Senior Analyst, Total Cost Of Care - Hybrid NY HealthfirstSenior Analyst, Total Cost Of Care - Hybrid NYNew York, NY$83,100–$120,360 / yearPreferred Qualifications: Expertise in key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. Scope of Responsibilities: Develop actionable analytic tools to help monitor medical cost and utilization trends, provide concise insight into the root cause drivers, and work with the team to develop potential remediation opportunities.
Senior Actuarial Analyst Everest Group LtdSenior Actuarial AnalystWarren, NJ$100,000–$150,000 / yearWe are a global team focused on disciplined capital allocation and long-term value creation for all stakeholders, who care deeply about our impact on communities and the wider world. Job Description: About Everest: Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish.
Senior Regional Product Marketing Manager Integra LifeSciences Holdings Corp.Senior Regional Product Marketing ManagerPrinceton, NJ$125,350–$172,500 / yearUnder direct supervision of the Senior Director, NA Marketing Leader within Neuro Specialty Surgical division of Integra LifeSciences, this role will identify and implement US product strategies, marketing plans, promotional programs, forecasting and other marketing activities relating to the Neuro Critical Care (NCC) and MIS Neurosurgery (AURORA) product lines. This role has responsibilities for the successful commercial execution of responsible products, develops and coordinates all aspects of related product launches and product marketing to support regional revenue and growth targets set by Sales and Marketing Leadership.
Senior Provider Network Contractor – Out-of-Network Provider Negotiations HealthfirstSenior Provider Network Contractor – Out-of-Network Provider NegotiationsNew York, NY$122,900–$188,020 / yearThe Senior Provider Network Contractor is a highly specialized negotiator responsible for strategically engaging out-of-network healthcare providers and facilities to secure in-network participation at competitive, market-aligned rates for a health plan. Identify and prioritize high-cost, high-utilization, and strategically critical out-of-network providers and facilities based on claims data, network gaps, and regulatory network adequacy requirements.
Senior Provider Network Contractor - Out-of-Network Provider Negotiations HealthfirstSenior Provider Network Contractor - Out-of-Network Provider NegotiationsNew York, NY$122,900–$188,020 / yearThe Senior Provider Network Contractor is a highly specialized negotiator responsible for strategically engaging out-of-network healthcare providers and facilities to secure in-network participation at competitive, market-aligned rates for a health plan. Identify and prioritize high-cost, high-utilization, and strategically critical out-of-network providers and facilities based on claims data, network gaps, and regulatory network adequacy requirements.
Senior Provider Network Contractor - Out-Of-Network Provider Negotiations HealthfirstSenior Provider Network Contractor - Out-Of-Network Provider NegotiationsNew York, NY$122,900–$188,020 / yearThe Senior Provider Network Contractor is a highly specialized negotiator responsible for strategically engaging out-of-network healthcare providers and facilities to secure in-network participation at competitive, market-aligned rates for a health plan. Identify and prioritize high-cost, high-utilization, and strategically critical out-of-network providers and facilities based on claims data, network gaps, and regulatory network adequacy requirements.
Senior Actuarial Analyst (Reinsurance Everest Group LtdSenior Actuarial Analyst (ReinsuranceNew York, NY$102,000–$132,000 / yearWe are a global team focused on disciplined capital allocation and long-term value creation for all stakeholders, who care deeply about our impact on communities and the wider world. Job Description: About Everest: Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish.
Senior Manager, Fee Schedules, Total Cost Of Care HealthfirstSenior Manager, Fee Schedules, Total Cost Of CareNew York, NY$122,900–$188,020 / yearPreferred Qualifications: Expertise in key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. Scope of Responsibilities: Evaluate the financial impact of changes in CMS and NY State published fee schedules, applying financial modeling expertise and using independent judgement to determine best valuation methods.
NewSr. Analyst, Accounts Receivable ANI PharmaceuticalsSr. Analyst, Accounts ReceivablePrinceton, NJ$75,000–$95,000 / yearAccounts Receivable Analyst works closely with internal teams, including Finance, Sales, Customer Service, Trade Finance, and Commercial Operations, as well as external customers, to resolve account issues, improve collections, and ensure accurate financial reporting. Accounts Receivable Analyst is responsible for supporting and managing key aspects of ANI Pharmaceuticals' Accounts Receivable operations, including cash application, customer account reconciliation, collections, deductions, disputes, and account maintenance.
Sr. Solutions Consultant, Higher Education Fundraise UpSr. Solutions Consultant, Higher EducationNew York, NY$190,000–$212,000 / yearOur platform is trusted by many of the world's leading nonprofits, including UNICEF, the Alzheimer's Association, and a wide range of global NGOs, with a 4.9/5 rating across top software review platforms. You partner with Sales, Product, Customer Success, and Solution Architecture in a sales engineering capacity to map a nonprofit's real needs to what Fundraise Up can build, then prove it.
Senior Product Marketing Manager Fundraise UpSenior Product Marketing ManagerNew York, NY$157,000–$171,000 / yearFundraise Up is hiring a Senior Product Marketing Manager (GTM-focused) to own the go-to-market strategy and performance for new segments, defined as new verticals, customer types, and geographies across mid-market, enterprise, and strategic tiers. Drive senior-level alignment across Product, Sales, CS, and Marketing on priorities, timelines, and what winning looks like, and run quarterly GTM reviews that turn results into a clear call on scaling or cutting a segment.
Senior Living Physical Therapist UnitedHealth Group IncSenior Living Physical TherapistNew Jersey, NJ$34.23–$61.15 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
Senior Software Engineer Garner Health Technology IncSenior Software EngineerNew York City, NY$230,000–$285,000 / yearWe partner with employers to redesign how healthcare works: applying 550+ proprietary clinical metrics across 80+ specialties to a dataset of 320M+ patients to identify the best-performing doctors, then using compelling incentives to steer members to the care that helps them get healthier, faster. A generalist software engineering mindset ready to learn new languages, frameworks, and techniques required for a fast paced startup environment.
Response Senior Managing Associate HAGERTY CONSULTING, INC.Response Senior Managing AssociateNew York, NY$88,000–$150,000 / yearWe serve our clients across the nation to enhance their preparedness programs; create more resilient and sustainable communities; provide innovative solutions to enhance their response; and obtain and manage grants and loans to support their recovery. Qualifications of the Response Senior Managing Associate Include: A bachelors degree or higher from an accredited university and at least seven (7) years of professional experience, or a total of at least ten (10) years of experience in a relevant field may be substituted in lieu of a degree.
Senior Emergency Management Planners: Response Cadre HAGERTY CONSULTING, INC.Senior Emergency Management Planners: Response CadreNew York, NY$80,000–$115,000 / yearPreferred Qualifications for Senior Emergency Management Planners: Response Cadre Include: Experience working in an Emergency Operations Center (EOC) or as part of an Incident Management Team (IMT), ideally working as a part of a Planning Section on a previous disaster. We serve our clients across the nation to enhance their preparedness programs; create more resilient and sustainable communities; provide innovative solutions to enhance their response; and obtain and manage grants and loans to support their recovery.
Senior Recreation Therapist (NY HELPS), Manhattan Psychiatric Center, P27080 New York State Thruway AuthoritySenior Recreation Therapist (NY HELPS), Manhattan Psychiatric Center, P27080New York, NY$63,361–$80,655 / yearSubstitution: Licensure and current registration as a Licensed Creative Arts Therapist (LCAT) in New York State; certification as a Therapeutic Recreation Specialist (CTRS) by the National Council for Therapeutic Recreation Certification (NCTRC); registration as an Art Therapist with the American Art Therapy Association; registration as a Dance/Movement Therapist with the North American Dance Therapy Association; certification as a Music Therapist by the Certification Board for Music Therapists (CBMT); and registration as a Registered Drama Therapist by the North American Drama Therapy Association can substitute for one year of post-degree professional experience. If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
Senior Manager, Information Technology OceanXSenior Manager, Information TechnologyNew York City, NY$195,000–$230,000 / yearReporting to the COO and CFO, this role will oversee enterprise technology strategy, infrastructure, cybersecurity, business systems, and user support across OceanX’s offices, vessel operations, education programs, media production, and other global initiatives. Serve as a trusted advisor to senior leadership, ensuring that technology effectively supports OceanX’s scientific research, education, media production, vessel operations, and global programs.
Senior Associate/eDiscovery Forensic Services practice CRA International IncSenior Associate/eDiscovery Forensic Services practiceNew York, NY$130,000–$152,500 / yearYour responsibilities may include (but are not limited to): Executing projects involving the identification, collection, processing, review, and production of data relevant to litigation or regulatory investigations; Supporting engagement planning - participating in project team execution, analysis, and work product; Interfacing with client personnel and implementing client discovery strategies; Preparing client communications/reports for project milestones and senior leadership; Implementing client data processing projects, including planning of processing specifications, search parameters, etc. Implementing client data review within Relativity, including the use of technology assisted review and data analytics; Preparing and delivering data productions; Managing risk by implementing quality control measures and documentation; Participating in team recruiting and retention efforts and managing team morale.
Senior Analytics Consultant Humana IncSenior Analytics ConsultantNJRemote$97,900–$133,500 / yearWork at home requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
NewSenior Attorney/Assistant Attorney 1/2/3 (NY HELPS) WCB Item #8276 New York State Thruway AuthoritySenior Attorney/Assistant Attorney 1/2/3 (NY HELPS) WCB Item #8276Brooklyn, NY$74,114–$131,025 / yearDuties Description Under the direction of an Associate Attorney, the Senior Attorney reviews case files, analyzes evidence, conducts legal research and drafts Proposed Memorandums of Decision (PMODs), in response to appeals filed under the Workers Compensation Law, Volunteer Firefighters Benefit Law, and the Volunteer Ambulance Workers Benefit Law. Senior Attorneys may be assigned to special projects in accordance with the needs of the office and/or may draft and present instructive presentations for CLE credit; all Senior Attorneys may attend internal CLEs presented by the Board, with supervisory approval.