Charge Entry and Eligibility Specialist The Cardiovascular Care GroupCharge Entry and Eligibility SpecialistSpringfield, NJThe Charge Entry and Eligibility Specialist supports The Cardiovascular Care Group's commitment to delivering exceptional vascular care by ensuring accurate billing, efficient revenue cycle operations, and a positive patient financial experience. The ideal candidate demonstrates strong attention to detail, knowledge of medical billing processes, excellent customer service skills, and the ability to work effectively in a fast-paced healthcare environment.
CPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.
Business Analytics Advisor - Clinical & Affordability Trend Analytics - Hybrid CignaBusiness Analytics Advisor - Clinical & Affordability Trend Analytics - HybridMorris Plains, NJ$98,200–$163,600 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Billing Coordinator I - Reproductive Specialists - Wall Street & Bethpage NYU Langone HealthBilling Coordinator I - Reproductive Specialists - Wall Street & BethpageBethpage, NY$66,300Full timeCertified 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.
Service Account Specialist - Billing Quest Diagnostics IncService Account Specialist - BillingClifton, NJAccount visits will be prioritized based on evaluation of trends that show education needs in: Medicare Limited Coverage Policy/ABNMedicaid requirements/policiesRegional specific third-party requirements/policiesOrdering provider registration (PECOS)Missing demographic/insurance information for ordering physician and patientSupport Commercial Sales team with client training and education as required for large new customers and/or new billing initiatives. Responsibilities: Improve billing data quality through the education and account management of customers, with efforts and emphasis to reduce missing information, bad debt, non-supported diagnosis/non-covered test write-offs, self-pay write-offs, and third-party denials.
Nurse Practitioner - Southern CT/Yonkers, NY- Hybrid-Remote DaVita IncNurse Practitioner - Southern CT/Yonkers, NY- Hybrid-RemoteYonkers, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
NewCPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Associate Product Manager- Denials AI Med-Metrix, LLCAssociate Product Manager- Denials AIParsippany-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. Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility.
NewUniversity Associate, Disputes & Economics - Healthcare and Life Sciences Ankura Consulting Group LLCUniversity Associate, Disputes & Economics - Healthcare and Life SciencesNew York, NY$50,000–$120,000 / yearAnkura's provider team has experience assisting hospitals, long term care centers, outpatient and diagnostic centers, DME providers, home health agencies, hospice centers and their legal counsel to provide effective solutions for their most complex litigation and compliance issues. Requirements: Candidates should be top academic performers, be interested in the consulting industry, and meet the following criteria: Bachelor's Degree with an expected graduation date between December 2026 to June 2027, with a major in Economics, Computer Science, Data Science, Statistics/Biostatistics, Public Health, or Mathematics.
NewPayment Operations Associate Maven ClinicPayment Operations AssociateNew York, NY$81,000–$95,000 / yearThrough Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Our teams primarily operate from the New York Metropolitan area, NY, and remotely via San Francisco/Bay Area, CA, Seattle, WA, Boston, MA, Chicago, IL, and Washington, D.C. For those in our New York City office, we encourage in-person collaboration by requiring team members to work onsite three days a week (Tuesday, Wednesday, Thursday).
Director of Reimbursement and Market Access NeuroPaceDirector of Reimbursement and Market AccessNew York, NY$172,000–$228,000 / yearProven success in coverage expansion working directly with private and public payers on coverage for new product launches, label expansions, or newly approved clinical indications. Based in Mountain View, CA., NeuroPace is a commercial-stage medical device company focused on transforming the lives of people suffering from epilepsy by reducing or eliminating the occurrence of debilitating seizures.
Revenue Cycle Supervisor (Self Pay and Specialty) Columbia UniversityRevenue Cycle Supervisor (Self Pay and Specialty)New York, NY$66,300–$78,000 / yearDemonstrated skills in A/R management, Customer Service, problem assessment, and resolution, and collaborative problem-solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to billing and reimbursement. The Revenue Cycle Supervisor (Self Pay and Specialty) will also be responsible for day-to-day operations of the payment posting process, the International Business Line, Specialty billing, and the oversight of guarantor work queues.
Senior Business Development Associate (Private Equity/Healthcare) McDermott Will & EmerySenior Business Development Associate (Private Equity/Healthcare)New York, NY$110,000–$125,000 / yearJob Description: Position Summary: The Senior Business Development Associate (HEALTHCARE - PRIVATE EQUITY) increases the deal flow into the firm while raising brand awareness for the private equity-focused healthcare reimbursement and regulatory due diligence products. Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities.
MUMPS Developer Lead NTT DATA Group CorpMUMPS Developer LeadJersey City, NJ$123,210–$205,350 / yearNTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. Day to Day Job Duties: Design, develop, test, enhance, and maintain FIS Profile DDA applications, including Profile DDA Version 6.2 and AMR99, using MUMPS and Profile Scripting Language (PSL).
Software Engineer- Tech Ex AI Assets Foundry Team West Monroe Partners, LLCSoftware Engineer- Tech Ex AI Assets Foundry TeamNew York, NY$96,600–$113,600 / yearThis is an internal product engineering role focused on building reusable, scalable, secure AI-enabled applications and platform components in partnership with product owners, designers, architects, senior engineers, governance, and engineering teammates. Interest in and practical exposure to AI, machine learning, Generative AI, or data-driven software capabilities; experience with Azure OpenAI, Databricks, LLM APIs, RAG, embeddings, or model evaluation is preferred but not required.
Application Security Engineer, Vice President MUFG Americas Holdings CorpApplication Security Engineer, Vice PresidentJersey City, NJ$140,000–$203,000 / yearAdditionally, our Total Rewards program provides colleagues with a competitive benefits package (in accordance with the eligibility requirements and respective terms of each) that includes comprehensive health and wellness benefits, retirement plans, educational assistance and training programs, income replacement for qualified employees with disabilities, paid maternity and parental bonding leave, and paid vacation, sick days, and holidays. The ideal candidate brings 5+ years of hands-on experience in application security, secure development practices, automation within CI/CD environments, and-ideally-AI/ML security (e.g., LLM application, prompt injection/data leakage risks, model supply chain and dependency risks).
Lead Software Engineer (Java) in Test Paramount Skydance CorpLead Software Engineer (Java) in TestNew York, NY$124,000–$170,000 / yearThe premium streaming service features an expansive library of original series, hit shows and popular movies across every genre from world-renowned brands and production studios, including BET, CBS, Comedy Central, MTV, Nickelodeon, Paramount Pictures and the Smithsonian Channel. This senior technical role combines deep Java engineering expertise, advanced test automation, media/streaming domain knowledge, and modern CI/CD practices to accelerate quality, reduce risk, and ensure world-class customer experiences across CTV, SmartTV, mobile, and web.
Site Reliability Engineer Barclays PlcSite Reliability EngineerWhippany, NJYou will act as a subject‑matter specialist for SRE practices, partnering with infrastructure and engineering teams to embed reliability into platforms across cloud, on-prem, compute, storage, networking, and databases. Containers and orchestration (Docker, Kubernetes); Networking (TCP/IP, DNS, HTTP, SFTP) and relational databases; and monitoring and observability tools (Geneos ITRS, Prometheus, Grafana, APM, Observe).
Senior Software Engineer Barclays PlcSenior Software EngineerWhippany, NJseeks 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.
Java Developer - Markets Post Trade Barclays PlcJava Developer - Markets Post TradeWhippany, NJCross-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. Implement data ingestion solutions from various sources and processes using Big Data technologies which involve data transformation, filtering and loading into HDFS and HBase.