Clinical reviewer jobs in Bayonne, New JerseyCreate job alerts

Medical Strategy Director HYBRID NEW YORK CITY About the Role: We are looking for a Medical Strategy Director to serve as the scientific conscience of our brand teams and the bridge between clinical data and breakthrough creative. In this role you will translate complex science into strategic platforms that move audiences, partnering closely with account, creative, and client service teams to ensure every idea is grounded in clinical truth and built to perform in market This is a senior, client-facing position for someone who can hold their own in a room with KOLs and medical directors, then turn that insight into a creative brief that inspires a studio. You will shape the scientific narrative across the brand lifecycle, from data interpretation through to launch and beyond . What You Will Do Lead the development of medical and scientific strategy across assigned brands, spanning HCP and consumer channels • Interpret clinical and real-world data, competitive landscapes, and treatment paradigms to identify the strategic opportunities that differentiate a brand, • Partner with creative and copy teams to ensure scientific accuracy without compromising the strength of the idea, • Build and defend the scientific rationale behind campaign platforms in client presentations and pitches, • Develop and maintain deep therapeutic area expertise, serving as a trusted scientific advisor to clients and internal teams, • Guide medical-legal-regulatory (MLR) submissions, anticipating reviewer concerns and helping teams navigate them, • Mentor and develop junior medical strategy and scientific services staff, raising the scientific bar across the agency, • Contribute to new business efforts, including organic growth on existing accounts and pitches for prospective clients, • Stay ahead of emerging data, congress readouts, and shifts in the treatment landscape within your therapeutic areas What You Bring • An advanced scientific degree (PharmD, PhD, MD, or equivalent) is strongly preferred, • 7+ years of experience in medical strategy, medical affairs, or scientific services, ideally within a healthcare communications or advertising agency environment, • A proven track record of translating clinical data into compelling, commercially sound strategy, • Strong command of the MLR review process and the regulatory environment shaping promotional work, • The ability to influence both clients and creative teams, balancing scientific rigor with marketing impact, • Excellent presentation and storytelling skills, with the confidence to lead client conversations, • Experience in oncology is a plus, • A collaborative, generous approach to mentorship and team building What We Offer • A seat at the strategic table on brands that matter, with real ownership and visibility, • A culture that values scientific integrity as much as creative ambition, • Clear pathways for growth into senior leadership + amazing benefits Range is $150K - $200K depending on experience + Generous benefits 3-days hybrid in NYC

Job DescriptionRN Clinical Reviewer - Jericho or Albany, NY (#25332) Location: Jericho orAlbany, NY Employment Type: Full-time, Temp-to-hire (5 days a week) Hourly Rate: $60/hr Position Overview: We are seeking a meticulous Clinical Reviewer Registered Nurse. This individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. This temp-to-hire role is ideal for an experienced RN with a strong OB/maternal health background and a passion for quality improvement and patient safety. Why Join Us? • Competitive Compensation: Earn a competitive rate of $60 per hour., • Comprehensive Benefits:, • 5 Sick Days (40 hours) subject to the provisions of the NYS Paid Sick Leave Act., • Health Insurance subject to plan eligibility requirements., • Work Schedule: Full-time position, 5 days per week, with a temp-to-hire structure., • Professional Growth: Gain valuable experience conducting high-stakes clinical reviews for the NYS Department of Health, enhancing your expertise in quality improvement and maternal health., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures. Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program., • Licensure: Current licensure as a registered professional nurse in New York State., • Experience:, • A minimum of four years of clinical practice experience in a facility or community-based setting, including medical, surgical, and/or obstetrical experience., • Minimum of two years of acute care hospital experience., • Experience in an acute or ambulatory care healthcare facility reviewing charts for the purpose of quality improvement or utilization review, preferred., • Knowledgeable of current disease/care management/coordination trends, preferred., • Must have OB/maternal health background., • Skills:, • Strong analytical and communication (both written and verbal) skills., • The ability to work independently, as well as in a team environment., • The ability to prioritize reviews and projects to be completed., • Proficient in the use of standard office technology and basic Microsoft applications including Word and Excel., • Ability to gather and analyze information from records, reports, and other sources. Key Responsibilities: • Conduct clinical reviews of medical records from a variety of sources as well as other documents crucial to the review as appropriate., • Develop and draft narrative summaries of clinical reviews performed in the form(s) required by NYS Department of Health (the Department)., • Track case status in Excel and other databases as required by the Department., • Other activities as may be deemed necessary in response to the changing needs of the department.

Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. Hours: 8am - 5pm in your local time zone Call rotation - 1 weekend every 16 weeks You will report into the Associate Medical Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United States. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $211,200 - $ 277,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation, and annual performance bonuses. Responsibilities: • Provide timely medical reviews that meet Oscar's stringent quality parameters., • Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen., • Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level)., • Use correct templates for documenting decisions during case review., • Meet the appropriate turn-around times for clinical reviews., • Receive and review escalated reviews., • Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research., • Compliance with all applicable laws and regulations, • Other duties as assigned Requirements: • Board certification as an MD or DO, • Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC)., • 6+ years of clinical practice Bonus points: • Licensure in multiple Oscar states, • 1+ years of utilization review experience in a managed care plan (health care industry), • BC in Cardiology, Radiation/Oncology, or Neurology, • Experience with care management within the health insurance industry., • Willing and able to obtain additional state licensure as needed, with Oscar's support This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionRo is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services. This is enabled by Ro's vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients in nearly every single county in the United States, including 99% of primary care deserts. Ro is consistently recognized as a top workplace in Health Care, in New York, and for Women and Parents—earning more than 20 honors from Fortune, Great Place to Work, and PEOPLE since 2021. In 2025 alone, we ranked top 5 among medium workplaces in Health Care and New York, and top 50 nationwide. We’re hiring a Senior Clinical Data Analyst to join Ro’s Scientific Affairs team—a small, high-impact group of physicians, scientists, and data experts shaping how clinical credibility is built in modern healthcare. This is not a back-office analytics role. You’ll sit at the intersection of science, data, and storytelling, owning work that directly influences how millions of patients understand and trust their care. From substantiating marketing claims to generating real-world evidence for pharmaceutical partners to contributing to peer-reviewed publications, your work will be visible, strategic, and consequential. You’ll collaborate closely with teams across Marketing, Legal, and Product (Digital and Physical), translating complex analyses into clear, credible narratives that stand up to scrutiny and resonate with patients. Alongside board-certified physicians, PhD-level scientists, and experienced health data analysts, you’ll bring rigor to everything from customer-facing claims to original research, clinical protocols, and conference submissions. Whether you’re synthesizing data to guide evidence-backed content, helping shape a publication that advances the standard of care, or contributing to scientific and clinical conferences, you’ll see your work move quickly from insight to impact. If you thrive in ambiguity, love turning data into decisions, and want real ownership in redefining clinical trust at a fast-growing healthcare company, this role was built for you.What You'll Do: Analytical & Research Support (50%) • Bring analytical horsepower to Ro’s research, product, and thought leadership initiatives, • Analyze internal data across patient outcomes, engagement, surveys, and program performance, • Support pharma partnerships, conference materials, executive readouts, and internal strategy with data-driven insights, • Write and optimize SQL queries on large clinical datasets in collaboration with data partners, • Translate complex analyses into clear, compelling summaries and visuals for technical and non-technical audiences Scientific Writing & Publication (30%) • Help define Ro’s external scientific voice through high-quality, publication-ready writing, • Draft and refine peer-reviewed manuscripts, conference abstracts, white papers, and scientific reports, • Conduct focused literature reviews to contextualize findings and support claims substantiation, • Collaborate on publication strategy, narrative framing, and conference planning, • Ensure scientific messaging is consistent, credible, and aligned across all external touchpoints Research Operations & Claims Support (20%) • Own Ro’s research operations infrastructure and marketing claims pipeline end-to-end, ensuring every claim is scientifically sound, brand-aligned, and regulator-ready, • Own research protocol submissions and revisions with multiple Institutional Review Boards (IRBs), • Lead research study oversight, • Support the lead clinical reviewer as the single point of ownership for all claims requests, managing intake, prioritization, and execution, • Partner closely with Marketing, Legal, Medical, and Product to assess claim accuracy, feasibility, and evidence strength, • Maintain and evolve a centralized claims system to ensure clear documentation, traceability, and fast turnarounds, • Identify and implement process improvements that streamline workflows without compromising integrity, • Help define and operationalize evidence tiers to balance speed, risk, and scientific rigor across campaignsWhat You’ll Bring to the Team: Required Qualifications • B.S. in Healthcare, Biomedical Sciences or Related Field, • 3–5 years of experience in scientific research, healthcare consulting, medical affairs, or similar setting, • High comfort interpreting data and performing independent analyses (e.g. strong working knowledge of SQL), • Demonstrated experience with scientific writing (e.g., publications, abstracts, reports), • Strong project management and stakeholder communication skills, • Detail-oriented and highly organized, with the ability to manage multiple priorities Preferred Qualifications • Master’s degree (MSc) or equivalent experience in Biostatistics, Quantitative Methods, or related discipline, • Working knowledge of statistics and research proposal and/or study design, • Experience working in a startup or digital health environment, • Familiarity with pharmaceutical, regulatory and legal considerations for marketing claims in healthcare, • Exposure to peer-reviewed publication processes and conference submissionsWe've Got You Covered:, • Full medical, dental, and vision insurance + OneMedical membership, • Healthcare and Dependent Care FSA, • 401(k) with company match, • Flexible PTO, • Wellbeing + Learning & Growth reimbursements, • Paid parental leave + Fertility benefits, • Pet insurance, • Student loan refinancing, • Virtual resources for mindfulness, counseling, and fitness We welcome qualified candidates of all races, creeds, genders, and sexuality to apply.The target base salary for this position ranges from $121,100 - $140,500, in addition to a competitive equity and benefits package (as applicable). When determining compensation, we analyze and carefully consider several factors, including location, job-related knowledge, skills and experience. These considerations may cause your compensation to vary. Ro recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites). At Ro, we believe that our diverse perspectives are our biggest strengths — and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability and/or any other legally protected classification protected by federal, state, or local law. Ro is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and interview process. If you require a reasonable accommodation in the application or interview process, please contact us at talent@ro.co. See our California Privacy Policy here. We may use automated tools, including artificial intelligence (AI), to assist with parts of our recruiting and hiring process, such as reviewing applications, evaluating resumes, and assessing responses or job-related qualifications. These tools are used to support our recruitment team and do not replace human judgment. Final hiring decisions are made by humans.

Job Description Position: Field UAS RN Assessor Location: 120 Broadway, Suite 2840, New York, NY Schedule: Monday - Friday 9am-5pm Compensation: $110,000 - $120,000 Must reside in NY, NJ or CT Join VillageCare as a Full-Time Nurse Assessor and embrace the opportunity to contribute to the health and wellness of your community. In this role, you'll solve complex challenges and provide customer-centric solutions, all within a supportive and energetic environment. With a competitive salary ranging from $110,000 - $120,000, you will be rewarded for your commitment to excellence and integrity in healthcare. You will receive great benefits including a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b) with a 5% yearly employer contribution, Life and Disability, Commuter Benefits, mileage reimbursement, Paid Family Leave, and access to additional employee discounts. Don't miss this chance to be part of a forward-thinking organization that values your skills while offering a work-life balance. Apply today and make a difference! Introduction: VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a number of Medicaid and Medicare managed care plans, and through our Assisted Living Program. VillageCare has delivered quality health care and social services to individuals residing within New York City for over 45 years. Our service area now includes all five boroughs of NYC, as well as Westchester, Nassau, and Putnam counties. Your day as a Nurse Assessor: As a Nurse Assessor at VillageCare, you will play a vital role in ensuring the health and well-being of our Members through comprehensive assessments using the NYS Department of Health Universal Assessment System (UAS). Your responsibilities include: • Conducting in-person assessments, where you'll evaluate clinical, social, and individual needs to create tailored care plans., • Collaborating with our assessment scheduling team, you'll confirm assessment sessions and engage with Members, families, and providers to gather crucial information. Your clinical expertise will guide you in reviewing care plans, providing essential self-care training, and ensuring Members have access to valuable resources., • You'll document assessments promptly and work closely with the Quality Manager and UAS Nurse Reviewer to enhance the accuracy of assessments., • Additionally, your involvement in quality improvement initiatives will help elevate service delivery, ensuring that Members and their care teams are satisfied and supported in their journey towards health and independence. Requirements: To thrive as a Nurse Assessor at VillageCare, you must possess a blend of education, experience, and technical skills. • A minimum of an Associate's degree in nursing is required, while a Bachelor of Science in Nursing (BSN) is preferred., • Holding an active NYS RN License and valid NYS identification is essential., • Candidates should bring at least two years of clinical experience, ideally in home health care or within a health plan., • Familiarity with NYS Managed Long Term Care (MLTC) and Medicaid/Medicare plans will enhance your candidacy., • Proficiency in the NYS Department of Health's Uniform Assessment System (NYS-UAS) is preferred, although we will facilitate training., • Strong analytical and problem-solving skills are a must, along with proficiency in standard office software applications like MS Word, Excel, Outlook, and PowerPoint., • Familiarity with electronic health records systems and the ability to communicate in the languages spoken by VCMAX Members, such as Spanish or Mandarin, will further contribute to your success in this role. Are you ready for an exciting opportunity? So, what do you think? If you can meet these requirements and perform this job as described above, we would be happy to have you as part of our team! VillageCare is an Equal Opportunity Employer. Job Posted by ApplicantPro

OUR COMPANY HCEsquared® is a leading healthcare solutions platform developed by healthcare specialists for healthcare specialists to elevate patient care. We serve our community of clinicians by delivering practical clinical and non-clinical content through digital and in-person connections. We provide our clinicians with solutions to serve their patients through onsite and digital educational content based on the newest and best therapies and techniques from respected thought leaders in the field of dermatology as well as services to enhance their career trajectories. Our offerings have been proven to enhance clinician confidence, demonstrated by our exceptional audience and partner retention rates for our ecosystem. For more details on our clinician offerings and continuing medical education, please visit our portfolio companies on the website. Our conferences can be viewed at WHY JOIN HCESQUARED®? At HCEsquared®, our mission is simple: elevate patient outcomes by elevating the people who deliver care. When you join us, you become part of a team that blends healthcare expertise, educational excellence, and a shared commitment to making a measurable impact. Meaningful Work Your contributions directly strengthen the skills and performance of healthcare professionals. Your work ultimately improves patient lives. Growth-Driven Culture We develop our people through coaching, stretch assignments, and opportunities to lead. Your professional growth isn’t a perk, it’s a priority. Values-Led Teamwork You’ll collaborate with high-performing colleagues who care about integrity and continuous improvement. Empowered Innovation We encourage new ideas and give you the autonomy to innovate and improve processes. Flexibility With Accountability Remote work creates the flexibility you need while maintaining the high expectations for performance, communication, and ownership. THE ESSENTIALS This role is best suited for individuals who thrive in a fast-paced, entrepreneurial environment and bring a proven track record of delivering results through strong partnership and influence. • Vision – the ability to zoom out, define what “good” looks like, and clearly communicate that direction across and beyond the organization., • Strategic problem solving – the ability to translate vision into action by breaking complex opportunities or challenges into simple, executable strategies., • Grounded Leadership – the ability to lead with confidence in direction while demonstrating humility in execution, taking ownership, seeking input, and adapting as new information emerges., • Accountability and collaboration – the ability to take ownership of outcomes while motivating others to work effectively across the organization and setting clear expectations., • Grit – the willingness and ability to overcome challenges, move beyond ideas, and consistently drive results. JOB DESCRIPTION Title: Principal Solution Software Engineer Reporting To: Chief Digital, Technology & Data Officer (CTDO) Location: Remote (U.S.) Applicants must be legally authorized to work in the United States. HCEsquared® does not sponsor or assume sponsorship of employment visas. ROLE SUMMARY We're hiring a Principal Solution Software Engineer to bridge product vision and engineering delivery on a platform built to scale across medical specialties. HCEsquared® is a PE-backed healthcare education platform — currently focused on dermatology — that connects pharmaceutical sponsors to verified clinical outcomes and powers AI-driven content at scale. Our engineering teams, internal and contracted, need requirements translated into precise technical specifications before code is written. That translation is your job. You will own the space between the whiteboard and the pull request: turning product requirements into technical designs, integrations into working systems, and ambiguous problems into solutions that ship. You catch design flaws before they become production incidents and make sure engineering always has what it needs to build with confidence. We ship through AI-assisted development — person-agent pairs using tools like Claude Code. You'll be fluent in that model and help set the standard for how it's used. ACCOUNTABILITY • Solutions meet documented requirements with zero critical post-deployment defects from design or requirements gaps, • All platform integrations operational, documented, and maintainable, • Specifications complete and feasibility assessed before any sprint commitment, • Documentation, integration maps, and runbooks current at all times, • Engineering teams always have what they need to build with confidence, • Contribute to a reliable, scalable, integrated platform serving HCPs and pharmaceutical sponsors RESPONSIBILITIES • Translate requirements into technical specifications. Partner with product, design, and commercial stakeholders to define the technical approach, assess feasibility, and document specs engineering can execute without ambiguity., • Design integration architectures for new platform capabilities and third-party systems — CRM, event management, marketing automation, CMS, LMS, and data platforms. Ensure every design fits the broader platform, AWS environment, and Snowflake data strategy, and extends across new specialty markets., • Own assigned solutions from design through production. Coordinate engineering teams, vendors, and stakeholders, and enforce a definition of done that covers code review, testing, analytics instrumentation, and documentation., • Lead technical design review. No significant feature or integration enters engineering without a validated prototype and reviewed specification., • Own third-party tool and API integrations across the platform — evaluate, define requirements, and keep them documented and maintainable., • Own the technical documentation layer: architecture diagrams, integration maps, API specs, and operational runbooks., • Provide build-vs-buy assessments for new tools and platform decisions, with evidence-based recommendations to the CTDO. REQUIREMENTS • Demonstrated leadership essentials as described above, • 4-year degree from an accredited academic institution, • 7+ years in solution engineering, technical product management, software architecture, or a senior IC engineering role, • Proven ability to write precise technical specifications engineering can execute without architectural ambiguity — this is core to the role, • Strong experience integrating third-party systems via REST APIs, webhooks, OAuth 2.0, and SAML 2.0 across a modern SaaS stack, • Web application architecture fluency at the level of a senior technical reviewer — ideally Next.js or React with AWS-hosted backend services. You don't need to be the primary developer, but you must assess architectural decisions, review PRs meaningfully, and understand impacts on performance, cost, and data integrity, • Integration and architecture experience with headless Next.js, CMS, LMS, CRM, marketing automation, and event management platforms — not just as a user, • Strong QA, testing, and documentation discipline — runbooks, integration maps, and architecture diagrams are default deliverables, • Comfort working in an AI-assisted development environment (GitHub Copilot, Claude Code, or equivalent) is expected. We ship through person-agent pairs and you'll help set the standard, • Healthcare or regulated industry experience preferred; familiarity with HCP platforms, pharma compliance, or medical education tech is a differentiator. Experience building integrations that generalize across markets or specialty areas is a plus SALARY & BENEFITS This is an opportunity to do meaningful work, grow your impact, and continue developing your expertise within a high-performing, mission-driven organization. Salary is commensurate with experience and qualifications. HCEsquared® offers a comprehensive benefits package designed to support the health, flexibility, and professional growth of our team, including: • Fully remote work environment with a flexible time off policy, • Dedicated professional development support, including reimbursement for approved learning and development activities., • Comprehensive wellness benefits, including medical, vision, and dental coverage, with a significant portion of premiums subsidized for employees and eligible dependents, as well as access to HSA, FSA, and Dependent Care FSA plans, • Employer-paid life insurance, short-term disability, and long-term disability coverage, • 401(k) retirement plan with company matching, • Cell phone reimbursement for business use, • Home office stipend to support a productive remote setup

MMS Holdings Inc is seeking a part-time medical reviewer to provide expertise on cardiac safety concerns. The ideal candidate will have a medical degree, specialty in cardiology, and substantial clinical experience. This role includes medical monitoring and creating study documents while maintaining

A healthcare technology company is looking for a Clinical Reviewer to evaluate AI chatbots. This role requires fluency in English and a medical degree either completed or in progress. You will tackle complex healthcare problems to improve the chatbot's performance, ensuring medical accuracy and quality in their outputs. This is a flexible remote position, offering competitive hourly pay starting at $50-$60, with bonuses for quality work. #J-18808-Ljbffr

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr Position Overview Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a non-profit organization located i

Clinical Review Nurse - Prior Authorization to work remotely.

A healthcare organization is seeking a Nurse Practitioner for a remote 1099 contractor role, requiring a minimum of 5 state licenses. Candidates must have advanced practice education and strong skills in chronic care and remote patient monitoring.

Primary Responsibilities Provide assistance with on-boarding newly hired APPRs Be a resource and provide ongoing clinical education specific to chronic care management Assure that the staff has the basic resources to get their work down in an efficient manner. Position Summary As a Team Lead in the

Certification as a Metabolic and Bariatric Surgery Clinical Reviewer (MBSCR) is required or must be obtained within six (6) months of hire. The Metabolic and Bariatric Surgery Clinical Reviewer (MBSCR) is responsible for the accurate, complete, and timely identification, abstraction, and submission

JSR Tech Consulting is seeking a clinically trained physician to provide targeted review and validation of HEOR and real-world evidence outputs in New Jersey.

A leading health services company is seeking a licensed psychologist with BCBA-D certification to oversee clinical reviews for applied behavior analysis services. The position requires at least 3 years of clinical experience in ABA treatment, strong communication skills, and proficiency with databas

Job Description FIND Healthcareers is a healthcare recruitment firm led by professionals who operate within the system — not outside of it. We partner with growing healthcare organizations across the U.S. to build clinical, operational, and leadership teams that improve how care is delivered. We recruit across the full spectrum of healthcare talent — from Licensed Practical Nurses and Physicians to practice managers and operational leaders. Whether through direct hire, contract, or temp-to-hire placements, we connect candidates with environments where they can perform and organizations with people who actually move the needle. Backed by strong relationships across healthcare networks and training programs, we don't just fill roles — we align talent with real-world operational needs. AI Workflow Reviewer – Front Office Coordinator (Healthcare)About the Opportunity Our client is developing AI-powered patient communication solutions and is seeking experienced healthcare front office professionals to help evaluate and improve AI-driven patient interactions. This short-term project will involve reviewing patient calls handled by AI systems and providing feedback on whether the interactions accurately reflect real-world clinic workflows and patient experience standards. What We Offer • Location: Remote (United States Only), • Commitment: 4 Weeks (around 10h per week), • Contract Type: Temporary Independent Contractor (1099), • Compensation: Competitive hourly compensation based on experienceResponsibilities, • Review AI-handled patient phone calls and interactions, • Evaluate workflow accuracy and patient communication quality, • Assess common front office scenarios including:, • Appointment scheduling and rescheduling, • Medication refill requests, • Payment collection and billing inquiries, • Insurance-related questions, • Patient intake and registration workflows, • Identify workflow gaps and opportunities for improvement, • Provide structured feedback to the project teamRequired Qualifications, • Minimum 2 years of healthcare front office experience, • Experience in one or more of the following specialties:, • Dental, • Optometry, • Pain Management, • Dermatology, • Strong understanding of patient scheduling and front office operations, • Excellent communication and organizational skills, • Comfortable reviewing recorded calls and documenting feedbackPreferred Qualifications, • Bilingual English/Spanish, • Experience with practice management or scheduling software, • Experience handling patient payments and insurance verification, • Previous quality assurance, training, or workflow improvement experienceIdeal Candidate You have firsthand experience managing patient interactions in a specialty clinic environment and can quickly recognize whether a conversation reflects how a real practice would operate. You understand the nuances of scheduling, medication requests, payment collection, and patient communication, and can provide practical feedback to improve AI performance. Why This Role Matters You will play a vital role in training and enhancing AI systems that will be utilized across the healthcare landscape. Your clinical judgment will help ensure these systems are safe, accurate, and aligned with real-world medical practice. We don't just place candidates — we work inside healthcare operations every day. That means we understand what actually works on the ground. If you're looking for a role where that matters, we encourage you to apply.

The reports require the peer reviewer to discuss clinical disease processes, published guidelines, overall care provided and QI recommendations. Job Summary and Responsibilities Are you interested in doing peer review within your specialty? Would you enjoy reviewing medical records for standard of

The Center to Advance Palliative Care (CAPC) is a national, non-profit membership organization that successfully uses social change principles to promote high-quality care for all people living with a serious illness, and their caregivers. The Director has a critical role as an internal subject matter expert and strategic leader on the CAPC team, and as a CAPC representative liaising with external audiences. The Center to Advance Palliative Care (CAPC) is a national organization dedicated to increasing the availability of quality, equitable health care for people living with a serious illness. The organization maintains national membership to support the growth of palliative care programs in health care organizations across the country and the world, and we deliver palliative care education to tens of thousands of clinicians each year. As the nation's leading resource in its field, CAPC provides health care professionals and organizations with the training, tools, and technical assistance necessary to meet the needs of patients with serious illness. • Maintain a 'finger on the pulse' of threats and opportunities in the palliative care field, innovations in palliative care delivery, and educational needs across US health care, identifying and evaluating opportunities for CAPC action, • Participate on CAPC's Enterprise Team which has oversight of organizational finances, operations, team health, and strategy - by attending regular meetings, retreats, and planning sessions, • Serve as CAPC's internal medical subject matter expert and provide strategic guidance for all departments, including:, • Develop CAPC positioning on clinical topics related to education, policy advocacy and CAPC thought leadership, in collaboration with CAPC's senior leadership and CAPC Directors of Clinical Education, Palliative Care Program Development, Health Equity, and Health Care Transformation, • Participate in CAPC's Opportunity Committee, a twice-monthly meeting to evaluate new project proposals, • Collaborate with CAPC's fundraising lead to identify and write proposals for foundation grants or donations that support CAPC strategic objectives, • Support CAPC's Member Services team through strategic guidance, participation in high-value member and prospective member conversations, and synthesis of member feedback as it relates to CAPC product and program development, • In collaboration with CAPC's Marketing team, lead selection of topics for CAPC's blog and review all clinical content as clinical reviewer, • In collaboration with CAPC's Palliative Care Program Development team, provide oversight of CAPC's virtual clinical practice education series, Interprofessional Grand Rounds. Actively support the identification and recruitment of expert faculty., • Support CAPC's Clinical Education team by:, • Participation in CAPC's clinical curriculum development committee, • Participation in CAPC's continuing education committee, • Working with interprofessional faculty and subject matter experts to review CAPC clinical education courses, learning pathways and workshops, • Serving as Course Director to meet continuing education accreditation requirements, • Collaborate with the Palliative Care Program Development, Health Equity, and Health Care Transformation teams as needed to support development of new and/or review of existing technical assistance for palliative care program leaders, • Participate in CAPC National Seminar Planning Committee to develop content and identify speakers, serving as Course Director for the conference, • Represent CAPC among external audiences through speaking, writing, media relations, social media, and partnership/relationship development, • Develop and maintain key relationships with palliative care field leaders and relevant organizations, to identify opportunities for mission-aligned collaboration, • Uphold CAPC's values of equity and inclusion in all professional activities and interactions, • Bachelor's Degree required Master's degree preferred, • Minimum 7 years of leadership in palliative care; experience in both inpatient and outpatient or community-based settings preferred, • Excellent written and verbal communication skills, including experience in public speaking, • Capacity to persuasively communicate CAPCs value proposition to prospective and existing partners and members, • Team-oriented with a demonstrated track record of inter-professional collaboration, • Thrives in a dynamic and fast-paced entrepreneurial remote environment, • Ability to travel up to once a month, • Remote position--Must be able to travel to Mount Sinai annually, • MS Excel, • MS PowerPoint, • MS Word, • Outlook 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. • Job Identification 3035765, • Job Category Executive

A healthcare intelligence company is seeking a DRG Reviewer to conduct payment validation reviews.The ideal candidate will possess a nursing degree or equivalent, with at least two years of inpatient claims auditing experience.Responsibilities include auditing medical records, providing clinical sup

Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a NY license and be Board Certified in Orthopedic Surgery, with experience in completing Independent Medical Exams. The ideal candidate will be New York State Workers' Comp certified. Independent Medical Exams are available to be completed across the state of New York. Requirements As Physician Reviewer/Advisor, you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits Robust opportunity for supplemental income • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Rare Chance to work in Women's Health!!.Monday–Friday, 8:00 AM – 4:00 PM.This is more than just a job — it’s a chance to be part of a team helping women who are navigating deeply personal journeys in their fertility.You’ll get direct insight into the administration of fertility care, give

The Center for Human Reproduction (CHR) is a leading fertility center based in New York City, recognized nationally and internationally for treating patients with multiple failed IVF cycles.Founded as one of the first IVF centers in the U.CHR specializes in treatment for diminished ovarian reserve.O

Coordinate patient flow and support clinical staff with administrative tasks.

Make the Road New York (MRNY) builds the power of immigrant and working-class communities to achieve dignity and justice through organizing, policy innovation, transformative education, and survival services.With a membership of 28,000, MRNY tackles the critical issues facing our communities, includ

BRAM Auto Group is one of the largest family-owned businesses in the Tri-State area serving customers in New York and New Jersey for over 50 years.BRAM is a premier automotive management group- we own and operate 13 innovative Dealership Locations representing Lexus, Honda, Toyota, Cadillac, Ineos G

Proficiency with computer systems and EHR software enables accurate data entry and retrieval, supporting clinical workflows and billing processes.

Performs receptionist duties for the department, including greeting visitors, answering phones and making appointments.Receives visitors, ascertains needs, and directs guests appropriately.Answers the telephones, routing callers appropriately and taking messages as needed.Routes telephone referrals

New York City Veterinary Group is one of the city's oldest and most trusted veterinary practices, with roots dating back to 1948 at our East Side Animal Hospital location.From our beginnings in Midtown Manhattan to our expansion into Long Island City, we've built a reputation for compassionate, high

CAMBA is a community of staff, volunteers, clients, donors, neighbors and partners who work together to build an inclusive New York City, where all children and adults have access to the resources and supports they need to thrive.We take a comprehensive approach by offering more than 180 integrated

Make a meaningful impact this fall.Carter Burden Network (CBN) is seeking a full-time, bilingual (English/Spanish) Receptionist to join our Covello Older Adult Center as a leave replacement from mid-August through early December 2026.This is a great opportunity for someone who enjoys connecting with

Koeppel Auto Group is always looking for smart, engaging, creative and dynamic people who want to join a team where they matter.Your professional development is one of our top priorities, so we're proud to offer our staff members with a comprehensive benefits package, competitive compensation plans,

ENT and Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians practicing across 70+ clinical locations in New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialis

Our client, a global financial firm based in Manhattan, is looking to hire a star receptionist to work alongside their existing receptionist, in their Midtown office.The successful candidate must be well spoken, skilled, polished and have a nothing is beneath me attitude.The position requires 1 year

ClinicalWorks experience preferred. Program graduates are guaranteed a position to join our clinical team, creating a clear pathway from education to long-term career growth with us.

We are an established, growth-oriented agency with a team of highly motivated individuals.Our team works hard to reach our goals together as a team and have fun while we are doing it! If you want to work in an environment that is fun, challenging, and rewarding, then Rob Perelmuter - State Farm Agen

The Part-Time Receptionist serves as a front-line customer service representative, supporting the full-time Receptionist and ensuring that all clients are greeted and checked in upon entering the building.This role requires strong conflict resolution skills, a calm and professional demeanor, and a c

Job Category: Human/Social Services.The Atlantic 2886 Atlantic Ave Brooklyn, NY 11207, USA.One year of related human services experience (specialized training may substitute).Ability to secure and maintain Standard First Aid and CPR certification.Work Eligibility: Must be authorized to work in the U

Middle School Coordinator (Receptionist).VOICE Charter School is an elementary and middle school located in Long Island City, Queens that serves about 650 students across grades K-8.We are located just minutes from Manhattan and Long Island City's growing waterfront district, thriving arts community

Want to help pets live their best lives?.We're proud to be where the pets go and where the pet people go.If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you.Our core values capture that spiri

ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are s