Ascendis Pharma
A dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States, advancing programs in Endocrinology Rare Dis…
Associate Director, Rebate and Contract Operations
Princeton
- Skills: contract management, market access, rebate management, compliance, process improvement, negotiation, vendor management, claims processing, regulatory requirements, healthcare reimbursement
- Experience: Minimum of 8+ years of experience in pharmaceutical contracting, pricing, or market access, with a focus on contract management and operations.
- Type: Hybrid
Foundation Risk Partners
one of the fastest growing insurance brokerage and consulting firms in the US
Clinical Risk Management Manager
Edison
- Skills: Clinical Risk Assessment, Risk Mitigation Consulting, Trend Analysis, Data Breaches, Claims Review, Underwriting Support, Regulatory Compliance, Healthcare Regulations, Risk Management Principles, Analytical Skills
- Experience: significant clinical experience
Bureau of Claims and Reimbursement (BCR)
The Bureau of Claims and Reimbursement (BCR) is responsible for the daily operations relating to the analysis, allocation, and claiming of Programmatic, Admini…
Management Auditor II
New York City
- Skills: Management Auditor, Administrative Claims Preparer, Reimbursement Claims, Administrative Expense Reports, Financial Management System, Cost Allocation, NYS Automated Claim System, Federal and State Aid, Monthly Tracking, Programmatic Costs
- Experience: Permanent in Management Auditor Civil Service Title or comparable title eligible for 6.1.9 title change
- Type: Full-time
Department of Social Services (DSS)
The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department o…
Associate Benefits Opportunity Specialist I
Brooklyn
- Skills: Benefits Opportunity Specialist, Fair Hearing, Administrative Duties, Client Case Resolution, Outreach, Case Review, Database Applications, Timely Monitoring, Action Codes, Non-compliance
- Experience: Permanent in the Benefits Opportunity Specialist (BOS) title or Permanent in the Associate Benefits Opportunity Specialist (ABOS) title for at least one year
- Type: Provisional Appointment
NYC Department of Consumer and Worker Protection (DCWP)
DCWP protects and enhances the daily economic lives of New Yorkers, licensing more than 45,000 businesses and enforcing consumer protection and workplace laws.
Mediator and Intake Specialist
New York City
- Skills: mediating complaints, consumer protection, equitable resolutions, analyzing complaints, database maintenance, data entry, complaint follow-up, responding to callers, training materials preparation, intake and mediation efforts
- Type: Full-time
City of New York, Medical Assistance Program (MAP)
MAP administers public health insurance programs, including Medicaid, for the City of New York.
Principal Administrative Associate, Level III - MAP Project Coordinator
Brooklyn
- Skills: Principal Administrative Associate, MAP Project Coordinator, Medicaid, case review, error reduction initiatives, Federal and State laws, corrective action plans, staff coordination, trends analysis, health insurance programs
- Experience: Permanent in the Principal Administrative Associate civil service title
- Type: Full-time
- Salary: $64,137 - $73,758
Department of Social Services (DSS)
The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department o…
Associate Benefits Opportunity Specialist
Brooklyn
- Skills: Fair Hearing, Agency Representative, Cash Assistance, Supplemental Nutrition Assistance Program (SNAP), Medicaid, evidence packet, New York State Administrative Hearings, SDRC, Welfare Management System (WMS), training staff
- Type: Full-time
Office of Fiscal Operations
The Office of Fiscal Operations is responsible for fiscal management and operation within government agencies, focusing on claims submission and reimbursement …
Clerical Associate IV - Claiming Associate
New York City
- Skills: Claiming Associate, DSS claims, tracking, fiscal management, Federal reimbursement, State reimbursement, claim tracking, digital reference, financial data analysis, HUD Grants
- Type: Full-time
New York City Department of Social Services (DSS)
The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of …
Department for the Aging
The Department for the Aging is committed to helping older adults age in their homes and communities, eliminating ageism, and ensuring the dignity and quality …
Health Benefits Information Specialist
New York City
- Skills: Medicare, Medicare Advantage, health benefits, community outreach, education, advocacy, counseling, enrollment assistance, fraud prevention, collaboration
- Type: Full-time
Office of Fiscal Operations
The Office of Fiscal Operations is DSS/HRA/DHS’s primary payments and accounting office, issuing authorized payments to service providers and vendors, and ensu…
Principal Administrative Associate III - Human Services Payment Analyst
New York City
- Skills: quality assurance, vouchers, reconciliation, payment data, billing discrepancies, funding allocation, budget monitoring, spreadsheet analysis, auditors documentation, report generation
- Experience: Permanent in the Principal Administrative Associate Civil Service title
- Type: Full-time
New York City Department of Social Services (DSS)
The DSS Accountability Office is responsible for protecting the integrity of social services programs administered by the New York City Department of Social Se…
Principal Administrative Associate II
New York City
- Skills: SNAP, case reviews, eligibility, compliance, quality control, internal audits, Welfare Management System, timeliness, corrective action plans, service quality
- Type: Full-time
New York City Poison Control Center (PCC)
The NYC Poison Control Center is an emergency medical hotline that responds to requests for assistance regarding intentional and unintentional exposures, as we…
Poison Information Specialist
New York City
- Skills: emergency calls, health care providers, data collection software, AAPCC certification, communication skills, analytical skills, problem-solving skills, computer skills, health benefits, job security
- Experience: 1 year in an Emergency room or Intensive Care Unit (if BSN).
- Type: Full-time
Department of Social Services (DSS)
The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department o…
Associate Benefit Opportunity Specialist I
New York City
- Skills: Fair Hearing, Cash Assistance, SNAP, Medicaid, Agency decisions, Case actions, Client conferences, FHEMS system, Administrative Hearings, Social service complaints
- Type: Full-time
City of New York
The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York.
Principal Administrative Associate
Brooklyn
- Skills: Medicaid, insurance, reimbursement, invoices, eligibility, supervisors, program objectives, training, performance deficiencies, report preparation
- Experience: Experience in administrative supervision and Medicaid reimbursement processes.
- Type: Full-time
- Salary: $64,137 - $73,758
DOT
DOT is part of the Dining Out NYC team responsible for the Open Restaurant Program which supports outdoor dining in NYC.
Billing Coordinator
New York City
- Skills: Billing Coordinator, outdoor dining, billing resolutions, restaurant owners, financial records, unpaid invoices, revenue reports, database updates, insurance records, ad-hoc reports
- Type: Full-time
Medical Assistance Program (MAP)
The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York. It helps individuals and famil…
Principal Administrative Associate II
Brooklyn
- Skills: supervision, Medicaid eligibility, Eligibility Specialists, Clerical Associates, statistical data, staff training, policy changes, performance control, service quality, recommendations for improvements
- Experience: Permanent in the Principal Administrative Associate Civil Service title
- Type: Full-time
- Salary: $57,976 - $66,672
New York City Department of Social Services (DSS)
The DSS Accountability Office (DSS-AO)-IREA is responsible for protecting the integrity of social services programs administered by the New York City Departmen…
Principal Administrative Associate II
New York City
- Skills: Claims processing, Statistical reports, Productivity, Recovery of payments, Quality Control, Staff supervision, Program operations, Automated system, Federal guidelines, Time and Leave procedures
- Type: Full-time
Home Care Services Program (HCSP)
The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals requiring assis…
Medicaid Eligibility Specialist
New York City
- Skills: Medicaid, eligibility, services, documentation, review, applications, renewals, Welfare Management System, HRA One Viewer, eMedNY
- Type: Full-time
- Salary: $42,485 – $48,858
New York City Human Resources Administration (HRA)
The Investigation, Revenue, and Enforcement Administration (IREA) is responsible for supporting the integrity of social services programs administered by HRA.
Principal Administrative Associate III
New York City
- Skills: claims processing, Supplemental Nutritional Assistance Program, supervise, statistical reports, compliance, accuracy, State and Federal guidelines, automated system, productivity, internal agencies
- Experience: Supervisory experience in claims processing; experience with SNAP program processes.
- Type: Full-time
- Salary: $64,137.00 - $73,758.00
City of New York
The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York.
Principal Administrative Associate II
New York City
- Skills: Medicaid, supervision, eligibility applications, performance monitoring, statistical data, in-service training, laws and regulations, staff meetings, recommendations for improvements, quality of service
- Type: Full-time
- Salary: $66,672 - $84,276
New York City Human Resources Administration (HRA)
The Accountability Office (AO) is responsible for supporting the integrity of social services programs administered by HRA, including the recovery of public as…
Administrative Staff Analyst
New York City
- Skills: Administrative Staff Analyst, Recovery Analyst, Medicaid claim, Supplemental Needs Trust, compliance audits, data analytics, HIPAA, legal affidavits, lien filing, productivity report
- Experience: Must be permanent in the Administrative Staff Analyst title or a comparable title eligible for 6.1.9.
- Type: Full-time
Home Care Services Program (HCSP)
The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require ass…
Principal Administrative Associate III (Medicaid Unit Supervisor)
Brooklyn
- Skills: Medicaid, supervise, case processing, staff training, policy interpretation, client eligibility, provider agencies, action plans, productivity, community organizations
- Type: Full-time
- Salary: $64,137- $73,758
Office of Revenue Management and Development
The Bureau of Case Integrity & Eligibility Verification’s mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are c…
Principal Administrative Associate III
New York City
- Skills: supervision, eligibility verification, funding streams, audit findings, Federal reimbursement, State reimbursement, case reviews, staff training, project management, quality assurance
- Experience: Permanent in the principal administrative associate civil service title
- Type: Full-time
Medical Assistance Program (MAP)
The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs for the City of New York, approving individuals and fami…
Administrative Manager NM-III
Brooklyn
- Skills: Medicaid, Managed Care Program, eligibility determination, administrative leadership, technical guidance, program policies, fraud prevention, operational activities, service delivery, financial management
- Type: Full-time
- Salary: $81,659 to $122,432
Family Independence Administration (FIA)
The Family Independence Administration (FIA) is the agency responsible for providing assistance to citizens in need, including cash assistance, Medicaid, and f…
Principal Administrative Associate III
New York City
- Skills: process compliance, case reviews, auditing, eligibility determinations, reporting, welfare reform, case management, service quality, social services, corrective action plans
- Experience: Permanent in the Principal Administrative Associate Civil Service title
- Type: Full-time
Bureau of Case Integrity & Eligibility Verification
The Bureau of Case Integrity & Eligibility Verification’s mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are c…
Principal Administrative Associate II
New York City
- Skills: Eligibility Verification, Domestic Violence, Federal Funding, Quality Assurance, Data Warehouse, Welfare Management System, Claim Adjustments, Fraud Reduction, Case Record Review, Payment Processing
- Type: Full-time
- Salary: $57,976-$66,672
New York City Human Resources Administration (HRA)
HRA is responsible for administering public assistance programs in New York City, including Cash Assistance and Supplemental Nutrition Assistance.
Clerical Associate III - Site Information Clerk
Brooklyn
- Skills: Clerical Associate, Common Benefit Identification Card, CBIC, Electronic Benefit Transfer, SNAP, Medicaid, Welfare Management System, Client Authorization, Information Entry, Customer Service
- Experience: Moderately difficult and responsible clerical work experience
- Type: Full-time
Department of Social Services
The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department o…
Associate Benefits Opportunity Specialist
Brooklyn
- Skills: Fair Hearing, Agency Representative, Cash Assistance, Supplemental Nutrition Assistance Program, Medicaid, HIV and AIDS Services, Welfare Management System, Evidence Packets, Administrative Hearings, Fair Hearing win rate
- Type: Full-time
Office of Revenue Management and Development (ORMD)
The Office of Revenue Management and Development’s Bureau of Case Integrity & Eligibility Verification aims to improve claiming processes and prevent overpayme…
Principal Administrative Associate II
New York City
- Skills: Eligibility Verification, Medical Assistance Program (MAP), Client Identification Numbers (CINs), duplicate payments, Social Security Numbers, audit disallowances, Information Technology Services, computer printouts, reimbursement claims, case records analysis
- Experience: Permanent in the Principle Administrative Associate Civil Service title
- Type: Full-time
City of New York - Medical Assistance Program
The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York, providing eligibility for indi…
Clerical Associate III
Brooklyn
- Skills: Clerical Associate, Medical Assistance Program, Medicaid, Managed Care Client Services, Restricted Recipient Program, case management, filing system, provider payment, Welfare Management System, client services
- Type: Full-time
New York City Government
The Revenue Office is responsible for the recovery of public assistance benefits and managing outstanding debts owed by participants and employees.
Principal Administrative Associate III
New York City
- Skills: Administrative Associate, Data Control, Medicaid, Liens, Recovery, Case Review, Audit, Performance Improvement, Policy Changes, Supervision
- Experience: Experience in administrative roles, particularly in data management and supervision.
- Type: Full-time
Office of Quality Assurance & Fiscal Integrity
The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and regulatory compliance of agency operations, advising programs of pote…
Principal Administrative Associate III
New York City
- Skills: case reviews, compliance monitoring, program integrity, eligibility determinations, audit findings, legal compliance, quality assurance, application reviews, social services referrals, policy adherence
- Experience: Must be permanent in the Principal Administrative Associate civil service title
- Type: Full-time
New York City Human Resources Administration
The NYC Human Resources Administration (HRA) is responsible for providing assistance and support to individuals and families in need, enforcing agency policies…
Principal Administrative Associate III
New York City
- Skills: case reviews, program compliance, audit findings, legal mandates, eligibility determinations, timeliness measurement, social services, customer interaction, corrective action plans, process reviews
- Experience: Permanent in the Principal Administrative Associate Civil Service title
- Type: Full-time
Department of Social Services' Office of Legal Affairs
Provides legal guidance, litigation support, and direct representation in state and federal courts and administrative agencies to the Department of Social Serv…
Principal Administrative Associate Level II
New York City
- Skills: statistical analysis, monthly reports, supervision, data collection, data analysis, check reconciliation, case status tracking, financial documents, trust assets, Medicaid expenditures
- Experience: Permanent in the Principal Administrative Associate title
- Type: Full-time
HIV/AIDS Services Administration (HASA)
The HIV/AIDS Services Administration (HASA) is the most comprehensive program of its kind in the country, helping New Yorkers living with HIV or AIDS live heal…
Eligibility Specialist III
The Bronx
- Skills: Eligibility Specialist, case management, benefits, interviews, documentation, automated computer systems, eligibility verification, budget preparation, consumer data, case histories
- Type: Full-time
- Salary: $43,777.00- $50,343.00
Domestic Violence Services
Domestic Violence Services provides critical emergency services to domestic violence survivors in the form of temporary shelter and access to social services. …
Office of Revenue Management & Development (ORMD)
The Office of Revenue Management & Development (ORMD) maximizes federal and state funding of HRA costs through the activities of developing revenue-enhancing i…
Computer Associate (Software) III
New York City
- Skills: Quality Controller, Payment and Claiming System, SQL code, data relationships, data output, system security, technical assistance, vendor payment, data manipulation, informational needs
- Experience: Permanent in the Computer Associate Software Civil Service title or comparable title eligible for a title change.
- Type: Full-time
Home Care Services Program (HCSP)
Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living.
Principal Administrative Associate II
Brooklyn
- Skills: Medicaid, Client Services, Supervise, Quality Control, Compliance, Training, Documentation, Case Management, Error Review, Policy Interpretation
- Type: Full-time
Department of Social Services Accountability Office (DSS-AO)
The Department of Social Services Accountability Office (DSS-AO) supports the integrity of social services programs administered by the New York City Human Res…
Home Care Services Program (HCSP)
The Home Care Services Program (HCSP) is responsible for service authorization and ongoing oversight for Home Attendant and Housekeeping services for active ca…
Administrative Director of Social Services M-III
Brooklyn
- Skills: Medicaid, Home Care Services, programmatic operations, leadership guidance, performance standards, case management, individualized care plans, training objectives, health insurance eligibility, nursing standards
- Type: Full-time
New York City Human Resources Administration (HRA)
The Investigation, Revenue, and Enforcement Administration (IREA) is responsible for supporting the integrity of social services programs administered by HRA.
Clerical Associate III
New York City
- Skills: Data Entry, Completeness, Error Corrections, Case Transactions, Payment Authorization, Document Scanning, Data Processing, Manual Corrections, Daily Logs, FHEMS Records
- Type: Full-time
Office of Constituent Services
The Medicaid Helpline provides information to New Yorkers on enrolling in Medicaid public health insurance. The agency’s Medical Assistance Program helps New Y…
Eligibility Specialist II (Medicaid Helpline Agent)
New York City
- Skills: Medicaid, Helpline, Eligibility Specialist, Client Services, Telephone Inquiries, Data Entry, Automated Office Systems, Case Assessment, Program Description, Public Health Insurance
- Type: Full-time
Infoline
HRA’s telephone service center, which provides information on HRA’s programs to the general public using both an Interactive Voice Response System (IVRS) and l…
Eligibility Specialist II
Brooklyn
- Skills: Medicaid, Helpline Agent, telephone inquiries, eligibility criteria, Intranet Quorum, automated office systems, New York State EMEDNY, client complaints, document verification, electronic information storage
- Type: Full-time
BFI
BFI is mandated to detect and deter Public Assistance fraud and misuse by conducting investigations of individuals and groups that attempt to or commit fraudul…
Eligibility Specialist III
New York City
- Skills: Eligibility Specialist, Public Assistance fraud, Welfare Management System (WMS), Food Stamp benefits, case management, claims calculations, SNAP-CR, financial assistance, report preparation, supervisory meetings
- Experience: Applicants must be permanent in the civil service title of Eligibility Specialist or be permanent in a comparable title eligible for 6.1.9 title change.
- Type: Full-time
Bureau of Revenue Optimization and Automation (BROA)
The Bureau of Revenue Optimization and Automation (BROA) develops and automates complex revenue generating and risk avoidance projects, provides financial anal…
Administrative Staff Analyst NM-I
New York City
- Skills: Administrative Staff Analyst, SQL, data analysis, financial claims support, federal reimbursement, state reimbursement, claims submissions, data research, financial analysis, data correction reports
- Type: Full-time
Bureau of Case Integrity & Eligibility Verification
The Bureau's mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective fu…
Principal Administrative Associate II
New York City
- Skills: eligibility, revenue generation, case review, federal funding, quality assurance, fraud reduction, error correction, duplicate client identification, data review, audit disallowances
Department of Social Services
The Office of the General Counsel/Fair Hearing Administration of the Department of Social Services oversees DSS’s fair hearing process, an administrative law p…
Eligibility Specialist, Level II
Brooklyn
- Skills: Eligibility Specialist, Fair Hearing, Eligibility, Client Contact, Medical Coverage, Administrative Hearings, Client Information, Compliance, Aid to Continue, Case Resolution
Customized Assistance Services (CAS)
CAS helps Human Resources Administration (BRA) clients with health and/or mental health problems reach the highest attainable level of functioning and self-suf…
Caseworker
New York City
- Skills: disability benefits, clinical expertise, case management, Social Security Administration, application appeal, medical documentation, electronic record system, client assessment, referral services, appointment scheduling
- Type: Full-time
HIV/AIDS Services Administration (HASA)
The HIV/AIDS Services Administration (HASA) is the primary mechanism within the Human Resources Administration/Medical Insurance and Community Services Adminis…
Eligibility Specialist Level III
New York City
- Skills: Eligibility Specialist, recertification interviews, financial eligibility, benefits issuance, Welfare Management Systems, Paperless Office Systems, caseload management, compliance resolutions, client assessment, referrals
City of New York
The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York.
Clerical Associate III
Brooklyn
- Skills: public health insurance, Medicaid, eligibility recertification, data entry, WMS, statistical reports, filing system, clerical functions, client communications, compliance
- Type: Full-time
Atria
Atria is a patient-focused healthcare practice committed to optimal health outcomes.
Medical Biller
New York City
- Skills: medical billing, coding, insurance processes, claims management, patient account reconciliation, CPT, ICD-10, HCPCS, HIPAA regulations, customer service
- Experience: 3+ years of experience in medical billing and coding
- Salary: $65,000 - 75,000
Department for the Aging
The Department for the Aging is committed to helping older adults age in their homes and communities, eliminating ageism and ensuring dignity and quality of li…
HIICAP Program Associate
New York City
- Skills: Medicare, program assistance, community outreach, enrollment, beneficiary support, data tracking, health insurance, advocacy, education, performance measures
Elevance Health
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Diagnosis Related Group Clinical Validation Auditor-RN
Jersey City
- Skills: auditing, clinical documentation improvement, ICD-10 coding, DRG coding, analysis, medical records, claims auditing, billing guidelines, payment systems, health information
- Experience: Minimum of 10 years in claims auditing and 5 years with ICD-9/10CM
- Type: Hybrid
- Salary: $79,268 to $150,192
New York City Comptroller’s Office
The New York City Comptroller’s Office works to promote the financial health, integrity, and effectiveness of New York City government.
Claim Specialist
New York City
- Skills: No-fault claims, monetary settlement, claims negotiation, claim files, investigation, medical reports, insurance payments, fraudulent claims, risk management, payment processing
CityOfNewYork
The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York.
Principal Administrative Associate II
Brooklyn
- Skills: Supervise, Medicaid, processing, eligibility, provider relations, review, coordinator, data input, interpret policies, train staff
- Salary: $59,715 - $68,672
Molina Healthcare
Facilitated Enroller
Queens
- Skills: enrollment, health insurance, community outreach, application process, managed care, recertification, consumer education, documentation, communication skills, transportation
- Experience: Minimum one year of experience working with State and Federal Health Insurance programs
New York City Department of Social Services
The DSS Accountability Office is responsible for protecting social services program integrity and ensuring compliance with statutory, regulatory, and contractu…
Associate Fraud Investigator II
New York City
- Skills: fraud investigation, Medicaid, case reviews, revenue recovery, civil litigation, eligibility reviews, corrective action plans, auditing, staff training, case management
- Type: Full-time
At-Bay
At-Bay combines world-class technology with industry-leading insurance to help clients meet risk head-on. Partnering with brokers and business owners alike, we…
Cyber Claims Counsel
New York City
- Skills: cyber incidents, insurance coverage, litigation, third party litigation, claims trends, risk management, underwriting, customer service, claims adjusting, technology insurance
- Experience: 1-4 years
- Salary: $120,000-$150,000
NYC Department of Design and Construction
The NYC Department of Design and Construction manages the design and construction of public buildings and infrastructure.
Revenue Analyst
Queens
- Skills: Revenue Analyst, payment reimbursement, utility companies, construction projects, billing, invoices, supporting documentation, budget, audit, financial analysis
- Type: Full-time
Department of Social Services
The Department of Social Services Accountability Office (DSS-AO) is responsible for supporting the integrity of social services programs administered by variou…
Clerical Associate IV
New York City
- Skills: claims, research, administrative support, Reporting, data entry, legal affairs, public assistance, Medicaid, asset recovery, social services
- Type: Full-time
- Salary: $45,050 - $51,796
CityOfNewYork
Clerical Associate III
Brooklyn
- Skills: Clerical, Authorization, Benefit Access, Supplemental Nutrition Assistance, Medicaid, Database Entry, Client Interaction, Electronic Benefit Transfer, Personal Identification Number, Participant Services
Argo Group
Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity.
Senior Technical Claims Specialist
New York City
- Skills: claims adjudication, investigation, analysis, negotiation, claims management, insurance, professional lines, customer focus, strategic skills, communication skills
- Experience: Minimum of seven years’ experience adjudicating professional lines claims.
- Salary: $185,900 - $223,100
Atria
Atria is a membership-based preventive health care practice delivering cutting-edge primary and specialty care from the comfort of your home, at our practices …
Integrative Medicine Care Coordinator
New York City
- Skills: administrative support, customer service, clinical teams, scheduling appointments, backend administrative systems, functional lab testing, EMR, medical terminology, confidentiality, communication
- Experience: 5+ years customer service experience in a clinical, hospitality, or membership role
- Salary: $80,000 - $85,000
Plaid
Plaid powers the tools millions of people rely on to live a healthier financial life. We work with thousands of companies like Venmo, SoFi, several of the Fort…
Fraud and Abuse Analyst
New York City
- Skills: fraud, abuse, investigation, claims, triage, incidents, response, mitigation, platform, consumer risk
- Type: Full-time
HRA
The Office of Revenue Management and Development (ORMD) is a major revenue-producing office within HRA, contributing to creating PEG revenue and generating add…
Principal Administrative Associate III
New York City
- Skills: Medicaid, case records, documentation, quality assurance, fraud reduction, Supervise, analysis, reviews, duplicate identification, reimbursement adjustments
EVERSANA/Mitsubishi Tanabe Pharma America (MTPA)
EVERSANA Deployment Solutions offers our employees competitive compensation, paid time off, company paid holidays, excellent training, employee development pro…
Field Reimbursement Manager
New York City
- Skills: access, reimbursement, patient access, neurology, stakeholders, education, payer policy, prior authorization, healthcare provider, local payer trends
Molina Healthcare
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Sr Analyst, Provider Config (SQL)
Yonkers
- Skills: SQL, data maintenance, provider databases, business rules, data validation, process improvement, stakeholder collaboration, healthcare data analysis, workflow optimization, training and support
- Experience: 5-7 years
- Salary: $77,969 - $141,371 / ANNUAL
Dane Street
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physician…
Board-Certified Orthopedic Spine Surgeon
New York City
- Skills: Utilization Review, Orthopedic Surgery, Medical Necessity, Workers’ Compensation, Evidence-based Opinions, Independent Contractor, Remote Work, Peer-to-peer Calls, Medical Records, Clear Determinations
- Experience: Board Certification in Orthopedic Surgery (Spine focus preferred); Active, unrestricted New York medical license; Workers’ Compensation Board Certification (New York); Active clinical practice.
- Type: Contract