Sr Data Analyst, Healthcare Claims Audit And Compliance (Hybrid NY) HealthfirstSr Data Analyst, Healthcare Claims Audit And Compliance (Hybrid NY)New York, NY$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
Blackstone Credit & Insurance- Liquid Credit Strategies, CLO Portfolio Management, Senior Associate Blackstone IncBlackstone Credit & Insurance- Liquid Credit Strategies, CLO Portfolio Management, Senior AssociateNew York, NY$160,000–$200,000 / yearDepending on the position, you may be required to obtain certain securities licenses if you are in a client facing role and/or if you are engaged in the following: Attending client meetings where you are discussing Blackstone products and/or and client questions; Marketing Blackstone funds to new or existing clients; Supervising or training securities licensed employees; Structuring or creating Blackstone funds/products; and. Our investments span the credit markets, including private investment grade, asset based lending, public investment grade and high yield, sustainable resources, infrastructure debt, collateralized loan obligations, direct lending and opportunistic credit.
Senior Project Manager Everest Group LtdSenior Project ManagerWarren, NJ$119,000–$149,000 / yearQualifications: Strong project management skills with demonstrated experience leading medium to large-scale projects or workstreams, ideally within P&C insurance, financial services, or a similarly complex, matrixed environment. Key Responsibilities: Support the management and delivery of strategic and high-priority projects across underwriting, technology/AI, operations, claims, finance, actuarial, corporate development, and other functions.
Assistant Athletic Trainer, Insurance and Medical Claims Liaison Manhattan UniversityAssistant Athletic Trainer, Insurance and Medical Claims LiaisonRiverdale, NYRemoteManhattan University, an NCAA Division I institution and member of the Metro-Atlantic Athletic Conference (MAAC), is seeking a qualified candidate for a full-time position of Assistant Athletic Trainer to work with our 22 Division I sport programs. The mission of the University is to provide a dynamic student-centered educational experience that prepares graduates for lives of personal development, professional success, civic engagement, and service to their fellow human beings.
BCG Platinion | Senior AI Tech Architect - AI Platforms Boston Consulting Group IncBCG Platinion | Senior AI Tech Architect - AI PlatformsSummit, NJOur consultants and experts globally work across all industries and provide deep experience and expertise across a number of topics including Digital Transformation, Data & Digital Platforms, AI at Scale, Agile, Cybersecurity and Digitizing the Tech Function. What We Offer: At BCG, we care about our people, and offer best in class benefits to support you personally and professionally including: An opportunity to work organically across disciplines and across BCG, we offer a unified and unrivaled opportunity that combines strategic thinking with hands-on applications.
Software Engineering Senior Advisor- Hybrid CignaSoftware Engineering Senior Advisor- HybridMorris Plains, NJ$166,754–$217,000 / yearRequires experience with: Working in/with clients in the healthcare or pharmacy benefit management industry; Performing cross functional system level design; Designing architecture and migrating the legacy Mainframe Enrollment and Eligibility file processing applications into AWS, Python, and Spark based framework for Modernization; Tracking and guiding continuous improvement of digital maturity for discovery, delivery, and engineering practices; Using Jira for project management to track all phases of software development; Conducting causal analysis to identify root causes; Completing project lifecycle including project planning, scope/ schedule/ resource/finance/stakeholder management, and cross functional team management; Planning project approach, KPIs, and metrics for Project Tracking, Reporting, and Managing Financials; Release Planning, Sprint Planning, Backlog Grooming, Daily Scrum, Show and Tell, and Retrospection; Using IBM Mainframe and Electronic Data Interchange technologies to design system architecture, guide and review technical delivery by internal teams, and resolve architecture issues; Writing and modifying complex software application programs; Developing and supporting the parallel execution flow while the migration is in progress and until successful launch of the migration; Building Regression test frameworks, automating legacy manual processes in QA testing, and developing productivity/ Automation tools based on Rexx, ISPF, and Hiperstation; Building new CICS regions from scratch; Working with CICS, DBA, and Mainframe infrastructure teams to perform sanity tests; Automating existing manual tasks using REXX, ISPF, and CA 7; Reviewing and monitoring all phases of software engineering including requirements analysis, design, code development, and testing and implementation; and. Cigna-Evernorth Services Inc. seeks a Software Engineering Senior Advisor for the Morris Plains, NJ location to design and develop a consolidated, conformed enterprise data warehouse and data lake, which stores all critical data across Customer, Provider, Claims, Client and Benefits data.
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 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.
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.
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 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.
Senior Software Engineer Garner Health Technology, Inc.Senior 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.
Senior Software Engineer Garner Health Technology IncSenior Software EngineerNY$200,000–$255,000 / 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.
Senior Mechanical Engineer Synerfac Technical StaffingSenior Mechanical EngineerWhippany, NJ$160,000–$190,000 / yearOur client is a leading global designer and manufacturer of high-performance lifting and pulling devices for military and civilian aircraft, including rescue hoists, winches, and cargo hooks. This role covers all phases of development, including requirements development, project planning, concept development, detailed design, prototyping, testing, transition to production, and aftermarket support.
Senior Data Analyst - Hybrid Genesis10Senior Data Analyst - HybridJersey City, NJFull timeRanked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.
Senior UI/UX Developer - Hybrid Genesis10Senior UI/UX Developer - HybridJersey City, NJTemporaryContractorFull timeRanked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.
FSO - Insurance - Life & Group Transformation - Business Consulting - Senior Ernst & Young Global LtdFSO - Insurance - Life & Group Transformation - Business Consulting - SeniorNew York, NY$116,700–$194,500 / yearOur Business Transformation and Growth team helps financial services clients improve and transform their life/annuity, group benefits, and retirement services businesses in areas such as operating model redesign, process improvement, technology enablement, organizational design, M&A due diligence, and post-merger integration as clients reimagine, modernize and disrupt how they succeed in the market and create long-term, sustainable value. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com.
Risk Consulting - Insurance and Actuarial Advisory Services (IAAS) - Health - Senior Consultant Ernst & Young Global LtdRisk Consulting - Insurance and Actuarial Advisory Services (IAAS) - Health - Senior ConsultantNew York, NY$110,500–$202,700 / yearIf you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com. As a Senior in our Insurance and Actuarial Advisory Services (IAAS) Health team, you'll be an actuary at the heart of that mission: leading engagement teams, working directly with clients, developing team members, and helping reimagine how actuarial work is delivered using AI and automation.