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JobsJobs in New JerseyJobs in Warren, NJHealthcare Jobs in Warren, NJMedical Billing and Coding JobsCoding Jobs in Warren, NJ
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Coding Jobs in Warren, NJ

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    Jobs

    IBR Senior Analyst Zelis Healthcare, Inc.

    IBR Senior Analyst
    NJ
    • $79,000–$99,750 / year

    This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.

    30+ days ago
    Barclays Plc logo

    Senior Software Engineer Barclays Plc

    Senior Software Engineer
    Whippany, NJ

    seeks Senior Software Engineer in Whippany, NJ (multiple positions available): Build re-usable components using well structured, high quality and performing code for real-time integration of reference data (counterparty, client, account, and book) into trade processing, ensuring seamless data flow across systems. Cross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives.

    25 days ago
    Hackensack Meridian Health logo

    Physician Practice Compliance Specialist Hackensack Meridian Health

    Physician Practice Compliance Specialist
    Iselin, New Jersey
    • Full time

    Has regular interaction with practice leadership, physicians, advanced practice nurses, coders, the Physician Billing Department, clerical and practice staff to ensure accurate documentation of services provided. Responsibilities: A day in the life of a Physician Practice Compliance Specialist at Hackensack Meridian Health includes: Performs retrospective and concurrent audits and performance improvement reviews to ensure compliance with regulatory and payer requirements.

    16 days ago

    RWJBarnabas Health and Rutgers Health are launching an Administrative Fellowship in Hospital Medicine in 2026 RWJBarnabas Health

    RWJBarnabas Health and Rutgers Health are launching an Administrative Fellowship in Hospital Medicine in 2026
    Jersey City, NJ

    Educational 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.

    12 days ago

    Field Access Director, Rare Disease Ipsen SA

    Field Access Director, Rare Disease
    Berkeley Heights, NJ
    • $165,000–$235,000 / year

    Ensure 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.

    30+ days ago
    Atlantic Health System logo

    Medical Office Associate II, Full Time, Days, AMG Thoracic Surgery, Morristown Medical Center Atlantic Health System

    Medical Office Associate II, Full Time, Days, AMG Thoracic Surgery, Morristown Medical Center
    Morristown, NJ

    Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.

    30+ days ago
    Atlantic Health System logo

    Medical Office Associate I, Per Diem, Days, AMG Breast Surgery, Chilton Medical Center Atlantic Health System

    Medical Office Associate I, Per Diem, Days, AMG Breast Surgery, Chilton Medical Center
    Pompton Plains, NJ

    Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.

    30+ days ago

    DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital Health

    DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ
    NJ
    • $20.10–$26.13 / hour

    Knowledge and Skills: Working knowledge of DRG downgrade processes and third-party audit workflows Strong understanding of hospital billing systems and payer claim adjudication processes Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to perform root-cause analysis and identify recurring downgrade drivers Strong written communication skills for documentation and internal coordination. Ensures DRG downgrade cases are properly triaged, routed, documented, tracked, and submitted in accordance with payer and auditor requirements, while partnering with clinical resources to support successful appeal outcomes and denial prevention.

    30+ days ago
    CVS Health Corp logo

    Data Scientist - Clinical AI CVS Health Corp

    Data Scientist - Clinical AI
    NY
    • $79,310–$158,620 / year

    Work 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.

    30+ days ago
    CVS Health Corp logo

    Senior Data Scientist - Clinical AI CVS Health Corp

    Senior Data Scientist - Clinical AI
    NY
    • $101,970–$203,940 / year

    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. 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.

    22 days ago

    Billing and Collections Specialist Henry J. Austin Health Center Inc

    Billing and Collections Specialist
    Trenton, NJ
    • $42,600–$67,000 / year

    Provider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.

    30+ days ago

    Mgr, Payer Access & Reimbursement Quest Diagnostics Inc

    Mgr, Payer Access & Reimbursement
    Secaucus, NJ
    • $125,000–$155,000 / year

    Assist 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.

    30+ days ago

    Billing and Collections Specialist Henry J Austin Health Center

    Billing and Collections Specialist
    Trenton, NJ
    • $42,600–$67,000 / year

    Provider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. SALARY$42,600 - $67,000MAJOR FUNCTION This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.

    30+ days ago

    Billing And Collections Specialist Henry J Austin Health Center

    Billing And Collections Specialist
    Trenton, NJ
    • $42,600–$67,000 / year

    Provider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. FQHC is a federal designation from the Bureau of Primary Health Care (BPHC) and the Center for Medicare and Medicaid Services (CMS) that is assigned to private non-profit or public health care organizations that serve predominantly uninsured or medically underserved populations.

    30+ days ago

    Full Time - Medical Scribe - Church Ave Sun River Health Inc

    Full Time - Medical Scribe - Church Ave
    Brooklyn, NY
    • $20.50–$23.56 / hour

    Under the supervision of the VP of Practice Management, the medical scribe will be responsible for capturing accurate and detailed documentation of the medical encounter into the Electronic Medical Record (eClinical Works) in a timely manner. Attend trainings on diverse subjects such as information technology, legal, HIPAA and regulatory compliance, billing and coding, proofread and edit all the physician's medical documents for accuracy, spelling, punctuation, and grammar.

    11 days ago

    Field Access Director, Rare Disease ImCheck Therapeutics SAS

    Field Access Director, Rare Disease
    Berkeley Heights, NJ
    • $165,000–$235,000 / year

    Ensure 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.

    30+ days ago

    Senior Medical Secretary Weill Cornell Medical College

    Senior Medical Secretary
    New York, NY
    • $25.52–$28.79 / hour

    As 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).

    30+ days ago

    Configuration and Quality Audit Manager | Hybrid NY Healthfirst

    Configuration and Quality Audit Manager | Hybrid NY
    New York, NY
    • $103,400–$149,430 / year

    Manage, coach, and develop analysts responsible for claim configuration audits, payment validation, data analysis, issue documentation, and remediation tracking; assign work, monitor productivity, and ensure timely completion and consistent quality across all audit activities and deliverables; provide technical guidance, peer review, and feedback to ensure findings are well-supported, consistently documented, and appropriately risk rated. The Manager serves as a reimbursement and configuration audit subject matter expert, leads analysts, partners with operational and technical stakeholders, and reports audit results, root causes, financial impact, and corrective action status to leadership.

    18 days ago

    Configuration and Quality Audit Analyst | Hybrid NY Healthfirst

    Configuration and Quality Audit Analyst | Hybrid NY
    New York, NY
    • $68,900–$99,620 / year

    At least three years of experience in a managed care organization, commercial health plan, government program, third-party administrator, or other healthcare operations environment performing claims analysis, configuration audit, provider reimbursement, payment integrity, or healthcare data analysis. Candidate must display effective communication skills and have detailed skillset to configure Office365, effectively communicate product updates, interface with the vendor on potential issues, and ensure platform governance rules are followed.

    18 days ago

    Registered Nurse / MDS Coordinator Greenlife Healthcare Staffing

    Registered Nurse / MDS Coordinator
    New York, NY
    • $100,000–$110,000

    This role involves conducting comprehensive patient assessments, ensuring regulatory compliance, and coordinating interdisciplinary care plans to optimize resident outcomes in a long-term care setting. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

    26 days ago

    Registered Nurse/MDS Coordinator - New York, NY Greenlife Healthcare Staffing

    Registered Nurse/MDS Coordinator - New York, NY
    New York, New York
    • $100,000–$110,000

    In this role, you'll conduct comprehensive patient assessments, ensure regulatory compliance, and coordinate interdisciplinary care plans to optimize resident outcomes in a long-term care setting. Position Overview: We are seeking an experienced Registered Nurse MDS Coordinator to join our team at a skilled nursing facility in New York, NY.

    19 days ago

    Engagement Manager, Revenue Cycle Chartis Group LLC

    Engagement Manager, Revenue Cycle
    NY
    Remote
    • $137,000–$180,000 / year

    Engagement Managers lead work across a portfolio of client engagements, structuring workplans, managing teams, and partnering directly with client stakeholders to turn insights into practical, sustainable improvements across the revenue cycle. The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs.

    30+ days ago

    Director, Provider Education & Risk Adjustment Metropolitan Jewish Health System

    Director, Provider Education & Risk Adjustment
    New York, NY
    • $175,000–$200,000 / year

    They 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.

    30+ days ago
    CVS Health Corp logo

    Medical Director MPO CVS Health Corp

    Medical Director MPO
    NJ
    • $174,070–$374,920 / year

    In 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.

    30+ days ago

    Medical Billing Associate Human Hire

    Medical Billing Associate
    Fair Lawn, NJ

    Our Healthcare team is comprised of experts in the healthcare space, partnering with organizations ranging from large hospital systems to local specialty practices, leveraging over 50 years of combined industry experience to connect high-quality candidates with exciting, career-building opportunities. Keywords: Medical Billing Specialist, Commercial Insurance Billing, Accounts Receivable, A/R Follow-Up, Payment Posting, Denial Management, Appeals, EOB Review, Revenue Cycle, Medical Claims, Healthcare Billing, Insurance Collections.

    30+ days ago

    Senior Health Data Informaticist - Compass Veeva Systems

    Senior Health Data Informaticist - Compass
    New York, NY
    Remote
    • $80,000–$115,000 / year

    Unlike a traditional corporation, whose only legal duty is to maximize shareholder value, PBCs consider their public benefit purpose and the interests of those materially affected by the corporation's conduct-including customers, employees, and the community-in addition to shareholders' interests. We're not just any public company - we made history in 2021 by becoming a public benefit corporation (PBC), legally bound to balancing the interests of customers, employees, society, and investors.

    30+ days ago
    Hackensack Meridian Health logo
    New

    Surgical Coordinator - Gastroenterology - Physician Practice Hackensack Meridian Health

    Surgical Coordinator - Gastroenterology - Physician Practice
    Edison, New Jersey
    • Full time

    The 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. Schedules pre-surgery appointment with physician, obtains medical clearance(s) as needed, coordinates pre-admission testing appointments with appropriate departments and follows up with results to the physician.

    5 days ago
    Hackensack Meridian Health logo

    Surgical Coordinator - Spinal Medicine and Surgery - Physician Practice Hackensack Meridian Health

    Surgical Coordinator - Spinal Medicine and Surgery - Physician Practice
    Maywood, New Jersey
    • Full time

    The 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.

    26 days ago
    Hackensack Meridian Health logo
    New

    Surgical Coordinator - Ears, Nose, and Throat - Physician Practice Hackensack Meridian Health

    Surgical Coordinator - Ears, Nose, and Throat - Physician Practice
    Hackensack, New Jersey
    • Full time

    The 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.

    3 days ago
    New

    Patient Registrar Axelon

    Patient Registrar
    New York, NY
    • $20–$25 / hour

    Requests patients charts from Health Information and or physicians files and requests various patients NYPH medical record prior to appointment. Interfaces with MEU and Social Services to determine Medicaid eligibility; informs patients of documents required initiating Medicaid applications.

    1 day ago
    New

    Sr Financial Navigation Specialist-REMOTE Weill Cornell Medical College

    Sr Financial Navigation Specialist-REMOTE
    New York, NY
    Remote
    • $33.24–$36.32 / hour

    The 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."

    3 days ago
    New

    Insurance/Billing Rep - Interventional - Perioperative Admin - RMC - Full-time - Days Capital Health

    Insurance/Billing Rep - Interventional - Perioperative Admin - RMC - Full-time - Days
    NJ
    • $19.32–$24.13 / hour

    Performs all medical reception scheduling duties, including answering phones, scheduling appointments, making PAT reservations, contacting patient to confirm scheduled appointments, and notifies patient logistics of routine admissions for scheduled outpatient procedures. 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, Taste or Smell, Talk or Hear.

    4 days ago

    Dental Billing Specialist scotchplain fanwood sdentalcare

    Dental Billing Specialist
    fanwood, NJ
    • Full time

    The ideal candidate will be responsible for handling billing and insurance claims, processing patient payments, verifying insurance benefits, and supporting front office operations. This role is essential to ensuring accurate and timely financial transactions and maintaining excellent patient communication regarding billing matters.

    30+ days ago
    CVS Health Corp logo

    Clinical Information Specialist CVS Health Corp

    Clinical Information Specialist
    Paterson, NJ
    • $17–$34.15 / hour

    Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.

    30+ days ago
    Genesis10 logo
    New

    DevOps Engineer Genesis10

    DevOps Engineer
    New York, NY
    Remote
    • $70–$90 / hour
    • Temporary
    • Contractor
    • Full time

    This 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.

    5 days ago

    Associate Director Rwe, Pharmar&D Tempus

    Associate Director Rwe, Pharmar&D
    New York City, NY
    • $155,000–$200,000 / year

    Real World Data Expertise & Technical Oversight: Lead the derivation of complex real-world endpoints using extensive coding, demonstrating deep comprehension of Tempus clinical and molecular data structures and complexity, while also serving as an expert on the methodological nuances and limitations of real-world data. The ideal candidate will possess strong real-world data analytical skills, experience in applying machine learning and statistical models to big data, and the ability to communicate complex findings to various stakeholders.

    30 days ago
    UnitedHealth Group Inc logo

    Senior Software Engineer - Basking Ridge, NJ UnitedHealth Group Inc

    Senior Software Engineer - Basking Ridge, NJ
    Basking Ridge, NJ
    Remote

    Design implement and maintain NodeJS & Java application within all phases of the Software Development Life Cycle SDLC Develop test implement and maintain application software working with established processes Excellent analytical problem solving and troubleshooting abilities Communicate effectively with other engineers and all stakeholders Ability to proficiently resolve technical issues through debugging Identify opportunities to fine-tune and optimize the applications Willingness to learn new technologies and software development practices Design develop and deploy AI-powered solutions to address complex business challenges with emphasis on responsible use of AI. 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.

    30+ days ago
    New

    Patient Registrar Axelon Services Corporation

    Patient Registrar
    New York, NY
    • $20–$25 / hour

    Interfaces with MEU and Social Services to determine Medicaid eligibility; informs patients of documents required initiating Medicaid applications. Requests patient s charts from Health Information and or physician s files and requests various patients NYPH medical record prior to appointment.

    2 days ago

    Health and Information Management/Patient Registrar Axelon Services Corporation

    Health and Information Management/Patient Registrar
    New York, NY
    • $18–$25 / hour

    Pre-register patients in the hospital's online system and obtain hospital medical record numbers when necessary. Proficiency in telephone, computer, keyboard, effective communication, and customer service skills (Required).

    30+ days ago
    Atlantic Health System Inc logo
    New

    Medical Office Associate I Atlantic Health System Inc

    Medical Office Associate I
    Hackettstown, NJ

    Newton Medical Center recently achieved the American Nurses Credentialing Center's Pathway to Excellence designation and is one of a select few health care facilities in New Jersey accredited by the Intersocietal Accreditation Commission (IAC) in all three echocardiography procedures: adult transthoracic, adult transesophogeal and adult stress. Atlantic Health scored four "A" grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.

    3 days ago
    PwC logo

    Applied AI Health Data System Engineer-Senior Manager PwC

    Applied AI Health Data System Engineer-Senior Manager
    New York, NY
    • $124,000–$280,000 / year

    Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients; Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows; Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases; Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards; Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases; Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes; Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases; Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams; Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps; Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and, Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.

    14 days ago

    Business Development Executive (MedInsight) Milliman Inc

    Business Development Executive (MedInsight)
    NJ
    Remote
    • $120,635–$199,065 / year

    MedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.

    30 days ago
    New

    RN MDS Coordinator CentraState Healthcare System

    RN MDS Coordinator
    Freehold, New Jersey
    • $48–$81.60 / hour
    • Full time

    Participates in Medicare utilization review (UR) meetings and triple check meetings to review residents’ progress or lack of progress and determine skilled services qualifications status coordinate and direct Assessment Reference Date (ARD) with nursing and therapy to determine categories under PDPM and/or RUG for each resident and that all information parallels to therapy. Beyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well.

    6 days ago

    Engineering Manager (Claims) Headway

    Engineering Manager (Claims)
    New York City, NY
    • $222,800–$278,500 / year

    That surface includes the claims lifecycle and status model, the APIs to file and refile claims, clearinghouse response processing (835 remittance parsing, 277 claim statuses, RARC/CARC handling), claims interpretation (issue types/subtypes, ERA confidence evaluation), the claim stack (claim-to-appointment aggregation, including multiple claims per appointment), and integration with invoices. Cross-functional partnership - working with leaders across the insurance group (benefits, eligibility, corrections) and adjacent groups (Claims Success, Billing Infrastructure, patient billing, payer partnerships, data platform) to keep the whole system coherent - including the explicit, guardrailed handoffs Project Switchboard depends on.

    30+ days ago

    Patient Registration Rochester Regional Health System

    Patient Registration
    NY
    • $19.08–$27.99 / hour

    Under the general supervision of the Patient Access Services Manager, this position performs imperative duties including registration pre and full, insurance verification, switchboard and life support alarm coverage, data entry, and point-of-service collections, while maintaining patient relations, customer satisfaction, and hospital financial solvency. Switchboard & Communications: Serve as hospital switchboard operator by professionally answering and routing calls, maintaining call schedules, paging providers, monitoring alarms, and providing directions and assistance to patients and visitors.

    22 days ago

    Billing Representative -Full-Time Holy Name Medical Center

    Billing Representative -Full-Time
    Hackensack, NJ
    • $20–$25 / hour
    • Full time

    Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs.

    19 days ago
    New

    Registered Nurse MDS Assessor GreenLife Healthcare Staffing

    Registered Nurse MDS Assessor
    New York, NY
    • $100,000–$110,000 / year

    This role involves conducting comprehensive patient assessments, ensuring regulatory compliance, and coordinating interdisciplinary care plans to optimize resident outcomes in a long-term care setting. Greenlife Healthcare Staffing is seeking an experienced Registered Nurse MDS Coordinator to join a Skilled Nursing Facility in New York, NY.

    3 days ago
    Atlantic Health System Inc logo

    Medical Records Coder II, Full Time, Family Medicine, Summit Atlantic Health System Inc

    Medical Records Coder II, Full Time, Family Medicine, Summit
    Summit, NJ

    Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania.

    30+ days ago

    Software Engineer III Kora/Support Cedar Cares Inc

    Software Engineer III Kora/Support
    NY
    • $170,000–$215,000 / year

    Diversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians). The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S. Cedar's mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible.

    30+ days ago

    Remote | Healthcare Revenue Cycle Executive Consultant — Up to $130/hour 24-Mag

    Remote | Healthcare Revenue Cycle Executive Consultant — Up to $130/hour
    New York, New York
    Remote

    We are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle executives experienced in end-to-end revenue cycle operations, payer contracting, financial performance management, revenue cycle transformation, executive reporting, and strategic healthcare operations leadership. This role supports current and upcoming remote consulting opportunities focused on AI-assisted revenue cycle strategy evaluation, healthcare financial performance review, operational improvement assessment, and high-quality project execution.

    23 days ago
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