Senior Accountant Catholic Charities Community ServicesSenior AccountantNew York, NY$92,000–$100,000 / yearFull timeReporting to the Finance Manager(s), the Senior Accountant ensures timely and accurate fiscal operations, including claims processing, budget development, audit preparation, forecasting, and financial reporting. Summary: The Senior Accountant plays a key role within the CCCS Finance Department's Program Support team, overseeing operational financial reporting and contract compliance.
Trainer II Horizon Healthcare ServicesTrainer IINewark, New Jersey63,000 - $84,420 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. Assists with the development and customizing of training materials including, but not limited to; content, lesson plans; exercises and assessments in the partnership with the Sr Trainer and ISD team.
Ai/Ml Engineer Starr CompaniesAi/Ml EngineerNew York, NY$135,000–$175,000 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs. 2+ years expert level R or Python analytics experience with a proven track record in advanced analytics as well as hands-on experience with digital and CRM data (structured and unstructured).
Account Manager III (Public Sector) Horizon Healthcare ServicesAccount Manager III (Public Sector)Newark, New JerseyMust be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes; Should be knowledgeable in the use of intranet and internet applications. 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.
Senior Quality Analyst, Assistant Manager ExlService Holdings IncSenior Quality Analyst, Assistant ManagerNY$73,000–$110,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. This role will be responsible for embedding AI into QA processes, improving product quality proactively, and driving intelligent automation initiatives that reduce manual effort, improve defect prevention, and accelerate delivery timelines.
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.
NewSoftware Architect - Healthcare AI & Cloud Solutions ExlService Holdings IncSoftware Architect - Healthcare AI & Cloud SolutionsNY$93,900–$154,200 / yearThis role blends product leadership, technology execution, and business alignment to drive enterprise value through large scale, data driven, cloud-first solutions that support payment integrity and data intelligence use cases. As the Software Architect - Healthcare AI & Cloud Solutions, you will be responsible for developing Solution, Application, Performance and Enterprise architectures and designs for solutions that power EXL Health's digital transformation in the U.S. healthcare market.
NewProduct Management Senior Advisor - Express Scripts - Hybrid CignaProduct Management Senior Advisor - Express Scripts - HybridMorris Plains, NJ$113,200–$188,600 / 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.
Appeals and Grievances Clinical Specialist/ Quality Of Care HealthfirstAppeals and Grievances Clinical Specialist/ Quality Of CareNY$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case.
Prior Authorization Systems Pharmacist Capital Rx, Inc.Prior Authorization Systems PharmacistNew York, NY$128,000–$150,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. Judi Health provides full-time employees with the following benefits at no cost to the employee: basic life insurance, basic accidental death and dismemberment insurance, paid time off, sick time, holidays, short-term disability, long-term disability, an employee assistance program, and a wellness program.
Senior Data Engineer Capital Rx, Inc.Senior Data EngineerNew York, NY$139,600–$174,500 / yearBy 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. Judi Health is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes.
Prior Authorization Systems Technician Capital Rx, Inc.Prior Authorization Systems TechnicianNew York, NY$75,000–$80,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. Judi Health provides full-time employees with the following benefits at no cost to the employee: basic life insurance, basic accidental death and dismemberment insurance, paid time off, sick time, holidays, short-term disability, long-term disability, an employee assistance program, and a wellness program.
Data Exchange Analyst - Accumulations Capital Rx, Inc.Data Exchange Analyst - AccumulationsNew York, NY$96,800–$121,000 / yearBy 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. Position Responsibilities: Work with data exchange partners and internal teams to develop integrated member accumulations data exchange feeds and ensure the accuracy of integrated accumulations at Capital Rx.
Associate Director, Client Services - Account Executive Capital Rx, Inc.Associate Director, Client Services - Account ExecutiveNew York, NY$163,600–$190,000 / yearPosition Overview: The Associate Director, Client Services - Account Executive is responsible for managing the planning, execution, issue resolution and day to day account executive functions of an assigned high profile but limited client portfolio and team to ensure ongoing client satisfaction in the Pharmacy Benefit Management (PBM) market segment including Employer Groups, Public Entities, and Labor/Union. 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 Director, Total Rewards Capital Rx, Inc.Senior Director, Total RewardsNew York, NY$220,000–$250,000 / yearBy 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. This role serves as a strategic advisor to executive leadership, ensuring total rewards programs support the organization's growth objectives, talent strategy, and employee experience while maintaining compliance and market competitiveness.
Full Stack Software Developer Capital Rx, Inc.Full Stack Software DeveloperNew York, NY$108,800–$136,000 / yearBy 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. We're looking for someone who brings a mix of technical expertise, problem-solving ability, and collaborative spirit: Collaborate with senior developers to implement new features and improve existing functionality.
Platform Developer, Operations Capital Rx, Inc.Platform Developer, OperationsNew York, NY$108,800–$136,000 / year3+ years of experience in Platform Engineering, DevOps, Cloud Infrastructure, Site Reliability Engineering, or a related field; alternatively, 3+ years in QA, Automation, Systems Engineering, or a similar technical role with a demonstrated interest in platform engineering and infrastructure automation. 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 Machine Learning Engineer Capital Rx, Inc.Senior Machine Learning EngineerNew York, NY$161,600–$202,000 / yearWe want people who like working in a collaborative team environment and enjoy creating practical, efficient, and high-performance software that leverages Large Language Models (LLM), Multimodal Language Models(MLM), and other ML models and techniques to build amazing capabilities for our customers, partners, and employees. 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.
Ux/Ui Designer Capital Rx, Inc.Ux/Ui DesignerNew York, NY$95,200–$119,000 / yearBy 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. Position Summary: The UX/UI Designer is a skilled contributor responsible for delivering user-centered designs for assigned product features and collaborating closely with cross-functional teams.
Senior Applied Ai/Ml Scientist Capital Rx, Inc.Senior Applied Ai/Ml ScientistNew York, NY$180,400–$225,500 / yearWe want people who like working in a collaborative team environment and enjoy creating practical, efficient, and high-performance software that leverages Large Language Models (LLM), Multimodal Language Models(MLM), and other ML models and techniques to build amazing capabilities for our customers, partners, and employees. As an Applied Scientist, you will play a crucial role in developing, improving, and exploring the capabilities of multimodal LLMs to solve complex real-world problems geared towards building Conversational AI products enabling increased productivity and magical experiences for our customers.