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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: Join our mission to transform pharmacy benefits and healthcare navigation as a Senior Data Engineer (Analytics Engineer). You will build and maintain reliable data models within Snowflake with dbt, and improve data quality and observability. Partner with analysts, data scientists, and software engineers to deliver trusted, well-documented datasets that power analytics and products. Position Responsibilities: • Build, test, and document Snowflake data models and business logic in dbt, • Apply and improve data quality, testing, observability, and lineage standards, • Collaborate with cross-functional partners to define data contracts and interfaces, • Contribute to Capital Rx's modular data platform and client-specific data configurations, • Participate in design reviews; propose scalable, maintainable patterns, • Monitor pipeline health, troubleshoot incidents, and drive root-cause fixes, • Optimize cost and performance of jobs, storage, and queries with guidance, • Write clear documentation and support knowledge sharing, • Adhere to the Capital Rx Code of Conduct, including reporting of noncompliance Preferred Qualifications: • 5+ years in data engineering, software engineering, or related field, • Strong SQL and Python; solid understanding of ETL/ELT and dimensional/data vault modeling, • Hands-on dbt experience (models, tests, documentation, deployments), • Experience with orchestration (Dagster or Airflow) and scheduling best practices, • Familiarity with Spark/Databricks and cloud data warehouses (Snowflake preferred), • CI/CD for data (Git-based workflows, environments), and basic IaC familiarity, • Data observability and testing (dbt tests, Great Expectations/Soda, lineage tools), • Understanding of security, governance, and privacy for PII/PHI (HIPAA awareness), • Effective communication and collaboration with technical and non-technical stakeholders, • Bonus if you have Exposure to healthcare data (claims, eligibility, provider directories), • Performance tuning in Snowflake (warehouse sizing, clustering, caching) Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. About Capital Rx Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company's cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Capital Rx 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. Salary Range$140,000—$160,000 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___.

Job Description PROS Recovery Specialists establish and maintain a therapeutic relationship with individuals and their families by effectively utilizing clinical skills. They may review the individuals psychiatric, medical and other case records and discuss issues with families and other members of the treatment team; complete admission screening; conduct psychosocial assessments; make treatment recommendations; participate in treatment planning; provide social casework services; provide individual, group, and family therapy; assess availability of services; serve as consumer advocate; develop and implement discharge plans; and coordinate services with community providers. Incumbents advocate to ensure individuals receive appropriate treatment/services that their legal and human rights are protected and promote effective and consistent utilization of services and resources. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) • Interviews individual after a thorough review of the record to construct the psychosocial assessment., • Obtains psychosocial history by interviewing the individual, the family, significant others, and former service providers to formulate clinical recommendations for therapeutic interventions., • Assesses individuals’ treatment needs., • Prioritizes the individual’s treatment needs; assesses impact of treatment on the individual and the family; assesses ability of significant others to assist in the treatment planning process; and involves the individual and significant others in a comprehensive treatment plan; and in some settings, determines which individuals are appropriate for other levels of care., • Participates in the development of a written comprehensive individualized treatment plan that is based on the assessment of the individuals clinical needs; determines need for services and ensures that referrals for ancillary, support and consultative services are noted and made; reviews and updates individual treatment plan according to all applicable guidelines and in response to clinical change; and ensures that arrangements are made and documented for continuation of care well in advance of individuals planned departure., • May identify, coordinate and plan for the individuals’ financial needs., • May identify and provide intervention to individuals in crisis in a range of settings; or provides consultation to others to enable them to appropriately intervene., • Assesses the individual’s readiness for discharge; identifies needed resources; works with consumers/patients, families and providers to link him/her with appropriate resources; may conduct follow-up visits., • Prepares an outline of objectives and conducts sessions according to treatment program schedule., • Meets with assigned group according to treatment schedule., • Conducts specialized groups to meet the needs of target populations:, • Maintains topic-focused discussion., • Provides opportunities for participation., • Ensures that content of group sessions is consistent with objective of treatment plan and meets the needs of the individual members., • Ensures that individual attendance and participation in sessions is documented., • Documents, within required timeframes, the content and results of group counseling or therapy., • Periodically evaluates the effectiveness of assigned group sessions, and based on the evaluation results, makes any changes indicated., • Provides treatment to family or significant others or advocates for such services:, • Reviews and evaluates the involvement of family/significant others in treatment and carries out corrective action as appropriate and/or makes recommendations and/or referrals for needed services such as mental health issues, safe homes for domestic violence, parenting skills, and how to apply for financial assistance., • Takes a lead role in on-going efforts to increase the involvement of family/significant others in treatment program., • Prepares an outline of family program sessions and objectives., • Facilitates family education session according to treatment plan., • May supervise master’s program level students (MSW, MHC, CAT) Meets with staff on caseload and identified issues., • Prepares performance program and discusses these duties with staff; prepares and completes a written performance program according to agency guidelines; monitors and evaluates performance., • Establishes work schedules; monitors time and attendance taking corrective action where necessary; approves and disapproves requests for time off., • Ability to work with clients, families, and staff in a caring and respectful manner, and with due understanding of and consideration for cultural differences., • Ability to develop, evaluate, implement and modify a treatment plan, meeting all deadlines and productivity standards, • Ability to communicate effectively with staff, clients, families, and the public., • Ability to prepare accurate and timely documentation, reports and other written material as assigned using computers and computer software assigned (e.g., IMA, Word, Anasazi, etc.), • Ability to understand and adhere to internal and external laws, rules, and policies, • Ability to secure the cooperation of and work effectively with others New York State approved Limited Permit – Master of Social Worker, Mental Health Counselor, Creative Arts Therapist, licensed by New York State as a Licensed Master of Social Worker, Licensed Clinical Social Worker, Licensed Mental Health Counselor, Licensed Creative Arts Therapist; current, valid registration certificate.

Job Description PROS Recovery Specialists establish and maintain a therapeutic relationship with individuals and their families by effectively utilizing clinical skills. They may review the individuals psychiatric, medical and other case records and discuss issues with families and other members of the treatment team; complete admission screening; conduct psychosocial assessments; make treatment recommendations; participate in treatment planning; provide social casework services; provide individual, group, and family therapy; assess availability of services; serve as consumer advocate; develop and implement discharge plans; and coordinate services with community providers. Incumbents advocate to ensure individuals receive appropriate treatment/services that their legal and human rights are protected and promote effective and consistent utilization of services and resources. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) • Interviews individual after a thorough review of the record to construct the psychosocial assessment., • Obtains psychosocial history by interviewing the individual, the family, significant others, and former service providers to formulate clinical recommendations for therapeutic interventions., • Assesses individuals’ treatment needs., • Prioritizes the individual’s treatment needs; assesses impact of treatment on the individual and the family; assesses ability of significant others to assist in the treatment planning process; and involves the individual and significant others in a comprehensive treatment plan; and in some settings, determines which individuals are appropriate for other levels of care., • Participates in the development of a written comprehensive individualized treatment plan that is based on the assessment of the individuals clinical needs; determines need for services and ensures that referrals for ancillary, support and consultative services are noted and made; reviews and updates individual treatment plan according to all applicable guidelines and in response to clinical change; and ensures that arrangements are made and documented for continuation of care well in advance of individuals planned departure., • May identify, coordinate and plan for the individuals’ financial needs., • May identify and provide intervention to individuals in crisis in a range of settings; or provides consultation to others to enable them to appropriately intervene., • Assesses the individual’s readiness for discharge; identifies needed resources; works with consumers/patients, families and providers to link him/her with appropriate resources; may conduct follow-up visits., • Prepares an outline of objectives and conducts sessions according to treatment program schedule., • Meets with assigned group according to treatment schedule., • Conducts specialized groups to meet the needs of target populations:, • Maintains topic-focused discussion., • Provides opportunities for participation., • Ensures that content of group sessions is consistent with objective of treatment plan and meets the needs of the individual members., • Ensures that individual attendance and participation in sessions is documented., • Documents, within required timeframes, the content and results of group counseling or therapy., • Periodically evaluates the effectiveness of assigned group sessions, and based on the evaluation results, makes any changes indicated., • Provides treatment to family or significant others or advocates for such services:, • Reviews and evaluates the involvement of family/significant others in treatment and carries out corrective action as appropriate and/or makes recommendations and/or referrals for needed services such as mental health issues, safe homes for domestic violence, parenting skills, and how to apply for financial assistance., • Takes a lead role in on-going efforts to increase the involvement of family/significant others in treatment program., • Prepares an outline of family program sessions and objectives., • Facilitates family education session according to treatment plan., • May supervise master’s program level students (MSW, MHC, CAT) Meets with staff on caseload and identified issues., • Prepares performance program and discusses these duties with staff; prepares and completes a written performance program according to agency guidelines; monitors and evaluates performance., • Establishes work schedules; monitors time and attendance taking corrective action where necessary; approves and disapproves requests for time off., • Ability to work with clients, families, and staff in a caring and respectful manner, and with due understanding of and consideration for cultural differences., • Ability to develop, evaluate, implement and modify a treatment plan, meeting all deadlines and productivity standards, • Ability to communicate effectively with staff, clients, families, and the public., • Ability to prepare accurate and timely documentation, reports and other written material as assigned using computers and computer software assigned (e.g., IMA, Word, Anasazi, etc.), • Ability to understand and adhere to internal and external laws, rules, and policies, • Ability to secure the cooperation of and work effectively with others New York State approved Limited Permit – Master of Social Worker, Mental Health Counselor, Creative Arts Therapist, licensed by New York State as a Licensed Master of Social Worker, Licensed Clinical Social Worker, Licensed Mental Health Counselor, Licensed Creative Arts Therapist; current, valid registration certificate.

Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete (4-6 months) Training office is in lower Manhattan, NY Salary: $90,000 - $108,000 + $15,000 Sign on Bonus Process all requests for services in accordance with Medicare and NYS Medicaid Guidelines as well as departmental criteria and guidelines. Works collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists as necessary to ensure timely provision of services. Coordinates timely completion of UAS NY assessment that accurately reflects current condition of the member. Ensures that the member’s Individualized Person Centered Care Plan has been updated and accurately reflects present status of the member. Qualifications: • Graduate of an accredited nursing program, Bachelor’s preferred, • Knowledge with Utilization management processes preferred, • Current NY RN license and registration required, • CCM preferred, • Prior Authorization or Utilization Review experience required, • Prior experience in an interdisciplinary service delivery environment preferred, • Working knowledge of Medicare and Medicaid regulations, • Prior experience in an interdisciplinary service delivery environment preferred, • Working knowledge of Windows, Word and Excel, • Knowledge of current standards of medical practice and healthcare delivery systems, • Strong assessment skills, • Knowledge of Interqual preferred #ACP #AC1

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Summary of Position We are seeking an Endocrinology trained physician to join our multispecialty group in pursuit of high-quality patient care to provide full scope Endocrinology services. The Ideal Candidate • One to three years of endocrinology clinical experience in an outpatient setting., • Ability to diagnose and treat a wide variety of endocrinology conditions with a focus on improving, • patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Principal Accountabilities • Review patient’s history and perform physical examination. Maintain complete and accurate medical records., • Conduct physical evaluation and diagnostic tests to determine diagnosis and provide appropriate treatment and patient care plan., • Diagnose and treat patients with a variety of hormonal diseases and conditions related to the endocrine systems., • Provide comprehensive cost-effective diabetes care with available support of CDE/RD services., • Recommend suitable management for the patient, including but not limited to, preventive health recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, taking into account the patient’s psychosocial and physical needs., • Communicate effectively with the clinical team to ensure total delivery of quality care., • Share on-call phone answering responsibilities with other Endocrinologists, at present on or about every six weeks rotation basis., • Participate in medical staff educational programs and meetings. Qualifications Education, Training, Licenses, Certifications • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent., • Completion of three year post graduate medical training from a U.S. accredited residency, • program in Internal Medicine., • Completion of two year post graduate medical training from an accredited fellowship program in area of practice (e.g., (Endocrine, Diabetes, and Metabolism Medicine). Relevant Work Experience, Knowledge, Skills, and Abilities • Seeking both experienced and newly trained providers, • Board Eligible/Board Certified in both Internal Medicine and Endocrinology, • Must possess current, unrestricted New York State license., • Must possess Drug Enforcement Agency (DEA) registration or be eligible for registration., • Must possess Medicare/Medicaid Enrollment or be eligible to enroll., • BLS or ACLS certification required., • Must possess strong communication skills both oral and written., • Comfortable with Electronic Medical Record (EMR) system and Microsoft Office.

Job Title: Compliance Coordinator (Contract) About Us Pride Health is a minority-owned healthcare staffing firm that connects skilled clinical and non-clinical professionals with leading hospitals and healthcare organizations nationwide. As part of Pride Global, we deliver flexible workforce solutions while supporting quality patient care and career growth for healthcare professionals. Position Overview We are seeking a detail-oriented Compliance Coordinator to support healthcare compliance operations within a regulated environment. This role combines administrative coordination with regulatory analysis and is responsible for maintaining compliance tracking systems, supporting audit and investigation activities, and assisting in the development of tools to monitor regulatory requirements. The ideal candidate is highly organized, analytical, and experienced in healthcare or insurance compliance, with the ability to manage multiple priorities and work cross-functionally. Key Responsibilities Compliance Operations & Administration • Provide administrative support including scheduling, documentation, and follow-ups, • Maintain and update compliance trackers and reporting tools to ensure data accuracy, • Coordinate communications and requests with internal departments and stakeholders, • Manage documentation and support audit readiness activities Regulatory & Compliance Support • Assist in monitoring compliance with federal, state, and local healthcare regulations, • Research and summarize Medicare/Medicaid and managed care requirements, • Support the development of compliance tracking tools, dashboards, and reporting systems, • Maintain a calendar of regulatory deadlines and reporting obligations Audit, Investigation & Reporting • Track compliance investigations, monitor deadlines, and send reminders for timely completion, • Assist in gathering and organizing documentation for audits and internal reviews, • Support data collection and reporting for compliance committees and leadership presentations Program & Process Support • Assist with compliance work plan activities, including outbound audit-related calls, • Monitor vendor systems (e.g., exclusion screening platforms) to ensure timely completion of required actions, • Support mail merge processes and high-volume correspondence when needed, • Help maintain secure handling of confidential and sensitive information Qualifications Education & Experience • Bachelor’s degree in Business, Healthcare Administration, or related field preferred, • 1–3+ years of experience in compliance, healthcare operations, or administrative support, • Experience in a regulated environment (healthcare, insurance, or government) required, • Experience with compliance audits, regulatory research, or internal controls preferred Skills & Competencies • Strong proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook, SharePoint), • Experience with compliance tracking tools, data analysis, and reporting, • Ability to manage multiple tasks, deadlines, and priorities independently, • Strong written and verbal communication skills, • High level of discretion in handling confidential information, • Familiarity with medical terminology, claims, or billing concepts is a plus, • Experience with research tools (e.g., legal/regulatory databases) is a plus Schedule & Work Setup • Full-time, contract role, • Monday–Friday, standard business hours, • Hybrid or onsite, depending on business needs Benefits Disclosure 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. Equal Employment Opportunity Statement Pride Health is an Equal Opportunity Employer. We are committed to creating an inclusive and diverse workplace and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Job Summary We are seeking an Internal or Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • Must have a minimum of Two to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Responsibilities: • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate, • treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine or Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking experienced outpatient trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office Competitive Benefit Package: • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

Job Description Medical company has temp opening for Authorization/ Data Entry Coordinator. Knowledge of Medicare coverage and Medicaid coverage. Experience setting up or assigning authorizations for revie. Proficient in MS Office, Outlook. Attention to detail and work with a sense of urgency. Knowledge of HCPCS, CPT codes, HIPPA and PHI. Good time management, and communication. Coding, billing experience preferred. Hybrid. Pay $18-$20

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Summary of Position We are seeking an Internal/Family Medicine trained physician to join us in pursuit of high-quality patient care to provide a full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventive care and health maintenance. The Ideal Candidate: • One to three years of primary care experience in an outpatient setting., • Ability to diagnose and treat a wide variety of chronic conditions and improve patient outcomes., • Demonstrate competency in diagnosis and treatment to assure high standards of patient care and safety are maintained., • Patient-centered approach toward a positive patient experience., • Excellent communication skills., • Interest in Population Health Management. Principal Accountabilities • Review patient’s history and perform physical examinations. Evaluate, diagnose and provide appropriate treatment and patient care. Refer patient to specialist as needed., • Provide quality clinical diagnostic skills in the delivery of patient care. Review all test results and, • recommend suitable management for the patient, including but not limited to, preventive health, • recommendations and habits., • Prescribe medications and formulate ongoing treatment and disease management plans., • Provide relationship-centered care, considering the patient’s psychosocial and physical needs., • Collect and record patient information, such as medical histories, reports and examination, • results. Maintain complete and accurate medical records., • Communicate effectively with the clinical team to insure total delivery of quality care., • Participate in medical staff educational programs and meetings. Qualifications: • Doctor of Medicine (MD), Doctor of Osteopathy (DO) or foreign equivalent, • Completion of three year post graduate medical training from a U.S. accredited residency program in, • Internal Medicine/Family Medicine, • Relevant Work Experience, Knowledge, Skills, and Abilities, • Seeking both experienced and newly trained providers, • Board Eligible/Board Certified in Internal Medicine or Family Medicine, • Must possess current, unrestricted New York State license., • Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enroll, • BLS or ACLS required., • Must possess strong communication skills both oral and written Comfortable with Electronic Medical Record (EMR) system and Microsoft Office

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Even in a non-clinical role, Elderplan employees have an opportunity to make a positive impact on the quality of our health plan members' lives. The Wellness Outreach Specialist plays an integral role in improving the health outcomes of Elderplan members. The Specialist is responsible for facilitating and implementing outreach activities, special events, programs, and presentations which support member education and health plan awareness. The Specialist also supports the Senior HEDIS Coordinator during Hedis season. • High school Diploma or equivalent, required; Bachelor's degree, preferred, • Previous (3-5 years) customer service experience required, • Previous experience working with the Medicarepopulation preferred, • Basic knowledge of Microsoft Word, Microsoft Excel, RightFax, Care Management System

Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with a life-limiting condition. We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The Patient Financial Services Coordinator must have a strong Billing background. Will verify financial benefits for Hospice billing and processes billing data for Medicare/Medicaid & Managed Care claims. Additionally, you must have claim submissions experience & follow-up on Hospice claims for financial reimbursement. High School Diploma or equivalent Previous working experience within a healthcare environment, preferred Experience with Microsoft Office applications, EPACES, CMS DDE system

Manages all non-clinical aspects of member and provider appeals and grievances to ensure accurate intake, validation, timely case processing, and compliance with federal, state, and internal policy requirements. This role performs case setup, triage, documentation tracking, letter drafting, correspondence management, and coordination with clinical and operational teams. The coordinator supports member advocacy by ensuring each case proceeds through the proper workflow with a high degree of accuracy, professionalism, and regulatory adherence. * Review newly created cases to confirm accurate classification or reassignment to correct classification as necessary. * Review history and identify additional information that may be required as part of the investigation. * Respond in a timely manner to written and/or verbal appeals and grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS, and DOH regulations. * Documents all relevant information in the Appeals and Grievances determination process within the appropriate designated areas of the A/G system. * Maintain regulatory compliance and company policy through thoughtful management of assigned caseload. * Presents cases to the Appeals & Grievances File Review Team as needed. * Successfully complies with the accuracy of case files in key performance indicators during monitoring and auditing activities (95% of audited case files) • Meet or exceed timeliness standards for all assigned cases, • Associates Degree required. BA/BS Degree preferred, • Minimum 2 years A&G or Member Service experience required, • Knowledge of Medicare or Medicaid

Summary of Position Lead and drive high value Behavioral Health strategy and initiatives along with Behavioral Health clinical leader. Execute an organizational strategic plan for behavioral health. Identify areas for improvement, implement innovative solutions, and optimize processes to enhance efficiency, quality, and cost-effectiveness of behavioral healthcare. Collaborate with cross-functional teams, analyze data, and develop strategies to streamline operations and drive continuous improvement in behavioral health. Principal Accountabilities • Develop and execute the enterprise behavioral health strategy across all lines of business (Medicare, Medicaid, Commercial)., • Serve as operational lead in supervising Behavioral Health (BH) vendor, taking responsibility over Carelon and services provided by them to our members., • Support integration between behavioral health and physical health to support whole-person care., • Partner with internal operations, network, and analytics teams to design efficient workflows, reduce administrative burden, and enhance member outcomes., • Oversee performance of internal and delegated behavioral health operations including care management, appeals/grievances, and quality reporting., • Lead continuous improvement initiatives focused on access, timeliness, and member engagement., • Monitor key performance indicators (PMPM cost, utilization, readmission rate, engagement rate) and drive accountability for results., • Drive Performance improvement initiatives for access, quality and affordability., • Monitor NYS-required settlement activities around service delivery and quality of patient satisfaction to ensure that providers in-network., • Develop and lead behavioral health initiatives with leadership clinical and executive leadership., • Support the innovation agenda for behavioral health, identifying and implementing emerging models of care, digital solutions, and community-based partnerships., • Support the development of EmblemHealth's Behavioral Health member journey, optimizing access and member satisfaction. Develop complaint processes for members and providers with appropriate monitoring and mitigation of any ongoing issues., • Determine and manage the effectiveness of EmblemHealth's behavioral health provider directory, maintaining the effectiveness of response to continual service evaluation., • Direct provider manual adjustments and updates as well as member-facing content adjustments., • Define key evaluation metrics for behavioral health program and manage outcomes across teams., • Provide Behavioral Health thought leadership to plan and external stakeholders., • Collaborate with Provider Network Management & Quality Management to design and operationalize new value-based model(s) with network providers., • Manage & participate in various provider-facing Joint Operating Committee meetings with BH providers., • Represent behavioral health externally and in appropriate regulatory meetings., • Participate in behavioral health committees as well as participate in various cross functional committees., • Establish and maintain continuity in the planning, development and implementation of policies, operational processes, workflows required to execute organizational strategies and to assure consistency in process application throughout Care Management., • Bachelor's degree required; graduate degree in related field preferred, • 10 - 12+ years of relevant, professional work experience, including 5+ years in the healthcare insurance industry, • Excellent understanding of Behavioral Health clinical & operations and business needs, • Experience with project leadership and management, including planning, execution, and monitoring projects, • Strong communication skills (verbal, written, interpersonal) to collaborate effectively with cross-functional teams and stakeholders; ability to drive collaboration and foster highly productive, functional relationships, • Demonstrated agility and ability to drive program completion in expedited timelines, • Excellent analytical and problem-solving skills, with the ability to interpret data and make data-driven decisions, • Proven experience in leading process improvement initiatives and driving change within a healthcare organization, • Ability to adapt to a fast-paced and evolving healthcare environment Additional Information, • Requisition ID: 1000002860, • Hiring Range: $113,400-$210,600

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Insure high quality, cost-effective care and services for Elderplan members through support of professional Care Management and/or Clinical Service activities. The position supports all aspects of care coordination for our Medicare, Medicaid, and/or dual product members in compliance with all departmental and regulatory requirements. • Processes all newly enrolled cases according to established EP/HF Coordinated Care team workflows and maintains integrity of members' files, • Receives and processes requests and inquiries through interdepartmental communication system regarding covered/ non covered services/supplies, • Receives and processes initial requests and inquiries regarding pre-authorization of services/supplies., • Coordinates and provides service authorizations to vendors, • Accurate and timely data entry support as defined by departmental workflows, • Participates in scheduled team meetings, • High School Diploma or equivalent; college degree preferred., • One year prior managed care experience required., • Prior experience in a health care setting preferred., • Familiarity with utilization management/case management.

Multiple Openings Description of Duties: • Present to, follow up and sell Individual Medicaid, Essential Plan, QHP and CHP products on a direct sales basis. Assist and enroll individuals by completing the appropriate application forms, obtain required documentation necessary for enrollment, and meeting necessary enrollment targets., • Conduct home visits and other appointments as needed to complete the application and obtain all required documentation., • Develop and maintain appropriate understanding of the health care products related to sales responsibility. Successfully complete periodic certification and testing to maintain knowledge level established by regulations., • Maintain appointments, develop community marketing sites, establish relationship with community based organizations, Participate in health related activities / special events including evening and weekend activity, create self-generated leads, and provide services to walk-ins. Obtains feedback from referral sources and prospective enrollees., • Stimulates word-of-mouth referrals from participants, prospects and their families., • Utilize automated tools to perform individual enrollment duties., • Refer all existing members up for recertification to Retention Specialist when applicable., • Perform recertification activities when necessary., • Function as a liaison between all EmblemHealth departments to help identify and capture prospect's problems or concerns. Work with Neighborhood care team to maintain and improve EmblemHealth's image as a High Quality and Affordable health plan in the community., • Assist members with selecting a Primary Care Physician (PCP) using the provider directory., • Present EmblemHealth insurance products and benefit plans to community groups, small businesses and other prospective subscribers., • Develop and execute sales plan which focuses on growth of the individual products in the assigned neighborhood. Maintain and grow book of enrollments. Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO's). All activity entered into Salesforce tool., • Performs other duties as assigned or required, • Regular attendance is an essential function of the job. Qualifications:, • High School Diploma or equivalent required, • 4 years of relevant sales experience preferred, • Driver's License and automobile with appropriate coverage is required for territories - Long Island, Staten Island, Westchester, etc., • Travel in the New York metropolitan area required, • Must be able to work nights and weekends as required, • Excellent interpersonal and presentation skills and the ability to work independently., • Excellent organizational and communication skills, both verbal and written, • Ability to develop strong relationships and influences in the community, • Ability to input and update data in database system, • Works independently and produces Self-Generated leads, • Ability to multi-task, • Successful completion of annual product training and testing to maintain regulatory certification Additional Information, • Requisition ID: 2502E, • Hiring Range: $50,000 - $60,000

Summary of Position • Drive the transformation process for one of three business segments: Commercial (fully insured large group, individual exchange, small-group, self-funded, and ancillary product lines), Medicare, or State Sponsored Programs (Medicaid, HARP and CHP). Define and execute the product vision, strategy, and multi-year roadmaps to maximize value and ensure alignment with business strategy. Responsible for estimating/projecting ROI for specific projects., • Collaborate with Dir., Reporting & Insights - Product Transformation and the business to identify and measure ROI for projects, to determine the future course of transformation projects based on those defined metrics, and to prepare information for senior management as actionable recommendations., • Responsible for identifying cross-functional friction points, leading special initiatives and delivering clarity and momentum for the highest priority business needs. Serve as 'bridge' between Finance/Actuarial and the department(s)., • Lead initiatives that improve growth, retention, member experience and operational performance., • Partner closely with cross-functional leaders to identify opportunities, structure solutions and enable scalable growth. Work across lines of business and supporting functions to drive short-cycle and high-impact outcomes. Principal Accountabilities • Drive strategy development and transformation execution for applicable lines of business; collaborate with the department(s) to implement and execute strategies; ensure they deliver the value/ROI estimated., • Lead special projects tied to growth, retention, sales performance, GTM strategy and enterprise enablement., • Develop and execute transformation strategies, manage cross-functional teams, and ensure that product initiatives align with broader organizational objectives for sustainable growth and a stronger market position., • Create structured discovery processes to diagnose friction in go-to-market execution, account management and client onboarding., • Represent the growth organization in enterprise-wide initiatives (i.e. member experience, sales reporting)., • Conduct structured discovery to identify root causes of breakdowns in processes, communication or coordination., • Develop project charters, business cases and implement roadmaps for strategic priorities., • Facilitate alignment across departments on goals, milestones and accountability. Provide oversight for designing and rolling out new operating models, workflows, and agile practices to improve efficiency and speed of delivery across product teams., • Monitor results and status of all project deliverables; recommend/implement changes and develop resolution plans in the event the results do not match desired outcomes., • Build frameworks and internal tools to accelerate decision making and knowledge sharing alongside other transformation pod members, • Collaborate with reporting & insights area to turn data into strategy, segmentation, conversion, churn, broker ROI, sales performance. Collaborate with Actuarial and Finance to determine level of success for projects., • Build strong relationships with senior leaders, technology partners, and other departments to secure buy-in and maintain alignment on objectives. Ensure that level / type of accountability is properly defined for each stakeholder., • Provide oversight and guidance of the entire product lifecycle, from ideation to discontinuation, and making data-driven decisions on investments and prioritization., • Build business cases, implementation plans, governance frameworks for priority initiatives., • Partner cross-functionally to scale improved workflows, incentives, tools across the commercial team., • Represent the growth function in enterprise-wide programs involving member experience, eligibility operations, systems upgrades or vendor transitions., • Act as the strategic conduit between embedded business-line stakeholders and transformation analytics functions. Qualifications Education, Training, Licenses, Certifications • Bachelor's degree in business, Finance, HealthCare Administration, or related field., • Master's degree (MBA) preferred., • Project Management certification preferred. Relevant Work Experience, Knowledge, Skills, and Abilities • 10 - 12+ years of progressive experience in product management, program management, or a related field, preferably in a health care environment., • Experience working in dynamic, entrepreneurial, ambiguous settings - proven systems-based, analytical thinker with demonstrated success designing, developing and implementing new structures/systems to reduce ambiguity., • Deep understanding of group insurance dynamics, self-funded market, ASO contracts, distribution channels and benefit design, Medicare/Medicaid products, bid-process, sales/marketing strategy., • Familiarity with broker/GA distribution and employer group onboarding., • Proven track record of successfully overseeing multiple large (company/divisional) projects., • Strong organizational skills; ability to prioritize and successfully manage multiple priorities/deadlines., • Ability to manage in a matrix environment, without direct management control, by influencing and persuading., • Experience managing people and processes; strong collaboration and influencing skills., • Proven ability to build and maintain strong relationships with key stakeholders to ensure engagement and successful delivery of change., • Healthcare or Product Experience across range of products and segments., • Experience with/knowledge of: Finance, Actuarial, or Underwriting., • Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audience., • Proficient with MS Office (Word, Excel, Access, Powerpoint, Outlook, Teams, SharePoint, etc.)., • Competence/knowledge of reporting tools / programming languages (SAS, R, Python)., • Reporting Tooling (Power BI, Tableau). Additional Information, • Requisition ID: 1000002747, • Hiring Range: $135,000-$253,800

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: The Clinical Care Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment. Position Responsibilities: • Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria., • Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans., • Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards., • Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries via phone, demonstrating professionalism, active listening, and a patient-centered approach., • Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities., • Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security., • Identify and report potential fraud, waste, and abuse., • Support training and development of new and existing team members as needed., • Minimum of 6 months to a year of prior authorization experience, • Active, unrestricted, pharmacist license, • Bachelor's or Doctor of Pharmacy degree, • Minimum of 2 years of pharmacy practice experience, • Experience in managed care or pharmacy benefit management (PBM), • Strong communication, writing, and organizational skills, • Ability to manage multiple priorities in a high-volume, metric-driven environment 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 Position Description: Judi Health is looking for a dynamic and experienced regulatory attorney, reporting directly to the General Counsel, to provide strategic legal advice to internal business partners with respect to healthcare regulations and laws. The successful candidate will identify legal and business risks and solutions that balance legal risks and business objectives. You will be expected to develop a keen understanding of the business and operational goals of the enterprise and you will be expected to develop and maintain positive relationships with clients at all levels of the organization, and provide practical and sound advice on legal issues related to business objectives and take an active role in driving projects to a result. Position Responsibilities: Regulatory Affairs & Change Management: • Manage and provide legal oversight for regulatory change management for the Company, including but not limited to monitoring, analyzing, and interpreting federal and state healthcare legislation, proposed legislation, and sub-regulatory guidance., • Track regulatory developments and assess their impact on organizational strategy, operations, and provider relationships., • Provide practical, riskbased legal advice to support regulatory change management initiatives, including implementation planning and crossfunctional execution., • Develop and deliver clear legal guidance, summaries, and recommendations for senior leadership and business stakeholders., • Manage and provide legal oversight for organizational licensing activities, including initial applications, renewals, and compliance with state and federal requirements., • Advise on licensing strategies related to provider expansion, new service lines, geographic growth, and organizational restructuring., • Serve as a legal resource for licensing issues, audits, investigations, and correspondence with regulatory agencies., • Provide legal support for provider relations contracting, including drafting, reviewing, and negotiating provider agreements and related amendments., • Advise on regulatory compliance matters affecting provider contracts, reimbursement arrangements, and network participation., • Collaborate with provider relations, contracting, and compliance teams to ensure contracts align with regulatory, operational, and business objectives., • Partner with compliance, government affairs, operations, and business teams to proactively identify and mitigate legal and regulatory risks., • Support other legal and regulatory initiatives as needed, including audits, investigations, and special projects., • Maintain strong relationships with internal stakeholders and external counsel as appropriate., • 8+ years legal attorney experience in a law firm and/or in-house setting., • In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare., • Juris Doctorate Degree (JD) and admission to the bar in at least one state and in good standing of applicable bar association., • Healthcare laws and regulations including: HIPAA, Medicare, Medicaid, False Claims Act, or Federal Anti-Kickback Statute., • Excellent written and oral communication skills in a professional manner., • Experience working with PBMs and related laws., • Proven ability to thrive in a fast-paced, performance-driven culture., • Demonstrated leadership initiative, resilience and ability to embrace change. 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 Position Overview: The Account Executive/Strategic Account Executive - PBA Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction and to achieve client priorities and contractual obligations. This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Account Executive/Senior Director, PBA Client Services. Position Responsibilities: * Provide oversight and direction to the broader Account Management team with a focus on member and client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables * Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers. * Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance * Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management * Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client * Anticipates customer needs and proactively identifies new opportunities within assigned accounts. * Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately * Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges. * Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment * Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients * Partner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs * Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities * Serve as the content expert for Health Plan/TPA clients & opportunities * Identify and help contribute to process improvement efforts * Be accountable & own the client end-to end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management. * All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: * Bachelor's or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus * Relevant professional experience for at least five (5) years in pharmacy - working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines. Health plan industry experience highly preferred * Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is required along with experience in supporting highly regulated business lines * Track record of building trust in internal and external relationships * Solution-focused problem solving and client positioning skills * Exceptional written and verbal communication skills * Ability to work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships * A decisive individual with sound technical skills, analytical ability, good judgement, and strong operational focus and detail-oriented perspective * Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines * Ability to effectively work with peers in a team effort * Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs * Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle. 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. #LI-BC1 Salary Range$120,000—$175,000 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___.

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 (NYC, Denver) Position Summary: Join our mission to transform our nation's healthcare system as a Software Engineering Summer Intern. In this role you will assist in leading projects from design to delivery. Partner with product managers and designers to define requirements during discovery and planning. Collaborate with developers to deliver those requirements on time as new features or improvements to existing functionality. Why You'll Love Working Here • We have a remote-first culture., • You will make a tangible impact on society. Your code will directly improve healthcare experiences for millions. As a Software Engineering Summer Intern, you will: • Collaborate with senior developers to implement new features and improve existing functionality., • Participate in planning and design discussions with product managers and designers., • Write clean, maintainable code using technologies like Python, React, and AWS., • Assist in testing and debugging software to ensure high quality., • Learn and apply Agile/Scrum development practices., • Receive mentorship and guidance to grow your technical skills and domain knowledge. We're looking for someone who is eager to learn and grow: • Currently enrolled in a Bachelor's Degree program and entering their Junior or Senior year in Fall 2026 in computer science, software engineering, or a related field., • Familiarity with Python (Flask / SQLAlchemy) and React / Typescript is a plus., • Basic understanding of SQL, • Exposure to cloud platforms like AWS is helpful but notrequired., • Interest in writing unit tests and learning best practices in software development., • Strong communication and collaboration skills., • Demonstrates initiative by proactively identifying opportunities for improvement, taking ownership of challenges, and contributing beyond assigned tasks to drive team and project success., • Passion for improving healthcare through technology. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. About Capital Rx Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company's cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Capital Rx 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. Salary Range$20—$22 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___.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary. This individual will interact directly with and offer clinical, procedural, or administrative recommendations to psychiatrists and other behavioral health providers, medical physicians and nurses, clinical professionals, and/or state agencies who care for members, or consult on various processes and programs. The Medical Director is part of a leadership team that manages development and implementation of evidence-based treatments and medical expense initiatives and will also advise leadership on health care system improvement opportunities. They are responsible for maintaining the clinical integrity of the program, including timely peer reviews, appeals and consultations with providers and other community-based clinicians, including general practitioners, and will work collaboratively with the Health Plan Medical Director, Clinical, Network and Quality staff. At Optum, our clinical vision drives the team to improve the quality of care our consumers receive. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Collaborate with the Utilization Management and Care Management teams to ensure delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services, • Partner with the internal UM and CM teams, Health Plan, NJ state and the Providers, • Responsible for Level of Care guidelines and utilization management protocols, • Oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities, • Provide clinical oversight to the clinical staff, oversee the management of services at all levels of care in the benefit plan, • Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Doctor of Medicine or Osteopathy, • Current license to practice as a physician without restrictions in the state of New Jersey, • Board certified in Psychiatry, • Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management, • Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery, • Familiar with Substance Use Disorders, ASAM and treatment modalities including MAT (Medication Assisted Treatment), • Computer and typing proficiency, Microsoft Outlook and Teams, and data analysis, • Currently reside in the state of New Jersey Preferred Qualifications: • 3+ years of experience as a practicing psychiatrist post residency, • Managed care experience, • Experience in public sector delivery systems and experience in state specific public sector services, • Experience working with community-based programs and resources designed to aid the State Medicaid population *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Compensation for this specialty generally ranges from $268,000 - $414,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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 Overview: The Account Executive/Strategic Account Executive - PBA Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction and to achieve client priorities and contractual obligations. This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Account Executive/Senior Director, PBA Client Services. Position Responsibilities: • Work closely with some of our biggest Texas-based clients and manage the complexities of working within a highly-regulated market of the TDI (Texas Department of Insurance) Provide oversight and direction to the broader Account Management team with a focus on member and client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables * Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers. * Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance * Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management * Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client * Anticipates customer needs and proactively identifies new opportunities within assigned accounts. * Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately * Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges. * Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment * Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients * Partner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs * Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities * Serve as the content expert for Health Plan/TPA clients & opportunities * Identify and help contribute to process improvement efforts * Be accountable & own the client end-to end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management. * All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: * Bachelor's or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus * Relevant professional experience for at least five (5) years in pharmacy - working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines. Health plan industry experience highly preferred * Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is required along with experience in supporting highly regulated business lines * Track record of building trust in internal and external relationships * Solution-focused problem solving and client positioning skills * Exceptional written and verbal communication skills * Ability to work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships * A decisive individual with sound technical skills, analytical ability, good judgement, and strong operational focus and detail-oriented perspective * Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines * Ability to effectively work with peers in a team effort * Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs * Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle Preferred Qualifications: • Experience working with clients who are subject to TDI (Texas Department of Insurance) rules and regulations #LI-BC1 Salary Range$120,000—$160,000 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___.

Job Description Licensed Clinical Psychologist at Headway summary: CVWalletExtranet.Domain.Entities.JobShortDescription " "" Licensed Clinical Psychologist Wage: Between $95-$180 an hour Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Psychologist at a Master’s level or above with PSY, PSYP, or PsyD licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance : Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "" " Keywords: licensed clinical psychologist, private practice insurance, behavioral health network, PSY PsyD licensure, NPI credentialing, telehealth therapy, Medicaid Medicare Advantage, mental health provider, practice growth

Job Description " Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance : Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

Job Description Child Psychiatry PMHNP / Hybrid - Bronx, NY (#1673) Location: Bronx, New York Employment Type: Full-time or Part-time, Hybrid (on-site once weekly) Salary: $140,000 - $150,000 annually About Impact Recruiting Solutions: Impact Recruiting Solutions is a dedicated recruitment partner connecting healthcare professionals with rewarding opportunities. We collaborate with hospitals, clinics, and multi-specialty facilities to match skilled individuals with roles that align with their expertise and career aspirations. Position Overview We are seeking a Child Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide specialized mental health services to patients aged 6 and above in a multi-specialty practice in the Bronx, NY. This hybrid position offers the flexibility of remote work with only one on-site day per week. Bilingual candidates are required. Why Join Us? • Competitive Compensation: $140,000 - $150,000 per year, • Comprehensive Benefits:, • Medical, Dental, and Vision Insurance, • Flexible Spending Account, • Paid Time Off & Retirement Savings, • Commuter Benefits Program, • Malpractice Insurance Coverage, • Loan Repayment Assistance, • Visa Sponsorship Opportunities, • Exclusive 20% Tuition Discount at Local College, • Work Schedule: Full-time or Part-time, Hybrid (on-site once weekly), • Professional Growth: Collaborative multi-specialty environment, • Education: Master of Science in Nursing or higher from an accredited PMHNP program, • Licensure: Active New York State PMHNP License, • Experience: Minimum 2 years of experience with children aged 6 and above, • Requirements: Must have an active Medicaid; Bilingual (mandatory), • Technical Skills: Child psychiatric assessment, medication management, therapy modalities, • Provide psychological assessment and therapy to children aged 6 or above, • Conduct diagnostic evaluations and develop treatment plans, • Maintain active Medicaid provider status, • Collaborate with team members, • Provide culturally competent care to diverse populations Impact Recruiting Solutions: Driving Careers, Transforming Healthcare.

Job Description Psychiatric Mental Health Nurse Practitioner (PMHNP) / Hybrid - Bronx, NY (#1669) Location: Bronx, New York Employment Type: Full-time Salary: $135,000 - $150,000/yr About Impact Recruiting Solutions: Impact Recruiting Solutions is a dedicated recruitment partner connecting healthcare professionals with rewarding opportunities. We collaborate with hospitals, clinics, and multi-specialty facilities to match skilled individuals with roles that align with their expertise and career aspirations. Position Overview: We are seeking a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP) for a hybrid role with a multi-specialty practice in the Bronx. Why Join Us? • Competitive Compensation: Earn a competitive annual salary of $135,000 - $150,000/yr., • Comprehensive Benefits:, • Medical, Dental, and Vision insurance, • Flexible Spending Account, • Paid Time Off, • Retirement Savings, • Commuter Benefits program, • Visa Sponsorship opportunities, • Malpractice insurance coverage, • Loan repayment, • Flexible schedules, • Stable Employment, • Exclusive 20% Discount Tuition Reduction with local College, • Work Schedule: Full-time, • Hybrid Work Model: Enjoy the flexibility of a hybrid schedule, requiring on-site presence once per week., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment., • Education: Master's or Doctoral degree in Nursing from an accredited Nursing program., • Licensure:, • Active and unrestricted NP license. Active DEA registration., • Active Medicaid provider status., • Experience: Minimum of 2 years of experience as a Psychiatric Mental Health Nurse Practitioner (PMHNP)., • Language: Spanish required., • Conduct comprehensive psychiatric evaluations and assessments, including diagnosis of mental health and substance use disorders., • Develop, implement, and evaluate individualized treatment plans in collaboration with patients and their families., • Provide psychopharmacological evaluation and medication management, including prescription of psychotropic medications., • Utilize therapeutic communication to provide psychotherapy and counseling to individuals across the lifespan., • Order and interpret diagnostic tests and laboratory results as needed to support diagnosis and treatment., • Maintain accurate, timely, and confidential electronic medical records in compliance with state and federal regulations., • Collaborate effectively with physicians, therapists, social workers, and other members of the multidisciplinary care team., • Provide patient and family education regarding diagnosis, treatment options, and mental health wellness. Impact Recruiting Solutions: Driving Careers, Transforming Healthcare.

Job Description Psychiatric Mental Health Nurse Practitioner (PMHNP) / Hybrid - Bronx, NY (#3336A) Location: Bronx, New York Employment Type: Full-time Salary: $135,000 - $150,000/yr Position Overview: We are seeking a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP) for a hybrid role with a multi-specialty practice in the Bronx. Why Join Us? • Competitive Compensation: Earn a competitive annual salary of $135,000 - $150,000/yr., • Comprehensive Benefits:, • Medical, Dental, and Vision insurance, • Flexible Spending Account, • Paid Time Off, • Retirement Savings, • Commuter Benefits program, • Visa Sponsorship opportunities, • Malpractice insurance coverage, • Loan repayment, • Flexible schedules, • Stable Employment, • Exclusive 20% Discount Tuition Reduction with local College, • Work Schedule: Full-time., • Hybrid Work Model: Enjoy the flexibility of a hybrid schedule, requiring on-site presence once per week., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes. Qualifications: • Education: Master's or Doctoral degree in Nursing from an accredited Nursing program., • Licensure:, • Active and unrestricted NP license. Active DEA registration., • Active Medicaid & Medicare provider status., • Experience: Minimum of 2 years of experience as a Psychiatric Mental Health Nurse Practitioner (PMHNP)., • Language: Must be Bilingual in Spanish., • Soft Skills: Strong clinical and interpersonal skills., • Residence: Must be residing in the tri-state area. Key Responsibilities: • Conduct comprehensive psychiatric evaluations and assessments, including diagnosis of mental health and substance use disorders., • Develop, implement, and evaluate individualized treatment plans in collaboration with patients and their families., • Provide psychopharmacological evaluation and medication management, including prescription of psychotropic medications., • Utilize therapeutic communication to provide psychotherapy and counseling to individuals across the lifespan., • Order and interpret diagnostic tests and laboratory results as needed to support diagnosis and treatment., • Maintain accurate, timely, and confidential electronic medical records in compliance with state and federal regulations., • Collaborate effectively with physicians, therapists, social workers, and other members of the multidisciplinary care team., • Provide patient and family education regarding diagnosis, treatment options, and mental health wellness., • Participate in case conferences, clinical supervision, and continuing education to ensure the highest standard of care.

Job Description Psychiatric Mental Health Nurse Practitioner (PMHNP) - Bronx, NY (#1669) • Medical, Dental, and Vision insurance, • Flexible Spending Account, • Paid Time Off, Retirement Savings, • Commuter Benefits program About Impact Recruiting Solutions: Impact Recruiting Solutions is a dedicated recruitment partner connecting healthcare professionals with rewarding opportunities. We collaborate with hospitals, clinics, and multi-specialty facilities to match skilled individuals with roles that align with their expertise and career aspirations. Position Overview: We are seeking a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP) for a hybrid role with a multi-specialty practice in the Bronx. Key Responsibilities: • Conduct comprehensive psychiatric evaluations and assessments, including diagnosis of mental health and substance use disorders., • Develop, implement, and evaluate individualized treatment plans in collaboration with patients and their families., • Provide psychopharmacological evaluation and medication management, including prescription of psychotropic medications., • Utilize therapeutic communication to provide psychotherapy and counseling to individuals across the lifespan., • Order and interpret diagnostic tests and laboratory results as needed to support diagnosis and treatment., • Maintain accurate, timely, and confidential electronic medical records in compliance with state and federal regulations., • Collaborate effectively with physicians, therapists, social workers, and other members of the multidisciplinary care team., • Provide patient and family education regarding diagnosis, treatment options, and mental health wellness., • Education: Master's or Doctoral degree in Nursing from an accredited Nursing program., • Licensure:, • Active and unrestricted NP license. Active DEA registration., • Active Medicaid provider status., • Experience: Minimum of 2 years of experience as a Psychiatric Mental Health Nurse Practitioner (PMHNP)., • Language: Spanish required., • Competitive Compensation: Earn a competitive annual salary of $135,000 - $150,000/yr., • Comprehensive Benefits:, • Medical, Dental, and Vision insurance, • Flexible Spending Account, • Paid Time Off, • Retirement Savings, • Commuter Benefits program, • Visa Sponsorship opportunities, • Malpractice insurance coverage, • Loan repayment, • Flexible schedules, • Stable Employment, • Exclusive 20% Discount Tuition Reduction with local College, • Work Schedule: Full-time, • Hybrid Work Model: Enjoy the flexibility of a hybrid schedule, requiring on-site presence once per week., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes.

Job DescriptionAthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges. We specialize in individual and group psychotherapy for clients with a focus on trauma-informed care. We are dedicated to improving the quality and accessibility of mental health care for all, especially individuals from underserved communities. Here at AthenaPsych, we pride ourselves on hiring a diverse group of mental health clinicians and staff who are passionate and dedicated to improving our client’s overall emotional well-being. We provide both in-person and telehealth services for our clients and offer a competitive fee-for-service compensation plan and amazing benefits to our staff. Are You a Good Fit For Us?We are currently seeking an experienced, professional, and compassionate Psychiatric Nurse Practitioner to join our growing organization. Flexible hours are provided with the need of some evening hours, in-person and telehealth sessions. This position will work in collaboration with our Psychiatrist on staff. Our mental health clinic is located at 33 W 60th St 6th floor New York, NY.Responsibilities • Conduct psychiatric evaluations for all Athena clients (children and adults), • Conduct ongoing medication management when needed, • Complete all required documentation by a given deadline and in compliance with program and state regulations, • Ensures all clinical notes and client information are updated and accurate within the current EHR system, • Provide conflict resolution and crisis intervention when needed, • Work in collaboration with administrative staff to ensure client needs are successfully met, • Ability to commute between sites when neededQualifications, • Master's Degree in Nursing from an accredited school, • Bilingual in English and Spanish A MUST, • Must be certified with the Drug Enforcement Administration in order to prescribe medication to clients, • Must be licensed in New York State, • Experience working with Medicaid/Medicare Clients is a plus

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The Durable Medical Equipment (DME) Review Coordinator is expected to ensure high quality, cost-effective care, and services for Elderplan/HomeFirst members through the processing, review, and authorization of Durable Medical Equipment. The DME Review Coordinator is responsible for making first level determinations, under the support of a Registered Nurse, utilizing Medicare's National and Local Carrier Policy, Medicare based Interqual criteria for DME, internal Medical Policy, and physician/Medical Director support for medical necessity decisions. The DME Review Coordinator will manage the collection of supporting medical documentation, application of criteria, manage the physician advisor review process as needed, update the outcome of the review process in EP's case management system, and manage the member/provider notification of determination process, within CMS/DOH regulatory requirements. The position requires excellent communication, organizational skills, attention to detail, and knowledge of regulatory processes. • High School Diploma or equivalent; college degree preferred., • Two years prior managed care experience required., • Prior experience in a health care setting preferred., • Familiarity with utilization management/case management., • Excellent customer service including written and oral communication skills for communicating with vendors and providers, • Ability to us the telephone, fax, e-mail, scanner, Microsoft Word, Excel, and capacity to learn other programs as assigned, • Good analytical abilities for problem solving, • Ability to be empathetic and understanding, • Ability to handle confidential aspects of the position, • Ability to work closely maintain collegiate relationships with different professionals as part of an interdisciplinary health care team, • Ability to prioritize tasks and meet set deadlines, • Appropriately allocate resources, maximize efficiency, and contain costs, • Ability to work independently while recognizing issues having departmental or organizational impact, • Assess members' needs and identify opportunities for recommending levels of care, • Ability to handle a high volume of outbound phone calls along with written documentation

Job Description Child Psychiatry PMHNP / Hybrid - Bronx, NY (#1673) Location: Bronx, New York Employment Type: Full-time or Part-time, Hybrid (on-site once weekly) Salary: $140,000 - $150,000 annually About Impact Recruiting Solutions: Impact Recruiting Solutions is a dedicated recruitment partner connecting healthcare professionals with rewarding opportunities. We collaborate with hospitals, clinics, and multi-specialty facilities to match skilled individuals with roles that align with their expertise and career aspirations. Position Overview We are seeking a Child Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide specialized mental health services to patients aged 6 and above in a multi-specialty practice in the Bronx, NY. This hybrid position offers the flexibility of remote work with only one on-site day per week. Bilingual candidates are required. Why Join Us? • Work Schedule: Full-time or Part-time, Hybrid (on-site once weekly), • Professional Growth: Collaborative multi-specialty environment, • Impactful Work: Make a meaningful difference in children's mental health Key Responsibilities • Provide psychological assessment and therapy to children aged 6 or above, • Conduct diagnostic evaluations and develop treatment plans, • Maintain active Medicaid provider status, • Collaborate with team members, • Provide culturally competent care to diverse populations Qualifications • Education: Master of Science in Nursing or higher from an accredited PMHNP program, • Licensure: Active New York State PMHNP License, • Experience: Minimum 2 years of experience with children aged 6 and above, • Requirements: Must have an active Medicaid; Bilingual (mandatory), • Technical Skills: Child psychiatric assessment, medication management, therapy modalities, • Competitive Compensation: $140,000 - $150,000 per year, • Comprehensive Benefits:, • Medical, Dental, and Vision Insurance, • Flexible Spending Account, • Paid Time Off & Retirement Savings, • Commuter Benefits Program, • Malpractice Insurance Coverage, • Loan Repayment Assistance, • Visa Sponsorship Opportunities, • Exclusive 20% Tuition Discount at Local College

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Community Health Coach will conduct in-person care management visits to identify and provide appropriate interventions based on the psychosocial, environmental, and spiritual needs of the member. The employee will provide education on how to access covered and non-covered benefits and ensure continuity of care across all healthcare settings by collaborating with the interdisciplinary team; Primary RN/SW Care Manager and member/member's representatives. Utilize benefit structure and community-based resources to address member needs. Educate members on preventative health, and quality of life interventions. Community Health Coach will be knowledgeable in and adhere to CMS/DOH regulations and policies. The Community Health Coach is responsible for the completion of in-person care management visits to Elderplan/HomeFirst members semi-annually as per pre-established criteria & care management scripts to identify Social Determinants of Health (SDOH) needs while in the members' home, in accordance with departmental workflow. They educate members on plan benefits, preventative health, Advanced Directives/Health Care Proxy/Power of Attorney (POA) and help to facilitate the completion of such documentation. The Community Health Coach will collaborate with the Primary Care Management, report findings, & submit completed documentation to the Support Staff Supervisor. • Bachelor's degree in Social Work, psychology or related health field preferred., • Minimum 1-2 years of relevant work experience in long term care, managed care, home care, geriatrics, hospital setting, or hospice., • Prior experience in an interdisciplinary service delivery environment preferred., • Working knowledge of Medicare and Medicaid regulations., • Strong background in addressing Social Determinants of Health/Certification.

Job Description Hueman is actively hiring Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bronx, NY. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic. Benefits include: • Competitive compensation: $90 or $115 per completed assessment, • Flexible schedule, • Comprehensive home assessment training, • Dedicated patient scheduling assistance Qualified Nurse Practitioners and Physician Assistants interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs and PAs to connect with patients on a more personal and effective level. Nurse Practitioners and Physician Assistants performing HRAs are not required to treat or prescribe in the home. Nurse Practitioner/Physician Assistant Responsibilities • Travel to and from patients’ homes., • Perform comprehensive, non-invasive physical assessments., • Review medical history and ensure accurate and timely documentation., • Conduct medical reconciliation to ensure patient safety and compliance., • Master’s Degree OR commensurate experience and satisfactory completion of NP/PA license, • Active State NP/PA license, • Active National board certification, • Current BLS certification About Hueman At Hueman, we're dedicated to guiding you toward fulfilling career opportunities. We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position! #Purple

Job Description JOB SUMMARY: As a member of a multidisciplinary treatment team, the Psychiatric Nurse Practitioner provides advanced clinical psychiatric nursing care to referred clients. Performs psychiatric evaluations and psychiatric medication management for clients in ongoing treatment. Ensures accuracy of diagnosis and appropriate pharmacologic interventions and supports appropriate multidisciplinary interventions. Provides clinical leadership within the team to recommend program placement and coordinate treatment planning. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) • Performs comprehensive, diagnostic psychiatric evaluations and provides ongoing medication management and treatment for clients., • Obtains medical history and performs physical examinations and preventive health measures within prescribed guidelines., • Observes client progress, records findings and formulates plan and prognosis based on client’s condition. Discusses case with supervising psychiatrist, other treatment team members and other health professionals to prepare comprehensive care plan., • Submits health care plan and goals of individual clients for periodic review and evaluation with the psychiatrist., • Prescribes or recommends medication or other forms of treatment such as physical therapy, diet, inhalation therapy, or related therapeutic procedures. Prescribes or recommends continuation or discontinuation of medications and treatment., • Orders, interprets, and evaluates diagnostic tests to identify and assess clients' clinical problems and health care needs. Orders laboratory tests, x-rays, and other diagnostic procedures., • May refer clients to psychiatrist for consultation or specialized health resources for treatment., • Cultivates clinical staff quality of care through consultation with and education of interdisciplinary personnel, clients, and their significant others., • Performs crisis intervention using verbal and nonverbal techniques., • May have on-call responsibilities and provide periodic clinical coverage for colleagues., • Immediately reports serious incidents, serious incident allegations, incidents, or sensitive situations to supervisors., • Attends regularly scheduled clinical meetings and supervision., • Attends professional development activities and training., • May precept nursing students and nurse practitioner students., • May be assigned as a participant or facilitator of agency committee(s), • Ability to effectively respond to and manage behavioral health emergencies, • Ability to perform and interact as part of a multi-disciplinary team. Ability to prepare documentation in a timely manner, • Ability to effectively communicate both orally and in writing, including communication by electronic means, • Knowledge of emergency psychiatric treatments and interventions, • Knowledge of teaching and consultation techniques, • Knowledge of the Agency's policies and procedures, • Knowledge of cultural, ethnic, and linguistic needs of clients in a culturally competent manner Master’s or Doctorate degree in nursing from an accredited nurse practitioner program and currently licensed in New York State as a Psychiatric Mental Health Nurse Practitioner (PMHNP). Current DEA certification. ANCC certification is an asset. Two years’ experience with individuals suffering from co-occurring severe psychiatric conditions and substance use disorders. Must be eligible for full and unconditional participation in the Medicaid and Medicare programs. May be required to possess a valid NYS driving license and a clear driving record. Continued employment is based on the ability to maintain professional licensure and accreditation, and participation in the Medicaid and Medicare programs.

Job Description New Jersey Medical Dermatology Nurse Practitioner or Physician Assistant opportunity with group that has office in Jersey City area. Full time is 35 hours each week. 4 days a week opportunity. Must have over 2 years of Medical Dermatology office experience and be credentialed with NJ Medicaid. About the Dermatology Nurse Practitioner or Physician Assistant opportunity • Split time between two offices, • Provider is often solo Provider in office so experience required, • No training in place but Physician available by phone and Reps visit weekly, • 60 patients a day or 200 or more patients a week (remember full time is 35 hours), • Mix of first time appointments and follow ups, • BOTOX and Fillers, Body sculpting, acne scar and skin rejuvenation, Laser therapy, and PRP with Physician owner, • 2 Medical Assistants for each Provider, • 3 exam rooms, • Office hours are 9-5, Monday- Thursday, One day is late opening till 7. Friday is a half day, • One Saturday a month (day off during week to compensate), • EMR is Modernizing Medicine, • Aesthetics experience not required Requirements of the Dermatology Nurse Practitioner or Physician Assistant opportunity • Master's Degree completed, • National Certification, • New Jersey State Medical License, • Must have NJ Medicaid credentialing ( 50 % patients are Medicaid), • Two or more years of experience in outpatient Medical Dermatology, • Experience as a solo Provider in an office, • Comfortable with fast paced schedule (60 patients a day), • Procedure leaning- biopsy and injections, • Strong tech experience and able to write notes in EMR "as you go", • Saturday coverage once a month, • Travel to both offices with reasonable commute from home Perks of the Dermatology Nurse Practitioner or Physician Assistant opportunity • Base Salary starts at $120,000 PLUS Incentives, • Full time is 35 hours a week, • Bonus incentive 15% of revenue over $450,000, • One Saturday each month, • 10% of sales revenue for Products and Procedures, • 3 weeks of PTO, • Health / Dental / Vision, • 401K, • 2 Medical Assistants, • Flexible hours that allow a day off each week, • Great team and supportive staff Busy Dermatology office with proximity to New York City. Solo Provider model for several days each week. Opportunity on generate incredible bonus. For more information, contact Lynda Gregg, linkPAs.com, 904-452-4499.

Job Description The Psychiatric Nurse Practitioner is responsible for providing comprehensive psychiatric evaluation and treatment to patients within the mental health framework. This role requires a compassionate and knowledgeable professional who can perform assessments, establish diagnoses, and develop treatment plans, including medication management and psychotherapy. The Psychiatric Nurse Practitioner will work collaboratively with other healthcare providers to ensure a holistic approach to patient care, advocating for mental health needs while fostering a supportive and healing environment. Bilingual Spanish speaking Psych NPs already enrolled in Medicaid encouraged to apply. Requirements • Conduct comprehensive psychiatric assessments and evaluations to establish diagnoses., • Develop and implement individualized treatment plans, including medication management and therapy., • Collaborate with interdisciplinary team members to enhance patient care and treatment outcomes., • Monitor patient progress and adjust treatment plans as necessary., • Provide education and support to patients and their families regarding mental health conditions and treatment options., • Maintain accurate and timely documentation of patient care in accordance with agency policies., • Participate in case reviews and staff meetings to discuss patient progress and treatment strategies., • Minimum of two (2) years experience in mental health or psychiatric nursing., • Diverse experience dealing with various psychiatric disorders., • Demonstrated ability to develop therapeutic relationships with patients., • Excellent communication and interpersonal skills., • Strong organizational and critical thinking abilities., • Current certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC)., • Licensed to practice as a Nurse Practitioner in New York State., • Current CPR/ BLS certification.

Job DescriptionHealthPlus Staffing is assisting a well established organization with their search for a Nurse Practitioner to join their team in Manhattan, NY. With over 35 clinics and over half a million patients across the 5 boroughs and Long Island, the growth potential is exponential. Job Description: • Location: Manhattan, NY, • Position: Nurse Practitioner, • Specialty: Primary Care, • Structure: Outpatient (No call), • Start: 30-60 days Days, • Schedule: Full-Time (40 hours), • Duties: Consultations, Follow up, Physical exams, • EMR: Epic, • Support: Full Office Staff and APP, • Compensation: 120-145K, • Benefits: Full Package Qualifications:, • Unrestricted NY license, • BC/BE as a Nurse Practitioner, • Active DEA registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enrollIf interested in this position please apply immediately and someone will be in contact within 24 hours of submission.

Job DescriptionAthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges. We specialize in individual and group psychotherapy for clients with a focus on trauma-informed care. We are dedicated to improving the quality and accessibility of mental health care for all, especially individuals from underserved communities. Here at AthenaPsych, we pride ourselves on hiring a diverse group of mental health clinicians and staff who are passionate and dedicated to improving our client’s overall emotional well-being. We provide both in-person and telehealth services for our clients and offer a competitive fee-for-service compensation plan and amazing benefits to our staff. Are You a Good Fit For Us?We are currently seeking an experienced, professional, and compassionate Psychiatric Nurse Practitioner to join our growing organization. Flexible hours are provided with the need of some evening hours, in-person and telehealth sessions. This position will work in collaboration with our Psychiatrist on staff. Our mental health clinic is located at 33 W 60th St 6th floor New York, NY.Responsibilities • Conduct psychiatric evaluations for all Athena clients (children and adults), • Conduct ongoing medication management when needed, • Complete all required documentation by a given deadline and in compliance with program and state regulations, • Ensures all clinical notes and client information are updated and accurate within the current EHR system, • Provide conflict resolution and crisis intervention when needed, • Work in collaboration with administrative staff to ensure client needs are successfully met, • Ability to commute between sites when neededQualifications, • Master's Degree in Nursing from an accredited school, • Bilingual in English and Spanish prefered, • Must be certified with the Drug Enforcement Administration in order to prescribe medication to clients, • Must be licensed in New York State, • Experience working with Medicaid/Medicare Clients is a plus

Job DescriptionHealthPlus Staffing is assisting a well established organization with their search for a Nurse Practitioner to join their team in Harlem, NY. With over 35 clinics and over half a million patients across the 5 boroughs and Long Island, the growth potential is exponential. Job Description: • Location: Harlem, NY, • Position: Nurse Practitioner, • Specialty: Primary Care, • Structure: Outpatient (No call), • Start: 30-60 days Days, • Schedule: Full-Time (40 hours), • Duties: Consultations, Follow up, Physical exams, • EMR: Epic, • Support: Full Office Staff and APP, • Compensation: 120-145K, • Benefits: Full Package Qualifications:, • Unrestricted NY license, • BC/BE as a Nurse Practitioner, • Active DEA registration, • Must possess active Medicare/Medicaid Enrollment or be eligible to enrollIf interested in this position please apply immediately and someone will be in contact within 24 hours of submission.

Job DescriptionAthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges. We specialize in individual and group psychotherapy for clients with a focus on trauma-informed care. We are dedicated to improving the quality and accessibility of mental health care for all, especially individuals from underserved communities. Here at AthenaPsych, we pride ourselves on hiring a diverse group of mental health clinicians and staff who are passionate and dedicated to improving our client’s overall emotional well-being. We provide both in-person and telehealth services for our clients and offer a competitive fee-for-service compensation plan and amazing benefits to our staff. Are You a Good Fit For Us?We are currently seeking an experienced, professional, and compassionate Psychiatric Nurse Practitioner to join our growing organization. Flexible hours are provided with the need of some evening hours, in-person and telehealth sessions. This position will work in collaboration with our Psychiatrist on staff. Our mental health clinic is located at 33 W 60th St 6th floor New York, NY.Responsibilities • Conduct psychiatric evaluations for all Athena clients (children and adults), • Conduct ongoing medication management when needed, • Complete all required documentation by a given deadline and in compliance with program and state regulations, • Ensures all clinical notes and client information are updated and accurate within the current EHR system, • Provide conflict resolution and crisis intervention when needed, • Work in collaboration with administrative staff to ensure client needs are successfully met, • Ability to commute between sites when neededQualifications, • Master's Degree in Nursing from an accredited school, • Bilingual in English and Spanish prefered, • Must be certified with the Drug Enforcement Administration in order to prescribe medication to clients, • Must be licensed in New York State, • Experience working with Medicaid/Medicare Clients is a plus