Field Reimbursement Liaison - MidAtlantic Crinetics Pharmaceuticals IncField Reimbursement Liaison - MidAtlanticNJ$162,000–$203,000 / yearThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside within the MidAtlantic region, including Pennsylvania, West Virginia, New Jersey, Washington DC, Maryland, or Delaware, to support timely and consistent engagement with healthcare providers, patient access stakeholders, and key accounts across this high priority territory.
NewIRF Quality Analyst IV - Healthcare ExlService Holdings IncIRF Quality Analyst IV - HealthcareNYRemote$70,000–$110,000 / yearThe IRF Quality Analyst performs random, targeted, and follow-up quality reviews to confirm that audit determinations are supported by the IRF-PAI, UB-04/final bill, acute inpatient discharge summary, complete IRF medical record, therapy documentation, physician documentation, nursing documentation, physician orders, MAR, pre-admission screening, individualized overall plan of care, and interdisciplinary team documentation. Confirm that IRF audit determinations are supported by the IRF-PAI, UB-04/final bill, acute inpatient discharge summary, complete IRF medical record, therapy documentation, physician orders and notes, nursing notes, MAR, history and physical, pre-admission screening, individualized overall plan of care, interdisciplinary team documentation, applicable CMS/IRF-PAI guidance, payer requirements, and internal procedures.
Senior Claims Reviewer ArloSenior Claims ReviewerNew York, New YorkThis role is responsible for reviewing aggregate claims as well as high-cost and complex claims, ensuring accurate adjudication, and identifying opportunities for cost containment and fraud prevention. High Impact: You’ll be working cross-functionally with operations and our data science team and your work will be key to building a health insurance company from scratch (where else can you do that??).
Software Engineer (AI-Driven Billing Automation) Artera IncSoftware Engineer (AI-Driven Billing Automation)NY$120,000–$180,000 / yearDemonstrated experience developing tools using Claude Code is required, for example, building internal automations, integration scaffolding, code generation pipelines, or developer tooling with Claude Code in a real project. Architect and operate a continuously learning Salesforce-initiated AI-driven pipeline, that takes diagnostic test information as input and routes the order through our revenue lifecycle, relying on human intervention, partner APIs, and external systems, as needed.
Physician Assistant Observation Medicine Fellowship – Long Island, NY Emergency Care PartnersPhysician Assistant Observation Medicine Fellowship – Long Island, NYLong Island, NYMonthly Didactic sessions which will cover definition of services, administrative design, development of protocols, staffing, physical design, PI/QA, coding/billing/reimbursement, clinical diagnosis and pathways, and all other aspects of observation medicine. The Observation Fellowship (OF) at Progressive Emergency Physicians (PEP) is a 1- year fellowship based out of the observation units operated by Progressive Emergency Physicians.