Sr. Director, Claims Pricing Zelis Healthcare, Inc.Sr. Director, Claims PricingMorristown, NJ$169,000–$213,750 / yearThis role works closely with Claims Pricing & Revenue leadership to translate business priorities into actionable plans, strengthen operating performance, and identify opportunities to modernize claims pricing, repricing, negotiation, and related revenue operations. The Senior Director partners across Operations, Product, Technology, Analytics & Insights, Finance, Networks, Client Services and other key stakeholders to improve how work is performed and measured.
Claims Consultant -Life Sciences or Cyber/Technology E&O (Hybrid) Onebeacon Professional Insurance IncClaims Consultant -Life Sciences or Cyber/Technology E&O (Hybrid)New York, NY$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. The ideal candidate will possess substantial Technology Errors & Omissions claims experience and a deep understanding of E&O coverage, including the ability to analyze complex professional liability exposures, contractual liability issues, performance disputes, and technology-related loss scenarios.
Claims Consultant -Life Sciences Intact InsuranceClaims Consultant -Life SciencesNew York, NY$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. Ability to independently interpret specialty insurance policies, identify coverage issues, formulate coverage positions, draft reservation of rights and declination letters, evaluate exposure, establish reserves, manage litigation, and clearly articulate coverage positions verbally and in writing.
NewHead of North America Client Relationship Management & Claims Advocacy Marsh & McLennan Companies IncHead of North America Client Relationship Management & Claims AdvocacyNew York, NY$166,300–$316,000 / yearThe successful candidate will be a highly visible leader and trusted advisor to clients, brokers, markets, and colleagues, combining executive leadership, technical reinsurance expertise, strong relationship management, and sound commercial judgment. The position serves as a senior advisor and advocate for clients, helping ensure key reinsurance accounting, claims, recovery, and service requirements are effectively managed while identifying opportunities to strengthen relationships and deliver additional value.
Claims Consultant - Hospital/Excess Professional Liability The Medical Protective CompanyClaims Consultant - Hospital/Excess Professional LiabilityNYRemote$90,000–$150,000 / yearFrom our roots in our hometown of Fort Wayne, Indiana, we''ve worked diligently to become the nation''s premier healthcare liability coverage provider, currently insuring more than 300,000 customers. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others.
RCM Coordinator - Claims Resolution Metrocare ServicesRCM Coordinator - Claims ResolutionHillside, New YorkThe RCM Coordinator – Claims Resolution serves as a key financial liaison within the Revenue Cycle Management team, responsible for ensuring the integrity of claim submission, payment accuracy, and denial prevention across multiple service lines including primary care, behavioral health, intellectual and developmental disability (IDD) services, early childhood intervention (ECI), applied behavior analysis (ABA) therapy, and LIDDA programs. Preferred: Associate’s degree in healthcare administration, business, or related field; experience in billing and knowledge of Community Center Services; knowledge of ICD-10, CPT, HCPCS, and modifier usage; familiarity with Medicaid, Medicare, Certified Professional Biller (CPB), Certified Revenue Cycle Specialist (CRCS), or Certified Professional Coder (CPC), and commercial insurance requirements.
Office Manager DEO Dental GroupOffice ManagerHackensack, NJDeliver treatment plan presentations and effectively communicate recommended treatments to patients, helping them understand the importance of their oral health and moving forward with treatment. Effetive leadership style with the ability to set clear expectations, hold the team accountable, and create a supportive culture inspiring the best out of others .
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.
Insurance Specialist I Regional Cancer Care AssociatesInsurance Specialist IHackensack, New Jersey$18.99–$29.22 / hourWhile 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. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
Insurance Specialist Regional Cancer Care AssociatesInsurance SpecialistTeaneck, New Jersey$18.99–$29.22 / hourWhile 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. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
Subrogation Supervisor (Hybrid) Onebeacon Professional Insurance IncSubrogation Supervisor (Hybrid)New York, NY$108,000–$127,000 / yearWe currently have an opportunity for a Subrogation Supervisor to join our Specialty Recovery Claims team based in our Plymouth, MN; Denver, CO; Canton, MA; New York City, NY; Chicago, IL; Alpharetta, GA; Irvine, CA; Southfield, MI office on a hybrid schedule. Some of the Subrogation Supervisor responsibilities include but are not limited to: Supervises day-to day activities and priorities of subrogation staff, including the assessment and management of claims assignments and ongoing guidance of subrogated claim files.
Subrogation Supervisor (Hybrid) Intact InsuranceSubrogation Supervisor (Hybrid)New York, NY$108,000–$127,000 / yearWe currently have an opportunity for a Subrogation Supervisor to join our Specialty Recovery Claims team based in our Plymouth, MN; Denver, CO; Canton, MA; New York City, NY; Chicago, IL; Alpharetta, GA; Irvine, CA; Southfield, MI office on a hybrid schedule. Some of the Subrogation Supervisor responsibilities include but are not limited to: Supervises day-to day activities and priorities of subrogation staff, including the assessment and management of claims assignments and ongoing guidance of subrogated claim files.
DRG Ops Analyst Zelis Healthcare, Inc.DRG Ops AnalystMorristown, NJ$54,000–$68,400 / yearWhat you'll do: Managing the screening and distribution processes of Expert Claim Review Claims supporting the end-to-end workflow audit for Zelis Prepay and Post-pay Programs. Accountable for the deployment of resources for the management of daily claims screening, distribution, and referral processes, including ECR and ECR-EDI, DRG Validation and DRG Outlier pricing.
Hands-on CTO Startup TalentsHands-on CTONew York, New YorkDelivered products in regulated, transaction-heavy domains (preferably healthcare payments/RCM/fintech) or equivalent complex workflow environments—owning integrations, secure/scalable system design, and AI-enabled workflow automation for payment/claims/reconciliation workflows. - Domain & leadership combo: healthcare payments / revenue‑cycle (RCM) domain understanding plus early‑stage engineering leadership (recruiting and leading the first engineers).
Analyst, Mail Services, Kroll Settlement Administration Kroll, LLCAnalyst, Mail Services, Kroll Settlement AdministrationNew York, NY$22–$24 / hourAs a settlement administrator, we are responsible for notifying potential class members, reviewing and processing claim forms filed by individuals and entities, calculating losses, auditing claims to determine the extent of the damages incurred and processing and distributing funds to eligible class members under the court's direction. Kroll Settlement Administration, part of Kroll's Business Services division, is the leader in cutting-edge technology and consulting services for class action, mass tort, regulatory remediation and government claims administration.
Risk Adjustment Specialist Metroplus Health Plan IncRisk Adjustment SpecialistNew York, NY$72,000–$82,000 / yearAs a Risk Adjustment Specialist, you will support ongoing processes and lead projects to ensure MetroPlusHealth is fully capturing data about our high-risk populations and submitting accurate information to federal and state agencies. This includes monitoring submission timelines, resubmissions, and validating accepted and rejected encounter metrics to ensure data is accurately reflected in downstream reporting.
Field Service Agent - Bilingual Spanish - Manhattan HF Management ServicesField Service Agent - Bilingual Spanish - ManhattanNew York City, New YorkInitiate investigations, partner with other assigned parties to participate in root cause analysis, communicate complex information, take proactive and/or corrective measures and/or recommend solutions and methods for process improvement and follow-up on outstanding customer inquiries and complaints within defined timeframes. Manage face-to-face encounters by interacting with customers to provide information in response to inquiries about products and services, improve overall member experience, and reduce waiting time to expedite traffic flow.
Senior Manager, Settlement Administration Kroll, LLCSenior Manager, Settlement AdministrationNew York, NY$104,000–$122,000 / yearPerformance Management: Sets billable hour goals and targets for utilization and quality for project team members they supervise; meets their own billable hour goals and targets; reviews key reports to ensure controls are being accurately utilized and expected work is occurring from direct reports, ensures and validates invoicing as necessary and pays close attention to case budgets. As a settlement administrator, we are responsible for notifying potential class members, reviewing and processing claim forms filed by individuals and entities, calculating losses, auditing claims to determine the extent of the damages incurred and processing and distributing funds to eligible class members under the court's direction.
Sr. Forward Deployed Engineer Cohere Health Technologies LLCSr. Forward Deployed EngineerNYRemote$135,000–$155,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. 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.
Personal Lines Underwriter, High Net Worth W. R. Berkley CorpPersonal Lines Underwriter, High Net WorthMorristown, NJ$75,000–$130,000 / yearAs a Personal Lines Underwriter focused on High Net Worth at Berkley One, you''ll play a pivotal role in evaluating and underwriting new business risks, with a strong emphasis on profitable growth and relationship management. We''ll count on you for: New Business Underwriting: Focus on underwriting new business daily, leveraging expertise and sound judgment to select and price risks that align with Berkley One's profitability goals.