Paralegal Gottlieb and GreenspanParalegalFair Lawn, NJ$50,000–$65,000 / yearWe are Gottlieb & Greenspan — a growing boutique law firm in Bergen County with a collaborative team and a workplace grounded in our core values: we are ethical, respectful of all people, accountable, positive and fun, driven, and committed to excellence . You'll receive comprehensive training in all aspects of the arbitration process and play a key role in supporting our legal efforts to ensure fair reimbursement for healthcare providers.
Senior Strategic Configuration Analyst Clover Health Investments CorpSenior Strategic Configuration AnalystNYRemote$107,000–$130,000 / yearAs a Senior Strategic Configuration Analyst, you will: Testing Framework Design & Execution: Architect and execute comprehensive test plans to validate that member benefits, provider contract terms, and general edits-including LCD, NCD, and NCCI coding edits-are configured accurately within our systems. By 6 months: You will be the primary lead for configuration testing and validation, utilizing AI tools like Claude, Gemini, and ChatGPT to generate complex testing scenarios and document logic flows to increase the speed and depth of our validation cycles.
Medical HOME HEALTHCARE Billing Specialist / Office duty Personnel Kind Loyal Service RN Healthcare Services PLLCMedical HOME HEALTHCARE Billing Specialist / Office duty PersonnelNew Rochelle, NYFull timeCompensation is determined based on factors such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity. This role is responsible for managing billing, collections, and third-party reimbursement processes while ensuring accuracy and compliance, and is NOT limited to regular office staff duties.
Revenue Cycle Denials Analyst Richmond Medical CenterRevenue Cycle Denials AnalystStaten Island, New YorkFamiliarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred. Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes.
Director, Payment Integrity Capital Rx LLCDirector, Payment IntegrityNew York, NY$206,400–$258,000 / yearPosition Summary: The Director, Payment Integrity will build and lead Judi Health''s payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingNew York, NYRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
Manager, Clinical Bus Amin Columbia UniversityManager, Clinical Bus AminNew York, NYMaster's degree in healthcare administration, business administration, finance, accounting, or a related field preferred, with experience in an academic medical center, hospital, faculty practice organization, or similarly complex healthcare environment, and knowledge of healthcare operations, revenue cycle workflows, billing processes, clinical support arrangements, and related administrative practices strongly preferred. The Manager of Clinical Business Administration partners with operational stakeholders to monitor performance, audit billing and coding compliance, resolve issues, reduce risk, and identify opportunities to improve revenue and efficiency, while also supporting business planning and managing key affiliate agreements, contracts, and practice initiatives.
Director, Transformation Services - Revenue Integrity Med-Metrix, LLCDirector, Transformation Services - Revenue IntegrityParsippany-Troy Hills, NJPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Project leadership and workplan management experience for opportunity assessments within a consulting firm setting with a focus on middle revenue cycle areas (clinical documentation, revenue integrity, charging, coding).
Front Desk Coordinator - Full Time RestorixHealthFront Desk Coordinator - Full TimeRahway, NJResponsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Supervisor of Fleet Maintenance Interstate Waste Services IncSupervisor of Fleet MaintenanceSloatsburg, NYInterstate Waste Services is the most progressive and innovative provider of solid waste and recycling services in the greater New York, New Jersey and Connecticut markets with a rail-served landfill in Ohio. This role is responsible for work planning and scheduling, technician supervision, repair quality control, PM program execution, parts and cost discipline, and maintenance documentation integrity.
Medical Claims Auditor Clover Health Investments CorpMedical Claims AuditorNYRemote$90,000–$100,000 / yearAs a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA audit program. Success in this role looks like: By the end of your initial 90 day period, you will have demonstrated a strong understanding of our review process and are able to effectively navigate through the various Clover systems.
Central Scheduling Specialist - Per Diem Penn MedicineCentral Scheduling Specialist - Per DiemPlainsboro, NJ$17.75–$28.33 / hourDetermines reason for patient visit and possesses and utilizes knowledge of provider’s schedule and protocols as well as scheduling guidelines to schedule accurate and complete general appointment special appointment and emergency appointments. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Billing Coordinator II - Urology New York University School of MedicineBilling Coordinator II - UrologyMineola, NY$66,300–$72,345 / yearPreferred Qualifications: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC) preferred. Collaborate with the corporate Revenue Integrity Analysts to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.
Physician Westchester Medical Center Health NetworkPhysicianValhalla, NY$290,000–$394,000 / yearJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.
Front Desk Coordinator - Full Time Project RestorixFront Desk Coordinator - Full TimeRahway, NJQualifications: High school diploma or equivalentExperience in front desk role in a hospital outpatient or medical practice setting preferredIntermediate Microsoft Office skills (Word, Excel, Outlook)Exceptional customer service skills, able to promote a positive environment. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Executive Director of Risk Adjustment UnitedHealth Group IncExecutive Director of Risk AdjustmentNew York, NY$134,600–$230,800 / yearThis leader partners closely with provider organizations, clinical leadership, coding teams, and enterprise stakeholders to embed risk capture into clinical workflows while maintaining regulatory compliance and audit readiness. This role ensures accurate, compliant, and sustainable risk capture across employed and contracted provider networks, directly impacting financial performance in value-based arrangements.
Lead, Medical Network Claims Pricer Capital Rx, Inc.Lead, Medical Network Claims PricerNew York, NY$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.
Data Scientist | Modeling MachinifyData Scientist | ModelingNY$180,000–$230,000 / yearYou have experience building ML models using modern ML approaches like Neural Nets or Tree-ensembles from scratch for new applications - making decisions relating to which supervised labels to use, the metric to optimize for, and the features likely to be useful. In addition to building best-in-class models, this person will create technical frameworks and tools to help the team achieve greater scale and improved business outcomes.
Convergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationNew York, NY$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
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).