Claims processing jobs in New York, New YorkCreate job alerts

URGENT HIRING FOR Pharmacy Tech Job Location: Astoria, NY Job Duration: 13Week Shift: Days (5*8) (08:00AM - 05:00PM) Experience/Requirement: Minimum 6+ months LOCAL PAY: $15-$20/hr Job Description: The Pharmacy Technician assists pharmacists in preparing and dispensing medications, maintaining patient records, processing insurance claims, and ensuring smooth pharmacy operations. The role requires accuracy, attention to detail, and excellent customer service skills.

Pride Health is hiring an Accounts Payable Assistant to support our client’s medical facility based in New York, NY 10004. This is a 13-week assignment with a contract-to-hire opportunity and a great way to start working with a top-tier healthcare organization! Job Title: Accounts Payable Assistant Location: New York, NY 10004 Hourly W2 pay: $26/hr - $31/hr Schedule: Hybrid, Mon–Fri, 9 AM – 5 PM Start date: 06/01/2026 Responsibilities: Responsible for reviewing, auditing, and processing invoices/claims, ensuring accuracy and identifying discrepancies. Performs data entry and claims adjudication, verifying provider/member information and applying administrative policies. Evaluates claims for errors, payment issues, and missing details; may request additional information from providers. Maintains production and quality standards while updating manuals and supporting departmental processes. Requirements: High school diploma/GED (Associate’s or healthcare experience preferred) 2+ years of experience, ideally in healthcare insurance or claims processing Knowledge of medical terminology, CPT, ICD, and revenue codes Strong data entry, problem-solving, and time management skills Proficiency in PC applications Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. Equal Employment Opportunity Pride Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law. Fair Chance Employment Pride Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Job Summary: This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision of the claims team. Essential Functions • Responds to complaints in a prompt and professional manner and deploys effective service recovery strategies to resolve the issue. Escalates unresolved complaints when appropriate., • Direct and coordinate the activities of claims and data entry areas including direct supervision of subordinates and the implementation of employment issues., • Maintenance of a working knowledge of Management Information System and the coordination of required software enhancements for efficient claims processing., • Assisting in the development and implementation of departmental policies and procedures, • Assurance of appropriate level of staff training, • Monitoring and documenting processing accuracy and productivity levels, • Preparing, submitting and monitoring various reports as required, • Oversee Medicare audit preparation, submission, and response processes, ensuring compliance with CMS regulations., • Review, track, and manage Medicare audit findings, coordinating corrective action plans and validation activities., • Ensure accurate Medicare coding, documentation integrity, and adherence to billing rules to minimize audit risk., • Responsible for managing and responding to claim appeals, including Medicare-related appeals, ensuring timely and accurate resolution., • Establishing department audit process and payment integrity, • Perform any other job related duties as requested. Education and Experience • Associates in business or related field required, • Bachelor's degree preferred, • Equivalent years of relevant work experience may be accepted in lieu of required education, • Five (5) years of healthcare claims experience required, • Previous financial experience in MLTC preferred, • Three (3) years Previous leadership experience required, • Experience with Medicare coding standards (ICD-10, CPT, HCPCS) and Medicare audit processes required Competencies, Knowledge and Skills • Advanced proficiency in Microsoft Word, Excel, and PowerPoint, • Data analysis and trending skills, • Experience in staffing and forecasting (preferred), • Understanding of managed care claims operations, • Knowledge of coding and billing processes (CPT, ICD-9, HCPCS), • Strong communication and negotiation skills, • Strategic and executive management abilities, • Supervisory and leadership experience, • Ability to work independently and collaboratively, • Attention to detail and critical thinking, • Familiarity with the healthcare field, • Technical writing and proper grammar usage, • Effective time management and decision-making skills, • Customer service orientation and proper phone etiquette Licensure and Certification • Medical Coding or billing certification preferred Working Conditions • General office environment; may be required to sit or stand for extended periods of time, • Travel is not typically required

The Claims Verification Specialist is responsible for verifying patient information, documentation, and insurance coverage for No-Fault (PIP), Workers’ Compensation, and lien cases. This includes ensuring all demographics and documents are accurate in the system, confirming claim details with insurance carriers, and maintaining direct communication with patients’ attorneys. The specialist plays a critical role in preventing delays, supporting billing compliance, and safeguarding reimbursement by maintaining accurate records and clear communication across all parties involved. Detailed Responsibilities: • Verify patient demographic information, identification, and all supporting documents in the system to ensure accuracy before claim processing., • Confirm patient eligibility, benefits, accident details, claim numbers, and coverage status with insurance carriers, employers, attorneys, and third-party administrators., • Communicate directly with patients’ attorneys to confirm representation, exchange required documentation, and resolve issues affecting claims., • Ensure all required documentation is obtained at scheduling or intake, including ID, referrals, referring physician information, and attorney details., • Maintain up-to-date claim records in the EHR/practice management system, including adjuster and attorney contact information., • Coordinate with scheduling staff to resolve missing or incomplete information prior to patient visits., • Notify billing staff promptly of any verification issues that may prevent claims from being billed within the required 7-day turnaround from Date of Service (DOS)., • Monitor ongoing claims to verify continued eligibility, resolve discrepancies, and follow up with carriers and attorneys as needed., • Support billing compliance by ensuring coordination of benefits is properly identified and applied., • Provide timely updates and escalate to management when verification or documentation issues affect claim submission., • Maintain detailed documentation of all communications with carriers, attorneys, and internal staff for auditing and compliance purposes., • Asist in reducing reporting backlogs by ensuring verifications are completed accurately and on time., • Collaborate with scheduling, billing, and clinical teams to ensure smooth workflows across multiple facilities., • Participate in audits, quality reviews, and reporting to strengthen processes and ensure compliance with regulations. What the Candidate will bring: • Understanding of NYS Workers Compensation/No Fault guidelines, terminologies, and processes. A minimum of 1 years of working in WC/NF experience required., • Extremely detailed oriented, excellent problem-solving skills, and the ability to think critically., • The ability to quickly think and make accurate decisions will determine the success of the candidate in this role., • Strong communication skills with the ability to diagnose the cadence of any conversation., • Ability to communicate effectively with a variety of personalities to achieve required results., • Insurance and Claims Knowledge (No-Fault, Workers’ Compensation, liens)., • Documentation and Compliance Accuracy., • Communication and Negotiation (carriers, attorneys, and internal staff). Experience: • Workers' compensation/No Fault: 1 year (Required), • Customer service: 1 year (Required) Work Location: In person

Position: Claims Adjustment Specialist I Location: New York, NY 10004 Job Type: Contract Contract: 8 weeks (with potential extension) Schedule: Monday–Friday | 9:00 AM – 5:00 PM (Hybrid) Guaranteed hours per week: 35.00 Pay: Up to $30/hour Job Summary Pride Health is seeking an experienced Claims Adjustment Specialist I for a contract opportunity in New York, NY. This role is responsible for reviewing, analyzing, and adjusting medical claims to ensure accurate payment processing in compliance with healthcare guidelines and policies. Responsibilities • Research and analyze medical claims adjustment requests and supporting documentation, • Adjust and adjudicate claims for overpayments or underpayments, • Apply appropriate payment guidelines including CMS, Medicare, Medicaid, and plan benefits, • Identify claim discrepancies related to coding, reimbursement rates, or authorizations, • Communicate findings and resolutions to internal teams and external providers, • Respond to provider inquiries regarding claims processing and payment issues, • Maintain accurate documentation and records of all claims processed, • Generate reports on claim activity and assist with audits, • Ensure timely processing of claim adjustments according to established timelines, • Stay updated with changes in claims processing guidelines and coding standards, • Utilize multiple systems including CRM tools (Salesforce preferred) and claims platforms Requirements • Minimum 3 years of experience in healthcare claims operations, • Strong knowledge of medical claims processing and adjudication, • Familiarity with CPT, ICD-10, and Revenue Codes, • Experience with claims systems and CRM tools (Salesforce preferred), • Strong analytical, problem-solving, and decision-making skills, • Proficiency in Microsoft Excel and Word, • Excellent communication and documentation skills Preferred Qualifications • Associate degree preferred (High School Diploma/GED required), • Experience with HCFA and UB-04 claim forms, • Knowledge of HIPAA regulations and compliance, • Experience handling provider inquiries and claim investigations, • Ability to work independently and manage multiple priorities Why Work with Pride Health? Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

Position: Lead Claims Business Analyst - W2 Location: New York, NY 10004 Contract: Approx. 8 weeks (with potential extension) Schedule: Monday–Friday | 9:00 AM – 5:00 PM (Hybrid) Guaranteed hours per week: 35.00 Pay: Up to $60/hour Job Summary Pride Health is seeking an experienced Lead Claims Business Analyst for a contract opportunity in New York, NY. This role will serve as the primary point of contact for the Claims Processing workstream, supporting system implementation, workflow optimization, and process improvement initiatives within a healthcare environment. Responsibilities • Serve as the main point of contact for the Claims Processing workstream, • Gather, analyze, and document business requirements in collaboration with stakeholders and consultants, • Develop current and future state workflows for claims processes and downstream systems, • Identify gaps in processes and documentation; recommend and implement improvements, • Partner with leadership to define product roadmaps and prioritize system enhancements, • Review and validate business requirements, workflows, policies, and procedures, • Collaborate with QA teams to define test cases, scenarios, and acceptance criteria, • Support UAT testing and ensure alignment with business requirements, • Identify and resolve system or process deviations during testing phases, • Assist in development and review of training materials, • Monitor project progress and provide updates to stakeholders, • Act as liaison between business, technical teams, and leadership, • Ensure timely delivery of project milestones and objectives Requirements • Strong experience as a Business Analyst in healthcare or claims environment, • Hands-on experience with claims processing (Medicaid/Medicare/Commercial), • Proven experience with UAT, test case creation, and system implementation, • Strong analytical, problem-solving, and process improvement skills, • Experience with workflow documentation and gap analysis, • Excellent communication and stakeholder management skills Preferred Qualifications • Experience with Behavioral Health claims, • Prior experience working on large-scale system implementations, • Strong understanding of healthcare operations and claims lifecycle, • Ability to work cross-functionally with technical and business teams Why Work with Pride Health? Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

Position: Data Quality Analyst / Claims Service Correspondent Location: New York, NY 10004 (Hybrid) Job Type: Contract Contract: ~8 weeks with potential extension Schedule: Monday – Friday | 9:00 AM – 5:00 PM Guaranteed hours per week: 35.00 Pay: Up to $65/hour Job Summary Pride Health is seeking a skilled Data Quality Analyst / Claims Service Correspondent for a contract opportunity in New York, NY. This role focuses on data validation, claims inquiry resolution, and quality assurance, supporting healthcare operations and ensuring accurate claims processing and data integrity. Responsibilities • Respond to provider claim inquiries and ensure timely resolution, • Review, validate, and maintain accuracy of healthcare data, • Perform claims adjustments for overpayments and underpayments, • Collaborate with internal teams (Provider Relations, Medical Management, Claims), • Maintain accurate documentation and data entry in IMAX systems, • Analyze datasets to identify discrepancies and improve data quality, • Support quality control processes for data reporting and analytics, • Track and manage inquiry resolution workflows, • Assist with audits, reporting, and process improvements, • Communicate effectively with providers and internal stakeholders Requirements • Strong experience in claims processing and healthcare operations, • Knowledge of MetroPlus claims guidelines and benefit structures, • Experience with IMAX and TXEN systems, • Proficiency in Excel and data analysis tools, • Strong analytical, problem-solving, and communication skills, • Ability to manage high-volume inquiries and meet deadlines Preferred Qualifications • Experience with SQL, Python, or R, • Background in data quality, analytics, or reporting, • Strong customer service and issue resolution skills, • Ability to work independently and handle complex workflows Why Work with Pride Health? Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

Pay Range: (Minimum to mid pay range specific to (OHI,DEL,NY,CA,CO,WA,MD,CT,IL,NV,,KY,MI,NJ,ME,MO,MA,MT) 88,800.00 - 111,000.00 USD Annual About Brink's: The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations. Our network of operations in 51 countries serves customers in more than 100 countries. We believe in building partnerships that secure commerce and doing that requires fostering an engaged culture that values people with different backgrounds, ideas, and perspectives. We build a sense of belonging, so all employees feel respected, safe, and valued, and we provide equal opportunity to participate and grow. Job Description Brink's U.S., a division of Brink's, Incorporated, is the premier provider of armored car transportation, currency and coin processing, ATM servicing and other value added services to financial institutions, retailers and other commercial and government entities. The company has a proud history of providing growth and advancement opportunities for its employees. We have a challenging opportunity for a ATM Manager II. Job Summary: The ATM Manager II is responsible for managing drivers, messengers and guards and operations the facility, typically including up to 20 routes or more than 1,200 ATMs. This position is responsible for assisting the General Manager in the secure, safe and efficient functioning of an armored car operation. The incumbent drives the execution of the business and motivates team members to achieve the best results and to drive continuous process improvement. This position will lead a dedicated team of ATM employees and requires extensive coordination with other on-site operations. This position functions in an armed environment. This position requires the enforcement of rules to protect the premises and property of Brink's and its customers, as well as the safety of persons on the premises of Brink's and its customers. • Key Responsibilities:, • Manage the ATM Logistics team members at one of the market locations, • Ensure ATM route logistics efficiency through appropriate interaction with market employees and route analysis, • Ensure ATM data is entered and balanced in the BIM system, • Maintain safe and secure environment with the goal of ensuring the safety of all employees, • Leverage systems, equipment and process redesign to drive continuous improvement in cost, quality and efficiency, • Maintain and provide quality customer service, • Secure inventories by executing controls and ensuring strict compliance with security procedures; proactively reduce risk exposure and ensure implementation of measures to reduce worker's compensation injury costs and security losses, • Establish and maintain accountability on the front line of the market; schedule and develop staff; maintain positive Employee Relations and work environment, while creating a cooperative team atmosphere of employee engagement, • Minimum of 3 years operations experience in transportation and/or logistics, • Minimum of 1 year supervisory experience, • Minimum of Class B with air brakes driver's license, • Satisfy all applicable Department of Transportation requirements, • Minimum of 21 years of age, • A valid firearms permit or ability to pass applicable firearms licensing requirements Preferred Qualifications: • 5+ years ATM operations and claims experience, • Previous experience as an armored car driver, • Knowledge of route analysis and logistics, • Knowledge of lean/process improvement methodologies, • Knowledge of budgeting and planning experience, • Strong consultative, analytical and problem solving skills If you have the background and integrity we require and are looking for a challenging opportunity, we hope you will consider employment with Brink's U.S. We provide a competitive salary, medical, dental, vision and life insurance plans. In addition, we offer a 401(k) plan with company match. If you are interested and meet the requirements for this position, please apply. EEO Statement Brink's, Incorporated is an Equal Opportunity / Affirmative Action Employer, and is committed to maintaining a drug-free workplace. What's Next? Thank you for considering applying for a job at Brink's. To be considered for this position, you must complete the entire application process, which includes answering all prescreening questions and providing your eSignature. Upon completion of the application process, you will receive an email confirming that we have received your application. We will review all candidates and notify you of your status should we deem you fit for a job. Thank you again for your interest in a career at Brink's. For more information about future career opportunities, join our talent network, like our Facebook page or Follow us on X. Brink's is an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, marital status, protected veteran status, sexual orientation, gender identity, genetic information, or history or any other characteristic protected by law. Brink's is also committed to providing a drug-free workplace. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.

Based in San Francisco, ___ is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals receive the safest and most effective treatments for their unique and evolving healthcare needs. Frequently, medications cause more harm than good. Incorrect drugs and doses costs the US healthcare system over $528 billion in waste, avoidable harm, and hospitalizations each year. Arine is redefining what excellent healthcare looks like by solving these issues through our software platform (SaaS). We combine cutting edge data science, machine learning, AI, and deep clinical expertise to introduce a patient-centric view to medication management, and develop and deliver personalized care plans on a massive scale for patients and their care teams. Arine is committed to improving the lives and health of complex patients that have an outsized impact on healthcare costs and have traditionally been difficult to identify and address. These patients face numerous challenges including complicated prescribing issues across multiple medications and providers, medication challenges with many chronic diseases, and patient issues with access to care. Backed by leading healthcare investors and collaborating with top healthcare organizations and providers, we deliver recommendations and facilitate clinical interventions that lead to significant, measurable health improvements for patients and cost savings for customers. Why is Arine a Great Place to Work?: Outstanding Team and Culture - Our shared mission unites and motivates us to do our best work. We have a relentless passion and commitment to the innovation required to be the market leader in medication intelligence. Making a Proven Difference in Healthcare - We are saving patient lives, and enabling individuals to experience improved health outcomes, including significant reductions in hospitalizations and cost of care. Market Opportunity - Arine is backed by leading healthcare investors and was founded to tackle one of the largest healthcare problems today. Non-optimized medications therapies which cost the US 275,000 lives and $528 billion annually. Dramatic Growth - Arine is managing more than 18 million lives across prominent health plans after only 4 years in the market, and was ranked 236 on the 2024 Inc. 5000 list and was named the 5th fastest-growing company in the AI category. The Role: The Data Engineering Lead is a pivotal hybrid role within the Data Engineering team, combining hands-on development with leadership responsibilities. This individual will lead a squad of Data Engineers to deliver high-quality, high-velocity customer data pipelines while maintaining existing ones. The Data Engineering Lead owns end-to-end delivery including project management, data quality, and timelines and is accountable for both team output and their own individual contributions. This role requires consistently high standards in both coding and execution. What You'll be Doing: • Collaborate with the Implementation and Data Analyst team to review and own DE requirement write-ups, ensuring they fully address data needs discussed in implementation calls., • Communicate timelines for deliverables to unblock Data Engineers for ETL pipeline development., • Proactively flag risks to timelines or quality to stakeholders and project managers., • Lead backlog grooming for implementation-related tickets., • Ensure team cross-coverage: both the DE Lead and assigned Data Engineer should understand the full ETL flow, with at least two additional engineers familiar at a high level., • Conduct thorough peer reviews and DE UATs after initial UAT completion., • Design and maintain data transformation pipelines using dbt, including utilizing core concepts like macros, incremental models and dbt tests, • Work with QA and CSA teams to resolve post-UAT issues and update the DE UAT checklist., • Provide technical guidance and mentorship to junior engineers, and promote best practices and coding standards., • Identify and escalate inefficiencies within and across teams., • Support project management and provide leadership to peers as needed., • Author and support high-quality technical documentation, assisting junior engineers in doing the same., • Collaborate with the DE Manager to report on DE contractor performance issues. Who You Are and What You Bring: • 6+ years of experience working with Data, • Experience leading a team of up to 3 Engineers, • Experience creating an automated ETL process using Python and DBT SQL, • Hands on experience with modern data technologies and comfortable leveraging AI coding assistants to accelerate development, improve code quality, and enhance productivity., • Experience with data processing, validation, cleaning, and debugging data sets, • Experience with building production grade ETL pipelines using dbt (including macros, incremental and Python models and testing), • A demonstrable and deep understanding of healthcare /healthcare claims data, • Experience with processing large data sets (over 10 GB), • Excellent verbal and written communication skills Remote Work Requirements: • An established private work area that ensures information privacy, • A stable high-speed internet connection for remote work, • This role is remote, but you will be required to come to on-site meetings multiple times per year. This may be in the interview process, onboarding, and team meetings Perks: Joining Arine offers you a dynamic role and the opportunity to contribute to the company's growth and shape its future. You'll have unparalleled learning and growth prospects, collaborating closely with experienced Clinicians, Engineers, Software Architects, and Digital Health Entrepreneurs. The posted range represents the expected salary for this position and does not include any other potential components of the compensation package (including bonus and equity), benefits, and perks. Ultimately, the final pay decision will consider factors such as your experience, job level, location, and other relevant job-related criteria. The salary range for this position is: $150,000-170,000/year. Job Requirements: • Ability to pass a background check, • Must live in and be eligible to work in the United States Information Security Roles and Responsibilities: All staff at Arine are expected to be part of its Information Security Management Program and undergo periodic training on Information Security Awareness and HIPAA guidelines. Each user is responsible to maintain a secure working environment and follow all policies and procedures. Upon hire, each person is assigned and must complete trainings before access is granted for their specific role within Arine. Arine is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are treated with fairness and respect. We do not discriminate on the basis of race, ethnicity, color, religion, gender, sexual orientation, age, disability, or any other legally protected status. Our hiring decisions and employment practices are based solely on qualifications, merit, and business needs. We encourage individuals from all backgrounds to apply and join us in our mission. Check our website at . This is a unique opportunity to join a growing start-up revolutionizing the healthcare industry! Job Offers: Arine uses the arine.io domain and email addresses for all official communications. If you received communication from any other domain, please consider it spam. Note to Recruitment Agencies: We appreciate your interest in finding talent for Arine, but please be advised that we do not accept unsolicited resumes from recruitment agencies. All resumes submitted to Arine without a prior written agreement in place will be considered property of Arine, and no fee will be paid in the event of a hire. Thank you for your understanding.

• Fully onsite HR Manager role based in Montclair, NJ supporting a 24/7 manufacturing operation across 3 shifts., • Responsible for full-cycle HR (“A–Z HR”) for approximately 200 employees at the site within a 500-employee, 3-location organization., • Bilingual Spanish required; must have strong communication, employee relations, and conflict-resolution skills., • Required experience includes manufacturing HR, onboarding, training, HRIS management, timekeeping, workers’ compensation, and leave administration., • Systems experience preferred with ADP, Kronos, and UKG., • Key responsibilities include employee relations, payroll support, recruiting, orientation, benefits coordination, performance documentation, compliance, and termination processing., • Oversees workers’ compensation claims, accident investigations, return-to-work programs, and employee record management while maintaining strict confidentiality., • Schedule is approximately 8:30 AM–5:30 PM onsite, with one late shift per week (1 PM–9 PM) and one Saturday per month (with a weekday off following week)., • No direct reports; role partners closely with Corporate HR leadership and cross-functional management teams., • Bachelor’s degree required; salary up to $100K plus quarterly bonus potential.

About CTBC Bank Established in 1966, CTBC Bank has been building customers’ wealth and Taiwan’s economy for over half a century now. In that time, it has grown into an international force offering a comprehensive suite of financial services. As of the end of 2025, the Bank’s consolidated assets totaled NT$6.88 trillion, the most among all privately owned banks in Taiwan. It is also the best-performing bank in other indicators, such as profits, tier 1 capital, and client base. In addition, CTBC Bank has the most extensive international presence of any Taiwanese bank, with 219 overseas outlets across 14 countries and regions. With a subsidiary, The Tokyo Star Bank, purchased in Japan and CTBC Bank subsidiaries established in the U.S., Canada, the Philippines, and Indonesia, the Bank has laid a strong foundation for regional business, providing international enterprises with comprehensive transnational financial services. Visit our website at JOB OPPORTUNITY: INDUSTRY: Commercial Banking POSITION: Banking Operation Associate LOCATION: Manhattan, NY. 1. Customer Service • Open new deposit accounts. Maintain account documentation file;, • Issue/Renew certificate of deposit (CD);, • Follow up with CD documents;, • Update changes in interest rates;, • Receive and process customer check deposits, including those received through lockbox and remote checkdeposit services., • Attend to customer's request for remote check deposit service, and coordinate in the installation and settingup of initial service for customer; and process remote check deposit transactions;, • Issue cashier check;, • Collect service charges (Monthly Account Maintenance fee);, • Process incoming clearing checks;, • Respond to customer's telephone inquiries including attending to all incoming phone calls;, • Internet banking set up and maintain. 2. ACH/Wire/Remittance Transfer • Process ACH/Wire transactions, • Investigate and resolve inquiries on ACH/Wire transactions, • Ensure full compliance with regulatory requirements on funds transfer activities 3. Treasury Service Processor • Maker functions relating to back-office processing of treasury transactions, • Authorize money market placement and borrowing payment transactions, • Authorize 'Yankee' CD transactions in SIGNALS system, • Authorize FX payment transactions in MUREX system 4. Process Letter of Credit/Trade Financing Activities • Process LC reimbursement claims, • Issue/Amend documentary L/C, standby Letter of Credit, D/A DIP bills for collection, • Check export LC documents for negotiation Requirements: • Education: Bachelor’s degree requried. Master’s degree preferred, • Experiences: Loan operation experience in financial services preferred, • Language skills: Bilingual in Mandarin Chinese and English required., • Software skills: Proficiency in PC skills such as MS Word, Excel, PowerPoint and Word processing WORK ENVIRONMENT: • Standard office environment. Noise level in work environment is usually average. Hear in the normal audio range with or without correction. Specific vision abilities required by this job include close vision and the ability to adjust focus. Occasional off site client meetings and site visits. CTBC Bank is an Equal Opportunity, Affirmative Action Employer. Minorities, women, and individuals with disabilities are encouraged to apply. We provide equal opportunity in all employment matters without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, disability, medical condition, age, genetic information, veteran status, or any other characteristic protected by federal, state, or local law, for all qualified applicants and CTBC Bank employees.

We are seeking a highly skilled and motivated candidate with specialized experience in NJ provider/PIP initiatives to join our team in order to assist with Major Case Investigation. The ideal candidate will have a strong background in identifying, investigating, and resolving complex cases of insurance fraud within the Personal Injury Protection (PIP) and healthcare provider space. Proficiency in investigative techniques, industry regulations, and PIP claim regulations is essential. RESPONSIBILITIES • Lead and conduct comprehensive investigations into major fraud cases, including healthcare fraud, staged accidents, exaggerated injuries, and fraudulent billing practices related to PIP claims., • Analyze and review claims data to identify red flags, trends, and patterns indicative of fraudulent activity, particularly focusing on NJ provider claims., • Collaborate with internal teams, external stakeholders, and law enforcement agencies to gather evidence and build cases., • Interview witnesses, claimants, and providers as part of the investigative process, documenting findings thoroughly., • Provide detailed reports and recommendations on cases for potential legal action or denial of claims., • Stay current with NJ PIP regulations, fraud detection techniques, and industry best practices., • Work closely with legal, compliance, and claims teams to ensure that investigative findings align with company policies and regulatory requirements., • Provide testimony and expert witness support in legal proceedings when necessary. QUALIFICATIONS • Minimum of 5 years of experience in insurance fraud investigation, with a focus on PIP claims and NJ provider networks., • Proven expertise in the detection, investigation, and resolution of complex fraud cases in the insurance or healthcare industry., • Strong understanding of New Jersey PIP laws, regulations, and claims processing., • Proficiency in utilizing investigative tools, claims management software, and fraud detection systems., • Excellent written and verbal communication skills, with the ability to present complex findings clearly and effectively., • Ability to work independently, manage multiple investigations simultaneously, and meet deadlines., • Strong analytical and problem-solving skills., • Bachelor’s degree or equivalent experience in criminal justice, insurance, or a related field. SALARY RANGE The pay range for this position is $70,000 to $103,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. PERKS & BENEFITS • 4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays, • Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision), • Annual 401(k) Employer Contribution, • Free onsite gym and health center at our Woodbridge Location, • Resources to promote Professional Development (LinkedIn Learning and licensure assistance), • Robust health and wellness program and fitness reimbursements, • Various Paid Family leave options including Paid Parental Leave, • Tuition Reimbursement ABOUT THE COMPANY The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner’s insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

Contract to hire position with a major financial firm. This position is hybrid to Newark, NJ As a Data Scientist on the Data Science team, you will partner with our diverse team of Engineers, Economists, Computer Scientists, Mathematicians, Physicists, Statisticians and Actuaries tasked with mining our industry-leading internal data to develop new analytics capabilities for our businesses. The role requires a rare combination of sophisticated analytical expertise; business acumen; strategic mindset; client relationship skills, problem solving; and a passion for generating business impact. This is an exciting opportunity to be a part of a strategic initiative that is evolving and growing over time! In addition to applied experience, you will bring excellent problem solving, communication and teamwork skills, along with agile ways of working, strong business insight, an inclusive leadership demeanor and a continuous learning focus to all that you do. Here is what you can expect in a typical day: • Responsible for the hands-on development of sophisticated data science solutions comprising the portfolio developed by the Lead Data Scientist and Actuaries and the technical requirements specified by the Lead Data Scientist and Actuaries. • Perform hands-on data analysis, model development, model training, model testing, model deployment. • Continuously research new methods for problem solution, including new algorithms, modeling techniques, and data analytics techniques. • Write production-level code and partner with machine learning engineers to push development code into production. • Partner with machine learning engineers to productionized machine learning models. Partner with data engineers to build data pipelines. Partner with software engineers to integrate solutions with business platforms. • Work closely with the business and data science lead to recommend and develop models for GI financial underwriting, medical underwriting, marketing analytics and other business use cases. • Manage external vendors in the execution of the data science development process. The Skills and expertise you bring: • Advanced degree (Masters, Ph.D.) in Mathematics, Statistics, Engineering, Econometrics, Physics, Computer Science, Actuarial, Data Science, or comparable quantitative disciplines. • Working on complex problems in which analysis of situations or data requires an in[1]depth evaluation of various factors. Exercises judgment within broadly defined practices and policies in selecting methods, techniques, and evaluation criteria for obtaining results. • Knowledge of business concepts, tools and processes that are needed for making sound decisions in the context of the company's business. Create and test hypotheses for customer engagement and wellness programs. • Experience in research, designing experiments (ex: A/B testing), working with claims and customer experience data. An insurance actuary background is preferred but not required. • Ability to learn creative skills and knowledge on an on-going basis through self[1]initiative and solving challenges., • Excellent problem solving, communication and collaboration skills. Applied experience with several of the following: • Data Acquisition and Transformation: Acquiring data from disparate data sources using API's, SQL and NoSQL. Transform data using SQL, NoSQL, and Python. Visualizing data using a diverse tool set including but not limited to Python and R. • Database Management System: Knowledge of how databases are structured and function in order to use them e8iciently may include multiple data environments, cloud/AWS, primary and foreign key relationships, table design, database schemas, etc. o Knowledge of how to work with data from (do not build) o SQL skills (relational) - CORE / Initial Proficiency o Unstructured (NoSQL) o Graph / ontology (DB Graph) • Model Deployment: Understanding of: MDLC (Model Development Life Cycle), CI/CD/CT pipelines (using tools like Jenkins, CloudBees, Harness etc.), A/B testing. Pipeline frameworks like MLFlow, AWS SageMaker pipeline etc. model and data versioning. • Statistics and Computing: Exceptional understanding of: Calculus, Multivariable Calculus, Linear Algebra, Di8erential Equations, Probability, Statistics, Applied Probability, Applied Statistics, Computer Science (Programming Methodologies), and Cloud. Knowledge of statistical techniques such as the use of descriptive, inferential, bayesian statistics, time series analysis etc. to extract business insights and experimentation to solve business problems • Data Wrangling: Preparing data for further analysis; Redefining and mapping raw data to generate insights; Processing of large datasets (structured, unstructured). • Machine Learning: Understanding of machine learning theory, including the mathematics underlying machine learning algorithms. Expertise in the application of machine learning theory to building, training, testing, and monitoring machine learning models. Understanding and expertise in NLP (natural language processing). • Programming Languages: Python, R, SQL, Java or Scala, SQL, Cypher

Who We Are The Pattern Data platform was created for the rapid analysis of thousands of medical records. Fueled by AI, our platform efficiently reviews and categorizes documents in minutes, significantly reducing validation time by highlighting pertinent information crucial for litigation in medical analysis and personal injury cases. Our platform has been successfully implemented in major national settlements to process, adjudicate, and value claims. We transform terabytes of unstructured data into real-time, indexed medical and legal knowledge bases. Our document processing pipeline is the industry’s fastest and uses Scala on AWS. We accomplish this at scale using the following core stack of technologies: • Scala, TypeScript, PostgresQL, GraphQL, Elasticsearch, AWS At Pattern, our team is built on a foundation of collaborative ownership, visionary problem-solving, customer-centric solutions, and authenticity. We’re looking for a Staff Software Engineer to join our growing team. What You’ll Do As a Staff Software Engineer at Pattern Data, you will be involved throughout the product lifecycle - from idea generation, design, and prototyping to execution and shipping. You’ll effectively communicate tradeoffs and help scope and shape projects in close collaboration with our product and executive teams. You'll help build products deployed to legal teams at leading US law firms and play a significant role in the growth of the business and the engineering team. You will: • Architect, design, and implement backend services including our core API that powers our data processing and application, • Write code mostly in Scala, • Promote technical design and coding standards for our platform and product roadmaps, • Continually look for ways to improve our product’s architecture, whether through direct changes or building tools, components, etc What You’ll Bring • Bachelor’s Degree in Computer Science or related technical discipline, or related practical, • experience, • The ability to analyze a business need and select the most appropriate technical solution, • Experience working in or with start up teams, • Experience designing, building, and maintaining backend APIs, preferably in a team lead role, • Production experience or demonstrated interest in strongly-typed modern functional programming, • Experience with data structures, database optimization, cloud infrastructure, and message queues, • 8+ years experience in Software Engineering, • Curiosity and enthusiasm for tackling tough problems and delivering effective solutions, • Great communication skills and can work seamlessly with technical and non-technical stakeholders, • Passion for solving complex problems Ready to meet us? Please apply directly through our website or Linkedin. We are excited to hear from you! Pay Transparency Disclosure The estimated base salary range for this role is $195,000-$220,000 per year, plus bonus and benefits. At Pattern Data, our compensation philosophy is built around fairness, transparency, and market alignment. Base salary represents just one part of our total compensation package, which also includes performance-based incentives, comprehensive benefits, and other rewards. Final compensation will be determined based on several factors, including skills, experience, qualifications, geographical location and internal equity across the team. We understand that exceptional candidates bring unique backgrounds and strengths. If the scope of the role changes during the hiring process, we’ll update and communicate any adjusted range accordingly. Pattern Data is committed to pay equity and to maintaining competitive, transparent compensation practices across all roles and teams.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital 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 Location:Remote (For Non-Local) or Hybrid (Local to NYC,Denver, or Charlotte) Position Summary: The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations. Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent. Position Responsibilities: * Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business * Support implementation as a critical member of the client management teams with all day-to-day client requirements * Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations * Analyze incoming client requests and work with internal and external teams to complete required plan documentation * Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent * Lead pre- and post-implementation quality assurance and testing to validate coding accuracy * Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address * Travel requirements not to exceed 25% * Handle and resolve sponsor and member issues, escalating as needed * Research and respond to claims processing and system configuration inquiries * Coordinate integration of other data inputs into client management processes * Collaborate cross functionally to support general client operations, as required * Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support * Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Qualifications: * Undergraduate bachelor's degree, with record of strong academic performance * 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare * Track record of building trusting internal and external relationships * Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables * Experience working with structured and unstructured data * Proficient in Microsoft Office, SQL a bonus * Ability to balance multiple complex projects simultaneously * Exceptional written and verbal communication skills * Extremely flexible, highly organized, and able to shift priorities easily * Attention to detail & commitment to delivering high quality work product Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$80,000—$100,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

Aon is looking for an Account Executive III in New York City or Boston! Are you looking for an opportunity to take the next step in your Construction & Infrastructure Risk career? Keen to work with an experienced team who are motivated by exciting work and continuous learning? Our Construction Services Group is seeking an Account Executive III to join their team in the Northeast! At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive team, and we are passionate about helping our colleagues and clients succeed. • Collaborates with senior unit members to develop coverage strategy and marketing initiatives for renewal and prospective business, • Accurately and timely responding to client requests and inquiries, • Preparing new business and renewal and keeping them up to date, • Analyzes client specific risk exposure and details coverage requirements; prepares and presents marketing proposals for renewals and new business, • Establish and maintain positive relationships with the underwriting community, especially key partner markets, • Processing, and/or issuing where applicable, new policies and policy renewals, changes, additions, deletions and cancellations, • Reviewing and proofreading all assignments, acquiring accurate signatures and dispensing as appropriate, • Calculating adjustments and premiums on polices and other insurance and provider documents, • Lead, measure and report on ongoing insurance or risk retention programs, • Handle daily tasks and key assignments with appropriate technology tools, • 10+ years experience of commercial insurance experience, preference for those experienced in Construction, • Commitment to ongoing learning and professional development including insurance courses/certifications/designations, • Thorough analysis of current risk transfer programs, such as coverage and cost analysis and graphical representations of the program, • Insurance program structure planning and design of alternatives based on client objectives, • Prepare marketplace insurance submissions, coordinate, and assist in market meetings and negotiations, as appropriate, • Finalize all risk transfer quotes and complete a thorough comparison of program options as part of the client proposal presentation. Comparison to include changes in exposure, losses, coverage terms and conditions and cost of risk, • Contract Review, • Responsible for ensuring proper client service, • Policy and other related document checking, • Invoicing and other transactional duties, • Review and clearing audits and adjustments, • Claims review and analysis, • Assist team as needed, ie: special projects, daily backup, • Bachelor's degree in or equivalent years of industry experience. Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued. Aon values an innovative and inclusive workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply. We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email For positions in San Francisco and Los Angeles, we will consider for employment qualified applicants with arrest and conviction record in accordance with local Fair Chance ordinances. Aon is not accepting unsolicited resumes from search firms for this position. If you are a search firm, you will not be compensated in any way for your submission of a candidate, even if Aon hires that candidate. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. The salary range for this position (intended for U.S. applicants) is $170,000 to $250,000 annually. The actual salary will vary based on applicant's education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location. This position is eligible to participate in one of Aon's annual incentive plans to receive an annual discretionary bonus in addition to base salary. The amount of any bonus varies and is subject to the terms and conditions of the applicable incentive plan. A summary of all the benefits offered for this position: Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. 2569527

Work with vast national datasets of medical and pharmacy claims data to interpret, analyze, and build datasets that deliver actionable insights to Trella’s proprietary solutions. Design, build, and maintain scalable Databricks workflows and jobs for processing healthcare claims data. You will work

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital 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 Position Summary: We are seeking a detail-oriented and analytical Manager, Pharmacy Pricing Appeals to join our Provider Relations team. In this role, you will be responsible for managing and resolving the interaction with the pharmacies related to pricing appeals and claims review requests submitted by the pharmacies or internal teams. This includes performing an initial review of the claim and associated pricing, providing the information to internal teams for review, managing any claim adjustments that may be needed, and communicating any necessary information back to the pharmacies. You will play a critical role in ensuring fair reimbursement practices and maintaining strong relationships with pharmacy partners. Position Responsibilities: • Lead the review and improvement of the pharmacy pricing appeal process in coordination with the Analytics team., • Lead the review and evaluation of the pricing appeal regulatory requirements with the Legal team., • Manage intake pharmacy pricing appeals or claims reviews from the pharmacies or internal teams via the applicable intake methods required by internal processes and regulations. This involves managing applicable appeal in-boxes and intake methods., • Evaluate pharmacy-submitted appeals to ensure they meet established criteria and provide the applicable information to the appropriate internal teams for review., • Receive the internal claim pricing review and respond to the appealing pharmacy with the information., • Manage the internal process to update any pricing or make claim adjustments as necessary., • Collaborate with pharmacies and internal teams to reach equitable reimbursement outcomes., • Provide appeal response information and feedback to the pharmacies as required., • Provide clear and timely updates to pharmacies and other stakeholders regarding appeal statuses and outcomes., • Maintain accurate records of appeals and generate reports on trends and discrepancies., • Lead the development of and manage the claims review process at the NDC level., • Support other projects as assigned by the Provider Relations team., • Bachelor's degree required., • 5+ yrs. of experience in reviewing claims or payment appeals in healthcare, pharmacy, PBM, or other relevant experience. Such prior experience in a pharmacy pricing appeals role includes experience in managing regular correspondence and communication with pharmacies., • In-depth knowledge of pharmacy operations and drug pricing., • Familiarity with PBMs and their role in pharmacy reimbursement., • Strong analytical and problem-solving skills., • Strong project management skills., • Excellent communication and interpersonal abilities., • Experience with and understanding of pharmacy claims processing, pharmacy adjudication systems, and reimbursement workflows., • Knowledge of state or federal pricing appeal laws., • Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint., • Proven track record of working in a fast-paced environment, managing multiple tasks at once and having a go-get attitude to provide persistent outreach to pharmacy providers to close out contracts and tasks., • Ability to work independently, track work/projects appropriately and remain on task. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital 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 Location: Remote or Hybrid (Local to NYC or Denver area) As an Account Manager focused on PBA and Medicare, you'll be at the forefront of delivering seamless client experiences by managing benefit changes, implementing new plans, and ensuring pricing accuracy-all while driving impactful solutions that directly shape business success. You'll lead key quality assurance initiatives, proactively identify claim discrepancies, and collaborate across teams to streamline processes, making a tangible impact on client satisfaction and operational efficiency. Your expertise will be essential in shaping client strategies, resolving complex issues, and upholding the values that keep Capital Rx ahead of the competition. Position Responsibilities: • Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business, • Support implementation as a critical member of the client management teams with all day-to-day client requirements, • Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations, • Analyze incoming client requests and work with internal and external teams to complete required plan documentation, • Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent, • Lead pre- and post-implementation quality assurance and testing to validate coding accuracy, • Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address, • Travel requirements not to exceed 25%, • Handle and resolve sponsor and member issues, escalating as needed, • Research and respond to claims processing and system configuration inquiries, • Coordinate integration of other data inputs into client management processes, • Collaborate cross functionally to support general client operations, as required, • Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support, • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Qualifications / Profile: • Undergraduate bachelor's degree, with record of strong academic performance, • 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare, • Track record of building trusting internal and external relationships, • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables, • Experience working with structured and unstructured data, • Proficient in Microsoft Office, SQL a bonus, • Ability to balance multiple complex projects simultaneously, • Exceptional written and verbal communication skills, • Extremely flexible, highly organized, and able to shift priorities easily Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

Demonstrated excellence in customer service and client interaction. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfa

About Lyra Health Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About the Role: We’re looking for an exceptional Sr. Fullstack Software Engineer to join our team. We care deeply about making a difference in people’s lives and hope you do too! Remote candidates must be physically located within the United States. • Take ownership of the full-stack development process, from designing backend APIs to implementing the frontend components that will consume them, • Create lasting impact by building and continuously improving our Python and Java-based microservices, • Work with fellow engineering team members to collaboratively create and refine technical designs and solutions, • Collaborate with key partners including data science, product management, design, and behavioral health specialists, • Follow and promote best practices during all phases of software development, adhering to the highest quality and securitystandards, • Drive continuous technical improvement for our platforms and tooling, • Bachelor’s degree in Computer Science or related technical field, • 6+ years of experience developing enterprise or consumer web applications, • Relevant professional experience building scalable back-end services and APIs using Python and/or Java/Spring, • Relevant professional experience developing web applications with ___ and React Native, • Experience with TypeScript, Amazon web service and state-management libraries like Redux preferred

Location: Harrisburg, PA Position Type: Mostly Remote Hybrid Schedule: Mostly remote role, must come onsite to pick up equipment Contract Length: Ongoing Contract with Yearly Renewals Position Overview: The Senior Software Developer provides hands-on development support for enterprise application modernization, working across legacy ASP.NET MVC applications and modern .NET 8–based solutions. This role requires immediate productivity in complex, regulated environments while contributing to incremental, low-risk modernization initiatives. Duties: • Design, develop, and maintain modern .NET 8 solutions using ASP.NET Core Web APIs and Blazor (Server and/or WebAssembly)., • Enhance and support legacy ASP.NET MVC applications built on .NET Framework 4.x., • Build reusable Razor components, shared libraries, and scalable service layers., • Develop responsive, accessible user interfaces compliant with ADA and WCAG standards., • Ensure interoperability between new services and existing legacy systems., • Collaborate within Agile/Scrum teams, participating in sprint planning, backlog refinement, and technical reviews., • Partner with architects and senior technical staff on implementation and design decisions., • Provide accurate effort estimates and meet contractual delivery commitments., • Develop API-based and file-based integrations with internal systems and approved third-party services., • Implement background processing using scheduled jobs, hosted services, and Windows or cloud-hosted services., • Design, optimize, and maintain SQL Server schemas, queries, and stored procedures., • Implement data access using Entity Framework 6 and Entity Framework Core., • Ensure transactional integrity, auditing, and compliance with data retention requirements., • Implement claims-based authentication and enforce role-, title-, and action-based authorization., • Apply secure coding practices and properly handle sensitive and confidential data., • 8+ years of professional software development experience delivering enterprise applications., • 5+ years of hands-on experience with ASP.NET MVC using .NET Framework 4.x., • 3+ years of hands-on experience with ASP.NET Core and modern .NET (.NET 6+ / .NET 8)., • Experience developing in C# within layered or N-tier architectures., • Experience designing and consuming RESTful APIs., • Experience with SQL Server, including relational data modeling and query optimization., • Experience using Entity Framework 6 and Entity Framework Core., • Experience building Razor Views and Razor Components., • Experience with HTML5, CSS3, JavaScript, and jQuery for legacy application support., • Experience with Blazor., • Demonstrated experience implementing claims-based authentication and fine-grained authorization models., • Proven ability to deliver independently with minimal onboarding in complex codebases., • Hands-on experience using Azure DevOps, Git, and Visual Studio 2022., • Experience modernizing long-lived, enterprise-scale applications., • Prior experience working in government or highly regulated environments., • Hands-on exposure to Azure App Services and Azure SQL., • Experience implementing or managing Azure API Management., • Experience with workflow engines such as Elsa or equivalent platforms., • Strong ability to ramp up quickly in domain-heavy, legacy-modern hybrid systems.

About Lyra Health Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About the Role: Lyra Health is looking for a Sr. Customer Success Manager II who is energized by engaging with customers, building relationships, and delivering results. You should be highly organized, detail-oriented, and resourceful. This role will be a great fit for you if you are a doer, who is passionate about making a difference, comfortable with ambiguity, and is naturally collaborative. This role can be carried out from our Burlingame, CA headquarters, hybrid, or fully remote/virtually. Remote candidates must be physically located within the United States. • Serve as the primary relationship owner for our Major/Key segment employer customers (30,000+ lives), maintaining regular contact with the customers’ benefits team members and other key stakeholders, • Partner with marketing to develop and deliver engaging campaigns and workshops for your customers, • Produce and regularly communicate customer reports, • Collaborate internally with teams such as product, clinical, data science, legal, and others to effectively resolve customer requests and issues, • Contribute to product roadmap planning, providing an important customer and patient voice, and champion new product offerings with your customers, • Leave customers feeling supported and delighted after every interaction, such that they renew with Lyra each year, • 15+ years experience in implementation and/or customer success, ideally in the area of HR / Benefits / Healthcare with employers or other large groups, • Passion for mental health and changing the healthcare landscape, • Excellent communication skills-both verbal and written, with an emphasis on quickly gaining trust, • Ability to innovate and creatively solve problems in a highly collaborative manner, • Strong project management skills and a demonstrated ability to work successfully on cross-functional teams, • Ability to prioritize and balance multiple customers, • Willingness to travel (10%), • Diversity, equity, inclusion, and belonging (DEIB) at Lyra is essential to the way we deliver culturally responsive care, build and manage our provider network, and support holistic efforts to strengthen DEIB in workplaces around the world—including our own.

About Agero: Wherever drivers go, we’re leading the way. Agero’s mission is to rethink the vehicle ownership experience through a powerful combination of passionate people and data-driven technology, strengthening our clients’ relationships with their customers. As the #1 B2B, white-label provider of digital driver assistance services, we’re pushing the industry in a new direction, taking manual processes, and redefining them as digital, transparent, and connected. This includes: an industry-leading dispatch management platform powered by Swoop; comprehensive accident management services; knowledgeable consumer affairs and connected vehicle capabilities; and a growing marketplace of services, discounts and support enabled by a robust partner ecosystem. The company has over 150 million vehicle coverage points in partnership with leading automobile manufacturers, insurance carriers and many others. Managing one of the largest national networks of service providers, Agero responds to approximately 12 million service events annually. Agero, a member company of The Cross Country Group, is headquartered in Medford, Mass., with operations throughout North America. To learn more, visit ___. Note: For our technical positions, we love to get you started in person! You may be required to travel to Medford for your initial onboarding. Don't worry about the logistics - once you're hired, we handle all travel arrangements and expenses for you. Role Description and Mission: The Senior Product Manager, Workday Financials is the business partner and technical owner of the enterprise Procure-to-Pay (P2P) ecosystem. Serving as the critical bridge between Finance teams (Procurement, Accounts Payable, Reimbursements) and the technology stack, this individual is responsible for the strategic roadmap, configuration, and systemic optimization of Workday Financials. Moving beyond feature execution, the Senior Product Manager, Workday Financials implements scalable, compliant, and highly automated financial workflows from Requisition to Payment, ensuring the organization achieves its goals for touchless processing and maintains robust internal controls. Key Outcomes: • Ecosystem Strategy & Roadmap: Own and evolve the end-to-end product vision for the entire Procure-to-Pay lifecycle. Translate complex business needs from Finance leadership into a prioritized, strategic roadmap, balancing immediate operational fixes with enterprise initiatives (e.g., touchless invoice processing, advanced claims payment rules)., • Workday Financials Architecture & Optimization: Serve as the functional Subject Matter Expert (SME) for Workday Procurement and Supplier Accounts. Lead the configuration, testing, and deployment of Workday updates and semi-annual releases, ensuring seamless business continuity and the adoption of new system capabilities., • Process Engineering: Architect and implement intuitive workflows within Workday that minimize end-user friction while maintaining strict financial controls. Analyze current workflows to identify systemic bottlenecks, significantly reducing cycle times for approvals and payments., • Training & Communication: Provide training, demos, and product updates to internal stakeholders. Clearly communicate product changes, new features, and operational benefits to relevant teams., • Financial Systems & Performance Monitoring: Monitor product performance post-launch to ensure its alignment with business outcomes. Define key metrics for success and establish a feedback loop to drive product iterations., • Automation & Innovation Leadership: Drive automation initiatives across the financial stack, including the deployment of Automated Payment Rules, supplier punch-outs, and integrations with Optical Character Recognition (OCR) tools. Troubleshoot and resolve complex, system-level process breaks., • Stakeholder Integration: Partner with Sourcing, Accounts Payable, and Expense Audit leadership to define advanced requirements for supplier payment flows and spend analysis., • Technical Orchestration: Collaborate with IT, Data Science, and Engineering squads to design and oversee complex integrations between Workday and third-party enterprise tools (e.g., data mediation platforms, fraud detection rules, and banking file transmissions). Skills, Education and Experience: EDUCATION: Bachelor’s degree in Business, Finance, Computer Science, or a related field, or equivalent experience required. EXPERIENCE: 8-10 years of total professional experience in Product Management, Business Systems Analysis, or Financial Operations. Minimum of 2 years of direct, hands-on configuration and optimization experience within a Workday Financials environment, specifically utilizing the Procurement, Supplier Accounts, or Expenses modules. Deep understanding of the full Procure-to-Pay lifecycle, vendor master data management, payment flows, and three-way matching/reconciliation. Experience with OCR tools (e.g., Kofax, ScanOne) or advanced procurement marketplaces is preferred. Proven experience working in an Agile/Scrum environment, managing backlogs utilizing tools such as Jira. ROLE BASED COMPETENCIES (KNOWLEDGE, SKILLS & ABILITIES): • FinOps Ecosystem Vision: Demonstrates an understanding of the full product lifecycle within financial systems; capable of architecting a P2P vision that aligns with long-term corporate financial strategy., • Advanced Problem Solving & System Troubleshooting: Exhibits a proactive, analytical approach to identifying and resolving system inefficiencies before they escalate into critical business interruptions., • Strategic Prioritization (Ruthless Focus): Highly priority-minded; demonstrates the ability to cut through noise, identify the highest-impact systemic issues, and execute on them without distraction., • Technical Translation & Communication: Possesses the unique ability to translate and explain complex Workday configurations and technical limitations to non-technical finance executives and stakeholders. ., • Data-Driven Product Optimization: Leverages an analytical mindset to justify product investments ; utilizes concrete data (e.g., "time to approve," "touchless processing rates") to measure product success and iterate., • Passionate Innovation: Exhibits a strong drive to innovate within the Finance space; passionate about leveraging technology (automation, OCR) to make a tangible difference in operational efficiency., • Change Management: Ability to lead and manage change within the organization. Effectively communicate and implement product updates and system changes to ensure smooth transitions across teams.Autonomy and Initiative: Self-driven with the ability to work independently and make decisions with minimal supervision. Demonstrates strong initiative and the ability to solve problems autonomously.Customer-Centric Mindset: A focus on internal stakeholders as customers, with the ability to translate their needs and pain points into actionable solutions. Understands the user experience and ensures financial systems align with business goals and customer expectations. WORKING RELATIONSHIPS: This position partners directly with the Director of Claims Payments & Reimbursements, Accounting Leadership, and cross-functional teams including Engineering Squads and Data Science & Analytics to align financial workflows with technical execution. ADDITIONAL REQUIREMENTS: Ideal candidate is based in Massachusetts or New Hampshire and has the ability to come into our Medford, MA headquarters occasionally. Remote candidates should be flexible to travel to our Medford, MA headquarters 5% of total time, depending on project needs. Evening or weekend hours may be required to meet project deadlines or system updates. Hiring In: * United States: Arizona, California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Hampshire, New York State, New Mexico, North Carolina, Tennessee, Virginia The anticipated closing date to submit applications for this role is March 31st. Join our ___ to track your application status and receive instant alerts for future openings. The base salary range presented represents the anticipated low and high end salary range for new hires in this position. Your final base salary will be determined based on factors such as work location, experience, job related skills, and relevant training and education. The range listed is just one component of the total compensation package provided by Agero to employees. National Pay Range$110,000—$140,000 USD The base salary range presented represents the anticipated low and high end salary range for new hires in this position. Your final base salary will be determined based on factors such as work location, experience, job related skills, and relevant training and education. The range listed is just one component of the total compensation package provided by Agero to employees. Medford$110,000—$140,000 USD Life at Agero: At Agero, you'll find a workplace where your unique perspective is not just welcomed, it's celebrated. We believe that our differences make us stronger, and we're committed to creating an environment where every employee feels a sense of belonging. If you're looking for a company that values your individuality, provides opportunities for growth, and champions open communication, Agero is the place for you. Join our team and help us drive the future of driver assistance, while experiencing a workplace where you can truly thrive. Benefits Built for Well-being: Agero’s innovation is driven by a workforce where all associates feel like they can truly thrive. Agero offers a wide range of benefits to promote well-being, encourage personal development, and ensure financial stability. Our benefits include: • Health and Wellness: Healthcare, dental, vision, disability, life insurance, and mental health benefits for associates and their families., • Financial Security: 401(k) plan with company match and tuition assistance to support your future goals., • Work-Life Balance: Flexible time off, paid sick leave, and ten paid holidays annually., • For Contact Center Roles: Accrual of up to 3 weeks Paid Time Off per year, paid sick leave, and ten paid holidays annually., • Family Support: Parental planning benefits to assist associates through life’s milestones., • Bonus/Incentive Programs Join Agero and experience a workplace that invests in your success both personally and professionally. *Applicants must be currently authorized to work in the United States on a full‑time basis. This position is not eligible for employer visa sponsorship now or in the future. *It is unlawful in Massachusetts to required or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Actively hiring "Provider Network Operations Analyst (HRP Migration)" at New York NY (Hybrid) for position at a hospital. pay rate is $65-$70/Hr. Please find below the Job Description: • Job Title : Provider Network Operations Analyst (HRP Migration), • Duration : 3-6+ (Extendable), • Location : New York NY (Hybrid), • Pay Rate : $65-$70/Hr. Job Summary We are seeking a detail-oriented Provider Network Operations Analyst to support the migration to HealthRules Payer (HRP), a core claims processing system. This role will work closely with cross-functional teams to ensure smooth implementation, accurate provider data management, and effective issue resolution throughout the migration lifecycle. Key Responsibilities • Support migration to HealthRules Payer (HRP) for Provider Network Operations (PNO), • Participate in project meetings across all phases: planning, testing, and post-go-live, • Maintain and track PNO project issues, providing updates to leadership, • Assist in resolving provider-related issues during HRP implementation, • Update and maintain process documentation, policies, and procedures, • Prepare executive summaries and communications on project updates, • Represent leadership in operational and project meetings as needed, • Ensure provider data accuracy across systems (e.g., CACTUS, PowerStepp, HRP, Salesforce), • Monitor and escalate provider complaints related to system migration, • Perform data analysis, reporting, and tracking for migration and operational issues, • Act as liaison across Credentialing, Provider Maintenance, and Customer Service teams, • Support additional PNO projects and operational initiatives as required Qualifications • Bachelor’s degree or equivalent experience, • 3–5 years of experience in a health plan environment (Medicaid preferred), • Strong understanding of provider network operations and healthcare data structures, • Experience with system migrations or claims platforms preferred, • Excellent analytical, communication, and organizational skills, • Ability to manage multiple priorities in a fast-paced environment Benefits: Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Actively hiring "Claims Service Correspondent" at New York, New York for position at a hospital. pay rate is $60-$65/Hr. Please find below the Job Description: • Job Title : Claims Service Correspondent (Hybrid), • Duration : 3-6+ months extension possible, • Pay Rate : $60-$65/Hr., • Location : New York, New York Job Description: Position Overview This role is responsible for providing accurate and timely responses to written claim inquiries received from healthcare providers. The incumbent supports the adjudication and adjustment of claims across multiple lines of business and collaborates closely with Provider Relations, Medical Management, Member Services, and Claims Processing teams. Key Responsibilities • Serve as a primary liaison and service representative for all written provider inquiries, ensuring effective problem resolution., • Respond to claim-related inquiries from provider personnel, including physicians, clinical staff, and administrative teams., • Coordinate with internal departments (e.g., Claims, Utilization Management) to investigate and resolve issues., • Track, manage, and ensure timely follow-up and closure of all inquiries., • Prepare written responses to provider inquiries and maintain accurate documentation and records., • Perform data entry into the IMAX system with high accuracy., • Process claim adjustments to correct overpayments and underpayments., • Participate in special projects related to claim status investigations., • Strong understanding of claims processing protocols and payment methodologies (preferably within MetroPlus or similar systems)., • Comprehensive knowledge of healthcare plan benefits., • Proficiency in systems such as IMAX and TXEN., • Prior customer service experience is preferred., • Ability to handle challenging or escalated interactions professionally., • Excellent written and verbal communication skills., • Strong attention to detail and organizational abilities. Education Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

The Scientific Computing and Data team at the Icahn School of Medicine at Mount Sinai partners with scientists and clinicians to accelerate scientific discovery. The AI-Ready.Mount Sinai (AIR.MS) platform contains patient data generated from the clinical care processes at the Mount Sinai Health System. AIR·MS is a cloud-based, high-performance SAP HANA data platform with electronic health record (EHR) data in an OMOP data format. It also contains metadata from and links to raw data sets in other modalities, such as radiology, genomics and pathology. Researchers can access the AIR.MS data through direct database access, AI agents, cohort query tools and the Minerva high-performance computer. AIR.MS ingests OHDSI’s Observational Medical Outcomes Partnership (OMOP)-formatted EHR data from the Mount Sinai Data Warehouse. AIR.MS is integrated with Minerva, a high-performance computer with >21 petaflops of raw computational power and the raw radiology, genomics and pathology data sets. An expert team of 20+ PhD/MD computational scientists, biomedical informaticists and computer scientists partner with researchers and clinicians to effectively and efficiently utilize these resources for translational science. The Lead Data Warehouse Engineer is a senior technical specialist responsible for leading the ongoing integration of multi-modal clinical data into the AIR.MS data warehouse. The Lead Data Warehouse Engineer will assess the state of data integration, identify opportunities for data integration based on researcher’s priorities, develop a plan to integrate metadata and data, and execute on the data integration. The incumbent will work collaboratively with other members of the AIR.MS data platform and Mount Sinai Data Warehouse teams to lead technical efforts for the integration of multi-modal data sets resulting in expanded AIR.MS functionality. The AIR.MS data warehouse is built on the SAP HANA technology stack and MSDW is built on MySQL. Responsibilities • Design databases and pipelines that balance functionality, performance, cost, and development time; evaluate technical options with the product manager., • Design, build, test, and maintain data pipelines that extract/capture data from source systems, transform and augment those data, and integrate it into a multi-modal data repository., • Serve as a team leader; contribute to project planning, work breakdown, dependency sequencing, and release management., • Develop and promote standards, conventions, design patterns, DevOps/SDLC best practices, and operational procedures for pipelines and warehouse maintenance., • Mentor junior engineers in data warehousing, data engineering skills, and operational support., • Design, build, and maintain data management processes, including loading flat files (csv, tsv, pipe-delimited, JSON)., • Lead design sessions, code walkthroughs, peer reviews, and produce technical documentation., • Tune database objects, stored procedures, and pipelines to optimize performance and minimize compute and storage costs., • Monitor database and pipeline operations; lead troubleshooting and remediation of failures; provide occasional after-hours on-call support., • Collaborate with DBAs and system administrators on backups, performance tuning, statistics/index maintenance, and patching., • Provide high-quality customer service to researchers, clinicians, and internal partners; maintain a science‑driven, customer-focused approach., • Ensure patient privacy and data security in compliance with IRB & cybersecurity policies, HIPAA, 42 CFR Part 2, NYS Article 27-F, and other regulations., • Stay current with emerging technologies to improve capabilities, efficiency, quality, or cost., • Identify improvements in procedures, technology, compliance, and data privacy/security., • Periodically assist DBAs with user provisioning, backups, restorations, capacity planning, and performance monitoring., • Perform related duties as assigned. Qualifications • Bachelor’s degree in a technical field; Master’s preferred., • 12–15 years of related experience, including 7+ years designing, developing, and maintaining relational databases, data pipelines, and dimensional/OLAP warehouses. Preferred • Expert knowledge of data warehousing: 3NF & dimensional modeling (fact table types, SCDs), change data capture, incremental loads, data lineage, source-to-target mappings, pattern-based & parameter-driven development., • Expert-level experience with data engineering technologies: SQL, indexing, stored procedures, UDFs, sequences, dynamic SQL, data transformation tools, job orchestration tools for data processing., • Experience with DevOps/SDLC best practices; Agile (Scrum, Kanban) with JIRA and Confluence; version control with git., • Strong communication and customer service skills for working with researchers, clinicians, administrators, and IT staff., • Excellent critical thinking, problem-solving, multitasking, and collaboration skills; ability to work independently in a fast-paced environment., • Preferred experience with healthcare data (EHR, billing/claims, cost accounting), Epic Clarity/Caboodle, data models (OMOP, i2b2, PCORnet)., • Experience with database administration: configuration, performance tuning, partitioning, materialized views, permissions, backups & restorations. Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $145200 - $217875 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Thank you for considering Progyny! The General Member Reimbursement (GMR) Specialistis responsible formanaging and resolving member reimbursement and financialassistancecases with accuracy, efficiency, anda high levelof member service. This role supports members throughout the reimbursement lifecycle by reviewing eligibility, processing payments,maintainingbenefit information, and communicating case outcomes ina timelyand empathetic manner. The GMR Specialist plays a critical role in ensuring operational excellence by meeting service-level expectations,maintainingdata integrity across systems, and partnering cross-functionally with Finance, Eligibility, and Member Services teams. The ideal candidate is highly detail-oriented, comfortable managing high-volume casework, and thrives in a fast-paced, data-driven healthcare environment while delivering a positive and supportive member experience. Whatyou'lldo... * Manage member reimbursement, claims billing, and financialassistancecases, ensuringaccurateprocessing andtimelyresolution. * Review documentation,validateeligibility, resolve discrepancies, and support end-to-end reimbursement andpaymentworkflows. * Work with insurance carriers and health plans to interpret benefits, reimbursement methodologies, EOBs, and member responsibility. * Apply knowledge of medical billing and coding concepts (CPT, HCPCS, ICD-10) to support reimbursement decisions. * Supportreimbursementworkflows related to fertility, women's health, or reproductive healthcare services, as applicable. * Track and document case activity using Microsoft Excel, Outlook, and Salesforce or other CRM/case management systems. * Manage a high volume of cases while meeting SLAs andmaintainingaccuracy in a fast-paced, data-driven environment. * Communicate clearly and professionally with members and internal partners, including handling sensitive or complex conversations with empathy. * Maintain strong attention to detail and data integrity across systems and processes. * Adapt to changing priorities and processes while working independently and collaborating cross-functionally. About you... * 2+ years of experience in healthcare operations, reimbursement, billing, or claims processing * Experience reviewing insurance eligibility, benefits, and/or reimbursement guidelines * Familiarity with carrier billing, financialassistanceprograms, or reimbursement workflows * Working knowledge of CPT, HCPCS, and ICD-10 codes, and general medical terminology * Strongproficiencyin Excel (e.g., filtering, data validation) and Outlook; experience with Salesforce or similar case management systems preferred * Proven ability to manage high-volume casework with SLAs and quality expectations * Highly organized, with the ability to prioritize and manage multiple workflows simultaneously * Clear and professional written communication skills, with experience supporting members or customers * Comfortable working in a metrics-driven environment with regular performance feedback * Ability to work independently, exercise sound judgment, and escalate issues appropriately * Adaptable and comfortable navigating change in a fast-paced environment * Experience partnering cross-functionally (e.g., Finance, Operations, Eligibility) to resolve issues * Ability to handle sensitive or complex conversations with professionalism and empathy Please note: This is not a digital nomad or remote international position; candidates must be based in the United States. Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future. About Progyny: Progyny (Nasdaq: PGNY) is a global leader in women's health and family building solutions, trusted by the nation's leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools;provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs. Our mission is toempower healthier, supported journeys through transformative fertility, family building and women's health benefits. Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit ___. Our perks: * Family friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents' Employee Affiliation Group * Menopause and midlife care * Health, dental, vision and life insurance options for employees and family * Free in-person, virtual and text-based mental health and wellness support * Paid time off, including vacation, sick leave, personal days and summer flex time * Company equity * Bonus program * 401(k) plan with company match * Access to on-demand legal and financial advice * Learning and development programs to help you grow professionally and a mentorship program * Company social eventsto include annual volunteer day and donation matching * Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office In compliance with New York City's Wage Transparency Law, the hourly salary [wage] range for NYC-based applicants is: $28.85/hour - $31.25/hour. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity. Progyny is proud to be anEqual Opportunity and Affirmative Action employer.We respect and seek to empower each individual and support the diverse cultures, perspectives,skillsand experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law. If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to ___. #LI-BR1

Summary of Position • Responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs, and tend to have extremely tight deadlines. Ensure accuracy and compliance within the constraints of extremely quick turnaround times. Perform end-to-end G&A processing; consistently operate in a fast-paced high-pressure environment. Monitor all aspects of the G&A process; ensure that members have appropriate access to care. Due to regulatory requirements and turn-around times of the Expedited Appeal unit, the Specialists are required to work weekends and holidays as the organization must maintain expedited appeal coverage 7 days a week, 365 days a year. Principal Accountabilities • Independently perform triage function: review and evaluate appeal requests; identify and classify member and provider appeals. Using internal systems, determine eligibility, benefits, and prior activity related to the claims, payment, or service in question., • Provide verbal and written member and provider correspondence as needed for authorized representative or needed clinical information., • Conduct thorough investigations of all member and provider correspondence by analyzing all the issues presented and obtaining responses and information from internal and external entities. Validate the responses to ensure they address the issues and are supported by any contract stipulations, regulations, etc., as applicable., • Make critical decisions regarding research and investigation to appropriately resolve all inquiries; prepare cases for medical and administrative review detailing the findings of their investigation for consideration in the Plan's determination; make recommendations on administrative decisions by preparing detailed case summaries and reviewing all applicable benefit and contract materials; present findings and recommendations to appropriate parties for sign-off., • Serve as liaison with EmblemHealth departments, delegated entities, medical groups, and network physicians to ensure timely authorization effectuation and resolution of cases., • Perform necessary follow-up with responsible departments and delegated entities to ensure compliance., • Monitor hourly and daily pending reports and personal worklists, ensuring adherence to CMS, NCQA, DOH, NYS, Connecticut and Massachusetts regulatory requirements, as well as operational SLAs and department performance standards, thereby ensuring members' access to care., • Independently prepare well written, customized responses to all correspondence that appropriately and completely address the complainant's issue(s) and are structurally accurate. Responsible for ensuring responses are completed within the applicable regulatory timeframe., • Complete submission of case files and responses to entities such as DFS, DOH, AG and Maximus; ensure timely and appropriate response submissions., • Document final resolutions along with all required data to facilitate accurate reporting, tracking, and trending., • Identify workflow improvements and work with the team to recommend and implement change(s)., • Provide recommendations to management regarding issue resolution, root cause analysis and best practices., • Serve as a point of escalation for problems, providing guidance and expertise to team members as well as helping to identify and address core business requirements., • May train, guide, and mentor new G&A Specialists., • Serve as a coach and mentor to the associates providing support and guidance in complex situations., • Maintain acceptable attendance standard with minimal unscheduled PTO., • Exceed median production and compliance standards for both case resolution and data requirements., • Perform other duties as directed, assigned, or required. Qualifications • Bachelors' degree, • 3 - 5+ years of related experience, preferably in the health industry and/or area of compliance, • Additional related experience/specialized training may be considered in lieu of degree requirements, • Extensive knowledge and experience in claims, enrollment, benefits, and member contracts, • Ability to mentor specialists and to provide assistance on complex cases, • Must be well versed in all aspects of the complaint, grievance and appeal process and be able to process all types of correspondence handled by Grievance and Appeals, • Proficiency in MS Office (Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.), • Excellent product knowledge, • Excellent prioritizing, organizing, time management, problem solving and analytical skills, • Ability to work under pressure and deliver complete, accurate, and timely results, • Leadership skills Additional Information, • Requisition ID: 1000003123, • Hiring Range: $48,600-$83,160

The Billing Specialist (Biller) is responsible for the performance of a broad range of billing activities related to processing of claims for physician and practice-related ancillary services.The Billing Specialist will maintain expertise in claims submission, accounts receivable management, interpr

Company Overview Javits Center in Manhattan is the world’s most dynamic stage, setting the benchmark for what modern meetings and conventions can be. Every day across this campus, NYC’s enterprising spirit meets visionary design to turn collaborations into unprecedented business success stories. Summary Under the direction of the Chief Legal Officer, the Paralegal provides high-level administrative and operational support to the Legal Department. This role supports Legal and Risk Management workflows by coordinating department processes, managing documentation and records, processing invoices, supporting Board-related tasks, and assisting with ethics training tracking and reporting. The position requires strong judgment, discretion, and the ability to manage multiple priorities and deadlines in a fast-paced environment. The compensation for this position is $66,500.00 annually, paid on a bi-weekly basis. Essential Functions: • Provide administrative support to the SVP, Chief Legal Officer and Legal Department, including calendar management, meeting coordination, travel (as needed), and general office administration., • Assist with processing Legal Department invoices end-to-end (intake, coding/approvals, submission, tracking, and vendor follow-up) and maintain organized records to support budget management., • Support Board governance administration, including coordinating meeting logistics, managing invitations and attendance tracking, preparing meeting materials, and supporting minutes, surveys, and action item follow-up., • Track and report annual ethics training completion (COELIG) for applicable staff, maintain completion records, and prepare periodic reporting for internal leadership and external submissions., • Support contract administration activities, including maintaining contract files, coordinating signature workflows, tracking key dates, and preparing standard forms and correspondence using approved templates., • Maintain department trackers and dashboards (e.g., contracts, COIs/endorsements, claims, training, Board tasks) and ensure accurate, timely updates., • Provide administrative support for insurance and claims-related workflows, including maintaining trackers, organizing incident/claims documentation, and coordinating routing of materials to internal stakeholders, brokers, TPAs, counsel, and/or carriers as directed., • Assist with compiling and reviewing Certificates of Insurance., • Assist with document management and records retention, including filing, version control, and ensuring sensitive information is handled with appropriate confidentiality., • Assist in the implementation and ongoing maintenance of contracts management software solution and online document repository., • Draft and proofread routine correspondence and compile materials for internal and external stakeholders., • Evaluate, research and respond to Freedom of Information Law (“FOIL”) requests on behalf of the Javits Center FOIL Officer., • Provide interdepartmental communications as necessary. Required Qualifications: • Bachelor’s degree, or equivalent relevant experience., • 3+ years of experience in a legal, compliance, risk, finance, or corporate governance function and/or supporting executives ., • Strong organizational skills with the ability to prioritize, manage deadlines, and maintain accurate records., • Experience processing invoices and working with purchasing/accounting systems preferred., • Strong written and verbal communication skills; ability to handle confidential information with discretion., • Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint) and comfort working with CLM systems, trackers and reporting dashboards., • Ability to communicate clearly and efficiently verbally and in writing. Equal Employment Opportunity, Non-Discrimination, and Reasonable Accommodation: The Jacob K. Javits Convention Center of New York is an Equal Opportunity Employer. We are committed to a workplace free of discrimination and harassment and to providing equal employment opportunity to all qualified applicants and employees. Employment decisions are made without regard to race, color, religion/creed, national origin, citizenship or immigration status, sex (including pregnancy, childbirth, and breastfeeding/lactation), sexual orientation, gender identity or expression, age, disability, genetic information or predisposing genetic characteristics, familial status, marital status, partnership status, caregiver status, height, weight, military status, veteran status, unemployment status, sexual and reproductive health decisions, status as a victim of domestic violence, stalking, or sex offenses, or any other status protected by applicable federal, state, or local law. We provide reasonable accommodations to qualified individuals with disabilities, and for religious observances and practices, consistent with applicable law. If you need an accommodation to participate in the application or interview process, please contact Human Resources.

Position Overview Our client is seeking a seasoned corporate attorney to partner closely with internal business leaders and deliver practical, business-focused legal guidance. This role supports a wide scope of commercial and corporate matters in a fast-moving, rapidly evolving environment. Key Responsibilities Commercial Contracting & Transactions • Prepare, evaluate, and negotiate a broad portfolio of commercial contracts, including:, • • Customer charter agreements, • • Strategic sourcing and vendor contracts, • • Aircraft service and MRO support agreements, • • Airport and facilities leases, • • Ground handling, fueling, catering, and logistics arrangements, • Build, refine, and manage contract templates and playbooks to improve procurement efficiency., • Advise procurement teams on contract structure, risk distribution, and supplier-related disputes., • Support major corporate initiatives such as joint ventures and acquisitions., • Provide primary legal oversight for IT-related agreements., • Serve as a day-to-day legal advisor across business units on general corporate matters., • Contribute to governance efforts, policy creation, and compliance programs., • Help oversee corporate branch management and related filings., • Assist in resolving disputes, handling claims, and managing pre-litigation issues., • Coordinate with outside counsel when specialized expertise is required., • Partner cross-functionally with procurement, finance, operations, compliance, and executive teams., • Convert legal considerations into practical, strategic recommendations for the business., • Juris Doctor (JD) required., • 3–10 years of relevant corporate/commercial law experience (law firm or in-house)., • Active admission to the New York bar., • Thrives in a fast-paced, entrepreneurial environment., • Proven ability to work effectively with senior leadership., • Hands-on, roll-up-your-sleeves approach suited for a lean team., • Excellent communication, interpersonal, and collaboration skills., • High degree of integrity, professionalism, and attention to detail.

Robert Half is seeking an experienced Corporate Counsel to support a global transportation and logistics company in a wide range of commercial and corporate matter. This role partners closely with internal business teams to deliver practical, business‑oriented legal advice across procurement, operations, IT, and corporate functions. The ideal candidate is comfortable working in a lean, entrepreneurial setting and engaging with senior leadership. Director – Corporate Counsel (Hybrid) Location: White Plains, NY Schedule: Hybrid Duration: 4+ months (Potential for permanent hire) Pay Rate: $80–$120/hour (commensurate with experience) Key Responsibilities Commercial Contracts & Procurement • Draft, review, and negotiate a broad range of commercial agreements, including Customer charter agreements, Strategic sourcing and vendor agreements, Aircraft‑related services and MRO support contracts, Facilities and airport leasing agreements, Ground handling, fueling, catering, and logistics contracts, • Develop and maintain contract templates and playbooks to streamline procurement processes, • Support key corporate transactions, including joint ventures and acquisitions, • Provide day‑to‑day legal counsel on general corporate matters across business units, • Assist with corporate governance, policy development, and internal compliance initiatives, • Lead legal support for IT‑related agreements, • Advise on cybersecurity, data protection, and data processing matters, • Assist with dispute resolution, claims, and pre‑litigation matters, • Work closely with procurement, finance, operations, compliance, and executive leadership, • Translate legal and regulatory risk into clear, actionable business guidance, • Contribute to continuous improvement of legal processes and contract lifecycle management Qualifications • Juris Doctor (JD) degree, • 3–10 years of relevant legal experience (law firm and/or in‑house), • Active New York Bar admission, • Experience supporting commercial agreements and corporate matters, • Ability to operate effectively in a fast‑paced, entrepreneurial environment, • Comfortable “rolling up sleeves” in a lean organization, • Strong interpersonal, communication, and stakeholder‑management skills, • High level of integrity, professionalism, and attention to detail Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matched faster.

Position Summary: MedReview Innovation and Development team is seeking a data engineer to function as the primary architect and operator of our data infrastructure. Your mission is to evolve our current environment into a rapid-acquisition engine capable of feeding real-time ML models, innovation, and operations while maintaining rigorous healthcare compliance standards. Responsibilities: • Pipeline Architecture: Design, implement, and maintain end-to-end data pipelines on Azure, ensuring high availability and low latency for healthcare claim and analytics processing., • High-Performance Storage: Manage and optimize ClickHouse as our primary analytical engine, focusing on rapid data ingestion and lightning-fast query performance for large-scale datasets., • ML Data Readiness: Structure data environments to support the full ML lifecycle, from feature engineering and training to real-time model inference., • MLOps Integration: Collaborate with Data Scientists to implement automated CI/CD pipelines for model deployment, monitoring, and retraining., • Rapid Acquisition: Develop scalable frameworks to ingest diverse healthcare data sources (EDI, claims, clinical notes) with high velocity., • Security & Compliance: Ensure all data structures and processes adhere to HITRUST/HIPAA standards, collaborating with IT and the leads for technical efforts for HITRUST certification readiness.Required Skills & Experience, • Cloud Expertise: 5+ years of experience in data engineering, with deep proficiency in Azure Data Factory, Azure Databricks, or Azure Synapse., • OLAP Mastery: Proven experience managing and tuning ClickHouse (or similar columnar databases like Druid/Pinot) for massive datasets., • Programming: Expert-level Python and SQL skills., • ML Engineering: Familiarity with ML frameworks (PyTorch, TensorFlow) and MLOps tools (MLflow, Kubeflow, or Azure Machine Learning)., • Healthcare Domain: Prior experience with healthcare data formats (HL7, FHIR, 835/837) and a strong understanding of HITRUST/HIPAA security requirements., • Scale-up Mindset: Ability to build "v1" processes while designing for 10x growth.Preferred Qualifications:, • Experience with Infrastructure as Code (Terraform, Bicep)., • Knowledge of stream processing (Kafka, Azure Event Hubs)., • Background in financial or payment integrity analytics.

At Trella Health, we are passionate and committed to our mission: empowering meaningful change in healthcare. Since our founding in 2015, we continue to grow our team, enhance our solution and services offerings, accelerate into new markets, and expand our customer base. We are rapidly growing and are looking for new Trellavators to join our team! “What is a Trellavator?” you ask. Innovate and elevate is the name of our game! We go above and beyond to collaborate with and support each other. We believe that when a colleague or customers succeeds, we succeed. By learning from others, building on our successes, and taking risks, we constantly raise the bar. After all, continuous improvement is in our DNA. Our word is paramount, we keep our commitments, and we always follow through. We have a strong, reliable support system that fuels growth, collaboration, and passion—and together, we create a positive environment where everyone at Trella Health, including the customers we support, can thrive. Are you ready to learn more about the opportunities with our team? Trell-yeah you are! About the role: We are looking for a skilled and motivated Data Engineer to help design, build, manage, and operate the infrastructure behind our healthcare data platform. You will spend as much time building reliable, scalable infrastructure as you will working with the data that flows through it. You’ll work with diverse healthcare datasets (EHR, BCDA, CCLF, CRM) and contribute to a platform that will support our analytics product, as well as future GenAI use cases. Depending on experience, you will be responsible for building pipelines, maintaining operations, enabling new platform features to help accelerate our Data Science team, and contributing to architectural design decisions. Data will be integrated into systems such as Snowflake, Postgres, or Databricks for downstream analytics, requiring high availability, discoverability, quality, and throughput, as well as long-term extensibility. Location: This role is remote with a strong preference for candidates within commuting distance of Atlanta, GA; Philadelphia, PA; or Nashville, TN. We will also consider applicants based in other U.S. locations. Reports to: Manager, Data Engineering As a Data Engineer at Trella, you will: • Design, implement, and maintain data models, pipelines, and architecture to support current and future product needs – focusing on healthcare datasets such as claims, EHR, BCDA, and CCLF., • Design processes to consolidate data from multiple sources into a single source of truth., • Contribute to data governance policies, standards, and procedures to ensure data quality, security, HIPAA and other regulatory compliance., • Identify and optimize performance bottlenecks in ETL/ELT pipelines – ensuring the long term scalability of pipelines., • Work closely with Data Scientists, Engineers, and business stakeholders to understand requirements and translate them into high-value, technical solutions. This job might be a fit for you if you have: • 2+ years of engineering experience, • Core Competencies:, • Python, • SQL, • Apache Spark and PySpark, • Data Modeling & Warehousing Concepts, • OLAP vs OLTP, • Normalized vs Denormalized data, one big table, • SCDs, • Medallion Architecture, • Tools & Technology, • Experience working with dbt or SQLMesh, • Experience with at least one major data platform and warehousing tool such as Databricks or Snowflake, • Security & Compliance, • Awareness of Data Governance and Security concepts;, • Discoverability Role Based Access Control, • Tokenization, • Prior experience working with PHI/PII and experience working in audited environments, • Healthcare Domain Knowledge, • HIPAA, SOC2, and HITRUST compliance requirements and implementation, • Healthcare interoperability standards (FHIR, HL7), • EHR operational data and claims data processing experience Note: Healthcare experience not required if applicant has sufficient experience in other, highly regulated environments, and demonstrates an advanced understanding of data security and governance. About Trella Health: Trella Health provides unmatched, actionable market intelligence to post-acute care and value-based care providers of all sizes. Our industry leading analytics paired with CRM and EHR integration workflows positions us as the most advanced sales enablement platform for the post-acute care market. One of only a few companies to be deemed both a Qualified Entity by CMS and an Innovator under its Virtual Research Data Center Program, Trella has elite access to billions of performance metrics and referral data to enable competitive positioning across the market. Its standardized insights, representing 90% of all lives 65+ U.S. population, help customers identify, engage, and manage critical relationships and advance their organizations with certainty. Since launching our first product in 2016, we have experienced tremendous growth and have highlighted a few key data points to get an at-a-glance view of Trella: • Over 1,000 customers including 10 of the top 10 post-acute providers and 4 of the top 10 health systems, • Over 150 team members and growing, • Recognized as one of Modern Healthcare’s “Best Places to Work” in consecutive years and were ranked in the Top 50 startups in the US by LinkedIn, • Headquartered in Atlanta, GA with remote hubs in Nashville, Philadelphia, the Philippines, and Latin America. The Trellavator Experience: At Trella Health, you can expect to join a welcoming team that truly embodies our core values. Our collaborative culture is anchored by trust, transparency, and inclusion—and we also have a lot of fun. No matter where you work, at Trella Health you can expect an awesome team, frequent virtual gatherings, engaging events, casual attire, and more. We offer competitive salaries with a comprehensive benefits package to all employees and provide an environment that fosters work-life harmonization with Flexible Paid Time Off, along with remote-first work arrangements. As we continue to see exponential growth, our goal is to continue to put team members first and strive to offer our team members the best culture and benefits possible. Some of the benefits we provide are: • Health, Dental, Vision & Voluntary Benefits, • Competitive Salary & Bonus Plans, • 401k Retirement Savings, • Flexible PTO & 10 Paid Holidays, • Flexible Work Hours, • Equity Shares, • Paid Leave Programs, • Marketplace for discounted retail and entertainment Equal Opportunity Employer Trella Health is an equal opportunity employer. All persons will receive consideration for employment without regard to race, color, gender, sexual orientation, gender identity or expression, religion, national origin, marital status, age, disability, handicap, veteran status, genetic information, or any other protected status as recognized by federal, state, or local laws.

AVP Accounting Munich American Reassurance Company (MARC) is seeking an Assistant Vice President, Accounting who will be responsible for managing and overseeing the reinsurance/technical accounting and elements of non-technical accounting close for both IFRS and STAT. Reporting to the 2nd VP, Accounting and Financial Reporting, the AVP, Accounting will partner closely with MRAS Investment Accounting, Corporate Actuarial, Reinsurance Operations, other workstreams within Finance, and global Munich departments including Reinsurance Controlling (RIC) and Reinsurance Accounting (RIA). This role will also focus on overseeing the deployment of best practices to achieve a stable end-to-end reinsurance/technical accounting process including challenging existing processes and the key control framework. This role will own the books and records for actual results, partnering closely with stakeholders who influence reported figures and challenging processes when financial entries are requested by the accounting team. In addition, you will require a strong understanding of how the overall processing of transactions fits into the broader Munich Re group financial statements as well as local STAT financial statements. Responsibilities: Accounting Oversight & Financial Reporting • Own the management and quality assurance over all accounting functions, including reinsurance/technical accounting (premiums, claims, reserves, etc.) and non-technical accounting (investments, pensions, cash, etc.) for IFRS and STAT, • Review and approve journal entries, reconciliations, and disclosures for non-insurance areas such as pensions, leases, and intercompany, • Review accounting research and resolve complex or new reinsurance treaties, transactions, and investment structures as required, • Achieve alignment with Munich Re's Reinsurance Accounting (RIA) Department on global governance and requirements, including IFRS accounting, Plan, and Forecast figures, • Supervise the Reinsurance Accounting and General/Non-Technical Accounting teams to ensure timely and accurate execution of accounting entries, reconciliations, analytics, and key controls, • Oversee the development, maintenance, and documentation of controls to ensure compliance with internal control requirements (ORCS and MARSOX), • Act as the primary liaison with internal and external auditors Qualifications: We are seeking a seasoned finance leader with insurance or reinsurance experience who thrives in complex, regulated environments. You combine technical rigor with executive presence and are comfortable balancing strategy with hands-on leadership. • CPA required, • 10+ years of progressive accounting experience, • Insurance/Reinsurance experience required, • Public accounting experience preferred, • Creation and/or review of journal entries, including accounting accruals, estimates and subjective accounting for technical accounting, • Application of STAT and IFRS Accounting policy to daily, monthly and quarterly accounting in functions overseen, • Authorizations and recommendations for approval of certain write off balances and amounts within defined thresholds based on account balances and impact of write off, • Accounting decisions on defined benefit plan (Pension) and deferred compensation plan accounting and journal entry authorization for multi-million pension liability, • Oversight and governance of the control environment of reinsurance accounting, investment accounting, cash and pension, • Reconciliation and risk tolerance decisions on reconciling items, • Ownership and sign-off of investment schedules for regulatory filings (e.g. Bluebook schedule Ds, etc.) and audited financial statements, • Oracle system experience preferred, SAP system experience a plus, • IFRS and Insurance Statutory accounting experience preferred, • Excellent communication, organizational and time management skills, • Strong project management and ability to motivate a team towards a common goal, effectively works in a team environment and on an individual/independent basis, • High degree of attention to detail, documentation skills are proficient and concise, • Continuous improvement mindset, ability to handle multiple projects simultaneously by prioritizing tasks, • Proficiency in Excel and Power BI Our Benefits • Comprehensive Medical Plans, • PTO and Family Leave, • Retirement Savings Plans, • Dental and Vision Plans, • Life and Disability insurance, • Employee Assistance Program, • Adoption Assistance, • Wellness Programs - Calm, WW, SoFI, Virgin Pulse, • Commuter Benefits, • FSA and HSA Plans, • Hospital Indemnity, Critical Illness and Accident Plans At Munich Re US, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. About Munich Re Together, we engage with everything we have and are, to help humankind act braver and better. As the world's leading reinsurance company with more than 40,000 employees in over 50 locations around the globe, Munich Re introduces a paradigm shift in the way you think about insurance. By turning uncertainty into manageable risk, we enable fundamental change. We recognize Diversity, Inclusion, and Belonging as a key priority with a culture that welcomes different thoughts and opinions. We dare to think big and are continuously innovating on behalf of our clients. The Company is open to considering candidates in New York City. The base salary range anticipated for this position is $186,000 to $215,000, plus an opportunity for an annual company bonus based upon a percentage of eligible pay. The salary estimate displayed represents the typical salary range for candidates hired in this position. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Please note that only candidates who are selected for interview will be contacted directly. We thank all candidates for their interest. ___ Save job

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Senior Contract Manager is tasked with the responsibility of efficiently ensuring provider contract terms and rates are propagated through multiple systems. This includes ensuring synchronization and validation of these terms into the Contracts, Authorizations, and Claims databases. This role facilitates a seamless implementation process for providers and conducting thorough audits of rates within the databases to guarantee accuracy. Additional responsibilities of this role include coordinating with third-party software vendors to articulate requirements, develop, and test solutions for the effective implementation of business processes. Essential Functions: • Serve as the primary finance liaison with the internal compliance department ensuring contract information meets the specific data and workflow requirements for the claims adjudication system., • Collaborate with external provider networks to obtain essential data elements and formats, and ensure the receipt of all necessary information for accurate and timely claims processing., • Verify payment information is correctly captured and integrated, which is vital for the efficient and effective adjudication of claims., • Maintain clear communication and coordination with external partners to ensure all relevant data is available to reduce errors and delays in the payment process., • Work with IT department to obtain, develop and integrate automated files from contracts for blanket provider agreements, such as minimum wage adjustments. Ensure all amendments are accurately reflected in the system to maintain compliance and consistency in provider payments., • Obtain contracts and contract amendments from Compliance as they are executed. Ensure all information is entered timely to ensure no delays in payment., • Perform and oversee regular audits of the claims system to ensure rates are entered accurately to maintain the integrity and accuracy of the claims adjudication system, ensuring all rates comply with regulatory standards. Ensure any provider contract rate and term discrepancies are promptly identified and corrected., • Review monthly CMS precluded provider list and notify other areas of business to terminate contract, change authorization, and notify clinical staff., • Closely collaborate with Claims and Authorizations senior leadership, taking ownership of key operational processes and ensuring strategies and decisions are aligned with organization goals and regulatory requirements., • Coordinate with third-party software vendors to articulate business requirements, develop and test solutions for the effective implementation of business processes. Ensure that software solutions meet the organization's needs and support critical business functions. Actively participate in the development and testing phases to ensure final solutions are robust, efficient and aligned with business objectives, thereby enhancing overall operational effectiveness., • Perform any other job related duties as requested. Education and Experience: • Bachelor's degree required, • Equivalent years of relevant work experience may be accepted in lieu of required education, • Expert proficiency in databases and Excel, • Ability to meet multiple deadlines timely and accurately, • Ability to anticipate, recognize and resolve issues, • Ability to clearly and concisely articulate issues, • High level of attention to detail and accuracy, • Strong critical thinking and reasoning skills, • Ability to work well with multliple disciplines, • Excellent communication and interpersonal skills, with the ability to collaborate effectively with internal and external stakeholders, • Strong analytical thinking and problem solving skills Licensure and Certification: • None Working Conditions: • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview Serves as a liaison between the company and agents and acts as a relationship manager for our agents, regional underwriting team and corporate departments. Assess the strengths and weaknesses of agents and assists them in achieving a mutual goal of profitable growth in both volume and policy count. Ensures that agents are familiar with and use Selective's initiatives, products, policies, procedures and services. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities • Develop an agency force that pre-qualifies accounts, in-house rates using CLAS, processing small business using One & Done and/or the Service Center, and recognizes the value of the AMS position to help them write new profitable business and achieve agency goals., • Makes consistent underwriting decisions, adheres to company pricing philosophies and promotes ease of doing business with Selective., • Monitors agency results and follows up with agent both as to growth/profitability/share of wallet and compliance with company's initiatives, procedures and policies., • Develop professional working relationship with agent, regional underwriting and claim teams and corporate departments. Assists in directing BSU technical specialists for regional ITS training of agency personnel., • Keeps two-way communication between agent and company continuously open and viable and encourages agent usage of all Selective systems, including CLAS, PLUS and e-Select., • Performs inspections as determined by Loss Control Guide. Makes risk improvement or correction of deficiency recommendations and promptly follows up on same, documenting the file accordingly., • Stays alert for and advise company of any industry information, new ideas, products, or changes in other carrier philosophies that could positively or adversely affect Selective., • Audit agents One & Done book of business and provide quality assurance feedback to agent and underwriting team., • Meet regularly and frequently with CMS, Loss Control Rep, Bond Rep, Personal Lines Rep (if applicable) to discuss agency opportunities for greater growth and profit. Knowledge and Requirements • Must be results oriented with a proven track record in establishing, prioritizing and achieving business goals. Demonstrated superior communication, negotiation & presentation skills. Must be a high achiever with superior organizational skills who is self-motivated, pro-active, flexible, and able to work independently, from a remote location. Must be able to maximize technology to ensure high productivity (Must be proficient with Microsoft Word, Excel, PowerPoint and all internal business related software). Must have valid state-issued driver's license in good standing and be able to drive an automobile. Education and Experience • College degree preferred with 5+ years underwriting, marketing or field underwriting experience., • The following experience is preferred:, • 3 years Agency Management, rating Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our ___. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $101,000.00 - USD $151,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision of the claims team. Essential Functions • Responds to complaints in a prompt and professional manner and deploys effective service recovery strategies to resolve the issue. Escalates unresolved complaints when appropriate., • Direct and coordinate the activities of claims and data entry areas including direct supervision of subordinates and the implementation of employment issues., • Maintenance of a working knowledge of Management Information System and the coordination of required software enhancements for efficient claims processing., • Assisting in the development and implementation of departmental policies and procedures, • Assurance of appropriate level of staff training, • Monitoring and documenting processing accuracy and productivity levels, • Preparing, submitting and monitoring various reports as required, • Oversee Medicare audit preparation, submission, and response processes, ensuring compliance with CMS regulations., • Review, track, and manage Medicare audit findings, coordinating corrective action plans and validation activities., • Ensure accurate Medicare coding, documentation integrity, and adherence to billing rules to minimize audit risk., • Responsible for managing and responding to claim appeals, including Medicare-related appeals, ensuring timely and accurate resolution., • Establishing department audit process and payment integrity, • Perform any other job related duties as requested. Education and Experience • Associates in business or related field required, • Bachelor's degree preferred, • Equivalent years of relevant work experience may be accepted in lieu of required education, • Five (5) years of healthcare claims experience required, • Previous financial experience in MLTC preferred, • Three (3) years Previous leadership experience required, • Experience with Medicare coding standards (ICD-10, CPT, HCPCS) and Medicare audit processes required Competencies, Knowledge and Skills • Advanced proficiency in Microsoft Word, Excel, and PowerPoint, • Data analysis and trending skills, • Experience in staffing and forecasting (preferred), • Understanding of managed care claims operations, • Knowledge of coding and billing processes (CPT, ICD-9, HCPCS), • Strong communication and negotiation skills, • Strategic and executive management abilities, • Supervisory and leadership experience, • Ability to work independently and collaboratively, • Attention to detail and critical thinking, • Familiarity with the healthcare field, • Technical writing and proper grammar usage, • Effective time management and decision-making skills, • Customer service orientation and proper phone etiquette Licensure and Certification • Medical Coding or billing certification preferred Working Conditions • General office environment; may be required to sit or stand for extended periods of time, • Travel is not typically required Compensation Range: $113,000.00 - $197,700.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SW2

About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Overview "Applicants must be authorized to work for any employer in the United States. Selective will not sponsor or assume the sponsorship of an employment visa at this time". Note: (For NJ candidates) This role will be located at our future headquarters in Short Hills, N.J. Until the new headquarters is operational, the successful candidate will be offered the ability to work in our Branchville, N.J. location during this interim period. Selective Insurance is seeking an energetic and collaborative Data Engineer Specialist to work on Data and Analytics projects supporting the Claims Analytics team within the Information Management group. This group is responsible for all Data Engineering, Machine Learning Engineering, Analytics and Reporting for the Claims business area. The candidate must be hands-on with expert technical skills and a proven track record of project delivery. Responsibilities • Hands on development and support of new or existing data applications., • Works closely with the lead to create/review low level implementation designs, understand high level data flow designs developed by Data Architects., • Provide technical guidance to the team and work on implementing complex data solutions., • Provide support in the design, development, code reviews, test deploy and documentation of Data Engineering and Data Integration Applications., • Scaling and optimizing schema and performance tuning SQL and ETL pipelines in data lake and data warehouse environments., • Provide technical leadership and mentor junior data engineers., • Work closely with Product Owners, Product Managers, Program Manager, Scrum Master, and Team Members in a Scaled Agile framework., • Closely monitor the health of data pipelines and develop contingency plans for failures., • Maintain detailed documentation to support downstream integrations., • 5-7 of experience in Data Warehousing, Data integration or Data Engineering projects, • Ability to effectively work well with people in other departments and/or outside of the enterprise., • Expert-level proficiency inPython, SQL, and Spark; strong experience withcloud platforms(Azure, AWS, or GCP)., • Expert level experience in Databricks and Delta Lake., • Proven track record of buildingenterprise-scale data platformssupporting advanced analytics and machine learning., • Experience withstreaming architectures(Kafka, Kinesis) andevent-driven data processing., • Strong knowledge ofdata security, encryption, and access controlin regulated environments., • Advanced working knowledge of SQL and optimizing queries and databases for performance., • Ability to debug and resolve complex issues internally and work with external vendors and service providers., • Good understanding and hands on experience in developing and managing CI/CD pipelines, • Good understanding of Data Structures and Data Models., • P&C Insurance experience is highly desired., • Bachelor's degree in computer science or related engineering field preferred., • Certifications in cloud platforms (e.g., AWS Certified Data Analytics, Azure Data Engineer Associate) Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our ___. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $123,000.00 - USD $157,000.00 /Yr. Additional Information Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions. For Massachusetts Applicants It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job Description Summary #LI- Hybrid Novartis has an exciting opportunity for a Director, Analytics Infrastructure & Pipeline Operations. This role is responsible for building next-generation, AI-powered automated data pipelines and scalable data repositories that enable enterprise data science and analytics at scale. By leveraging advanced AI technologies, modern data engineering tools, and feature engineering platforms, this director creates self-service, analytics-ready datasets and enterprise feature stores that empower both expert data scientists and citizen data scientists to rapidly develop, deploy, and scale models. This position will be located at the East Hanover, NJ site and will not have the ability to be located re-motely. This position will require 15% travel as defined by the business (domestic and/ or international. Job Description Key Responsibilities • Design and implement intelligent, self-healing data pipelines that leverage AI/ML for automated data quality monitoring, anomaly detection, and remediation., • Build and maintain centralized feature stores that enable feature reusability across multiple models and use cases., • Create curated data repositories optimized for data science/AI workflows, including training datasets, evaluation datasets, and production serving layers., • Develop automated feature engineering pipelines that transform raw data into analytics-ready features with lineage tracking., • Partner with Enterprise IT to optimize analytics platform architecture for high-performance data science workloads., • Build automated pipelines that integrate diverse data sources including sales, CRM, patient claims, real-world evidence, and unstructured data., • Create self-service data access layers that empower data scientists and analysts to query and extract data independently., • Establish SLAs for data availability, freshness, and quality; implement monitoring and observability solutions. Essential Requirements • Advanced degree in Computer Science, Data Engineering, or related field;, • 10+ years of experience in data engineering, ML/AI engineering, or analytics infrastructure., • 5+ years leading teams building enterprise-scale data platforms and feature stores., • Expert knowledge of feature store technologies (Feast, Tecton, SageMaker Feature Store, Databricks Feature Store)., • Deep expertise in modern data platforms optimized for ML workloads (Databricks, Auto ML, Snowflake, BigQuery)., • Strong proficiency in Python, SQL, Spark/PySpark for large-scale data processing., • Experience with data orchestration tools (Airflow, Prefect, dbt) and CI/CD for data pipelines., • Proven track record of implementing AI/ML-powered automation in data engineering workflows., • Strategic thinker who can balance innovation (cutting-edge AI tools) with reliability (production stability)., • Builder mindset with ability to create scalable, self-service capabilities that reduce dependency on data engineering., • Experience in pharmaceutical, healthcare, or life sciences industry., • Knowledge of streaming technologies, MLOps tools, and data lakehouse architecture. Novartis Compensation Summary: The salary for this position is expected to range between $194,600 and $361,400 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves EEO Statement: The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. Accessibility and reasonable accommodations The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an e-mail to or call +1(877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. Salary Range $194,600.00 - $361,400.00 Skills Desired Agile (Programming Methodology), Artificial Intelligence (AI), Business Value Creation, Change Management, Curious Mindset, Data Governance, Data Literacy, Data Quality, Data Science, Data Strategy, Data Visualization, Deep Learning, Learning Agility, Machine Learning (ML), Machine Learning Algorithms, Mentorship, Nlp (Neuro-Linguistic Programming) And Genai, Organization Awareness, Stakeholder Engagement, Statistical Analysis, Time Series Analysis, Vision, Visualization

Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment. As a Credentialing Manager (Individual Contributor), you will play a critical role in optimizing our revenue cycle operations. Your primary responsibilities will include: * Payer Network Management: Drive efforts to scale Finni's network of insurance contracts and unblock stalled applications with payers, ensuring efficient onboarding and ongoing relationship management. * Offshore Team Management: Oversee enrollment submission team to ensure productivity expectations are met, active payer follow-up is timely, consistent, accurate, and recorded in the credentialing platform. * Customer Triage: Triage questions around payer enrollment updates, status, and general questions for providers and their respective support staff * Compliance and Quality Assurance: Ensure strict adherence to payer regulations, industry standards (e.g., CMS billing, NCQA Guidelines, Delegated Credentialing), and internal policies, maintaining high service and compliance standards across all RCM functions. * Operational Efficiency and Project Management: Lead workflow optimization initiatives within RCM, manage specific projects, and drive continuous process improvements to maximize reimbursement and minimize denials. * Cross-Functional Collaboration: Collaborate extensively with product, provider success, compliance, HR, finance, and other teams to align RCM efforts with overall business objectives and drive strategic goals. * Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes. You are a proactive and collaborative individual contributor with a strong background in revenue cycle management, driven by a commitment to operational excellence and financial performance. * Experience: 5+ years of relevant experience in credentialing or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech. Strong understanding of the payer credentialing processes, including core credentialing prerequisites, credentialing blockers and solutions to remediate, roster management, and demographic updates. * Collaborative & Independent Contribution: Proven ability to work effectively within a team environment, contributing to collective success, and independently driving credentialing initiatives. * RCM Expertise: Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing). * Analytical & Problem-Solving: Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance. * Process Optimization: Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness. * Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers). * Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment. * Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management within RCM is a plus. * Mission Alignment: Passion for Finni’s mission to democratize autism care and empower providers through robust RCM. * Adaptability & Agility: Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset. Ready to make a significant impact at a rapidly growing healthcare startup? We'd love to hear from you!

Summary of Position • Support contract performance management of a large health system., • Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines., • Identify and analyze single issues and trends to determine root causes., • Provide recommendations for solutions to minimize errors and delays in systems and/or processes., • Monitor system output to ensure proper functioning. Roles and Responsibilities • Evaluate disputed claims for system configuration, claims processing, and/or contractual issues to facilitate claims review., • Maintain and organize detailed information on claims dispute files to ensure appropriate and comprehensive data is returned to the provider timely., • Track issues and monitor trends to support their resolution., • Identify potential/actual claims problems (single or recurring/trending) and document root cause analysis; present findings to management., • Improve quality, enhance workflow, and provide efficiencies within departments, identify opportunities for improvements; develop and present recommendations for changes., • Conduct regular meetings with the assigned provider groups for status of AR files and recycles, • Support departmental goals for cycle time by organizing and tracking claims for review., • Monitor and provide timely responses for the designated provider group emails and AR files., • Bachelor's Degree; additional experience/specialized training may be considered in lieu of educational requirements., • 2 - 3 years' prior related work experience in professional/facility claims or benefits/billing environment., • Strong knowledge of claim processing policies and procedures., • Knowledge of medical terminology, ICD/CPT coding, per diem and DRG reimbursement and EDP testing procedures., • Proficiency with MS Office applications (word processing, database/spreadsheet, presentation)., • Ability to accurately interpret information from contractual and technical perspectives., • Must be conscientious and detail oriented; ability to recognize unusual patterns and troubleshoot for operational improvement and efficiencies., • Strong analytical and problem-solving skills., • Ability to effectively work on multiple projects/tasks with competing priority levels and deadlines., • Ability to effectively absorb and communicate information., • Strong Interpersonal and teamwork skills. Additional Information, • Requisition ID: 1000003050, • Hiring Range: $48,600-$83,160

Manager, Billing Operations | NYC Hybrid or Remote (U.S.) ___ is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 40,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved ___. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. About the Role We’re seeking a proactive and detail-oriented Manager of Billing Operations to lead our end-to-end billing workflows, ensure timely reimbursement, and drive down Days in Accounts Receivable (AR). This role will oversee claims processing, payment posting, AR follow-up, and denials management, ensuring operational excellence and strong financial performance, while enabling a supportive billing experience for our patients. Location: Hybrid (NYC). We value in-person collaboration and aim for at least three days per week in our NYC office, with flexibility as needed. Or fully remote within the US. What You’ll Do • Drive Strong Billing Operations Team Performance, • Lead a team of revenue cycle professionals across billing, collections, and denials management, driving high billing operations performance, • Manage team of onshore and offshore specialists across billing, payment posting, AR, and denials with clear ownership and accountability., • Build SOPs, documentation, and scalable processes to ensure consistent and high-quality execution., • Foster a culture of operational excellence and continuous improvement., • Own AR performance and KPI management, including DSO, first-pass acceptance rate, denial rate, etc., • Ensure Clean Claims & Prevent Denials, • Own processes that ensure accurate charge capture, eligibility, and coding before claims are submitted., • Build preventive workflows to reduce first-pass rejections, • Partner with clinical, intake, credentialing, and coding teams to address upstream issues that drive repeat denials. Lead Claims Submission, Payment Posting & AR Management • Oversee timely claim submission, remit posting, and structured AR follow-up workflows., • Maintain consistent follow-up cadence by age bucket, payer, and denial category., • Ensure all claims are processed, followed up on, and escalated within defined SLAs., • Drive Denial Resolution & Recovery, • Lead a structured denial management program with root-cause categorization and recovery targets., • Create SOPs for addressing common denial categories (coverage, coding, eligibility, prior auth, modifier issues, medical necessity, etc.)., • Oversee appeals, corrected claims, and secondary billing processes. Deliver a Patient-Friendly Billing Experience • Build clear processes and service standards to ensure patient billing questions are answered accurately and promptly, • Create feedback loops from patient inquiries to identify recurring pain points and implement improvements across billing workflows Maintain Compliance & Strengthen Billing Operating Infrastructure • Ensure compliance with payer policies, telehealth billing requirements, and documentation standards., • Stay current on industry policies and billing best practices., • Partner in management of billing systems and vendors and ensure swift resolution of any technical issues impacting billing Who You Are • Bachelor's degree required; Master's degree in Healthcare Administration, Business, or related field preferred, • 5+ years of progressive experience in healthcare revenue cycle management, • 3+ years of leadership experience in a healthcare setting, • Experience with telehealth billing and reimbursement, • Demonstrated success in improving revenue cycle metrics (e.g., clean claim rates, AR days, denial rates), • Strong understanding of healthcare reimbursement models, coding, and compliance requirements, • Experience with revenue cycle management systems and healthcare technology platforms, • Excellent analytical skills with the ability to translate data into actionable insights, • Exceptional communication and leadership abilities, • Experience utilizing modernized billing and EHR platforms such as Candid, Adonis, and Elation, highly preferred OR proven ability to learn new systems quickly Bonus Points • Telehealth or digital health background, • Women's health or specialty care experience, • Experience scaling billing operations in a high-growth environment What Allara Offers Compensation & Career Growth • $115-$130K with opportunities for advancement, • Professional development and employee learning programs Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks. Work Environment & Flexibility • Hybrid or remote options, • Unlimited PTO & 11 company holidays, • Annual onsite gathering in NYC Health & Wellness • Medical, dental, and vision benefits, • Health Savings Account (HSA) & Flexible Spending Account (FSA) options, • Long- and short-term disability coverage, • Annual wellness stipend Family & Future Planning • 401(k) plan, • Parental leave & family planning support benefits Additional Perks • Company-issued laptop, • Annual work-from-home stipend, • Commuter benefits (if applicable), • A collaborative, mission-driven culture focused on improving patient care At ___, we celebrate everything that makes us human. We are proud to be an equal opportunity employer and are committed to building a diverse and inclusive team. We do not discriminate based on race, gender identity, sexual orientation, religion, disability, veteran status, or any other protected characteristic.

This Jobot Job is hosted by: Bryna Rabin Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $70,000 - $100,000 per year A bit about us: We are all about owning what we do. From our founding in 1989, we are recognized around the Valley as a prominent contractor who provides quality infrastructure management and construction services to our public and private clients including underground utilities, pipeline rehabilitation, UV CIPP rehabilitation, water and wastewater facilities, street improvements, grading, paving concrete flatwork and structures. We have become 100% employee-owned, giving each employee-owner an enhanced sense of pride and commitment towards their specific contribution to the services we provide. Why join us? Do you want to build the most state of the art projects? We do too! • Competitive Base Salary!, • Competitive Bonus Package!, • Extremely Competitive Benefits Package!, • Employee Ownership!, • Stock Options!, • Flexible Work Schedules!, • Company Truck/Truck Allowance!, • Accelerated Career Growth! Job Details As a Project Engineer your role is: • Project Planning & Execution: Material procurement and expediting, assistance in work planning for self-perform and work activities, oversight and mentoring of engineering staff, Project close-out: involved in coordinating of documentation - deficiencies, warranties, maintenance and final payments, • Project Document Controls & Procedures: Coordinating and reviewing drawings, submissions, specifications, changes and document control, Change management – responsible for set-up, issuing documentation, pricing and change administration, • Subcontract Management: Subcontract administration – defining scope of work, writing subcontracts, answering inquiries, monitoring progress, tracking and processing back charges A Bachelor's degree in Civil, Mechanical, Electrical, Environmental Engineering, Construction Management or comparable Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Job Title: Data Scientist Location: Newark, NJ (Hybrid - 3 days/week) Duration: 12 Months (Temp to Hire) As a Data Scientist, you will partner with our diverse team of Engineers, Economists, Computer Scientists, Mathematicians, Physicists, Statisticians and Actuaries tasked with mining our industry-leading internal data to develop new analytics capabilities for our businesses. The role requires a rare combination of sophisticated analytical expertise; business acumen; strategic mindset; client relationship skills, problem solving; and a passion for generating business impact. This is an exciting opportunity to be a part of a strategic initiative that is evolving and growing over time! In addition to applied experience, you will bring excellent problem solving, communication and teamwork skills, along with agile ways of working, strong business insight, an inclusive leadership demeanor and a continuous learning focus to all that you do. Here is what you can expect in a typical day: • Responsible for the hands-on development of sophisticated data science solutions comprising the portfolio developed by the Lead Data Scientist and Actuaries and the technical requirements specified by the Lead Data Scientist and Actuaries., • Perform hands-on data analysis, model development, model training, model testing, model deployment., • Continuously research new methods for problem solution, including new algorithms, modeling techniques, and data analytics techniques., • Write production-level code and partner with machine learning engineers to push development code into production., • Partner with machine learning engineers to productionized machine learning models. Partner with data engineers to build data pipelines. Partner with software engineers to integrate solutions with business platforms., • Work closely with the business and data science lead to recommend and develop models for GI financial underwriting, medical underwriting, marketing analytics and other business use cases., • Advanced degree (Masters, Ph.D.) in Mathematics, Statistics, Engineering, Econometrics, Physics, Computer Science, Actuarial, Data Science, or comparable quantitative disciplines., • Working on complex problems in which analysis of situations or data requires an in[1]depth evaluation of various factors. Exercises judgment within broadly defined practices and policies in selecting methods, techniques, and evaluation criteria for obtaining results., • Knowledge of business concepts, tools and processes that are needed for making sound decisions in the context of the company's business. Create and test hypotheses for customer engagement and wellness programs., • Experience in research, designing experiments (ex: A/B testing), working with claims and customer experience data. An insurance actuary background is preferred but not required., • Ability to learn creative skills and knowledge on an on-going basis through self[1]initiative and solving challenges., • Data Acquisition and Transformation: Acquiring data from disparate data sources using API's, SQL and NoSQL. Transform data using SQL, NoSQL, and Python. Visualizing data using a diverse tool set including but not limited to Python and R., • Statistics and Computing: Exceptional understanding of: Calculus, Multivariable Calculus, Linear Algebra, Di8erential Equations, Probability, Statistics, Applied Probability, Applied Statistics, Computer Science (Programming Methodologies), and Cloud., • Knowledge of statistical techniques such as the use of descriptive, inferential, bayesian statistics, time series analysis etc. to extract business insights and experimentation to solve business problems, • Data Wrangling: Preparing data for further analysis; Redefining and mapping raw data to generate insights; Processing of large datasets (structured, unstructured)., • Machine Learning: Understanding of machine learning theory, including the mathematics underlying machine learning algorithms. Expertise in the application of machine learning theory to building, training, testing, and monitoring machine learning models. Understanding and expertise in NLP (natural language processing)., • Programming Languages: Python, R, SQL, Java or Scala, SQL, Cypher

Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers. The ideal candidate thriv

The ideal candidate thrives in a fast-paced, high-volume environment and delivers excellent customer service over the phone. Demonstrated excellence in customer service and client interaction. Imagenet provides claims processing services, including digital transformation, claims adjudication and mem