Clinical Reviewer (SCA-Remote) Acentra HealthClinical Reviewer (SCA-Remote)NYRemote$28.37–$35 / hourJob Responsibilities: Assures accuracy and timeliness of all applicable review type cases within contract requirements Assesses, evaluates, and addresses daily workload and call queues; adjusts work schedules daily to meet the workload demands of the department In collaboration with Supervisor, responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns Functions as providers' liaison and contact/resource person for provider customer service issues and problem resolution Performs all applicable review types as workload indicates Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process Attends training and scheduled meetings and for maintenance and use of current/updated information for review Cross trains and perform duties of other contracts to provide a flexible workforce to meet client/customer needs Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Long Island, NY based Clinical Specialist - Remote, USA Calyxo IncLong Island, NY based Clinical Specialist - Remote, USALong Island, NYRemote$100,000–$140,000 / yearThe Clinical Specialist works closely with the surgical team members to provide clinical product assistance to the surgeon by being familiar with the surgical procedure, instruments, supplies, and equipment. Industry experience: 3+ years of full-time employment by a medical device company as a clinical specialist (or comparable position) focused on case coverage and patient outcomes (not equipment/service provider).
Remote Care Manager (LPN/LVN) - New Jersey PharmD Live CorpRemote Care Manager (LPN/LVN) - New JerseyNew Jersey, NJRemoteEngage patients through scheduled telephonic and virtual care encounters Support patients participating in Chronic Care Management (CCM), Transitional Care Management (TCM), and Remote Patient Monitoring (RPM) programs Provide education regarding chronic disease management, medications, preventive care, and wellness goals Review patient-reported concerns and escalate clinical issues according to established protocols Assist with care coordination activities, including referrals, follow-up appointments, and post-discharge outreach Promote patient adherence to prescribed treatment plans and self-management strategies Maintain accurate and timely documentation in accordance with CMS, payer, and organizational requirements Partner with pharmacists, providers, and care team members to improve patient outcomes and engagement Contribute to quality, compliance, and patient satisfaction initiatives. Active New Jersey LPN license in good standing Minimum two (2) years of nursing experience in ambulatory care, primary care, chronic disease management, telehealth, care coordination, or related clinical settings Strong communication, patient engagement, and documentation skills Ability to assess patient needs and identify concerns requiring escalation Proficiency with electronic health records and web-based clinical platforms Ability to work independently while maintaining productivity and quality expectations Dedicated HIPAA-compliant home workspace with reliable internet access.
Sr. Director - Revenue Integrity (Remote) Stanford Health CareSr. Director - Revenue Integrity (Remote)NYRemote$100.03–$132.51 / hourOperating as a key leader within the Mid-Revenue Cycle, the Senior Director partners closely with executive leaders, clinical department chairs, clinical leadership, finance, School of Medicine partners, Supply Chain, Pharmacy, Strategic Pricing and IT teams. This individual is responsible for leading multiple functional teams, managing substantial budgets, developing long-range planning, and ensuring that strategic initiatives align with Stanford Health Care priorities for patient care, teaching, research, and financial stewardship.
Allocation & Placement Coordinator I (APC I) - Remote TandymAllocation & Placement Coordinator I (APC I) - RemoteNew York, New YorkRemote$35–$55 / hourA health services organization is seeking an Allocation & Placement Coordinator I (APC I) to support organ allocation and placement in a fully remote, phone-based environment. This role focuses on time-sensitive clinical coordination, accurate documentation, and communication with transplant centers and clinical teams.
Case Manager RN, Compact License (Remote EST & CST) CVS Health CorpCase Manager RN, Compact License (Remote EST & CST)Work At Home-New Jersey, NJRemote$66,575–$142,576 / yearAssesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Chief Financial Officer (Remote) HospitableChief Financial Officer (Remote)New York, NYRemote$421,000We can hire talent internationally as contractors—or employees if you are based in the United States, the European Union, the United Kingdom, or Australia, taking into account payroll taxes to determine your gross compensation. A significant equity stake through our $HOST token (RSUs): a grant valued at US$436,800, vesting over four years ( US$109,200.00 per year).
Compliance & Contract Analyst - Remote/Nationwide Signature Performance, Inc.Compliance & Contract Analyst - Remote/NationwideNewark, NJRemoteMiminimum Requirements:- Bachelor's degree in healthcare, business or healthcare administration, regulatory compliance, or related area, from an accredited college or university or advanced degree (Preferred)- 5+ years' experience in healthcare compliance, Privacy, auditing, investigation management, quality, or related experience gained through working in a medical or clinical role.- 5+ years' experience in contract lifecycle management- Comprehensive understanding of state and federal healthcare laws and regulations. Top candidates will be detailed-oriented, well organized, exhibit strong problem-solving and communication skills, work comfortably under pressure, deliver on tight deadlines, possess excellent documentation and report writing skills and have the ability to work independently and as part of a team- Tell us about your experience with Compliance & Contract Analyst.- Are you a team player and a self-motivator?-
NewSenior Market Access Specialist, Data and Analytics (Remote) Nestle SASenior Market Access Specialist, Data and Analytics (Remote)Bridgewater, NJRemote$125,000–$160,000 / yearKey Responsibilities:Data Solution Development:• Design, build, and maintain SQL-based data models and Power BI dashboards that integrate payer claims, EDI 852/867, copay, PAP, and specialty pharmacy data • Develop automated, production-grade reporting solutions that replace manual spreadsheets and accelerate decision cycles • Build self-service analytics products tailored to Market Access leaders, payer account managers, trade managers, and field sales teams • Apply best-in-class data engineering practices (data validation, version control, documentation) to ensure scalability and reliability • Embed AI and Generative AI capabilities (e.g., Microsoft Copilot, Azure OpenAI, natural language query) into dashboards and solutions to enable conversational analytics and faster self-service insight discovery • Prototype and operationalize machine learning models (e.g., abandonment risk, persistence prediction, gross-to-net forecasting) in partnership with IT and data science partners. Market Access Insights & Decision Support:• Analyze payer patient claims data to surface coverage trends, prior auth/step edit impact, prescription abandonment, and net price dynamics • Mine wholesaler EDI 852 (inventory) and EDI 867 (sales-out) data to identify channel trends, demand signals, and inventory health across distribution partners • Translate patient services data (copay utilization, max-out rates, PAP enrollment velocity, specialty pharmacy fill rates and time-to-fill) into actionable insights for patient experience improvement • Partner with Payer Strategy, Trade, Patient Services, and Field Sales to define KPIs and answer the "so what" behind the data • Leverage AI-driven anomaly detection and pattern recognition to proactively flag coverage shifts, channel disruptions, and patient access risks before they impact performance.
NewRemote Retail Pharmacist TuringRemote Retail PharmacistNew York, New YorkRemote$100–$150Turing supports customers in two ways: first, by accelerating frontier research with high-quality data, advanced training pipelines, plus top AI researchers who specialize in coding, reasoning, STEM, multilinguality, multimodality, and agents; and second, by applying that expertise to help enterprises transform AI from proof of concept into proprietary intelligence with systems that perform reliably, deliver measurable impact, and drive lasting results on the P&L. Turing is looking for candidates with strong experience in pharmacy operations, medication management, and patient counseling, particularly at the level expected for licensed pharmacists in community or retail pharmacy environments.
Creative Project Manager - REMOTE | supporting EST hours SGA Inc.Creative Project Manager - REMOTE | supporting EST hoursNew York, NYRemote$64–$72 / hourRequired Skills : 8+ years of creative project management experience in an in-house agency, external creative agency, marketing organization, or similarly complex delivery environment, Workfront experience a plus. Proven ability to manage integrated creative work across multiple channels, including paid and organic social, email, digital, video, print, landing pages, and customer communications.
Information Services NextGen Application Support Specialist (Remote) Boston Childrens Health Physicians LLPInformation Services NextGen Application Support Specialist (Remote)Valhalla, New YorkRemoteAssist in onboarding new locations, including conducting workflow analysis, implementing information systems, establishing workflows, providing onsite and remote go-live support. The ideal candidate possesses a strong understanding of NextGen EHR functionalities, excellent problem-solving skills, and a commitment to delivering high- quality support.
NewRemote | Senior Network Support Engineer (AI Data Annotation) — $40–$60/hour 24-MagRemote | Senior Network Support Engineer (AI Data Annotation) — $40–$60/hourNew York, New YorkRemoteSelected engineers will review network logs, configurations, telemetry, and event streams, classify network behaviours and incidents, and help structure high-quality datasets used to train advanced machine learning systems. We are sharing a specialised consulting opportunity for experienced Level 3 / Tier 3 network support engineers with deep expertise in enterprise networking, wireless infrastructure, packet-level troubleshooting, incident response, and root-cause analysis.
Outpatient Coding Consultant - Remote Datavant LLCOutpatient Coding Consultant - RemoteNYRemote$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
NewSenior Regulatory and Scientific Affairs Specialist (Remote) Nestle SASenior Regulatory and Scientific Affairs Specialist (Remote)Bridgewater, NJRemote$85,000–$110,000 / yearServe as the RSA representative for select NHSc brands by attending project meetings, working with innovation partners on brand innovation and renovation initiatives, and providing overall regulatory guidance for brand activities. Our broad product portfolio includes renowned brands like Garden of Life, Nature''s Bounty, Vital Proteins, Orgain, Nuun, BOOST, Carnation Breakfast Essentials, Peptamen, Compleat Organic Blends, and more.
Sr. Medical Affairs Governance and Education Coordinator-HSO Medical Staff Services-Mount Sinai Hospital-Remote-Full Time-Days Mount Sinai Health SystemSr. Medical Affairs Governance and Education Coordinator-HSO Medical Staff Services-Mount Sinai Hospital-Remote-Full Time-DaysNew York, NYRemote$72,473–$90,591 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Medical Office Manager - Fully Remote MercorMedical Office Manager - Fully RemoteNew York, New YorkRemote$40–$50 / hourDirect experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna). Evaluate and improve administrative workflows in healthcare settings, focusing on patient access and front-end operations .
Admin/Clerical - Data Analyst Level 1 - Newark, NJ (Remote) Alpha Business SolutionsAdmin/Clerical - Data Analyst Level 1 - Newark, NJ (Remote)Hopewell, NJRemote4. Requests and evaluates Corrective Action Plans for adequacy, works with vendor on required changes, communicates approval of CAP to the vendors, and monitors open Corrective Action Plans. 2. Identifies and implements process improvements targeted to improve operational efficiencies and delivery of customer service.
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.
Nurse Practitioner- White Plains, NY - Hybrid Remote DaVita IncNurse Practitioner- White Plains, NY - Hybrid RemoteWhite Plains, 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.