senior Clinical Research Director SanofiSenior Clinical Research DirectorMorristown, NJ$236,250–$393,750 / yearCollaborates with other CRDs within the project, ensures leadership, builds consensus, coordinates action plans with stakeholders to resolve project-related study issues, anticipates potential issues (sharing lessons learned) across the project or study teams. Collaborate with other CRDs within the project, ensure leadership, buildsconsensus, coordinate action plans with stakeholders to resolve project-related study issues, anticipate potential issues (sharing lessons learned) across the project or study teams.
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.
Mgr, Payer Access & Reimbursement Quest Diagnostics IncMgr, Payer Access & ReimbursementSecaucus, NJ$125,000–$155,000 / yearAssist in the execution of MA strategies aligned with business needs and the evolving external health system environment (private and government payers, regulatory environment) for optimal utilization and reimbursement of Quest products with emphasis on oncology, particularly MRD.Identify and harness opportunities to improve coverage and reimbursement (C/R) for assigned Payer Access category in all phases (e.g., idea to market, lifecycle management). Job DescriptionThe Manager supports Payer Access & Reimbursement (PAR) activities as a member of a cross-functional team, oriented to Medical Affairs (MA) activities related to medical access, evidence generation, value proposition creation, and coverage in policy, all of which impact the reimbursement of Quest's portfolio of tests.
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.
Software Engineer (Finch Legal, New York, NY) FinchSoftware Engineer (Finch Legal, New York, NY)New York City, New York$180,000–$280,000 / yearWe believe the best outcomes happen when expert operators and purpose-built AI work together – which is why we handle every step of pre-lit, from intake and claim opening to medical records, lien management, and demands, with humans leading every case. Requires a Bachelor's degree or foreign equivalent in Computer Science or related field, and at least two years of experience as a Software Engineer or related occupation.
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.
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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.
Medical Billing Performance & Analytics Manager Mai PlacementMedical Billing Performance & Analytics ManagerMontvale, NJWe need someone who understands RCM numbers, identifies when something is off, investigates the cause, and follows through until the issue is addressed. You understand what the numbers mean, question what does not look right, and take ownership of getting answers and improving performance.