ViiV Healthcare (GSK) Regional Sales Director, HIV Treatment LAI, NYC/NJ/PA GSK plcViiV Healthcare (GSK) Regional Sales Director, HIV Treatment LAI, NYC/NJ/PAJersey City, NJRemote$182,250–$303,750 / yearThe Regional Sales Director, HIV Treatment LAI, NYC/NJ/PA will lead a regional commercial sales team, in the treatment injectable space, focused on improving patient access and care across the Northeast region. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment.
Remote | Patient Access Operations Consultant — Up to $60/hour 24-MagRemote | Patient Access Operations Consultant — Up to $60/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in patient access operations, patient registration, pre-registration, scheduling, intake coordination, insurance verification, point-of-service collections, and front-end revenue cycle workflows. Selected professionals will apply patient access leadership expertise to evaluate AI-generated workflow outputs, identify process errors, review registration and intake scenarios, and provide structured feedback based on detailed project criteria.
Remote | Specialty Medication Prior Authorization Consultant — Up to $55/hour 24-MagRemote | Specialty Medication Prior Authorization Consultant — Up to $55/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based pharmacy and healthcare access professionals experienced in pharmacy prior authorization, specialty medication access, payer coverage criteria, step therapy requirements, Medicare Part D coverage determinations, pharmacy benefit management, and patient access workflows. Professional background in pharmacy prior authorization, specialty pharmacy, pharmacy benefit management, medication access, patient access, infusion services, hub services, or payer authorization workflows is highly relevant.
Remote | Patient Financial Services & Self-Pay Collections Consultant — Up to $70/hour 24-MagRemote | Patient Financial Services & Self-Pay Collections Consultant — Up to $70/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in patient financial services, self-pay collections, patient payment plans, financial assistance workflows, early-out collections, bad debt management, patient payment technology, and compliant patient financial communication. Selected professionals will apply patient financial services expertise to evaluate AI-generated patient communication, review collections strategies, identify compliance or workflow issues, and provide structured feedback based on detailed project criteria.
Remote | Medical Billing & Claims Operations Consultant — Up to $60/hour 24-MagRemote | Medical Billing & Claims Operations Consultant — Up to $60/hourNew York, New YorkRemoteWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in medical billing, claims submission, payer billing requirements, clearinghouse workflows, billing compliance, claim edits, electronic transactions, and revenue cycle operations. Selected professionals will apply billing and claims expertise to evaluate AI-generated billing outputs, review claim edits and payer requirements, identify compliance or submission issues, and provide structured feedback based on detailed project criteria.
Viiv Healthcare (Gsk) Regional Sales Director, HIV Treatment Lai, Nyc/Nj/Pa GSK, Plc.Viiv Healthcare (Gsk) Regional Sales Director, HIV Treatment Lai, Nyc/Nj/PaNewark, NJRemote$182,250–$303,750 / yearThe Regional Sales Director, HIV Treatment LAI, NYC/NJ/PA will lead a regional commercial sales team, in the treatment injectable space, focused on improving patient access and care across the Northeast region. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment.
Customer Success Manager - Healthcare Risk Adjustment ReveleerCustomer Success Manager - Healthcare Risk AdjustmentNYRemote$100,000–$110,000 / yearEssential Functions: The Customer Success Manager, Risk Adjustment will work to build long-term, strategic, executive-level partnerships with high-revenue, high level of complexity customers specifically within the ACA HHS CMS RADV Initial Validation Audit. Effectively Communicates - Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information.
NewDirector, Engineering - AI-First Healthcare Transformation Humana IncDirector, Engineering - AI-First Healthcare TransformationNew York, NYRemote$172,200–$236,900 / 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. We''re seeking a Director of Engineering to lead the AI-first transformation of our clinical technology organization, embedding AI-assisted engineering, agentic workflows, and modern data platforms directly into how we build, test, and deliver enterprise healthcare systems.
NewRemote Clinical Liaison ( Women's Health) The Fountain Group LLCRemote Clinical Liaison ( Women's Health)Florham Park, NJRemoteServe as a liaison between healthcare providers and internal stakeholders, ensuring effective communication while adhering to company policies and applicable FDA and local health authority requirements. Job Description: The Clinical Liaison acts as a liaison for healthcare providers, supporting the clinical use of implantable contraception for trained clinicians with Nexplanon.
Remote | CDI Specialist — $45–$115/hour 24-MagRemote | CDI Specialist — $45–$115/hourNew York, New YorkRemoteSelected professionals will review AI-generated work against the clinical record, assess coding and documentation accuracy, identify unsupported diagnoses or incomplete actions, and determine whether appropriate CDI, query, coding, and DRG processes have been followed. We are sharing a specialised part-time consulting opportunity for experienced Clinical Documentation Integrity professionals with hands-on expertise in inpatient CDI, DRG coding and auditing, or clinical-documentation denial management.
Part -Time Registered Dietitian (75% remote) RD Nutrition ConsultantsPart -Time Registered Dietitian (75% remote)Manhattan, ManhattanRemoteThis role allows flexibility and a balanced blend of in-person and remote work, ensuring our patients receive the best care while our team enjoys a work-life harmony. Conduct comprehensive nutritional assessments on new admissions and quarterly thereafter, with more frequent reviews as needed for high-risk residents.
Business Development Manager (Healthcare) Dormakaba Holding AGBusiness Development Manager (Healthcare)New York, NYRemote$100,000–$120,000 / yearThe Business Development Manager is responsible for the overall healthcare sales and profitability in the Texas market by developing a sales strategy to drive profit growth, maximize satisfaction of customers, and develop a consistent line of repeat business that delivers opportunities for expanded growth. From automatic doors to cloud-based access management - as a leading global provider in the access solutions market for schools, banks, airports, hospitals, hotels, and many more, we enable seamless movement within secure, safe, and sustainable places.
Account Manager, Healthcare ID.me IncAccount Manager, HealthcareNYRemote$233,125–$300,000 / yearYou will work closely with internal stakeholders-including Product, Onboarding, Value Management Office, Partnerships, Legal, and Solutions Consulting-to ensure customers realize the full value of their partnership with ID.me. ID.me is seeking a high-performing Account Manager to own and deepen relationships with our current and active Healthcare customers, including a wide variety of health systems, hospitals, payers, and public healthcare agencies.
CDI Specialist- Remote Med-Metrix, LLCCDI Specialist- RemoteParsippany-Troy Hills, NJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Director, Staffing Transformation & Operations - Remote Included HealthDirector, Staffing Transformation & Operations - RemoteNew York, NYRemote$186,360–$229,779 / yearReporting to the Head of Member Care Strategy & Operations, you will partner closely with Member Care Advocacy (our member-facing teams), Staffing Forecasting, Quality, Training, Project Management, Finance, Product, Engineering, IT and vendor partners to turn strategic priorities into an operating model that works in production. You will directly oversee workforce management and scheduling functions (skilling, staffing, scheduling, and real‑time management) and vendor/BPO operations, ensuring we consistently meet or exceed service level, quality, and margin goals while delivering a top-notch member and employee experience.
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.
Remote | Registered Nurse — $70–$105/hour 24-MagRemote | Registered Nurse — $70–$105/hourNew York, New YorkRemoteSelected professionals will review AI-generated clinical scenarios, assess whether medication-related decisions reflect the patient's complete medication history and administration timeline, and determine whether appropriate nursing actions, escalation, and documentation have been completed. We are sharing a specialised part-time consulting opportunity for experienced registered nurses with regular professional use of UpToDate Lexidrug or Lexicomp and strong expertise in medication administration, reconciliation, interaction review, escalation, and clinical documentation.
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.
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.