Remote Healthcare Recruiter (General Healthcare - Nationwide) Gotham Enterprises LtdRemote Healthcare Recruiter (General Healthcare - Nationwide)Hoboken, NJRemote$70,000–$80,000In this role, you will be a high-volume "talent hunter," identifying and placing a diverse range of medical professionals—from Mental Health Counselors, to Registered Nurses and Physicians to Allied Health and specialized clinical staff—into top-tier healthcare facilities coast-to-coast. High-Impact Outreach: Drive candidate engagement through massive "text blast" campaigns and high-volume daily call targets (50–100 calls) to build a robust talent pipeline.
Remote Healthcare Call Center Representative Conduent IncRemote Healthcare Call Center RepresentativeNYRemoteThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Requirements for Remote Call Center Representative: Successfully complete customer service assessment & typing test on a computer (not compatible with mobile devices).
Director of Healthcare Economics (Remote) ProgenyHealth, Inc.Director of Healthcare Economics (Remote)NYRemote$140,000–$175,000 / yearRequired Skills & Experience: 8+ years of experience working with healthcare claims data to analyze cost, utilization, and financial performance within a payer or managed care environment. The actual compensation offered may vary based on factors including, but not limited to, relevant experience, education, skills, internal equity, geographic location, and applicable law.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEYonkers, NYRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Sales Engineer - Healthcare (Remote East) Zebra Technologies CorpSales Engineer - Healthcare (Remote East)New York Offsite, NYRemote$78,560–$117,840 / yearRequirements: Engineering degree or equivalent experience 2 + years of relevant experience working in sales engineering/pre-sales or an applicable technical-related role (software development, application development or similar) Must be technically savvy, but with a sales mentality Must reside in the east coast with the ability to travel ~ 50%. We are committed to providing our employees with a benefits program that is comprehensive and competitive - including healthcare, wellness, inclusion networks, and continued learning and development offerings.
Allied Healthcare Recruiter - Advantis - Remote US Adecco Group A.G.Allied Healthcare Recruiter - Advantis - Remote USNYRemote$50,000–$70,000 / yearWith the support of leadership, our targeted account and lead generation database, leading edge staffing and sales tools, a top-flight recruiting team and marketing collateral you will have all that you need to meet your goals. We do this by building our Future@Work strategy as a united team of 30,000+ colleagues with a collective spirit working in over 60 countries globally.
AI Expert Principal Software Engineer - Healthcare Analytics- Remote Oracle CorpAI Expert Principal Software Engineer - Healthcare Analytics- RemoteNYRemote$99,600–$223,400 / yearWe're looking for highly skilled AI engineers to design and build high-scale, cloud-based data processing pipelines that ingest, transform, and analyze massive volumes of healthcare data with low latency, powering business insights and analytics across EHR and RCM systems. You will leverage LLMs, AI agents, and modern data platforms to solve problems like clinical decision support, revenue optimization, and workflow automation while using AI-assisted development tools to accelerate delivery.
Case Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteNYRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Diabetes Registered Nurse with CDCES (Remote) EmblemHealth IncDiabetes Registered Nurse with CDCES (Remote)NYRemote$68,040–$118,800 / yearAssess and evaluate the needs of our most complex members, acting as the clinical coordinator collaborating with members, caregivers, providers, multi-disciplinary team, and health care and community resources through a variety of assessments to identify areas of (medical, financial, environmental, health insurance benefit, psycho-social, caregiving) concerns and potential gaps in care utilizing the most appropriate resources to support members' needs. Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions.
NewRemote Registered Nurse (RN) Case Manager ValerisRemote Registered Nurse (RN) Case ManagerDanbury, ConnecticutRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient.
Remote Triage RN - Future Opportunity HEITECH SERVICES INCRemote Triage RN - Future OpportunityNYRemoteHeiTech Services is seeking experienced Registered Nurses (RNs) interested in supporting upcoming federal healthcare programs that provide 24/7 telehealth triage services for military members, veterans, and their families. Remote Triage RN to support patients by assessing symptoms, providing clinical guidance, and helping determine appropriate next steps using established evidence-based protocols.
Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, Healthcare ExlService Holdings IncSkilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, HealthcareNYRemote$70,000–$80,000 / yearIn this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation, payment accuracy, contractual requirements and compliance with regulations. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Senior Account Director Healthcare Guild Education IncSenior Account Director HealthcareNYRemoteWe are seeking a dynamic and strategic Senior Account Director (Healthcare) to drive new business acquisition for our organization by advocating for the strategic value of education benefits to enterprise healthcare organizations, including hospital systems, health insurers, and other Fortune 500 healthcare companies. Proven success managing and closing complex sales cycles within healthcare organizations or Fortune 500 accounts (bonus for experience selling to CHROs, HR, or C-level healthcare executives).
ViiV Healthcare (Senior) Medical Science Liaison, NYC (Bronx/Yonkers) GSK plcViiV Healthcare (Senior) Medical Science Liaison, NYC (Bronx/Yonkers)Bronx, NYRemote$168,750–$281,250 / yearExperience evaluating and effectively communicating evidence-based medicine with strong scientific communication and presentation skills Leadership skills and experience, including high business acumen, stakeholder management, as well as successful project participation and completion Demonstrated excellence in mentoring fellow MSLs, leading complex field based medical team initiatives, participating in and representing field-based medical on internal cross-functional team, and contributing to strategic planning and development of team's objectives. Basic Qualifications: We are looking for professionals with these required skills to achieve our goals: Advanced degree (MD or DO or PharmD or PhD or NP or PA) 3+ years of clinical experience in HIV Stakeholder management experience Valid Driver's License Ability to travel (40-60% by car and plane domestic) Preferred Qualifications: If you have the following characteristics, it would be a plus: HIV field medical experience in the US Proven track record of consistent, high performance within Field-Based Medical Affairs Solid grounding in clinical, medical, and pharmaceutical science with demonstrated ability to rapidly assimilate specific and detailed knowledge in these areas.
ViiV Healthcare (GSK)-(Senior) Medical Science Liaison - Northern NJ GSK plcViiV Healthcare (GSK)-(Senior) Medical Science Liaison - Northern NJNewark, NJRemote$168,750–$281,250 / yearEngagements may include but not limited to emerging data discussions, clinical trial activities, uncovering barriers in patient journey, understanding market dynamics within their territory, exploration of areas of unmet medical need, pipeline discussions, educating on disease state and product, capturing adverse events, and capturing medical insights through all stages of product lifecycle. The MSL serves as a scientific expert in HIV treatment and prevention, understands territory and market influences, engages scientifically with Healthcare Providers (HCPs) and medical experts, manage, and develop their territory and execute all relevant activities in alignment with the medical strategic plan.
Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingHoboken, NJRemote$120,000–$150,000This fully remote role is ideal for a professional who not only understands the government procurement lifecycle, but also brings an established network of agency contacts and a proven ability to identify, pursue, and secure new contract opportunities. Gotham Enterprises Ltd is seeking a highly connected and results-driven Government Contracts Manager to both generate and manage government contracts within our healthcare staffing division.
Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteJersey City, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Professional Counselor - Remote BetterHelpLicensed Clinical Professional Counselor - RemoteJersey City, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteJersey City, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
NewGroup Account Supervisor - Healthcare Marketing Precision Medicine Group LLCGroup Account Supervisor - Healthcare MarketingNYRemote$92,000–$128,000 / yearThis compensation range 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. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at myHR@precisionmedicinegrp.com.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselNYRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.
RN Chronology (Remote U.S.) Acentra HealthRN Chronology (Remote U.S.)NYRemote$64,960–$90,000 / yearIn 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. For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education.
Senior Healthcare Integration Engineer StratAcuity Staffing Partners IncSenior Healthcare Integration EngineerNYRemote$60–$70 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
Vice President Clinical Healthcare Solutions ExlService Holdings IncVice President Clinical Healthcare SolutionsNYRemote$185,000–$215,000 / yearPrimary responsibilities include developing and maintaining the healthcare clinical market solution offering innovation, strategy and roadmap in conjunction with other data and AI solution leaders, driving solutions from idea to launch, and actively partnering and collaborating with customers, service delivery, technology, sales, marketing, and other parts of the organization to deliver on solution success metrics, including but not limited to revenue growth, profitability and customer satisfaction. VP, Healthcare Clinical Solutions will be focused on driving the innovation, strategy and commercialization of EXL's data and AI assets into healthcare clinical and operational end to end processes to create solutions focused on optimizing the healthcare spend and enable our clients to achieve their outcomes and organizational goals.
Healthcare Planning and Design Manager, Infection Control (Northeast) Getinge ABHealthcare Planning and Design Manager, Infection Control (Northeast)NYRemote$195,000–$204,300 / yearThe Surgical Workflows Healthcare Planning and Design Manager (HPDM) reports to the Manager, Healthcare Planning and Design, with alignment to a specific geographical region and focuses on the development and the successful outcome of project-based opportunities for hospitals, ASCs or other key accounts (non-Health System targeted IDNs, supporting construction companies, architects, equipment planners, and other hospital project leaders) to gain opportunities for Infection Control. A minimum of 5 years of medical device capital equipment products sales experience which includes direct selling experience to architects, equipment planners, physicians, and hospitals); or minimum 4 years applicable clinical experience with sales aptitude.
Healthcare Financial Advisory Manager - Decision Support & Cost Accounting Huron Consulting Group IncHealthcare Financial Advisory Manager - Decision Support & Cost AccountingNYRemote$165,000–$215,000 / yearDemonstrated experience building and delivering service line margin analyses, service line P&Ls, or DRG-level cost models using step-down allocation methodologies; Time-Driven Costing (TDABC) experience strongly preferred. Hurons industry-leading Healthcare Financial Advisory Services team works with healthcare leaders to prevent financial management missteps and prioritize business decisions that reset the financial trajectory of their organizations.
Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNYRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Principal Sales Engineer - Healthcare Zscaler IncPrincipal Sales Engineer - HealthcareNYRemote$195,000–$243,750 / yearp>This role acts as a critical intersection and bridge between our customers, partners, sales teams, sales engineers, and product management - providing the deep technical expertise and strategic influence required to secure a cloud-enabled digital future. Serve as the definitive technical objection resolution authority and challenge both the internal Sales Engineering teams and the customer's teams on perceived "status quo" with creative, transformative architectures and innovative approaches to solving business challenges.
Healthcare Platform Integration Architect Computer Task Group, IncHealthcare Platform Integration ArchitectNYRemote$75–$85 / hourThe ideal candidate will bring deep healthcare integration expertise, strong AWS cloud architecture experience, and a proven track record delivering scalable microservices and event-driven solutions. This role will drive modernization initiatives, architect cloud-native solutions, and develop scalable API and event-driven architectures within a complex healthcare ecosystem.
Healthcare API & Integration Architect (FHIR / Microservices) Computer Task Group, IncHealthcare API & Integration Architect (FHIR / Microservices)NYRemote$120,000–$130,000 / yearCTG is seeking an experienced Healthcare API & Integration Architect to lead the design and implementation of enterprise healthcare integration solutions supporting member, employer, broker, and provider platforms. This role requires deep expertise in healthcare interoperability, FHIR APIs, microservices architecture, event-driven systems, and AWS cloud technologies.
ViiV Healthcare (GSK) Associate Director, Field Reimbursement Corporate Account, NYC North GSK plcViiV Healthcare (GSK) Associate Director, Field Reimbursement Corporate Account, NYC NorthNJRemote$150,750–$251,250 / yearThe Associate Director, Field Reimbursement Corporate Account will play a pivotal role in building a stronger implementation presence in key accounts and will be directly responsible for developing and orchestrating a top-down integrated implementation approach aligned to the account's implementation needs. The Associate Director, Field Reimbursement Corporate Account, NYC North will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting ViiVs long acting injectables to facilitate appropriate patient access.
Enterprise Account Executive, Healthcare Sentilink CorpEnterprise Account Executive, HealthcareNYRemote$250,000–$280,000 / yearRole: As an Enterprise Account Executive, Healthcare, you will lead SentiLink's expansion across healthcare and healthcare-adjacent organizations, including providers, payers, digital health companies, healthcare marketplaces, and healthcare technology platforms. Because of your deep knowledge of the healthcare industry, we expect you to contribute beyond traditional sales responsibilities, helping to shape our healthcare go-to-market strategy, build playbooks for the vertical, and uncover new opportunities across the healthcare ecosystem.
Assistant Account Executive / Account Executive - Healthcare Marketing Agency Precision Medicine Group LLCAssistant Account Executive / Account Executive - Healthcare Marketing AgencyNYRemote$40,000–$76,000 / yearThis compensation range 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. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at QuestionForHR@precisionmedicinegrp.com.
Senior Account Executive - Healthcare Marketing Agency Precision Medicine Group LLCSenior Account Executive - Healthcare Marketing AgencyNYRemote$67,000–$93,000 / yearIn this role you'll be an internal team leader responsible for ensuring all members of the brand and project team work together effectively while developing successful marketing communication programs and helping create strategies that payers will remember. Support client services' efforts by managing projects, collaborating with the Project Management team to develop timelines, communicate milestones and identify possible red flags in projects.
VP of Sales and Strategic Partnerships Healthcare B2B2C RVO Health LLCVP of Sales and Strategic Partnerships Healthcare B2B2CNYRemote$163,050–$225,000 / yearThis leader will establish and grow a robust sales pipeline and execute growth plans by leveraging partnerships, marketing initiatives, industry events, and thought leadership to deliver innovative, direct-to-patient digital health solutions to pharmaceutical clients. Industry Relationships: Extensive network of senior-level contacts within the commercial space of major pharmaceutical companies, health plans, digital health, and/or large B2B pharmacy / digital care clients with demonstrated success in leveraging these relationships for business growth.
Healthcare Data Engineer Computer Task Group, IncHealthcare Data EngineerNYRemote$185,000–$195,000 / yearThis role will focus on designing and building scalable cloud-based data pipelines, integrating large healthcare datasets, and enabling advanced analytics using modern data engineering technologies. About CTG CTG, a Cegeka company, delivers IT and business solutions that enhance clients' digital agility, empowering them to seize new opportunities and overcome any challenge.
NewSenior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantNYRemote$78,400–$107,800 / 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. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
NewSenior Healthcare Informatics Analyst Cohere Health Technologies LLCSenior Healthcare Informatics AnalystNYRemote$110,000–$120,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. Joining this mission means being part of a forward-thinking organization that values curiosity, collaboration, and impact-where your work directly contributes to a more efficient healthcare system and helps ensure patients receive the right care at the right time and providers receive the right payment.
RCM Specialist - Healthcare Revenue Cycle - CIV ATI Physical Therapy IncRCM Specialist - Healthcare Revenue Cycle - CIVNYRemote$22.40–$26.98 / hourThe RCM Specialist will need understanding of all revenue cycle processes but will be assigned to one of the following focused areas: Financial Clearance, Central Business Office, Commercial/Gov't/SP AR Follow-up, or WC/API AR Follow-up. Performs timely reviews of patient accounts, vendor work products, and remittances for denials to determine root cause of issue and appropriateness of actions taken, and assists in corrective action plan development.
Senior Product Manager-Healthcare Consensus Cloud Solutions IncSenior Product Manager-HealthcareNYRemote$125,000–$145,000 / yearStrategic KPI Alignment: Define, track, and manage product KPIs (Key Performance Indicators) and ensure all product priorities, roadmaps, and requirements are directly aligned with measurable business outcomes and performance targets that align with organizational goals. Product Discovery & Ideation: Initiate and lead rigorous product discovery efforts, including market research, clinical interviews, and data analysis to identify and validate new product ideation and opportunities, especially those leveraging AI/ML solutions.
RCM Specialist - Healthcare Revenue Cycle ATI Physical Therapy IncRCM Specialist - Healthcare Revenue CycleNYRemote$22.40–$26.98 / hourp>The RCM Specialist will need understanding of all revenue cycle processes but will be assigned to one of the following focused areas: Financial Clearance, Central Business Office, Commercial/Gov't/SP AR Follow-up, or WC/API AR Follow-up. Performs timely reviews of patient accounts, vendor work products, and remittances for denials to determine root cause of issue and appropriateness of actions taken, and assists in corrective action plan development.
Sales VP, Healthcare Cotiviti Holdings Inc. (Inactive)Sales VP, HealthcareNYRemote$166,000–$185,000 / yearExperience working in a leading Health Plan software and service vendor in the Payment Integrity space is required with specific experience selling Coordination of Benefits and/or Data Mining solutions being highly desired. Strong interpersonal skills with ability to effectively communicate with a diverse group of stakeholders (prospects, clients, hospital executives, nurses, implementation staff, etc.).
Clinical Reviewer (SCA-Remote) Acentra HealthClinical Reviewer (SCA-Remote)NYRemote$28.37–$35 / hourp>Job 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.
Remote Complex Care Nurse Practitioner SC licensed Galileo IncRemote Complex Care Nurse Practitioner SC licensedNYRemoteOperating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients-on the phone, in the home, and everywhere in between. Day to day work includes telephonic outreach ("cold calls") and scheduled video/phone visits for patients who have recently been hospitalized and discharged.