Independent Insurance Claims Adjuster in Johnson City, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Johnson City, New YorkJohnson City, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Johnson City, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Johnson City, New YorkJohnson City, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Penfield, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Penfield, New YorkPenfield, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in East Northport, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in East Northport, New YorkEast Northport, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Franklin Square, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Franklin Square, New YorkFranklin Square, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
AI Evaluation Engineer Capital Rx, Inc.AI Evaluation EngineerNew York, NY$161,600–$200,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. What we need is someone who can design and operate robust evaluation frameworks, partner with scientists and engineers, and ensure we can confidently answer questions like: "Did this change improve or degrade quality, safety, or user outcomes?".
Data Engineer II Capital Rx, Inc.Data Engineer IINew York, NY$108,800–$136,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes.
Independent Insurance Claims Adjuster in Syracuse, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Syracuse, New YorkSyracuse, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in New Windsor, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in New Windsor, New YorkNew Windsor, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Cambria Heights, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Cambria Heights, New YorkCambria Heights, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Jamestown, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Jamestown, New YorkJamestown, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Long Beach, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Long Beach, New YorkLong Beach, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Claims Review Analyst EmblemHealth IncClaims Review AnalystNew York, NY$48,600–$83,160 / yearIdentify potential/actual claims problems (single or recurring/trending) and document root cause analysis; present findings to management. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines.
Insurance Claims Representative Community Financial System, Inc.Insurance Claims RepresentativeOlean, New YorkFull timeCorrespond to and provide necessary documentation to third party companies including customers, physician offices, auto insurance companies, GAP insurance carriers, and dealership representatives to ensure all available monies or refunds are requested and paid in a timely manner. Continuously cross train on other functions as needed or requested Assist the Direct Lending Manager with tasks, reports, or projects Assist the Direct Operations Supervisor with tasks, reports, or project.
Senior Forward Deployed Engineer Capital Rx, Inc.Senior Forward Deployed EngineerNew York, NY$139,600–$200,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. In this development role, you will lead large, high-impact projects, working closely with product managers, designers, and clients to gather both business and technical requirements with a product mindset.
Independent Insurance Claims Adjuster in Latham, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Latham, New YorkLatham, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Saratoga Springs, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Saratoga Springs, New YorkSaratoga Springs, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Manlius, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Manlius, New YorkManlius, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Manlius, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Manlius, New YorkManlius, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Amityville, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Amityville, New YorkAmityville, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Poughkeepsie, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Poughkeepsie, New YorkPoughkeepsie, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Glen Cove, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Glen Cove, New YorkGlen Cove, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Rev Cycle Performance Analyst RadNet IncRev Cycle Performance AnalystFairport, NY$60,000–$70,000 / yearExpertise needed in EDI transaction exposure such as 270, 271 for healthcare benefits and eligibility, 276, 277 for claims status and 278 for transmitting health care service information, 837 for submitting claims, 835 for payments, 834 for benefit enrollment, and 820 for premium payments to insurance products, To Ensure Success In This Role, You Must Have: Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors. When you join us as a Revenue Cycle Performance Analyst, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.
Independent Insurance Claims Adjuster in Kingston, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Kingston, New YorkKingston, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Garden City, New York MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Garden City, New YorkGarden City, New YorkHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Queens Village, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Queens Village, New YorkQueens Village, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Mastic, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Mastic, New YorkMastic, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Geneva, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Geneva, New YorkGeneva, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Malone, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Malone, New YorkMalone, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Saint Albans, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Saint Albans, New YorkSaint Albans, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Ronkonkoma, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Ronkonkoma, New YorkRonkonkoma, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Canandaigua, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Canandaigua, New YorkCanandaigua, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Flushing, New York MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Flushing, New YorkFlushing, NYWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Assstant Vice President, Claim Counsel Ryan Specialty GroupAssstant Vice President, Claim CounselNew York, New YorkDevelop and execute advanced claims advocacy strategies by leveraging industry expertise, market insights, and data-driven analysis to improve claim outcomes and maximize client recoveries. They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market.
Assistant Vice President, Claim Counsel Ryan Specialty GroupAssistant Vice President, Claim CounselNew York, New YorkDevelop and execute advanced claims advocacy strategies by leveraging industry expertise, market insights, and data-driven analysis to improve claim outcomes and maximize client recoveries. They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market.
Data Exchange Analyst - Claim Ops (Tpa) Capital Rx, Inc.Data Exchange Analyst - Claim Ops (Tpa)New York, NY$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Assstant Vice President, Claim counsel Ryan Specialty GroupAssstant Vice President, Claim counselNew York, New YorkThey represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market. Job Responsibilities • Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistNew York, NY$70,000–$85,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Commercial Sales Representative MetzWood InsuranceCommercial Sales RepresentativeChatham, NYCollaborate with cross-functional teams, including underwriters, claims processors, and customer support, to provide a seamless customer experience and expediate policy issuance and claims processes . Generate and follow up on leads to meet consistently meet or exceed sales targets, as well as other performance metrics such as sales revenue, conversion rates, and policy renewals.
NewSenior Technical Trainer - Medical (Enterprise Solutions) Capital Rx, Inc.Senior Technical Trainer - Medical (Enterprise Solutions)New York, NY$98,400–$123,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. Develop and maintain engaging and effective technical training materials and resources (including user guides, job aids, video content, eLearning modules, and SOPs) that enable users to successfully navigate and utilize the Unified Claims Processing platform.
Loan Servicing Specialist I S&T BankLoan Servicing Specialist INY$15–$22.21 / hourHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Function: Provides internal and external customer service in a centralized Loan Servicing Center and performs various administrative and clerical duties in support of the operation of the Loan Systems Department (Insurance/Escrow processing, Credit Insurance Servicing).
NewSenior Product Manager Oracle CorpSenior Product ManagerNY$72,800–$187,000 / yearAs Oracle expands Oracle Health Insurance capabilities globally, including support for U.S. Medicare Advantage, commercial insurance programs, and AI-enabled claims processing, we''re investing in product managers who are passionate about building the next generation of healthcare payer solutions. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business.
Senior Data Engineer Capital Rx, Inc.Senior Data EngineerNew York, NY$139,600–$174,500 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. Judi Health is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes.
Administative Professional Phaxis LLCAdministative ProfessionalManhattan, NYRemote$30–$35 / hourNowHiring #HybridJobs #HealthcareJobs #ClaimsProcessing #HealthPlan #ProviderContracts #ContractAdministration #AdministrativeJobs #ExcelJobs #HiringNow #Phaxis What You'll Do: Support a major claims processing system conversion by locating, reviewing, and organizing provider contracts for the 2024, 2025, and 2026 implementation.
Director/Senior Legal Counsel - Medicare, Healthcare Regulatory & Contracting Capital Rx, Inc.Director/Senior Legal Counsel - Medicare, Healthcare Regulatory & ContractingNew York, NY$130,800–$206,500 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. The successful candidate will have deep experience with Medicare, health insurance and healthcare laws, substantial healthcare contracting expertise, and the ability to provide practical legal advice that balances regulatory requirements with business objectives.
Staff Software Engineer, Performance Capital Rx, Inc.Staff Software Engineer, PerformanceNew York, NY$200,800–$251,000 / yearClaims processing, prior authorization, and supporting data products drive highly complex, data-intensive workloads where decisions across the entire database stack - including schema design, database configuration, connection management, and storage architecture - directly determine the platform's ability to deliver reliable performance under heavy read and write load. Experience evaluating and implementing cluster topology changes: connection pooling configuration, read replica strategy, partitioning/sharding approaches, and PostgreSQL - parameter tuning for high-concurrency transactional workloads .
Manager, Government Programs (Egwp) Capital Rx, Inc.Manager, Government Programs (Egwp)New York, NY$128,000–$160,000 / yearPosition Responsibilities: Manage EGWP program setup, implementation and go-live readiness across assigned internal functions and delegate oversight, which includes claims processing and associated functions, clinical programs and activities oversight, STARs and Audits. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Rochester, NYRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
NewManager, Revenue Cycle VNS HealthManager, Revenue CycleNew York, NY$85,000–$106,300 / yearEducation: Associate's Degree in Business Administration, Accounting, a related field, or the equivalent (or equivalent work experience) requiredBachelor's Degree in Business Administration, Accounting, a related field, or the equivalent (or equivalent work experience) preferred. Identifies issues involving governmental and third-party payers and collaborates with Managed Care Contracting, internal departments, and payers to resolve matters related to eligibility, authorizations, timely collections, and claims processing.
Account Coordinator, PBM Capital Rx, Inc.Account Coordinator, PBMNew York, NY$69,200–$86,500 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. Position Summary: Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial account teams with large and jumbo commercial clients in the health system, employer, labor/union, and public sectors.