Lead Software Engineer - AI Humana IncLead Software Engineer - AINew York, NY$129,300–$177,800 / yearExercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Clinical and Product Partnership: Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features.
Associate Principal Scientist, Pharmar&D TempusAssociate Principal Scientist, Pharmar&DNew York City, NY$155,000–$200,000 / yearReal 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. Technical/Scientific Skills: Expert-level proficiency in observational late stage trial data or real-world healthcare data, specifically in designing and implementing complex time-to-event methodologies (survival analysis).
Clinical Data Specialist Richmond Medical CenterClinical Data SpecialistStaten Island, New YorkDay Shift - 7.5 Hours (United States of America) The Clinical Data Specialist (Coder) codes hospital records for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis, operations and procedures using ICD-10-CM classification system. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Senior Post-Market Pharmacovigilance Specialist (Remote) MMSSenior Post-Market Pharmacovigilance Specialist (Remote)Jersey City, NJRemoteWith 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.
Medical Director - ENT CVS Health CorpMedical Director - ENTNJ$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Executive Medical Director, Neurology, Clinical Development Katalyst HealthCares & Life Sciences IncExecutive Medical Director, Neurology, Clinical DevelopmentBridgewater, NJThis individual will be the primary point person for medical monitoring and oversight of assigned clinical programs, including monitoring of clinical studies, review and interpretation of clinical trial data, authoring clinical study and regulatory communications and documents, and monitoring of competitor activities and data. Provide medical/clinical expertise to internal (Marketing, Sales, Manufacturing, Market Access, Patient Services, Regulatory Affairs, R&D, and Legal) and external (healthcare professionals, Data Safety Monitoring Boards, patients, advocacy groups, etc.) customers.
Clinical Documentation Specialist - CDI MercorClinical Documentation Specialist - CDINew York, New YorkRemote$50–$150 / hourComfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets. Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
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.
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.
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.
Senior 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.
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.
NewSenior Manager, Provider Experience and Clinical Transformation Big Health IncSenior Manager, Provider Experience and Clinical TransformationNY$140,000–$160,000 / yearThe Senior Manager, Provider Experience and Clinical Transformation is responsible for driving revenue growth and patient impact by ensuring that health systems, provider groups and other organizations are actively engaged with, understand and have a smooth experience supporting their patients to use Big Health's FDA cleared treatments. In pursuit of our mission, we've pioneered the first at-scale digital therapeutic business model in partnership with some of the most prominent global healthcare organizations, including leading Fortune 500 healthcare companies and Scotland's NHS.
Senior Software Engineer, Backend Applied AI SmarterDx IncSenior Software Engineer, Backend Applied AINYRemote$190,000–$230,000 / yearYou'll work closely with Data Scientists and other Product engineers to turn models, experiments, and emerging AI techniques into reliable product experiences used by healthcare teams. Experience with traditional machine learning is valuable, particularly if you have more recently worked on applications powered by LLMs, multimodal models, or other modern AI systems.
Billing and Collections Associate SourcePro SearchBilling and Collections AssociateSecaucus, New JerseyEffectively prioritize work assignment/s and demonstrate flexibility in assuming payer specific A/R claim follow-up and denial management assigned to another A/R Specialist to ensure the team is meeting or exceeding department goals. SourcePro Search is conducting search for several great Temp to Perm opportunities for Billing and Collections Associates with our client, a large and prestigious healthcare solutions provider.
Physician Educator III University HealthCare AlliancePhysician Educator IIINewark, New Jersey$44.13–$57.36 / hourProvides on-site specialty specific training to individuals or groups of clinicians regarding documentation of services and appropriate coding of level of service, diagnoses, and procedures; including tips and techniques to help clinicians work more efficiently in Epic. Educates and guides healthcare providers and staff on accurate clinical documentation and coding practices, particularly concerning Hierarchical Condition Categories (HCCs) and risk adjustment methodologies.
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.
Surgical Scheduling Specialist - PMPH Penn MedicineSurgical Scheduling Specialist - PMPHPlainsboro, NJ$18.11–$28.86 / hourSummary: Surgical Scheduling Specialist schedules all surgical procedures, associated pre-admission testing and assures that all of the appropriate clinical coding and insurance information is collected for the surgical procedure. Provides accurate and timely information so that all departments may view the schedule daily and maintains open communication with hospital departments and physician offices regarding schedule changes etc.
AI Engineer | Agentic Systems MachinifyAI Engineer | Agentic SystemsNY$130,000–$200,000 / yearWe''re building production-grade agentic systems that audit medical claims end-to-end - reading raw medical records, reasoning over coding and clinical guidelines, and producing defensible findings that hold up to clinical and regulatory review. Working knowledge of how modern coding agents are built and how they engineer context - what goes in the system prompt, how files are read and edited, how long-running tasks are planned and tracked, where they break.
Billing Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours) New York University School of MedicineBilling Coordinator-Tisch Hospital Perioperative Services-Day Shift (35 Hours)New York, NY$66,299.99–$71,400 / yearIn this role, the successful candidate This position is responsible for overseeing/posting charges for all supplies and implants used in operating room cases (inpatients and outpatients) for surgical locations within Tisch Hospital and Ambulatory Sites, and ensures the accuracy of all billable supplies are captured and submitted in accordance to departmental policies. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.