UNKNOWN

FEED

Responsible for reviewing the accuracy and consistency of clinical DRG auditing auditors to ensure audits are appropriately marked for findings and no findings. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

YEAR

ExlService Holdings Inc

Quality Analyst - Clinical Validation Audit

As an Audit Coordinator - Inbound/Outbound Calls Representative, you'll play a critical role in ensuring smooth communication and effective resolution of provider inquiries: Handle inbound provider calls, log details, and resolve issues with efficiency and professionalism. 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.

HOUR

Audit Coordinator - Inbound/Outbound Calls Representative (Post Audit)

EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. 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.

Coordinator (PreAudit Outgoing Correspondence)

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. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.

Software Production Engineer

Skilled Nursing Facility (SNF) / Patient-Driven Payment Model (PDPM) Trainer

Minimum 5 years coding experience: Professional or hospital coding with thorough understanding of ICD-10 Coding; HCPCS/CPT coding systems; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC). EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.

Outpatient Trainer

Document identified issues, prioritized and individualized goals (long & short term), evidence-based interventions, collaborative approaches and resources, anticipated time frames, and barriers to achieving goals in the care plan. The goal of these activities is to help beneficiaries regain optimum health or improved functional capability, support effective self-care management, and promote access to healthcare services and community resources.

RN Case Manager

The role directly manages a team of outpatient quality analysts responsible for reviewing auditor-completed outpatient facility coding audits, ATA audits, validating audit accuracy, and ensuring accurate coding, billing, reimbursement, and documentation outcomes. Analyze audit accuracy, productivity, QA inventory, defect trends, root cause analysis, auditor performance, documentation patterns, and quality performance metrics to take action that improves team performance and overall quality results.

Outpatient- Quality Manager

Oversee end-to-end marketing and vendor searches across all coverage lines; represent the practice with clients and partners; identify opportunities; ensure rigorous project tracking and peer review; build strong internal partnerships; and contribute to business development and prospect presentations. The successful candidate will have at least twenty years of employer health actuarial experience with a minimum of ten years consulting experience, with a strong working knowledge of actuarial concepts, benefits design, delivery, financing, and strategy.

Milliman Inc

Consulting Actuary - EB Consulting

The Pharmacy Client Engagement Project Manager - Large Complex National Accounts serves as the central project manager for all incoming pharmacy consulting work for internal large market employer teams, ensuring seamless intake, prioritization, and execution of deliverables. Skills & Experience to be Successful: Bachelor's degree in Business, Healthcare, Project Management, or related field and/or 4-7 years of relevant experience in project management, operations management, or pharmacy consulting support.

Brown & Brown Inc

Pharmacy Client Engagement Project Manager - Large Complex National Accounts

In 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. This role supports basic science research by overseeing projects involving High-Performance Computing (HPC) hardware installations, laboratory instruments, and cloud environments.

StratAcuity Staffing Partners Inc

Research Contract Project Manager

Data Management, Meeting Facilitation, Project Management, Risk Management, Solutions Design, Benefits Administration, Consulting, Customer Engagement, Data Analysis Education 10+ years of experience in healthcare analytics, pharmacy analytics, pharmacy benefit management, consulting, health plans, or related healthcare data environments. These offerings support clients in comprehending pharmacy benefit performance, pinpointing cost and utilization possibilities, reviewing pharmacy benefit manager effectiveness, and transforming complex data into clear, actionable guidance.

Aon Plc

Assistant Vice President/Vice President - Pharmacy Analytics

Virtusa Corporation is a leading worldwide provider of digital transformation services that accelerates business outcomes for Global 2000 businesses in banking and financial services, insurance, healthcare/life sciences, and telecommunications, technology, and media. We bring best in class digital engineering services to every engagement, with deep expertise in digital strategy and design; customer experience; analytics; mobile; cognitive/AI; full stack engineering, microservices, IoT; and cloud services.

Virtusa Corp

Consulting Services Practice lead

As a Healthcare Consulting Senior Associate, you will need to: Perform hands-on Epic clinical delivery work across implementations, optimizations, upgrades, and stabilization engagements while serving as an Epic subject matter expert or workstream lead on client engagements as needed. The Senior Associate will leverage strong Epic clinical application expertise, healthcare operational knowledge, and project management discipline to help clients improve care delivery, provider workflows, patient safety, and operational efficiency.

Healthcare Consultant Jobs in Brooklyn, NY

Quality Analyst - Clinical Validation Audit ExlService Holdings Inc

Audit Coordinator - Inbound/Outbound Calls Representative (Post Audit) ExlService Holdings Inc

Coordinator (PreAudit Outgoing Correspondence) ExlService Holdings Inc

Software Production Engineer ExlService Holdings Inc

Skilled Nursing Facility (SNF) / Patient-Driven Payment Model (PDPM) Trainer ExlService Holdings Inc

Outpatient Trainer ExlService Holdings Inc

RN Case Manager ExlService Holdings Inc

Outpatient- Quality Manager ExlService Holdings Inc

Consulting Actuary - EB Consulting Milliman Inc

Pharmacy Client Engagement Project Manager - Large Complex National Accounts Brown & Brown Inc

Research Contract Project Manager StratAcuity Staffing Partners Inc

Assistant Vice President/Vice President - Pharmacy Analytics Aon Plc

Consulting Services Practice lead Virtusa Corp

Senior Associate - Epic Clinical Analyst RSM

Similar Job Searches

See More Jobs

Stand out to leading employers.