NewCredentialing & Enrollment Specialist Ophelia Health IncCredentialing & Enrollment SpecialistNYRemote$65,000–$67,000 / yearThe responsibilities include timely submission of credentialing and re-credentialing of Ophelia's providers, and the enrollment of Physicians, Nurse Practitioners, and Physician Assistants in managed care organizations and government payors such as Medicare and Medicaid, as well as many commercial plans. Enter and maintain accurate provider enrollment data in internal and external databases, including CAQH and payor portals, by updating demographic information, practice locations, termination of providers, and other maintenance forms as required.
Sr Transmission Ops NERC Compliance Specialist PSEGSr Transmission Ops NERC Compliance SpecialistHicksville, New York$107,600–$170,300If applicable, the successful applicant must prove they are: (1) a citizen or national of the USA; OR (2) a lawful permanent resident of the United States (Non-Conditional Permanent I-551 / Green Card / Permanent Resident Card holder); OR (3) a citizen, national, or permanent resident of a “Generally Authorized” destination on the attached list and not also a citizen, national, permanent resident of any country not listed; OR (4) a “Protected Individual” under the Immigration and Naturalization Act (8 U.S.C 1324b(a)(3)). Perform compliance related tasks, (Protection Memo review, Annual Verification of need for external NON-BES facilities, Annual Generator Fuels and emissions report download and provide to operators, Seasonal Ratings Review, communications compliance audits and review of processes.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNY$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
ProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTNew York, NYRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
ProFee Audit Specialist- PRN DatavantProFee Audit Specialist- PRNNew York, NYRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Clinical AI Data Specialist DatavantClinical AI Data SpecialistNew York, NY$120,000–$145,000 / yearThe Data Science / Clinical AI function is seeking a Clinical AI Data Specialist to ensure the clinical accuracy of the training data, model output labels, and clinical logic — prompts and coding rules — that shape how our AI-powered risk adjustment products behave. This is a clinical coding domain-expert role first: it requires active coding credentials and the ability to independently read, interpret, and annotate clinical medical record documentation, and that expertise translates directly into measurable model performance.
Loan Documentation Specialist LoanbudLoan Documentation SpecialistNew York, New YorkTheir responsibilities include interfacing with borrowers and referral partners from loan submission to funding, collecting and reviewing documentation per program requirements, coordinating and processing loans in accordance with lender guidelines, ordering and collecting 3rd party reports. Whether you’re looking to acquire a business, invest in owner-occupied commercial real estate, or secure working capital, LoanBud’s digital marketplace connects you to the right SBA loan solution.
Surgical Commercial Billing & Collections Specialist Human HireSurgical Commercial Billing & Collections SpecialistClifton, NJ$26–$30 / hourYoull be working in a fast-paced, specialty-driven setting supporting neuro-spine, orthopedic, and podiatry surgical billing where accuracy, persistence, and strong payer knowledge directly impact reimbursement outcomes. Youll gain deep exposure to complex commercial payer strategies, out-of-network reimbursement negotiation, and high-dollar surgical billing workflows in a specialized clinical environment.
Experienced CV Invasive Specialist $20,000 Sign On Bonus Intermountain Health IncExperienced CV Invasive Specialist $20,000 Sign On BonusNY$43.09–$66.47 / hourFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. Located just minutes from beautiful Boulder, Colorado, our four state‑of‑the‑art procedure suites feature Philips imaging systems, GE Mac-Lab hemodynamic monitoring, and Epic Cupid structured reporting to support precision and excellence in patient care.
Deal Desk Specialist (Deal Desk Team) SEMrush Holdings IncDeal Desk Specialist (Deal Desk Team)NY$70,000–$100,000 / yearBacked by our award-winning all-in-one platform, they solve real marketing and growth challenges daily-a capability recently recognized when Semrush was named a Leader in The Forrester Wave: Search Engine Optimization Solutions, Q3 2025. Built on the industry's most expansive proprietary dataset, Semrush delivers AI-driven insights across GEO, SEO, Agentic Search Optimization, content marketing, paid media, and social strategy.
Health Information Technology Specialist Player Coach Nationwide IQVIAHealth Information Technology Specialist Player Coach NationwideParsippany, IllinoisThis individual will have the unique opportunity to be a part of multiple cardiovascular brands in the US market as a Health Information Technology Specialist Player Coach .The primary focus of this role will be to support integration of the brand into EHR systems across priority accounts, helping identify and address barriers that affect patient care, access, treatment processes, patient identification, and overall end-user experience In addition, the Health IT Specialist Player Coach will be responsible for sharing Electronic Health Record insights to enhance patient care and support population health approaches across both in-patient and outpatient sites of care at priority accounts. Bachelor's degree from an accredited college/university required; Minimum of 4 years working in design, build, and/or testing expertise and experience with EHR software, including: Epic, Cerner, Meditech, McKesson preferred; and/or within a Health System informatics group or team at leadership level, or similar role within a pharmaceutical company.
Safety and Occupational Health Specialist U.S. Department of LaborSafety and Occupational Health SpecialistNew York, NY$50,460–$137,128 / yearOR Substitution of Experience: Two years of graduate education or a Masters degree in safety or occupational health fields (safety, occupational health, industrial hygiene) or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following or closely related disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. Undergraduate and Graduate Education: Major study in safety or occupational health fields (safety, occupational health, industrial hygiene) or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following or closely related disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology.
CDQI Nurse Specialist PRN Datavant LLCCDQI Nurse Specialist PRNNY$40–$45 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data.
CDI Specialist Episcopal Health Services IncCDI SpecialistNYAdditionally, St. Johns is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States. The hospital is a recipient of the Gold-Plus Get with the Guidelines-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines-Heart Failure Quality Achievement Award from the American Heart Association.
ACO Risk Coding Specialist (Hybrid) Essen Medical AssociatesACO Risk Coding Specialist (Hybrid)Bronx, New YorkFull timeQualifications: Qualifications : - Strong working knowledge of CMS‑HCC risk adjustment model (required for accurate coding and compliance) - Solid understanding of ICD‑10‑CM coding guidelines - Ability to accurately identify and code chronic conditions requiring annual recapture - Experience reviewing face‑to‑face encounters and validating provider documentation - Skilled in retrospective and/or prospective chart reviews - Experience with provider education or documentation improvement initiatives Knowledge, Skills, & Abilities : - Deep understanding of chronic disease processes (e.g., CHF, CKD, COPD, diabetes with complications) - Familiarity with hierarchical logic and exclusion rules in HCC coding - Strong analytical, organizational, and problem‑solving skills, especially in Excel - Ability to research and resolve coding discrepancies independently - Effective written and verbal communication with clinical and non‑clinical staff - Team-based orientation with ability to manage and report out KPIs - Cultural sensitivity and ability to work with diverse team members, both US-based and offshore, and with medical providers - Consistent ability to meet productivity and quality benchmarks Education : - High School Diploma or equivalent (required) - International Medical Graduate (preferred) - Certified Risk Adjustment Coder (CRC) - Certified Professional Coder (CPC) or CCS / RHIT / RHIA (AAPC or AHIMA) Compensation & Benefits. They will become experts in HCC-based risk adjustment (prior experience preferred, but not necessary), they will conduct medical chart reviews to identify suspect conditions, and they will design and manage workflows to ensure that providers are made aware of suspect conditions, so that they can evaluate the patient thoroughly and correctly document the patient’s risk factors.
Clinical Information Specialist CVS Health CorpClinical Information SpecialistPaterson, NJ$17–$34.15 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Physician Practice Compliance Specialist Hackensack Meridian HealthPhysician Practice Compliance SpecialistIselin, New JerseyFull timeHas regular interaction with practice leadership, physicians, advanced practice nurses, coders, the Physician Billing Department, clerical and practice staff to ensure accurate documentation of services provided. Responsibilities: A day in the life of a Physician Practice Compliance Specialist at Hackensack Meridian Health includes: Performs retrospective and concurrent audits and performance improvement reviews to ensure compliance with regulatory and payer requirements.
Office Services Specialist Reed Smith USOffice Services SpecialistNew York, New York$26.35–$30.20Full timeAdditional responsibilities include: Preparing, sending, and receiving hand-delivered packages, UPS, and Federal Express packages. Assist in sorting and distributing incoming and interoffice mail, including nightly mail drops.
Patient Access Specialist - Part Time - Evening Hackensack Meridian HealthPatient Access Specialist - Part Time - EveningHolmdel, New JerseyPerforms job related functions including, but not limited to, facility based scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point of service cash collection and financial clearance under the direction of the Supervisor/Manager/Director for these designated areas. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Area Health Information Specialist I DatavantArea Health Information Specialist IHolmdel Township, NJ$15.92–$19.44 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
NewCustoms Compliance Specialist Sunrise Systems IncCustoms Compliance SpecialistNewark, NJ$28–$32 / hourThe ideal candidate possesses strong organizational and analytical skills, accuracy in recording information, a keen attention to detail, and the ability to proactively monitor Customs compliance-related challenges as they arise, ensuring seamless operations across the supply chain. Duty/GST Accruals / Payments Support (Canadian Imports): Record release information for all Canadian imports using data included in company's CARM portal, supporting accurate customs declarations and compliance.
Paralegal Specialist - Corporate DLA Piper LLP (US)Paralegal Specialist - CorporateNY$56.92–$86.16 / hourWhile the specific job requirements of a DLA Piper position may vary depending upon scope of the job and area of specialty, there are certain universal requirements that are expected of all DLA Piper employees, which include but are not limited to: Effectively communicate, verbally and in writing, with clients, lawyers, business professionals, and third parties; Produce deliverables, answer phone calls, and reply to correspondence in an efficient and responsive manner; Provide timely, accurate, and quality work product; Successfully meet deadlines, expectations, and perform work duties as required; Foster positive work relationships; Comply with all firm policies and practices; Engage in both physical and sedentary activity, such as (a) working at a computer for extended periods of time, including on-screen reading and typing; (b) participating in digital/virtual conference calls; (c) participating in meetings as needed; Ability to work under pressure and manage competing demands in a fast-paced environment; Perform all other duties, tasks or projects as assigned. Organizes, prepares and files a variety of corporate legal documents for transactions (Articles of Incorporation/Organization, Amendments, state qualifications, consents, merger documents, closing books, electronic closing sets, initial drafts or certificates, short‑form closing deliverables, and filing annual reports).
Health Information Specialist I DatavantHealth Information Specialist IEdison, NJ$15.92–$19.44 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Specialist, Point of Care Testing (MLS) Quest Diagnostics IncSpecialist, Point of Care Testing (MLS)Holmdel, NJ$66,550–$98,000 / yearThe POC Specialist is responsible for making regular rounds to all entity units to speak with nurse managers/directors to ensure quality and patient care and to maintain rapport and a cohesive working relationship with hospital staff and physicians. Location: Bayshore Medical and Ocean University Medical Center Work Schedule: M-F (40 hrs.) 8AM - 5PM Pay Range: $66,550 - $98,000/ yearSalary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained.
Rheumatology Territory Account Specialist – Manhattan NovartisRheumatology Territory Account Specialist – ManhattanBrooklyn, New YorkRemoteCOVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers’ (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. Commercial Excellence, Communication Skills (Inactive), Compliance (Inactive), Conflict Management, Cross-Functional Coordination, Customer Insights, Healthcare Industry, Influencing Skills, Key Account Management, Professional Ethics, Selling Skills (Inactive), Technical Skills (Inactive)
Oncology Territory Account Specialist, Solid Tumor – Long Island, NY NovartisOncology Territory Account Specialist, Solid Tumor – Long Island, NYHuntington Station, New YorkRemoteCOVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers’ (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. Associate Territory Account Specialist: Recently separated from the US Military with 4+ years of military service in a leadership capacity (Platoon Leader, Executive Officer, Company Commander, etc.), or applicants with limited prior sales experience.
Risk & Independence Contract Specialist Senior Manager - Managed Services PricewaterhouseCoopers LLPRisk & Independence Contract Specialist Senior Manager - Managed ServicesStamford, CT$91,000–$321,500 / yearLeading the substantive negotiation of complex commercial contracts; Reviewing and redlining detailed risk, legal, and commercial contract terms; Understanding of managed services offerings and related contract terms and conditions, performance metrics, and experience with (1) finance managed services - payroll, accounting, reporting, treasury and broader finance and accounting operations, (2) technology managed services - IT infrastructure, cloud, data analytics, application delivery maintenance application managed services, (3) cyber managed services, or (4) risk & regulatory managed services - regulatory compliance and enterprise risk programs; Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations; Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties; Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience. Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients' procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance.
Legal Support Specialist The Progressive CorpLegal Support SpecialistNew Hyde Park, NY$24.36–$26.78 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Senior Specialist, Quality Assurance (Hybrid) Merck & Co IncSenior Specialist, Quality Assurance (Hybrid)Rahway, NJ$106,200–$167,200 / yearJob Description: The Rahway based Senior Specialist, Global Development Quality Operations - API, is responsible for independent approval of documentation to support Good Manufacturing Practice (GMP) clinical supply API manufacture, testing, release, and maintenance in support of our company's clinical supply programs. Conduct independent auditing, review, and approval of diverse and complex document types, as required, including deviations, investigations, change records, analytical method validations, method transfers, analytical methods, specifications, certificates of analysis, etc.
Performance Specialist Neuberger BermanPerformance SpecialistNew York, NY$100,000–$130,000 / yearAn employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, business sector, performance, shift, travel requirements, sales or revenue-based metrics, market benchmarking data, any collective bargaining agreements, and business or organizational needs. The amount and availability of any bonus, commission, production, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Clinical Clearance Specialist RN Charlie Health IncClinical Clearance Specialist RNNYRemote$48–$52 / hourThis RN serves as the dedicated clinical reviewer for escalated admissions cases involving eating disorder (ED) and substance use disorder (SUD) presentations - cases that require nursing-level clinical expertise beyond the independent decision-making scope of the CAT team, but that do not require physician review. You will own the clearance review queue, interpret labs, vitals, and EKGs, issue timely admission determinations, and serve as the primary clinical bridge between the admissions team and medical leadership.
Advisory Specialist I, FedRAMP Diligent CorpAdvisory Specialist I, FedRAMPNY$56,000–$71,000 / yearDiligent is the AI leader in governance, risk and compliance (GRC) SaaS solutions, helping more than 1 million users and 700,000 board members to clarify risk and elevate governance. Collaborate with Customer Success Managers, Senior Managers and Managers to ensure any new service requests are handled appropriately or routed the request to the correct teams.
Full Time - Sales Specialist - Cabinets - Day Lowe's Companies IncFull Time - Sales Specialist - Cabinets - DayUnion, NJ$19–$21.30 / hourBased in Mooresville, N.C., Lowe's supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. Serve as a point of contact for customers and vendors within your department, providing project estimates, scheduling installer visits, processing and tracking customer orders/installations, and following up to ensure project completion.
NewSenior Specialist, Scientific Nomenclature & Reference Data - Product Merck & Co IncSenior Specialist, Scientific Nomenclature & Reference Data - ProductRahway, NJ$117,000–$184,200 / yearQualifications: Education and Experience: Degree in chemistry, biochemistry, molecular biology, or related scientific disciplines that combine chemistry and biology, plus pharmaceutical industry, regulated industry, or Information Science experience - Bachelor's and 5+ years, Master's/PhD and 3+ years. This role blends deep chemistry domain expertise, hands-on nomenclature skills, and practical master data capabilities to deliver accurate, traceable, and usable reference data for scientific, regulatory, and other business stakeholders.
Join our Talent Community for Clinical Specialists in IV Spine Ferring Pharmaceuticals IncJoin our Talent Community for Clinical Specialists in IV SpineNJDemonstrated experience supporting the launch of a novel or disruptive therapy, including leading initial case support, training physicians on procedural techniques, and driving adoption through clinical workflow integration across office, ASC, and hospital settings. Role Overview: At Ferring we are on a mission to transform the treatment of radicular leg pain from lumbar disc herniation with a novel, first-in-class intradiscal therapy that offers patients non-surgical intervention to treat pain not resolved by conservative treatment.
Sr. Specialist, Process Engineering - Oral Solid Dosage, Clinical Manufacturing (Onsite) Merck & Co IncSr. Specialist, Process Engineering - Oral Solid Dosage, Clinical Manufacturing (Onsite)Rahway, NJ$117,000–$184,200 / yearThe Non-Sterile Process Engineering team ensures right-first-time manufacture and delivery of high-quality drug products (spray-dried intermediates, tablets and capsules), leveraging pharmaceutical unit operations such as spray-drying, hot-melt extrusion, blending, roller compaction, encapsulation, compression, and film coating. Bachelor of Science degree in Chemical Engineering, Biomedical Engineering, Chemistry, Pharmaceutical Sciences or related scientific field with minimum of 5 years relevant experience, or a Master's degree with 3 years of relevant experience, or a PhD degree (with expected completion no later than June 2026).
Senior Sourcing and Procurement Specialist - NPD - Capital Beauty Health Group LimitedSenior Sourcing and Procurement Specialist - NPD - CapitalNYRemote$93,500–$115,000 / yearAn employee's pay position within the salary range will be based on several factors, including but not limited to relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. This role partners cross-functionally with procurement, quality, engineering, regulatory, planning, marketing, and external suppliers to ensure supply chain readiness for new product launches.
Rev Cycle Specialist (Prior Authorizations) Prism Vision GroupRev Cycle Specialist (Prior Authorizations)New Providence, New Jersey$21.38–$44.40 / hourEducation/experience: High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment. • Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts.
Certified Oncology Data Specialist Hackensack Meridian HealthCertified Oncology Data SpecialistHackensack, New JerseyFull timeQualifications: Education, Knowledge, Skills and Abilities Required : Successful completion at minimum an Associate's degree or equivalent (60 college level credits including 2 semesters of Anatomy & Physiology) effective 1/1/2010 OR Certificate in Cancer Registry Management or Cancer Information Management form a NCRA-accredited program. Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.) This process includes communicating with the patient, parent and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
Reimbursement Specialist III - Per Diem Hackensack Meridian HealthReimbursement Specialist III - Per DiemIselin, New JerseyPer diemOrganizes and coordinates potential revenue enhancement opportunities to optimize reimbursement including but not limited to: (1) combining provider numbers; Medicare wage index; disproportionate share; charity care subsidy; medical education; organ transplantation; and Medicare Bad Debts. This position will guide and coordinate direction on reimbursement matters, including preparation of advanced sections of the Medicare and NJDOH cost reports, completion of advanced reimbursement studies and models (PPS Rate calculations, IME/GME, APC Rate calculations, etc.), and audit coordination.
Integrated Case Management Specialist Hackensack Meridian HealthIntegrated Case Management SpecialistHackensack, New JerseyFull timeResponsibilities: A day in the life of a Integrated Case Management Specialist at Hackensack Meridian Health includes: In collaboration with the Care Coordinator, reviews daily admission data to verify inpatient insurance coverage, pre-certs, authorized days, and reviews needed. Performs office support services to facilitate efficient running of the department, i.e., phone call management, messages, mail/correspondence, ordering supplies and assisting the screeners from other facilities, 72 hour discharge report, weekend discharge report.
Care Coordination Specialist Hackensack Meridian HealthCare Coordination SpecialistNeptune, New JerseyFull timeManages Referrals to external facilities & services including but not limited to the following: Assisted Living Facilities, Acute Rehab, Subacute Rehab - New referrals & Returns, LTAC, Hemodialysis - New & Returns, DME, Hospice, Palliative Care, Wound Care, Home Health Services, Community Resources. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
RCM Specialist-Routine Vision Prism Vision GroupRCM Specialist-Routine VisionNew Providence, New Jersey$21.38–$44.40 / hourEducation/experience: High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment. • Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts.
GME Administrative Specialist New York Medical CollegeGME Administrative SpecialistValhalla, New YorkFull timeOther skills/requirements: Creative and flexible individual to join the GME office team in delivering excellent customer service; exercises sound judgement, discretion, and professionalism in all interactions and communications; strives for accuracy, quality, and efficiency in work products; ability to innovate, problem-solve, think critically and work independently as well as part of a team; understands limitations, asks for assistance; responds positively to feedback; possesses a growth mindset. Serving as a key member of the GME team, this role supports the Designated Institutional Official (DIO), Director of GME, GME committees, residency and fellowship programs, and institutional initiatives to ensure compliance with accreditation requirements and the efficient operation of GME activities.
NewSocial Work Case Manager-Housing Specialist Elevance HealthSocial Work Case Manager-Housing SpecialistIselin, New JerseyKnowledge of relevant public and private housing resources and stakeholders, including but not limited to HUD (Housing and Urban Development) subsidized housing, all Department of Community Affairs (DCA), NJ Housing and Mortgage Finance Agency (NJ HMFA) housing program, voucher programs, public housing authorities, realtors, and online housing locator resources preferred. The Social Work Case Manager will be dedicated to the NJ Medicaid Housing program and will be responsible for ensuring coordination of Housing Services with all other services provided to NJ Medicaid members (Core Medicaid, LTSS, and Medicare FIDE).
Clinical Informatics Specialist Richmond Medical CenterClinical Informatics SpecialistStaten Island, New YorkThis role is responsible for the design, optimization, governance, and sustainment of clinical workflows and electronic health record (EHR) solutions to support patient safety, regulatory compliance, quality outcomes, and efficient clinical operations. · Build, maintain, and support clinical content including order sets, documentation templates, clinical decision support (CDS), alerts, and workflows.
NOI Investigations Specialist Amneal Pharmaceuticals IncNOI Investigations SpecialistPiscataway, NJ$75,000–$95,000 / yearLeveraging strong analytical, technical, and interviewing skills, this individual independently and collaboratively gathers and evaluates data, identifies root causes, assesses product impact, and develops effective corrective and preventive actions (CAPAs) to prevent recurrence. Description: The NOI Investigations Specialist plays a critical role in ensuring product quality, compliance, and patient safety by conducting comprehensive investigations into quality events that may impact the manufacturing, release, distribution, or shelf life of commercial products.
Full Time - Sales Specialist - Millwork - Day Lowe's Companies IncFull Time - Sales Specialist - Millwork - DayPaterson, NJ$19–$21.30 / hourBased in Mooresville, N.C., Lowe's supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. Serve as a point of contact for customers and vendors within your department, providing project estimates, scheduling installer visits, processing and tracking customer orders/installations, and following up to ensure project completion.
Associate Director, Global Clinical Data Standards Vocabulary Specialist Merck & Co IncAssociate Director, Global Clinical Data Standards Vocabulary SpecialistRahway, NJ$142,400–$224,100 / yearMerck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. An employee's position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs.
Accounts Receivable Specialist Oshi Health, IncAccounts Receivable SpecialistNY$47,000–$52,000 / yearYou will work closely with our Revenue Cycle leads, other members of the Revenue Cycle team, finance, and clinical teams to resolve payment discrepancies, improve AR performance, and maintain accurate financial records. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions.