Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorNJ$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
KYC Investigator - Ongoing Due Diligence Mercury Technologies IncKYC Investigator - Ongoing Due DiligenceNew York, NY$85,500–$96,200 / yearOur target new hire base salary ranges for this role are the following: US employees in New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $85,500-$96,200 USD. Place an emphasis on quality - paying very close attention to detail to keep bad actors out and ensure we're letting good customers in.
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.
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.
Hospital Care Investigator (000494) MindlanceHospital Care Investigator (000494)New York, NY$27.51–$29.29 / hournull Education: Baccalaureate Degree from an accredited college or university; or, High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization, and four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping; or, Education and/or experience which is equivalent to “1” or “2” above. Pay range: $15.00 hrly -$21.00 hrly A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems.
Financial Crime Risk Investigator II - OneTouch (US) The Toronto-Dominion BankFinancial Crime Risk Investigator II - OneTouch (US)New York, NY$29.75–$47.75 / hourTotal Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition. Employee/Team Accountabilities: Participates fully as a member of the team, supports a positive work environment that promotes service to the business, quality, innovation and teamwork and ensures timely communication of issues/points of interest.
Clinical Investigator Oscar Health IncClinical InvestigatorNew York, NYRemote$75,348–$98,894 / yearBonus points: Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience. Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia.
NewArmed Security Officer Northwell Health IncArmed Security OfficerMount Kisco, NYWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). NYS Armed Security Guard license AND NYS Pistol Permit (in geographical area of employment and residence) AND prior NYS Police Officer experience (in good standing), required.
Investigative Officer 1 (SIF) New York State Thruway AuthorityInvestigative Officer 1 (SIF)White Plains, NY$66,844–$83,945 / yearDuties Description The New York State Insurance Fund (NYSIF), Division of Confidential Investigations (DCI), is among the most active special investigations units in the country, working with local, state, and federal authorities in the investigation, arrest, indictment, and prosecution of individuals and businesses suspected of fraud involving NYSIF. Related fields: law enforcement, police science, criminal justice administration, criminology, criminal investigation, police studies, public justice, forensic accounting, forensic psychology, forensic science, economic crime management, psychology, and sociology.
Pediatric RN Affirmed Home CarePediatric RNNewark, NJAffirmed Home Care is expanding our Pediatric Division and seeking compassionate, skilled Registered Nurses (RNs) to support children throughout Newark, NJ who benefit greatly from consistent home‑care nursing. We have multiple pediatric cases available immediately , offering flexible scheduling, supportive leadership, and the opportunity to build long‑term relationships with the families you serve.
Pediatric Flow Coordinator, Comprehensive Transfer Center - part time New York University School of MedicinePediatric Flow Coordinator, Comprehensive Transfer Center - part timeNew York, NY$69.33–$75 / hourDemonstrate strong clinical assessment skills & clinical judgement to appropriately assess patient acuity and needs, assume principal responsibility for the coordination of patient acceptance, admission and transfer, and necessary communication between the referring physician, attending physician and clinical staff. Arrange or coordinate EMS transportation in partnership w/ outside organizations, and communicate all pertinent transport updates (including estimated time of arrival) to the accepting/admitting attending physician and other key stakeholders as indicated.
Pediatric Emergency Medicine Medical Director In Edison, NJ Team Health Holdings IncPediatric Emergency Medicine Medical Director In Edison, NJEdison, NJ$190–$220 / hourA 498-bed community hospital, JFK provides award-winning care to several counties in central New Jersey; JFK has been recognized and awarded for its excellence in maternity care, oncology, bariatric surgery, stroke care, emergency medicine and cardiology. Situated along the Raritan Bay Harbor and Raritan River, Edison, New Jersey, is a growing township, boasting a scenic location, with easy access to exciting metropolitan areas including New Brunswick and Staten Island, New York.
Pediatric Dietitian destinationone ConsultingPediatric DietitianNewark, New JerseyLocation: Various locations across New Jersey ThePediatric Dietitian specializes in the nutritional needs of infants, children,and adolescents, focusing on growth, development, and health. destinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more.
Pediatric Occupational Therapy Supervisor- $1K sign on! Family of KidzPediatric Occupational Therapy Supervisor- $1K sign on!White Plains, NY$70,000–$80,000 / yearWorks closely and collaboratively with the Assistant Director and Clinical Director of the company to determine and delegate short-term and long-term clinical improvement initiatives. Collaborates with Assistant Director and Clinical Director in the development and implementation of internal trainings for continuing education, compliance, and professional growth to all employees.
Pediatric RN FFS Americare Certified Special ServicesPediatric RN FFSWestchester, New YorkReduce your life stress - feel that relaxed pace while focusing on long-term recovery of your patients and improving their quality of life. Our home health nurses enjoy better work-life balance with the freedom to manage their own schedules.
Pediatric Dental Office Manager Diamond BracesPediatric Dental Office ManagerBrooklyn, New YorkWe are a fast-growing orthodontic organization with structured systems, strong leadership, and real career growth . Clear advancement path (Office Manager Regional Leadership).
Medical Assistant Quad/Graphics IncMedical AssistantNew York, NY$25–$27 / hourGENERAL PURPOSE OF JOB: The Medical Assistant will be a highly motivated, quality-conscious healthcare worker interested in working in an environment where one-on-one time with patients and positive outcomes are the ultimate measurement of success. Draws patient blood samples as directed and prepares samples for ordered laboratory analysis, and collection of other ordered lab specimens.
Casual Hourly Medical Assistant Princeton UniversityCasual Hourly Medical AssistantPrinceton, NJBe knowledgeable in principles and methodologies (e.g., Plan-Do-Study-Act, Root Cause Analysis, measurement, data collection, and analysis) needed to support and lead Quality Improvement projects and activities and/or willing to attend UHS-based Quality Improvement basic training within first 6-months of hire. The Medical Assistant, Casual Hourly, provides direct patient care and operational support to Physicians, Physician Assistants, Nurse Practitioners, and Registered Nurses within University Health Services clinical areas.
Medical Assistant - Endocrinology UnitedHealth Group Inc.Medical Assistant - EndocrinologyGreat Neck, NY$22–$27.25 / hourPerforms authorized procedures competently (i.e. vital signs, vision screening, selected laboratory tests) as directed by physician or nurse in clinical practice area. 1+ years of experience as a Medical Assistant in a medical office, clinic or hospital setting OR Nationally Recognized Medical Assistant Certification from one of the following agencies: NAHP, NCCT, AAMA, AMT, NHA.
Occupational Therapist (OT) - Pediatric TandymOccupational Therapist (OT) - PediatricBronx, New York$50–$55 / hourA New York City-based nonprofit services organization is seeking a licensed Occupational Therapist (OT) to join their team in the Bronx, providing occupational therapy to children in a preschool setting. Implementing occupational therapy intervention plans.