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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

Summary: We are seeking a hands-on Medicare Actuary to support pricing, forecasting, and bid development for Medicare Advantage (MA), Part D, and EGWP products. This role will support end-to-end bid season execution, Medicare forecasting, and deliver deep experience analytics to inform pricing, product strategy, and financial performance. The ideal candidate combines Medicare bid expertise, experience study rigor, and a builder mindset to improve processes, and elevate insights. Key Responsibilities: Bid & Pricing (MA/Part D/EGWP) • Own actuarial components of the annual Medicare Advantage and Part D bids, including benefit pricing, trend, risk score assumptions, admin load, and margins., • Be a collaborative partner across teams by pricing product scenarios., • Deliver regular forecasting with clear drivers, risks, and variances vs. plan/budget. Requirements: • Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required, • Associate of the Society of Actuaries (ASA) required, • 5 – 8+ years relevant professional work experience and/or education required, • 4+ years health insurance actuarial experience, preferably in the managed care industry required, • Prior management experience (processes and/or staff) preferred, • A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required, • Ability to communicate effectively with Business leaders required, • Expert level skills with database, spreadsheet, and analytical software required, • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required, • Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred, • Capable with data extraction, simulations, automation required

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., • 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., • Competitive Base Salary, • Sign-on Bonus, • Malpractice Insurance, • Continuing Medical Education (CME) Reimbursement, • Medical/Dental/Vision Health Insurance, • 401K Retirement Plan, • Incentive Model

Summary of Position • Lead and scale a centralized, enterprise shared services organization supporting all sales channels across Under 65 Consumer, Medicare and Group Business., • Oversight for optimizing the entire sales engine-processes, tech, data, and strategy-to boost revenue, efficiency, and scalability, managing analytics, forecasting, enablement, and tech (like Salesforce) while aligning sales with marketing and finance for business growth. Oversee CRM (i.e., Salesforce), sales analytics, and enablement tools., • Responsible for designing and operating the systems, processes, analytics, and enablement capabilities that power sales execution, broker effectiveness, and sustainable membership growth., • Act as the operational backbone of the Sales organization - ensuring sellers and brokers are enabled with the right tools, insights, incentives, and support to perform at their best, while delivering predictable growth through disciplined forecasting, data driven decision making, and strong CRM adoption. Balance strategic vision with operational rigor, partnering closely with Sales, Product, Marketing, Finance, and Technology to build scalable capabilities aligned to EmblemHealth's mission and regulatory environment Key Responsibilities: Sales Operations (Shared Services) • Lead a centralized sales operations function supporting Under 65 Consumer, Medicare and Group Business sales teams., • Establish standardized sales processes, operating rhythms, territory and quota management, and performance governance across channels., • Partner with Sales Leadership to translate growth strategies into executable operating plans., • Drive operational consistency while allowing for market specific and channel specific nuances. Create, grow, and lead the sales operations function to develop and execute systems and processes that enable flawless delivery of sales enablement programs in full, on time, at scale. Sales Enablement • Own enterprise sales enablement strategy, including onboarding, training, playbooks, content management, and readiness programs., • Ensure sellers and brokers are equipped with clear value propositions, compliant materials, and competitive positioning., • Partner with Product, Marketing, and Compliance to ensure enablement materials are current, accurate, and regulatory aligned. Measure and continuously improve enablement effectiveness and seller productivity. Broker Services & Support • Lead broker services as a core shared function, ensuring best in class broker experience., • Oversee broker onboarding, contracting, licensing coordination, training, support, and issue resolution., • Serve as a key partner to Broker Sales leadership to improve broker engagement, loyalty, and performance. Implement scalable broker service models that balance efficiency with high touch support where needed. Commission Administration & Incentive Management • Own end to end commission design, calculation, payment, and dispute resolution for sales and broker channels., • Partner with Finance, Legal, and Compliance to ensure accurate, timely, and compliant commission payments., • Drive transparency and trust in incentive plans through clear communication and reporting. Continuously evaluate compensation effectiveness to align incentives with growth and retention goals. Growth Analytics, Forecasting & Insights • Lead commercial analytics, forecasting, and performance reporting across Consumer and Group businesses., • Develop robust pipeline, membership, revenue, and retention forecasts with high levels of accuracy, in partnership with P&L, Sales and Finance teams., • Deliver actionable insights to Sales and Executive Leadership on growth drivers, risks, and opportunities., • Establish KPI frameworks and dashboards to monitor performance at all levels of the organization. Use data to inform territory design, capacity planning, and investment decisions, in partnership with Sales leaders. CRM & Sales Technology Adoption • Own CRM strategy and user adoption (e.g., Salesforce or equivalent) across all sales and broker teams., • Partner with IT and Digital teams to optimize CRM configuration, integrations, and data quality., • Drive disciplined CRM usage through training, governance, and leadership alignment., • Ensure CRM serves as the single source of truth for pipeline, forecasting, and performance reporting. Evaluate and deploy additional sales technologies to improve efficiency and effectiveness. Leadership & Cross Functional Partnership • Build, mentor, and lead a high performing GTM Operations organization., • Serve as a trusted advisor to Sales, Product, Marketing, Finance, and Technology leaders., • Champion a culture of accountability, adaptability and customer centricity., • Represent GTM Operations in executive forums and strategic planning processes., • Work with COO to optimize systems and infrastructure including internal/external portals, platforms, etc. Principal Accountabilities • Strategic Thinking. Adapts to changes in the marketplace. Identifies short and long-term functional goals and strategies. Leads change efforts in redefining how to serve customers., • Organizational Development. Implements organization structure and communicates roles/accountabilities. Identifies, develops, and engages functional talent. Identifies workforce gaps and develops talent to fill gaps. Identifies key talent/high potentials and informs Senior Leaders. Recognizes and celebrates success., • Transparent Communication. Communicate business strategy with functional leaders to facilitate change across the enterprise; ensure that employees understand how what they do links to strategy. Frequently cascades information up and down the organization. Models transparency with dashboard/metrics. Clearly and effectively communicates., • Lives the Values. Makes decisions that support the values. Demonstrates the values in daily activities. Holds Directors accountable for living the values. Places Company and team above self., • Continuous Improvement. Sets stretch goals that improve performance. Takes measured risks and develops contingency plans, when needed. Develops new ways of accomplishing work that supports innovation efforts. Proactively works to improve processes. Promotes and rewards efforts to make the enterprise-wide work environment open to new ideas and thinking. Continuously enhances and improves own contribution. Qualifications Education, Training, Licenses, Certifications • Bachelor's degree required; MBA or advanced degree preferred. Relevant Work Experience, Knowledge, Skills, and Abilities • 15+ years of progressive experience in sales operations, go to market operations, or commercial operations, preferably in healthcare, insurance, or regulated industries., • 7+ years of senior leadership experience building and managing multi-disciplinary teams., • Strong leadership, strategic thinking, and project management skills., • Outstanding communication skills (verbal, written, presentation, interpersonal) with all audiences; and the ability to effectively communicate with persuasion, clarity, integrity, and openness to large and small audiences., • Deep expertise in sales operations, sales enablement, broker management, commissions, and CRM platforms., • Experience driving large scale CRM adoption and sales process transformation., • Detail orientation with ability to maintain a "big picture" view; strong organization and prioritization skills. (R), • Strong analytical background with demonstrated success in forecasting, growth analytics, and performance management., • Proven ability to operate as a shared services leader supporting multiple sales organizations., • Exceptional stakeholder management and executive communication skills; ability to effectively collaborate and communicate across departments Additional Information, • Requisition ID: 1000003088, • Hiring Range: $250K to $325K

RCM - Accounts Receivable (AR) Associate Location Type: Remote – Tennessee Build Your Career with Us! Upstream Rehabilitation is the country’s largest dedicated provider of outpatient physical and occupational therapy services. Our mission is to inspire and empower the lives we touch, to serve our communities, and to lead with purpose-driven passion. We are committed to delivering remarkable experiences and fostering an inclusive workplace where differences are valued and celebrated. With 1,200+ locations nationwide, 26 brand partners, and 8,000+ employees, Upstream operates at scale while leveraging data, technology, and innovation to drive smarter decisions and operational excellence across the organization. The Role: Join the Upstream Rehabilitation team where your work makes a real impact! As an RCM -Accounts Receivable (AR) Associate, you will play a key role in ensuring timely and accurate reimbursement for services provided across our organization. You will focus on reducing aged AR, improving Days Sales Outstanding (DSO), and meeting productivity expectations for the assigned AR portfolio, which may span one or multiple states. You’ll also stay current on payer and industry updates to support efficient and accurate account resolution. Your efforts help keep our operations running smoothly and support our mission to inspire and empower the lives we touch. What You’ll Do: • Review and resolve unpaid accounts to ensure timely and accurate reimbursement., • Help reduce aged AR balances while meeting productivity goals., • Verify payer information, review EOBs, and correct account issues., • Document all account activity clearly and accurately., • Identify and report trends, errors or concerns., • Complete tasks and escalations within required deadlines., • Stay updated on payer changes and share relevant information., • Attend required virtual meetings with camera on., • Other projects and duties as assigned. Who You Are: • High School diploma or equivalent experience., • At least one year of experience in Revenue Cycle, Medicare and Commercial Insurance in a high-production environment., • Exceptional communication skills, including oral and written., • Strong organizational and time management skills., • Strong attention to detail, and capacity to multitask effectively., • Proven ability to identify and resolve problems in a timely manner., • Proficiency in Microsoft Office Suite or similar software applications. Nice to Haves: • Three plus years of experience in Revenue Cycle, Medicare and Commercial Insurance in a high-production environment., • Experience identifying processes and recommending solutions. Why You’ll Love Working Here • The chance to directly shape our organization’s growth by hiring the talent that drives our mission., • Opportunities to stretch your skills—whether you’re building pipelines, designing sourcing strategies, or advising leadership., • A collaborative team environment where your ideas are valued., • Competitive compensation, comprehensive benefits, and ongoing professional development. Benefit Offerings: • Annual paid Charity Day to give back to a cause meaningful to you, • 100% employer paid medical health insurance premium option available, • Dental and Vision insurance, • 401(k) with company match, • Generous PTO and paid holidays, • Supportive team and leadership invested in your success A Better Place to Build Your Career Upstream Rehabilitation offers meaningful opportunities across corporate and non-clinical roles, both remotely and in corporate offices nationwide. We invest in our people through leadership development programs, ongoing education, and professional growth opportunities. Our corporate teams are critical to Upstream’s success—and to the culture that makes this a great place to work. You’ll join a group of talented professionals who collaborate, innovate, and know how to have fun while making a real impact. Salary Range: $15.36/hour - $17/hour Estimated pay ranges listed above are based on several factors including but not limited to your pay class, experience, background and geographic location of the clinic Benefits and eligibility are dependent on employment status and pay class (full-time, part-time, or PRN). Specific details will be provided during the hiring process. Follow @Lifeatupstream on ___, and check out our ___ company page to learn more about what it’s like to be part of the ___ #LI-Remote

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essential Functions: • Ensures consistent care along the entire health care continuum by assessing and closely monitoring members' needs and status., • Authorizes covered services and coordinates care regardless of payer., • Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team., • Works with member/family to maintain the most independent living situation possible, • Assesses, plans and provides continuous care management across all venues of care, including hospital, sub-acute, long-term and home settings., • Regularly assesses members for ongoing eligibility for services based on the specific plan's eligibility criteria., • Performs home visits as required to assess members' living situation, cultural influences, functional and cognitive needs., • Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member., • Ensures appropriate, safe plan for members' discharge from their plan., • Identifies same day grievances, investigates and documents accordingly. Documents any grievance according to plan policy., • Identifies and presents members with complex care management needs or in difficult to manage situations at Intensive Care management meetings (ICM)., • Responds to members' requests in the designated timeframes and completes Initial Adverse Determinations (IAD) as indicated, • Identifies members requiring Care Management Review (CMR), evaluates documentation provided by the IDT including hospital or nursing home discharges planners, and formulates appropriate plan of care., • Documents care management/coordination according to company policy to the specific plan the member is enrolled in, which may include monthly telephonic and in person recertification notes., • Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs., • Associates degree in Nursing from an accredited nursing program required, • Bachelor's degree in Nursing preferred, • Three (3) years of experience as a registered nurse required, • Clinical experience in geriatrics and/or managed long-term care experience preferred, • Experience using multiple languages may be required based on operational needs Competencies, Knowledge and Skills:, • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel, • Ability to communicate effectively with a diverse group of individuals, • Ability to multi-task and work independently within a team environment, • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices, • Adhere to code of ethics that aligns with professional practice, • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice, • Strong advocate for members at all levels of care, • Strong understanding and sensitivity of all cultures and demographic diversity, • Ability to interpret and implement current research findings, • Awareness of community & state support resources, • Critical listening and thinking skills, • Decision making and problem-solving skills, • Strong organizational and time management skills, • Bilingual speaking and writing skills are preferredLicensure and Certification:, • Current, unrestricted Registered Nurse licensure in the state of New York required, • Case Management Certification preferred, • Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated Working Conditions:, • This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties. Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Location: Remote (For Non-Local) or Hybrid (Local to New York, NY or Denver, CO area) Position Summary The Benefit Configuration Specialist is responsible for supporting the testing and validation of pharmacy benefit plan configurations across multiple lines of business, including Commercial, Medicaid, Exchange, and Medicare. This role ensures that benefit plan setups align with client intent, regulatory requirements, and internal configuration standards.The Specialist will execute comprehensive benefit testing, participate in pre-implementation audits, and validate plan accuracy prior to deployment. Responsibilities include reviewing plan design specifications, performing scenario-based testing, identifying configuration discrepancies, and collaborating with cross-functional teams to resolve issues. This position requires strong attention to detail, analytical thinking, and the ability to interpret complex pharmacy benefit structures. The ideal candidate is comfortable working in a fast-paced environment, managing multiple audits simultaneously, and communicating findings clearly to internal stakeholders. Position Responsibilities: • Execute end-to-end testing and validation of pharmacy benefit plan configurations across Commercial, Medicaid, Exchange, and Medicare lines of business., • Perform detailed implementation audits to ensure benefit setup aligns with client intent, regulatory requirements, and internal configuration standards., • Review and interpret plan design documents, benefit change forms, and formulary specifications to translate requirements into executable test scenarios., • Analyze claim outputs to confirm expected adjudication behavior and accumulator movement., • Identify, document, and communicate configuration discrepancies or defects; collaborate with configuration team to ensure timely resolution., • Ensure compliance with applicable federal and state regulations, including guidance from the Centers for Medicare & Medicaid Services (CMS) where applicable., • Maintain clear documentation of testing results, audit findings, and approval signoffs., • Participate in client-facing meetings to review testing scope, discuss audit findings, clarify benefit intent, and provide detailed explanations of testing results and configuration outcomes., • Partner with cross-functional teams to ensure benefit accuracy and successful implementation., • Contribute to process improvements that enhance testing efficiency, audit quality, and overall benefit validation standards., • Manage multiple audits and testing initiatives simultaneously in a deadline-driven environment., • Responsible for adherence to the Capital Rx Code of Conduct Required Qualifications: • Bachelor's degree in Healthcare Administration, Business, Information Systems, or related field (or equivalent work experience)., • Minimum 3-5 years of experience in pharmacy benefit management (PBM), health plan operations, or benefit configuration., • Direct experience supporting Medicare lines of business (Medicare Part D and/or MAPD)., • Demonstrated understanding of Medicare benefit structures., • Experience testing and validating pharmacy benefit configurations in Commercial, Medicaid, Exchange, and/or Medicare lines of business., • Strong knowledge of formulary design, tier structures, utilization management (PA, ST, QL), and accumulator logic., • Ability to analyze benefit design documents and translate requirements into executable test scenarios., • Strong analytical skills with high attention to detail and accuracy., • Proficiency in Microsoft Excel for data review, validation, and reporting., • Strong written and verbal communication skills with ability to clearly document findings and discrepancies., • Participate in client-facing discussions to review benefit testing outcomes and implementation readiness while providing clear guidance on complex benefit designs. Base Salary: • New York, NY (hybrid) $78,800 - $98,500, • Denver, CO (hybrid) $72,000 - $90,000, • Remote - $62,400.00 - $90,000.00 This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and location of the job. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Benefits Judi Health provides all full-time and part-time benefit-eligible employees with the ability to elect medical and pharmacy coverage, dental insurance, vision insurance, accidental injury insurance, critical illness insurance, hospital indemnity insurance, and flexible spending accounts. Full-time employees also have access to a health savings account, voluntary life insurance, and voluntary accidental death and dismemberment insurance for themselves and their eligible dependents. Judi Health provides full-time employees with the followingbenefitsat no cost to the employee: basic life insurance, basic accidental death and dismemberment insurance, paid time off, sick time, holidays, short-term disability, long-term disability, an employee assistance program, and a wellness program. Full-time employees are also eligible for a 401(k) plan with company match after one year of full-time employment. About Judi Health 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 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. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$75,000—$90,000 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 Position Summary The Market Access Programs Senior Project Manager will lead the development, execution, and continuous improvement of innovative market access programs across all lines of business, including Commercial, Exchange, Medicare, and Medicaid. In this highly crossfunctional role, the Program Manager partners closely with internal teams, external vendors, and pharmacy partners to design and implement strategic initiatives-from specialty pharmacy partnerships to manufacturerdirect solutions-that enhance member experience and reduce overall drug spend. This role is responsible for maintaining detailed implementation plans, operational workflows, and training materials while ensuring program quality and compliance through structured audits and documentation. The Project Manager also collaborates with Analytics to produce opportunity assessments and savings reporting, and supports the commercialization of new offerings through pricing, marketing enablement, and RFI/RFP contributions. The ideal candidate brings deep experience in healthcare cost management, strong analytical capabilities, exceptional communication skills, and a strategic mindset with the ability to identify inefficiencies and drive longterm product and process improvements in a fastpaced environment. Position Responsibilities: • Program Development & Management: Collaborate with key stakeholders to develop and maintain new and existing market access programs for all relevant lines of business. Programs include, but are not limited to, innovative pharmacy network configurations and partnerships with supply chain stakeholders., • Program Planning and Execution: Engage with appropriate stakeholders and cross-functional teams to ensure successful implementation and execution of programs., • Program Maintenance: Regularly update and maintain comprehensive implementation plans, workflow guides, trainings, rules sets, and other documentation as relevant and required., • Quality Assurance: Implement quality control processes to ensure program compliance with established standards and guidelines. Conduct and document audits and work with appropriate stakeholders to implement corrective actions as needed., • Vendor management: Own relationship with and provide oversight of third-party vendors and/or partners (pharmacy providers or manufacturers) to administer programs with emphasis on member experience and value capture for clients., • Data Analytics & Reporting: Use reporting tools and partner with our Analytics team to develop and maintain opportunity analyses and ongoing savings performance reporting., • Commercialization: Support the go-to-market strategy of program offerings including pricing, marketing, and implementation. Support RFI and RFP submissions., • Bachelor's Degree required, • 4+ years of experience applicable to health care,, such as in a health plan, PBM, pharmacy, manufacturer, value-based care, or managed care environment; consulting, advising, or tech enablement focused on the preceding areas also considered applicable, • Ability to balance multiple complex projects simultaneously with minimal direction, • Great time-management and organizational skills to manage multiple active projects simultaneously, • Exceptional written, verbal, and presentation skills, • Master's Degree in relevant field (PharmD, MBA, MHA/MHP, etc.), • Experience with prescription drug channels and payment workflows (pharmacy reimbursement, rebate administration and GPO relations, regulatory requirements, etc.), • Experience with health insurance or health benefits administration (pharmacy benefits in particular), • Strong experience in developing, implementing, and using data and workflow management technology solutions (e.g., customer relationship management (CRM), Jira/Salesforce, collaborative Excel workbooks in SharePoint, etc.), • Experience with programming languages relevant to data analytics, such as SQL or Python, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Ability to think strategically and identify inefficiencies, develop long-term solutions, and challenge and improve existing processes through automation and redesign, • Highly detail-oriented and analytical 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 Summary The Pharmacy Value Programs Senior Project Manager will lead the development, execution, and continuous improvement of innovative pharmacy benefit costsavings programs across all lines of business, including Commercial, Exchange, Medicare, and Medicaid. In this highly crossfunctional role, the Program Manager partners closely with internal teams, external vendors, and pharmacy partners to design and implement strategic initiatives-from specialty pharmacy partnerships to benefit design optimization and manufacturerdirect solutions-that reduce overall drug spend while maintaining or enhancing member experience. This role is responsible for maintaining detailed implementation plans, operational workflows, and training materials while ensuring program quality and compliance through structured audits and documentation. The Project Manager also collaborates with Analytics to produce opportunity assessments and savings reporting, and supports the commercialization of new offerings through pricing, marketing enablement, and RFI/RFP contributions. The ideal candidate brings deep experience in healthcare cost management, strong analytical capabilities, exceptional communication skills, and a strategic mindset with the ability to identify inefficiencies and drive longterm product and process improvements in a fastpaced environment. Position Responsibilities: • Program Development & Management: Collaborate with key stakeholders to develop and maintain new and existing drug cost containment programs for all lines of business (Commercial, Exchange, Medicare, and Medicaid). Programs include, but are not limited to, partnerships with innovative mail & specialty pharmacies, benefit design optimization, and integration with manufacturer direct offerings., • Program Planning and Execution: Engage with appropriate stakeholders and cross-functional teams to ensure successful implementation and execution of programs., • Program Maintenance: Regularly update and maintain comprehensive implementation plans, workflow guides, trainings, and other documentation., • Quality Assurance: Implement quality control processes to ensure program compliance with established standards and guidelines. Conduct and document audits and work with appropriate stakeholders to implement corrective actions as needed., • Vendor management: Own relationships with and provide oversight of third-party vendors (including pharmacies) to administer programs with emphasis on member experience and cost savings., • Data Analytics & Reporting: Use reporting tools and partner with our Analytics team to develop and maintain opportunity analyses and ongoing savings performance reporting., • Commercialization: Support the go-to-market strategy of savings product offerings including pricing, marketing, and implementation. Support RFI and RFP submissions., • Bachelor's Degree required, • 4+ years of experience applicable to health care cost management, such as in a health plan, PBM, value-based care, or managed care environment; consulting, advising, or tech enablement focused on the preceding areas also considered applicable, • Ability to balance multiple complex projects simultaneously with minimal direction, • Great time-management and organizational skills to manage multiple active projects simultaneously, • Exceptional written, verbal, and presentation skills, • Master's Degree in relevant field (PharmD, MBA, MHA/MHP, etc.), • Experience with prescription drug channels and payment workflows (pharmacy reimbursement, rebate administration and GPO relations, regulatory requirements, etc.), • Experience with health insurance or health benefits administration (pharmacy benefits in particular), • Strong experience in developing, implementing, and using data and workflow management technology solutions (e.g., customer relationship management (CRM), Jira/Salesforce, collaborative Excel workbooks in SharePoint, etc.), • Experience with programming languages relevant to data analytics, such as SQL or Python, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Ability to think strategically and identify inefficiencies, develop long-term solutions, and challenge and improve existing processes through automation and redesign, • Highly detail-oriented and analytical 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___.

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm Partners, we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you! Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Position Summary This position works with a professional team of physicians and other staff who are trained in the medical and surgical specialty of dermatology with the purpose to be patient focused with the objective of delivering superior patient care and ensuring a positive patient experience and outcome. This position completes tasks associated with posting, adjusting, and monitoring patient accounts receivables. Position proactively researches, identifies, and rectifies any circumstance affecting delayed submission or payment of accounts. Position communicates accounts receivable issues proactively to management to ensure compliance and accuracy. Position performs various administrative and clerical duties needed to support revenue cycle functions as needed. Position reports to the Supervisor, Payment Posting and/or Director, Cash Management. Essential Responsibilities • Reconciles bank deposit daily. Uses daily bank deposit to verify all deposited amounts are in the clearing house or on a paper remit to be posted., • Effectively lead and oversee the Payment Posting Team for your assigned region., • Review and monitor workflows to manage and maintain an efficient cash application process., • Provide new hire training and continuing education for your team., • Meets productivity requirements as established by organization and external benchmarks, • Assist in the identification and correction of posting errors., • Run reports as requested or required by management., • Completes posting of all payments and adjustments at the patient account level in a timely and accurate manner., • Ensures completion of End of Month Closing activities, • Proactively engages other operational personnel to review and resolve issues as needed., • Participate in team meetings and provide assistance and coaching to other team members., • Provide day-to-day support to the team as well as management, including backup in all functions of the department when needed., • Ensure all lockbox files are received on a regular and timely basis., • Review outstanding account balances for collections., • Assist in setting up Electronic Remittance Advices (ERA) and Electronic Funds Transfers (EFT) for Commercial and Medicare payors., • Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax., • Adheres to Code of Conduct and Mission & Value Statement., • High school graduate or GED. (All), • 3-5 years of Payment Posting in a Medical Setting., • Experience with bank reconciliation and month end balancing required., • Experience with Accounting, EFT /ERA setup is a plus., • Mod Med/EMA practice management system experience is a plus., • Must be highly professional and an effective communicator., • Excellent time management and detail orientation., • Self-driven personality with eagerness to adapt quickly in a changing environment., • Strong project management skills and ability to multitask., • Must maintain a high level of integrity and confidentiality of medical information., • Ability to deal diplomatically with complaints and function well under pressure., • Strong interpersonal and communication skills (both written and oral communications)., • Competitive Pay – Attractive compensation to reward your hard work, • Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered, • Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting, • Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year, • Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans, • Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances, • Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security, • Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges, • Exclusive Employee Discounts – Save on products and services with special discounts just for you, • Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis. Compensation Range: $19.51 - $25.97 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

Have you noticed that when you go to the doctor, often no one there can tell you what it will cost? If you think that’s as problematic as we do, join us in our mission to fix it. Position Overview The Revenue Recovery Specialist will play a critical role in ensuring accurate reimbursement and recovering lost revenue for outpatient service providers. This position involves interfacing with insurance carriers, analyzing claims data, and drafting appeals to recover underpaid and denied claims. The ideal candidate must have a strong understanding of outpatient reimbursement methodologies, intermediate Excel skills, and the ability to navigate payer processes independently. Key Responsibilities Claims Research and Analysis • Review claims data in pricing software to identify discrepancies between contracted rates and actual payments., • Research claims variances in outpatient patient accounting systems (e.g., athenahealth, Nextgen), • Deep-dive into payer contracts and manuals to understand “why” a claim has been underpaid or denied., • Review claim details, including coding, billing, and insurance information to verify payer payment discrepancies. Appeals and Follow-Up • Communicate with payer representatives via phone, provider portals, written correspondence, etc. to identify claim status, needed documentation, reasoning for underpayment., • Draft appeals to insurance companies to recover underpaid claims., • Adhere to payer-specific strategies (e.g., escalation, appeal, obtaining audit reports, requesting claim correction, etc.) to resolve accounts expeditiously. Trend Identification and Reporting • Identify trends in workflow and recommend solutions for efficiency improvements., • Prepare monthly recovery reporting for the Client., • Communicate trends during team meetings. Skills and Knowledge • Strong understanding of outpatient reimbursement methodologies (e.g., how Medicare reimbursement works, how to calculate reimbursement using a fee schedule, how payment adjustments work)., • Intermediate Excel skills, including pivot tables and large dataset analysis., • Excellent written and verbal communication skills for professional interactions with payer representatives., • Demonstrated ability to work autonomously and communicate findings to teammates., • Persistent problem-solving skills to overcome payer challenges. Education and Experience • Required: Minimum 3–5 years of experience in one or more of the following areas:, • Revenue cycle accounts receivable follow-up, • Managed care contracting analysis, • Insurance company claims or payer relations, • Revenue cycle outsourcing recovery, • Associate degree preferred; equivalent work experience accepted. More About MD Clarity MD Clarity is a social-impact-driven software company animated by two guiding principles: 1) that patients have a right to know what the financial impact will be on them when getting care; and 2) that doctors, nurses, and physician assistants deserve to be paid fairly by health insurers. Our workflow automation software makes the healthcare experience easier and more transparent for patients and providers, and our products are already used by healthcare organizations that together serve hundreds of thousands of patient visits annually. We’re profitable and recently raised a new round of growth capital to accelerate adoption and scale our impact on the healthcare system. Our fast-growing team combines decades of healthcare technology experience with engineering and business talent from Microsoft, Stanford, Spotify, EY-Parthenon, Harvard, Deloitte, Vanderbilt, Georgetown, UPenn-Wharton, and West Point, among others. We’re distributed among our offices in Seattle and New York City and many fully remote roles. In addition to our shared passion for improving patients’ healthcare experience, we’re united in valuing an inclusive workplace that empowers all with the autonomy, connection to the mission, and flexibility needed to innovate. Must be eligible to work in the U.S. without Sponsorship

Full time Visiting RN with $15,000 Sign on Bonus, 32 days off, Medical Dental and Vision and 401K This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $105,000 - $125,000 per year A bit about us: Highly respected home care Agency in the NYC metro area operating with over 50 years of success in the community. Why join us? • $15,000 New Hire bonus, • Health Insurance, • Dental Insurance, • 401K plan with company match, • Tuition Reimbursement, • 4 Weeks’ vacation, • 2 Personal days, • 1 Cultural Heritage Day, • 1 Floating holiday, • 8 Sick days, • Referral bonus program, • Mileage reimbursement based on IRS guidelines Job Details • Manage all aspects of patient care related to services provided in the home. Conduct home visits and provide care coordination with other disciplines, • Collaborate effectively with patients, physicians, RN’s and other health care professionals to provide quality patient care., • Successfully engage patient/caregiver to develop an individualized plan of care, promote healthy lifestyles, close gaps in care, and reduce unnecessary emergency room utilization and hospital readmissions., • Develop and provide health education and consultation services to community members, clients and family members., • Mediated client emergency situations by notifying proper personnel., • Completion of all required documentation, • Communication with PCP, • Completion of 485 and all interim orders, • Update medication profile, • Review and completion of case communication notes, • Daily review of follow-up items and incomplete documentation items noted in Homecare Homebase EMR, • Participation in case conferencing with respective supervisors., • MUST be highly knowledgeable of Medicaid/Medicare regulations and guidelines Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Full time Visiting homecare RN with $15,000 Sign on Bonus, 32 days off, Medical Dental and Vision and 401K This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $105,000 - $125,000 per year A bit about us: Highly respected home care Agency in the NYC metro area operating with over 50 years of success in the community. Why join us? • $15,000 New Hire bonus, • Health Insurance, • Dental Insurance, • 401K plan with company match, • Tuition Reimbursement, • 4 Weeks’ vacation, • 2 Personal days, • 1 Cultural Heritage Day, • 1 Floating holiday, • 8 Sick days, • Referral bonus program, • Mileage reimbursement based on IRS guidelines Job Details • Manage all aspects of patient care related to services provided in the home. Conduct home visits and provide care coordination with other disciplines, • Collaborate effectively with patients, physicians, RN’s and other health care professionals to provide quality patient care., • Successfully engage patient/caregiver to develop an individualized plan of care, promote healthy lifestyles, close gaps in care, and reduce unnecessary emergency room utilization and hospital readmissions., • Develop and provide health education and consultation services to community members, clients and family members., • Mediated client emergency situations by notifying proper personnel., • Completion of all required documentation, • Communication with PCP, • Completion of 485 and all interim orders, • Update medication profile, • Review and completion of case communication notes, • Daily review of follow-up items and incomplete documentation items noted in Homecare Homebase EMR, • Participation in case conferencing with respective supervisors., • MUST be highly knowledgeable of Medicaid/Medicare regulations and guidelines Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. This position is accountable for the timely & compliant billing of customer orders to patients. When insurance coverage is available, this position is responsible for reviewing patient balances and ensuring accurate billing for services after federal, state and commercial insurance plans have processed their claims. This position will also establish payment arrangements with patients and collect on balances, following KMTS policies and procedures, while minimizing bad debt and continuous improvement of cash flow. This position will work side-by-side with the Director of Collections in improving the overall patient collection process, as well as collaborate with the various customer support teams across the organization to ensure an overall positive customer experience consistent with Kestra core values. This position will be Monday - Friday, 8am - 5pm Pacific Standard Time. ESSENTIAL DUTIES • Ensure patients statements are generating appropriately, reconciling patient balances identified in the revenue cycle management (RCM) system with both the insurance explanation of benefits (EOB) and our statement system., • Supports call center operations by receiving patient inbound calls, assisting patients with any questions or clarifications regarding their billing statement., • Works with the patient to establish payment terms consistent with Kestra policies and procedures, including but not limited to establishing payment plans, assisting the patient in applying for CareCredit or Financial Assistance, and/or negotiating discounts., • Utilize the various RCM systems to assist patients with making credit card and bank account payments, set up payment plans and initiate billing/statement holds., • Research and resolve patient billing concerns, escalating issues as appropriate to leadership., • Identify if specific receivables are to be qualified as refunds, adjustments or write-offs, initiating the appropriate transaction with the RCM system to resolve open accounts receivable (AR)., • Initiate patient outbound calls to drive patient cash collections., • Identify and communicate issues leading to patient complaints to supervisor, enabling continuous process improvement and a positive customer experience., • Review and complete daily /weekly tasks to achieve patient collection goals., • Assist in the development of training materials that will be shared across functions. COMPETENCIES • Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement., • Integrity: Commitment, accountability, and dedication to the highest ethical standards., • Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service., • Action/Results: High energy, decisive planning, timely execution., • Innovation: Generation of new ideas from original thinking., • Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind. Education/Experience Required: • 5 years of experience in the healthcare billing and/or collection environment, • 3 years of experience in healthcare customer service environment, • 1 year in DME/HME environment, • Experience with Bonafide and/or CollectPlus, • Experience with Salesforce Supervisory Responsibilities • None Work ENVIRONMENT • Fast-paced, remote-based role, • Minimal noise volume typical to an office environment, • Extended hours when needed, • Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment post-offer. PHYSICAL DEMANDS • Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage, • Frequent stationary position, often standing or sitting for prolonged periods of time, • Frequent computer use, • Frequent phone and other business machine use, • Occasional lifting required, up to 25 pounds TRAVEL Pay equity is an important part of Kestra’s Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided. If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted. Salary: Annualized between $66,000 and $76,000. Depending on experience and location. Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, disability, age, sexual orientation, gender identity and/or expression, marital status, or any other characteristic protected by law. We are unable to sponsor or take over sponsorship of employment visas at this time. Applicants must be eligible to work for any employer in the U.S. Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment.

Full-time Description About the Role Are you a detail-driven professional who takes pride in accuracy and problem-solving? CareM Support Services in Albuquerque is looking for a Home Health Billing Representative to join our centralized support team. In this vital role, you'll ensure accurate claim submissions, support cash flow operations, and contribute to the financial integrity of a growing healthcare network. If you’re looking for a role that blends autonomy with teamwork — and offers purpose beyond paperwork — this is your opportunity to support a mission that matters: to bring out the courage in others. Key Responsibilities • Process, verify, and submit healthcare claims accurately and on schedule, • Monitor payments from payers and follow up on unpaid invoices, • Complete pre-bill audits and ensure compliance with Medicare, Medicaid, and other payer guidelines, • Respond to billing inquiries from patients, staff, and insurance companies with professionalism and clarity, • Maintain accurate AR (accounts receivable) records and provide cash flow updates to leadership, • Assist with monthly reporting and revenue cycle improvement initiatives, • Participate in ongoing staff training, department meetings, and compliance reviews, • Maintain confidentiality and adhere to HIPAA and company privacy standards Requirements What We’re Looking For • 2+ years of home health billing or reimbursement experience required, • Familiarity with third-party payer systems, medical coding, and claims processing, • Strong organizational skills and high attention to detail, • Ability to work independently and prioritize multiple tasks in a fast-paced setting, • Proficiency in business software, spreadsheets, and billing platforms, • Excellent communication skills for interfacing with both internal teams and external partners, • A team mindset with a proactive, solutions-oriented approach Why Join Us CareM Support Services is part of a bold, values-driven healthcare organization serving patients across home health, hospice, and personal care. As a centralized business unit, we keep the engine running — and we do it with heart. Here’s what sets us apart: • Mission-first culture rooted in compassion, courage, and excellence, • Supportive leadership that values your contribution and promotes from within, • Team camaraderie where ideas are welcomed and wins are shared, • Opportunities for professional growth and cross-functional learning, • A commitment to work-life balance, well-being, and doing work that matters

We are seeking a Product Manager to lead Risk Adjustment product capabilities across all lines of business, including Medicare Advantage, ACA Marketplace, and Medicaid. This role owns the execution and evolution of Risk Adjustment solutions within our population health platform, ensuring accurate risk capture, compliant submissions, and efficient coding workflows for health plans and provider organizations. The Product Manager will work closely with engineering, clinical coding teams, operations, and customer success teams, while collaborating with the Head of Platform on overall product strategy and roadmap direction. Responsibilities: Risk Adjustment Product Ownership Own development and management of core Risk Adjustment capabilities including: • HCC model updates and configuration, • Risk score computation across supported models, • Suspect generation and accuracy management, • Encounter data reconciliation, • Risk adjustment reporting and analytics Ensure platform support for • Medicare Advantage (CMS-HCC), • ACA Marketplace (HHS-HCC), • Medicaid risk adjustment models Regulatory & Program Monitoring • Track CMS announcements and regulatory updates, • Ensure timely platform updates aligned with HCC model changes, • Monitor LOB-specific submission timelines and program requirements, • Work closely with clinical coding teams and outbound operations teams to support operational readiness Product Development & Enhancements • Identify and define new feature enhancements, • Design product workflows and requirements, • Maintain and prioritize product backlog, • Work with engineering teams and TPMs to track development progress, • Validate completed features prior to release Client & Customer Success Collaboration • Work closely with Customer Success teams to understand client workflows and challenges, • Participate in client discussions when needed, • Translate client feedback into product improvements and roadmap priorities Product Strategy Collaboration • Work in close collaboration with the Head of Platform to align Risk Adjustment capabilities with overall platform strategy, • Provide domain expertise and product insights to inform roadmap planning, • 5+ years Product Management experience, • 5+ years experience with Risk Adjustment or Population Health technology, • Strong understanding of Medicare Advantage, ACA, or Medicaid risk programs, • Familiarity with HCC models and coding workflows, • Experience collaborating with engineering teams on healthcare platforms Competencies: Communicates Effectively • Exchanging ideas, knowledge, and data so that the message is received and understood with clarity and purpose., • Plans and prioritizes work to meet the goals of the business., • Breaks down objectives into plans and actions to achieve significant milestones., • Anticipates and readily adjusts plans., • Ensures work and tasks are aligned to meet company priorities., • Breaks down goals into actions with milestones., • Identifies and builds partnerships to meet shared goals., • Readily partners with others to meet objectives and shares credit for contributions., • Anticipating and balancing the needs of multiple stakeholders and multiple projects., • Highly prepared and knowledgeable about expectations., • Delivers fair and flexible response to stakeholder needs., • Handling conflict situations to resolution effectively and professionally., • Adapts approach in real time to respond to different situations., • Thinks quickly and readily adapts behavior in the moment. Prosperity • Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar, • Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded, • 401k plans– we want to empower you to prepare for your future, • Comprehensive Medical, Dental, and Vision insurance plans, • Tax-free Dependent Care Account, • Excellent PTO policy (everyone deserves a vacation now and then), • Great work-life balance environment- We believe family comes first!, • Strong supportive teams- There is always a helping hand when you need it The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $80,000 to $100,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered.

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. This position is accountable for the timely & compliant billing of customer orders to patients. When insurance coverage is available, this position is responsible for reviewing patient balances and ensuring accurate billing for services after federal, state and commercial insurance plans have processed their claims. This position will also establish payment arrangements with patients and collect on balances, following KMTS policies and procedures, while minimizing bad debt and continuous improvement of cash flow. This position will work side-by-side with the Director of Collections in improving the overall patient collection process, as well as collaborate with the various customer support teams across the organization to ensure an overall positive customer experience consistent with Kestra core values. ESSENTIAL DUTIES • Ensure patients statements are generating appropriately, reconciling patient balances identified in the revenue cycle management (RCM) system with both the insurance explanation of benefits (EOB) and our statement system., • Supports call center operations by receiving patient inbound calls, assisting patients with any questions or clarifications regarding their billing statement., • Works with the patient to establish payment terms consistent with Kestra policies and procedures, including but not limited to establishing payment plans, assisting the patient in applying for CareCredit or Financial Assistance, and/or negotiating discounts., • Utilize the various RCM systems to assist patients with making credit card and bank account payments, set up payment plans and initiate billing/statement holds., • Research and resolve patient billing concerns, escalating issues as appropriate to leadership., • Identify if specific receivables are to be qualified as refunds, adjustments or write-offs, initiating the appropriate transaction with the RCM system to resolve open accounts receivable (AR)., • Initiate patient outbound calls to drive patient cash collections., • Identify and communicate issues leading to patient complaints to supervisor, enabling continuous process improvement and a positive customer experience., • Review and complete daily /weekly tasks to achieve patient collection goals., • Assist in the development of training materials that will be shared across functions. COMPETENCIES • Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement., • Integrity: Commitment, accountability, and dedication to the highest ethical standards., • Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service., • Action/Results: High energy, decisive planning, timely execution., • Innovation: Generation of new ideas from original thinking., • Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind. Education/Experience Required: • 5 years of experience in the healthcare billing and/or collection environment, • 3 years of experience in healthcare customer service environment, • 1 year in DME/HME environment, • Experience with Bonafide and/or CollectPlus, • Experience with Salesforce Supervisory Responsibilities • None Work ENVIRONMENT • Fast-paced, remote-based role, • Minimal noise volume typical to an office environment, • Extended hours when needed, • Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment post-offer. PHYSICAL DEMANDS • Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage, • Frequent stationary position, often standing or sitting for prolonged periods of time, • Frequent computer use, • Frequent phone and other business machine use, • Occasional lifting required, up to 25 pounds TRAVEL Pay equity is an important part of Kestra’s Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided. If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted. Salary: Annualized between $66,000 and $76,000. Depending on experience and location. Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, disability, age, sexual orientation, gender identity and/or expression, marital status, or any other characteristic protected by law. We are unable to sponsor or take over sponsorship of employment visas at this time. Applicants must be eligible to work for any employer in the U.S. Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment.

Bellese is a mission-driven Digital Services Company committed to pioneering innovative technology solutions in civic healthcare. Our dedication lies in making a meaningful impact on public health outcomes. Driven by service design, we strive to know the “Why” to understand the healthcare journey for patients, caregivers, providers, payers, and policymakers. Our goal is to design and build solutions that reduce confusion, provide clarity, support decision making, and streamline the process so that we and our partners can focus on providing better health outcomes by improving patient care and reducing costs and burden. Team you will be joining: QMARS Our team is charged with maintaining and improving the software at the Centers for Medicare and Medicaid Services (CMS) that supports the Quality Management and Review Systems (QMARS) program. QMARS online case management system supports the CMS Beneficiary and Family-Centered Care (BFCC) Quality Improvement Organization (QIO) program. The QIO program is one of the largest federal programs dedicated to improving healthcare quality for Medicare beneficiaries across the country. Our teams will continuously strive to modernize these systems while improving them in ways that reduce provider burden and minimize costs to CMS. We do this through HCD and Service design practices, product thinking, and skilled engineering. At Bellese, we’re relentlessly focused on enabling and empowering providers to focus on improving the quality and safety of patient care. Bellese Technologies is a cutting-edge civic technology firm. We foster a learning environment that thrives on curiosity, innovation, and passion about improving healthcare in America. Our remote-first team is spread across 20+ states and leverages exceptional collaboration to amplify our strengths. We provide an environment focused on helping you achieve your goals. Because when you succeed, we all succeed. What you will be doing: Cross-Team Collaboration: Foster collaboration and drive impact not only within your own team but across multiple teams to achieve shared goals and deliver value at scale___ Drive Innovation: Cultivate a culture of innovation by encouraging creative problem-solving, introducing new technologies, and spearheading initiatives that push the boundaries of engineering excellence. Technical Oversight: Provide oversight for the technical design, development, maintenance, and operational aspects of one or more software systems, ensuring high-quality delivery, security compliance, and alignment with business objectives. Team Development: Manage and support team members by nurturing their careers, setting clear expectations, monitoring performance, and promoting a positive, inclusive, and engaging team environment. Quality & Change Management: Ensure effective quality assurance practices, manage risk and issue resolution, and guide teams through process changes to enhance efficiency and maintain high standards Delivery & Support: Manage release communication, production deployments, post-release analysis and reporting, and provide support to ensure system reliability and customer satisfaction. Client Engagement: Build and maintain strong relationships with clients by actively engaging in discussions, providing technical expertise, identifying opportunities for improvement or growth, and ensuring alignment between engineering solutions and client needs. Business Development Support: Contribute to business development and capture activities by participating in solution exercises, developing technical content for proposals, and aligning engineering capabilities with client needs to win new contracts___ Engineering Discipline Maturity: Collaborate with peers to refine best practices, promote knowledge sharing, and contribute to continuous improvement initiatives that advance the engineering discipline at Bellese. • US Citizenship or documented proof of eligibility to work in the US without Sponsorship, • US Residency for at least the past 3 years, • Able to meet the requirements to hold a position of Public Trust, including successful completion of a US Government background investigation, • Disclaimer: Medical or recreational marijuana use is considered illegal at the federal level, regardless of state laws allowing such, and may affect your ability to obtain Public Trust. See ___, • Remote First, Remote Only Culture, • Four weeks paid time off yearly (prorated based on start date for the first year), • 10 paid floating company holidays, • Flexible schedule, • Work from home setup including a Macbook, • Collaborative, learning environment, • Medical, dental, and company-paid vision insurance, • Optional HSA account with some medical plans and a company contribution, • Company paid basic life and AD&D insurance coverages, • Company paid short and long term life insurance, • Optional critical illness and accident insurance, • 401K plan with 3% safe harbor contribution, • Wellness resources and virtual care, • Perks Plus employee discounts, • You foster a collaborative ethos, driven by the mission to deliver exceptional customer service to clients. You are passionate about Healthcare and changing the healthcare landscape. You’re an out of the box thinker, always striving to know the “why” when it comes to building solutions. You excel in a team-oriented, remote-first environment characterized by mutual respect and open communication. Your adaptability and ability to navigate challenges ensure your success in any situation., • In this role, you will act as a hands-on technical leader, dedicating approximately 75% of your time to driving the QMARS ecosystem roadmap, overseeing system architecture, and ensuring long-term code health through deep-dive technical guidance and code reviews. The remaining 25% is focused on high-impact people management, mentoring engineers, and fostering a high-performance culture., • Able to move beyond basic automation to implement and evangelize a high-maturity CI/CD methodology (not just Jenkins scripts, but a philosophy of flow). You will be responsible for the "Developer Experience," ensuring pipelines are fast, reliable, and integrated with automated testing and security., • Able to rapidly learn the QMARS product and CMS client nuances to act as a bridge between technical execution and mission goals, identifying where analytics and modern engineering can reduce provider burden. Free up ICs to do the work, not represent the work., • Lead, mentor, and scale a high-performing organization of 20+ engineers, building clear career pathways and fostering a culture of technical excellence across multiple functional pods., • Ability to quickly synthesize how disparate parts (AWS, Pega, Analytics, DevOps) interact to form a cohesive system, rather than managing them as silos., • Government contracting at multiple federal agencies, but especially CMS. Experience navigating the "why" behind government requirements, with the ability to influence the client on technical direction based on a deep understanding of their specific domain., • Direct experience or deep familiarity with the Pega ecosystem, specifically the transition to Constellation (React-based architecture) and how it integrates with external cloud services. $138,600 - $163,300 a yearThe Salary Range for Engineering Manager is $138,600-$163,300The Salary Range for Engineering Manager is $138,600-$163,300 U.S. citizen or legal right to work in the United States without sponsorship We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Here at Ooma we empower people to connect in smarter ways. We do this by creating powerful communication experiences through our cloud-based platform to bring people together at work and at home. Our solutions help small business owners stay connected with their customers and manage their businesses from anywhere. For larger companies we provide customized unified communications solutions to meet their unique needs. At home, we help our customers connect with their loved ones by providing the #1 rated VoIP phone service available. We also provide them with peace of mind through our innovative smart home security solution. At Ooma, all our products and services are priced competitively, because we believe advanced technology should be accessible to all. About the Role: At Ooma, we are innovators driven by operational excellence and passionate about delivering outstanding customer experiences. As part of our transformation into a truly international team of Site Reliability Engineers (SREs), we are expanding our capabilities to meet the demands of our worldwide customer base. We are looking for a talented SRE, Systems Administrator, Operations Engineer, DevOps Engineer, or IT professionals who thrive on solving challenging problems and ensuring service reliability at scale. If you are motivated by working with the latest technologies, mentoring others, and building highly available systems, we’d love to talk to you. What You’ll Do: • Become a subject matter expert in applications supporting Ooma customers., • Collaborate with Development, QA and other SREs to evaluate, deploy, and debug applications., • Improve observability by implementing, refining, and adjusting application monitoring and thresholds., • Mentor team members to enhance application management practices., • Act as an escalation path and backup for junior team members, providing guidance during alerts and incidents., • Write automation scripts, set up CI pipelines, and review/evaluate software solutions and best practices., • Participate in on-call rotations, providing 24/7 support for Ooma services. Experience We’re Looking For: • Strong background in production (24/7) support for large-scale environments required., • 6+ years of Linux administration and troubleshooting experience with full-stack, application support focus; 8+ years overall working experience as an IT professional., • Proven expertise in advanced scripting using Python, Perl, and Bash., • Database administration experience with MySQL, MongoDB, or PostgreSQL required., • Must have experience with configuration management tools such as Ansible, Puppet, etc., • Hands-on experience with cloud platforms such as OCI, AWS, or GCP required., • Proven ability to lead technical projects from inception to completion., • Experience with DevOps tools, like Docker, K8s, Gitlab CICD, Jenkins, Terraform preferred, • Experience with monitoring best practices using ELK stack, Prometheus, Nagios, or Grafana preferred, • Experience with Agile tools like Jira, Confluence, or any similar tool, preferred, • Strong collaboration skills and empathy for the end-user experience., • Excellent troubleshooting, communication (written and verbal), and cross-functional leadership skills., • Ability to work effectively in fast-paced, dynamic environments and manage ambiguity., • Quick learner with a self-starter mindset and ownership of outcomes., • Sound judgment in escalation and decision-making., • Bachelor's degree in Engineering/Computer Science or equivalent experience. #LI-CC1 What We Offer: Working at Ooma means being a team player, while allowing your individual voice to come through. And, you'll receive competitive compensation, benefits and generous company perks. • Comprehensive Medical/Dental/Vision insurance for you and eligible dependents, • HMO, PPO’s or a PPO with a HDHP (including HSA, which Ooma helps fund), • Employer Paid Income Protection Benefits (Basic Life and AD&D, Short- and Long-term disability), • FSA Healthcare & Dependent Care, • Commuter Benefits, • Voluntary Accident, Critical Illness, Hospital Indemnity and Legal, • 401(k), including employer match, and Roth, • Employee Stock Purchase Plan (ESPP), • Paid Time off, Sick Time, as well as corporate holidays observed, • Employee Assistance Program, • Life Balance benefits with Travel Assistance Services and Identity Theft, • Additional Benefits include a Discount Program, Credit Union, Medicare Assistance, etc. Ooma is an equal-opportunity employer committed to recruiting, employing, retaining, promoting, and otherwise treating all employees on the basis of merit, qualifications, and competence. We do not discriminate on the basis of any trait or characteristic protected by applicable federal, state, or local laws. #LI-C1 The base salary range for candidates within the United States is listed below. Actual base pay will depend on a variety of factors such as education, skills, experience, specific location, etc. The base pay range is subject to change and may be modified in the future. Regular employees may also be eligible for bonus(es), sales incentive(s) (target included in OTE) and/or stock in the form of Restricted Stock Units (RSUs). United States Pay Range $110,000 - $175,000 USD

Location Type: Remote – Tennessee Start time of 8am or 8:30am EST Build Your Career with Us! Upstream Rehabilitation is the country’s largest dedicated provider of outpatient physical and occupational therapy services. Our mission is to inspire and empower the lives we touch, to serve our communities, and to lead with purpose-driven passion. We are committed to delivering remarkable experiences and fostering an inclusive workplace where differences are valued and celebrated. With 1,200+ locations nationwide, 26 brand partners, and 8,000+ employees, Upstream operates at scale while leveraging data, technology, and innovation to drive smarter decisions and operational excellence across the organization. The Role: Join the Upstream Rehabilitation team where your work makes a real impact! As an Accounts Receivable (AR) Associate, you will play a key role in ensuring timely and accurate reimbursement for aged accounts. Your efforts help keep our operations running smoothly and support our mission to inspire and empower the lives we touch. What You’ll Do: • Manage and resolve unpaid accounts with precision and professionalism., • Drive results by meeting productivity standards while reducing outstanding AR balances., • Verify payments for accuracy and completeness, and correct account discrepancies (e.g., payer verification, resolving overlaps, reviewing EOBs, processing adjustments or transfers)., • Document all actions and account reviews thoroughly and accurately., • Identify and report errors, compliance issues and trends to your leader., • Stay informed on state billing rules, guidelines, and statue of limitations., • Provide exception support to internal and external customers., • Handle escalated accounts promptly and report findings as required., • Other projects and duties as assigned. Who You Are: • High School diploma or equivalent experience., • At least one year of experience in Revenue Cycle, Medicare and Commercial Insurance in a high-production environment., • Exceptional communication skills, including oral and written., • Strong organizational and time management skills., • Strong attention to detail, and capacity to multitask effectively., • Proven ability to identify and resolve problems in a timely manner., • Proficiency in Microsoft Office Suite or similar software applications. Nice to Haves: • Three plus years of experience in Revenue Cycle, Medicare and Commercial Insurance in a high-production environment., • Experience identifying processes and recommending solutions. Why You’ll Love Working Here • The chance to directly shape our organization’s growth by hiring the talent that drives our mission., • Opportunities to stretch your skills—whether you’re building pipelines, designing sourcing strategies, or advising leadership., • A collaborative team environment where your ideas are valued., • Competitive compensation, comprehensive benefits, and ongoing professional development. Benefit Offerings: • Annual paid Charity Day to give back to a cause meaningful to you, • 100% employer paid medical health insurance premium option available, • Dental and Vision insurance, • 401(k) with company match, • Generous PTO and paid holidays, • Supportive team and leadership invested in your success A Better Place to Build Your Career Upstream Rehabilitation offers meaningful opportunities across corporate and non-clinical roles, both remotely and in corporate offices nationwide. We invest in our people through leadership development programs, ongoing education, and professional growth opportunities. Our corporate teams are critical to Upstream’s success—and to the culture that makes this a great place to work. You’ll join a group of talented professionals who collaborate, innovate, and know how to have fun while making a real impact. Salary Range: $18/hour - $21/hour Estimated pay ranges listed above are based on several factors including but not limited to your pay class, experience, background and geographic location of the clinic Benefits and eligibility are dependent on employment status and pay class (full-time, part-time, or PRN). Specific details will be provided during the hiring process. Follow @Lifeatupstream on ___, and check out our ___ company page to learn more about what it’s like to be part of the ___ #LI-Remote

About Brillio: Brillio is one of the fastest growing digital technology service providers and a partner of choice for many Fortune 1000 companies seeking to turn disruption into a competitive advantage through innovative digital adoption. Brillio, renowned for its world-class professionals, referred to as "Brillians", distinguishes itself through their capacity to seamlessly integrate cutting-edge digital and design thinking skills with an unwavering dedication to client satisfaction. Brillio takes pride in its status as an employer of choice, consistently attracting the most exceptional and talented individuals due to its unwavering emphasis on contemporary, groundbreaking technologies, and exclusive digital projects. Brillio's relentless commitment to providing an exceptional experience to its Brillians and nurturing their full potential consistently garners them the Great Place to Work® certification year after year. Product manager • CSPO #LI-PS1 Know what it’s like to work and grow at Brillio: ___We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

$15,000 Sign-On Bonus or Student Loan Assistance! MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury, or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home. Someone with your depth of compassion, clinical insight and strong decision-making capabilities is the ideal person to map out and oversee the process of a patient's recovery from illness, injury or surgery at home.You will provide a full range of advanced clinical home care services, including patient assessment, medication management and patient/family education. In this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients. You will also review patient insurance information, coordinate activities involved in each individual care plan and make sure that pertinent findings are shared with family and professional caregivers. Your excellent communication, documentation and time management capabilities will be essential to your success. And all along the way, you will experience the respect for your opinions and the high level of autonomy you need to do the job right. • To create the initial comprehensive and interdisciplinary patient centered home health plan of care; update the home health plan of care in collaboration with the physician, • To effectively case manage the care and services for assigned patients resulting in positive clinical outcomes and minimized risks of rehospitalization, • Supports agency established financial goals, • Demonstrate expert knowledge unique to the practice of community health nursing, • Excellent clinical assessment skills, • Strong ability to solve problems independently and interact with an integrated team, • Current NYS RN license and registration, • Bachelor's degree in nursing preferred, • Minimum of one year acute medical-surgical nursing experience, • CHHA experience preferred, • Driver license and car required

Fee for Service Rates: Initial & ROC Weekday visit rate: $100 Initial & ROC Weekend/Holiday visit rate: $120 Revisit daily rate: $85 Orientation daily rate: $250 In-Service hourly rate: $55 Weekday and weekend shifts available. MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury, or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home. Someone with your depth of compassion, clinical insight and strong decision-making capabilities is the ideal person to map out and oversee the process of a patient's recovery from illness, injury or surgery at home. You will provide a full range of advanced clinical home care services, including patient assessment, medication management and patient/family education. In this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate thehome care needs of your patients. You will also review patient insurance information, coordinate activities involved ineach individual care plan and make sure that pertinent findings are shared with family and professional caregivers. Yourexcellent communication, documentation and time management capabilities will be essential to your success. And allalong the way, you will experience the respect for your opinions and the high level of autonomy you need to do the jobright. • To create the initial comprehensive and interdisciplinary patient centered home health plan of care; update the home health plan of care in collaboration with the physician, • To effectively case manage the care and services for assigned patients resulting in positive clinical outcomes and minimized risks of rehospitalization, • Supports agency established financial goals, • Demonstrate expert knowledge unique to the practice of community health nursing, • Current NYS RN license and registration required, • Bachelor's degree in nursing preferred; Associate's degree required, • Minimum of one year acute medical-surgical nursing experience required, • Certified Home Health Agency (CHHA) experience preferred, • Driver license and car will be required based on regional needs

REMOTE Summary of Position • Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies., • Lead projects to analyze current rate structures and develop improvements and alternatives., • Coordinate the actuarial staff as needed to support the activities of the affiliates. Principal Accountabilities • Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses., • Identify opportunities to improve product performance in collaboration with all areas of the organization., • Oversee the development and filing of premium rates for all products with the appropriate regulatory authority (e.g., CMS, New York Dep't of Health)., • Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs to increase Emblem's premium revenue for these segments., • Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff., • Regular attendance is an essential function of the job. Perform other duties as assigned or required. Qualifications Education, Training, Licenses, Certifications • Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required, • Associate of the Society of Actuaries (ASA) required Relevant Work Experience, Knowledge, Skills, and Abilities • 5 - 8+ years relevant professional work experience and/or education required, • 4+ years health insurance actuarial experience, preferably in the managed care industry required, • Prior management experience (processes and/or staff) preferred, • A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required, • Ability to communicate effectively with Business leaders required, • Expert level skills with database, spreadsheet, and analytical software required, • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required, • Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred, • Capable with data extraction, simulations, automation required Additional Information, • Requisition ID: 1000003124, • Hiring Range: $77,760-$149,040

• Job Type: Officer of Administration, • Regular/Temporary: Regular, • Hours Per Week: 35, • Standard Work Schedule: Core business hours Monday-Friday, schedules vary, • Building: 3 Columbus Circle, New York, NY 10019 The Revenue Cycle Manager (Outsourcing) is responsible for direct oversight of the outstanding receivables that have been referred to an outside vendor and the FPO outsourcing team. The Manager is responsible for units and vendor performance, work quality, efficiency, and compliance with policies and regulations. Responsibilities Operations • Manages the outsourcing unit for CUIMC, including the College of Dental Medicine (CDM), and leads a team of four Outsourcing Coordinators. Oversees and monitors daily operational workflows, work queues, and related programs to ensure optimal efficiency and effective resource utilization. Continuously evaluates the need for new tasks, functions, or process improvements. Ensures adherence to established workpriority matrices and monitors workqueue inventory to confirm timely followup on accounts. Proactively identifies potential backlogs and advises Directors on appropriate mitigation strategies., • The role involves supervising and assisting outsourcing coordinators in managing vendor performance, productivity, and quality, as well as monitoring staff performance within the outsourcing unit. It includes developing guidelines for prioritizing work activities and optimizing work queues. The position also entails evaluating the effectiveness of workflows and implementing quality control measures and audits to ensure compliance and operational efficiency., • Supports vendor negotiation activities and coordinates the purchase order process. Reviews, audits, and prepare vendor invoices for approval and payment., • Manages vendor system access and training, ensuring appropriate onboarding, ongoing education, and compliance with institutional standards., • Conducts analysis and provides reporting to Directors on referrals, contingency fees, receivables aging, and other operational metrics to identify efficiencies, trends, and opportunities for improvement., • Maintains and updates policies and procedures, ensuring they are clearly communicated, understood, and consistently followed by both internal staff and external vendor partners., • Serves as the primary liaison between departmental leadership and the billing vendor on all revenue cycle and accounts receivable-related matters., • Oversees special projects and escalated issues, providing resolution for highercomplexity items raised by vendor(s) or internal staff., • Regularly evaluates workqueues to ensure they accurately capture required activities, analyzes inflow for issues and trends, and collaborates with management and departments such as IT to resolve systemic issues. Reviews, understands, and communicates payer industry standards, policies, and other changes. Stays apprised of payer process changes., • Serves as the subject matter expert responsible for troubleshooting, analyzing, and performing resolution management for accounts receivables., • Implement approved quality and audit control measures to achieve compliance and optimum efficiency., • Reviews denial reports for trends and research denials. Identifies root cause and prepares issues for escalation., • Works collaboratively with clinical departments and vendor(s) to establish effective communications to further the efficiency of the revenue cycle process., • Serves as an individual or team contributor towards achieving established organizational goals across all Revenue Cycle units., • Collects and evaluates data to identify trends and gaps across Revenue Cycle processes. Uses analysis to make recommendations for improvements and optimization. Participates in improvement/optimization initiatives., • Direct oversight of assigned personnel and vendors. Manages and mentors vendors to onboard and train staff., • Promotes staff and vendor professionalism and performance with training and feedback. Promotes a culture of collaboration, facilitating continuous process improvement and professional development., • Oversee team performance, ensuring productivity and quality benchmarks are consistently achieved., • Evaluates staff performance and takes corrective action in accordance with departmental HR guidelines. Review staff productivity and quality measures. Administer improvement plans as required., • Lead regular team meetings to discuss updates, address challenges, and reinforce best practices., • As a member of the management team, performs other tasks, assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned., • Represents the FPO on committees, task forces, and work groups as assigned. Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company. Minimum Qualifications • Requires a bachelor's degree or equivalent in education and experience., • Minimum of 4 years' related experience in a physician billing or third-party payor environment., • An equivalent combination of education and experience may be considered., • Demonstrated intermediate skills in problem assessment, resolution, and collaborative problem solving in complex and interdisciplinary settings, including strong proficiency in healthcare and payer guidelines as it pertains to insurance verification., • Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations., • Ability to work independently and follow-through and handle multiple tasks simultaneously., • Excellent verbal and written communication skills., • Intermediate to advanced level proficiency of Microsoft Office (Word & Excel) or similar software is required, and an ability and willingness to learn new systems and programs., • Must be a motivated individual with a positive and exceptional work ethic., • Demonstrated intermediate proficiency in health insurance eligibility as it pertains to Medicare and Medicaid regulations, insurance, and managed care reimbursement concepts and overall operational impact., • At least 2 years of direct supervisory experience is preferred. Patient Facing Competencies Minimum Proficiency Level Accountability & Self-Management Level 3 - Intermediate Adaptability to Change & Learning Agility Level 3 - Intermediate Communication Level 3 - Intermediate Customer Service & Patient Centered Level 3 - Intermediate Emotional Intelligence Level 3 - Intermediate Problem Solving & Decision Making Level 3 - Intermediate Productivity & Time Management Level 3 - Intermediate Teamwork & Collaboration Level 3 - Intermediate Quality, Patient & Workplace Safety Level 3 - Intermediate Leadership Competencies Minimum Proficiency Level Business Acumen & Vision Driver Level 1 - Introductory Performance Management Level 2 - Basic Innovation & Organizational Development Level 1 - Introductory Equal Opportunity Employer / Disability / Veteran Columbia University is committed to the hiring of qualified local residents.

SUMMARY OF RESPONSIBILITIES The Client Manager is responsible for managing the revenue cycle processes for physician practices and ambulatory surgical centers. The Client Manager will analyze the financial health on a monthly basis to identify reimbursement trends, patterns of denials, and develop an intimate understanding of the factors that are contributing to the financial performance. ESSENTIAL FUNCTIONS • The Client Manager is responsible for the coordination of the Revenue Cycle Department, which includes billing and collection activities., • Responsible for overseeing eligibility, pre-authorization, time of service collections of co-pays and deductibles, coding of services, and reporting., • Reviews, revises, and/or implements policies and procedures within the department to ensure that best practices are followed in both the billing and collections functions, while remaining in compliance with federal/state laws, rules, and regulations as well as third party contracts., • Oversight of charge entry, claim submission, payment posting, denials management, bad debt and collections, appeals processing, credit balance resolution, and accounts receivable management. This includes being responsible for monitoring the productivity of all staff members- in person and those who work remotely., • Generates billing and collections data that supports finance and business operations and produces pricing and coding feedback that will optimize reimbursement., • Provides strategic guidance and analysis of the revenue cycle service line., • Reviews, designs, and implements processes surrounding third party payer relationships, collections, and other financial analyses to ensure clinical revenue cycle is effective and properly utilized., • Ensures all billing and collection practices are appropriate and align with payer policies and guidelines., • Identifies payer trends and reimbursement issues that can negatively impact the revenue cycle., • Utilizes data analysis, report writing and electronic data retrieval skills to extract, compile and present clear and concise information., • Maintains an understanding of coding rules and guidelines; utilizes coding and claims processing knowledge and resources to identify possible risks and revenue opportunities related to coding., • Collaborates with the Company’s external CPAs and Chief Legal Officer to ensure compliance with regulatory requirements., • Identify and correct workflow issues to help optimize revenue., • Works with Director of Practice Management and ASC Administrator regarding any front desk or clinical workflow issues that may impede revenue cycle., • Works with collection vendors on accounts that are deemed delinquent., • Monitors A/R to include oversight of days in A/R, gross billings, gross collections, net revenue, percent of collections to net revenue, monitoring and management of denial rates and denial categories related to activity., • Develop metrics and benchmarks for billing and accounts receivable., • Oversees and directs the creation and continual improvement of departmental procedures and best practice tools for billing, reimbursement, and collections., • Responsible for departmental specific training of employees; planning, assigning, and directing work; appraising performance; disciplining employees; addressing complaints and resolving problems., • Adheres to professional standards, company policies and procedures, and federal, state, and local laws and regulations., • Works to reduce charge holding, rejections, missing information, and denials reports., • Prepares billing reports summarizing billings, adjustments, and revenues received., • Evaluates clients billing needs., • Responsible for creating and educating clients on best practice workflow., • Responsible for data base setup content in the software to ensure best billing practices workflow., • Responsible for coordinating all practice billing activities with physician practice and RCM billing teams., • Works closely with the Implementation Team assigned to ensure proper system build and billing set up., • Responsible for processing clearing house enrollment and assisting the physician practice to set up EFTs as desired., • Ensures that the client’s system is set up correctly and trains staff on PrognoCIS software based on their workflow using billing best practices., • Responsible for daily tracking of operational elements of physician practice to include encounters (open/closed), timely claims processing, accurate payment posting, monitoring of un-posted payments, billing questions, clearinghouse reports, weekly go-live follow up., • Establishes and maintains working relationships with physician practice., • Makes workflow recommendations to both customer and internal RCM team to improve back-office operation., • Responsible for denial management process and reporting for assigned practices., • Responsible for accounts receivable process and reporting for assigned practices., • Creates Month End Reporting and submission to provider practices., • Responsible for researching, documenting, and training billing teams on specific insurance, coding, and documentation requirements. CORE COMPETENCIES • Excellent oral, written, interpersonal, communication and presentation skills., • Ability to communicate effectively in a variety of settings and with a wide variety of people and different organization levels., • Highly organized with the desire and ability to effectively track projects from start to finish., • Must be able to manage multiple projects simultaneously., • Ability to work in a team environment as well as independently and with little to no supervision., • Demonstrate consistent reliability, integrity, and dependability., • Setting and achieving high goals and standards of performance., • Strong eye for detail, accurately inputting data., • Knowledge of Medicare, Medicaid, commercial paper and electronic claims processing., • Knowledge of ICD, CPT, HCPC coding, ability to read EOBs, familiarity with HIPAA rules. REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS • Minimum 3-5 years medical billing experience., • Certified Professional Coder., • Family Practice experience required., • Pain Management Experience is a plus., • ASC billing is a plus., • Experience in eligibility verification, ERA, familiarity with HIPAA rules., • Knowledge of billing workflow., • Ability to work in a fast-paced work environment., • Sound analytical and problem – solving skills., • Ability to make decisions and work independently., • Basic computer skills and familiarity with Microsoft Office Tools.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Position Summary: We are seeking a highly motivated and talented Data Engineer I (Analytics Engineering) to help build and scale Capital Rx's analytics foundation. This role focuses on developing high-quality, analytics-ready datasets and a consistent metrics/semantic layer that power reporting, self-service BI, and operational insights. You will work heavily in dbt and Snowflake to design durable data models, define trusted business metrics, and ensure data quality through testing, documentation, and observability-partnering closely with operational, product, and analytics stakeholders to translate business questions into reusable data products that drive measurable outcomes. Position Responsibilities: • Partner closely with operational and analytics teams to translate business needs into analytics-ready data models, curated data marts, and reusable datasets., • Build and maintain dbt projects (staging intermediate marts), including model layering, macros, exposures, packages, and source freshness to accelerate delivery and improve reliability., • Design and evolve dimensional models (facts/dimensions, grain, SCD patterns) and analytics patterns aligned with key business domains., • Own metrics definitions end-to-end: establish KPI logic, naming standards, calculation rules, and governance; maintain a metrics/semantic layer so stakeholders use consistent definitions across tools and teams., • Implement robust data quality practices (dbt tests, constraints, anomaly checks/monitoring) to ensure reliable downstream reporting and decision-making., • Produce clear documentation and enablement assets (dbt docs, lineage, data dictionaries, metric definitions, onboarding guides) to support self-service analytics., • Optimize warehouse performance and cost in Snowflake through SQL tuning, incremental models, appropriate materializations, and efficient data design., • Use disciplined software engineering practices (Git-based workflows, peer review, CI checks, versioning, environment promotion) to deploy changes safely and repeatably., • Proactively identify and resolve data-related issues, ensuring system reliability and data integrity., • Provide ongoing support for critical analytics data products and participate in an on-call rotation as needed., • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: • Bachelor's degree in Computer Science, Information Technology, or a related field (or equivalent practical experience)., • Strong SQL skills and experience building analytics datasets in a modern cloud data warehouse (Snowflake preferred)., • Hands-on experience with dbt core (model development, tests, documentation, macros, deployments)., • Solid foundation in data modeling (dimensional/Kimball concepts, facts/dimensions, grain, slowly changing dimensions)., • Experience defining and managing metrics: translating business logic into consistent KPI definitions, documenting edge cases, and maintaining metric governance over time., • 1+ years of experience delivering production-grade analytics models/marts or BI-ready datasets (internships/co-ops may be considered depending on leveling)., • Ability to collaborate effectively with both technical and non-technical stakeholders; strong communication and documentation skills., • A self-motivated, detail-oriented individual with the ability to tackle and solve intricate technical challenges and deliver high-quality work. Preferred Qualifications: • Experience in healthcare, PBM, insurance, or other regulated data environments., • Deep familiarity with Snowflake and experience supporting multiple warehouses or databases as environments evolve (e.g., Redshift and/or Postgres)., • Familiarity with semantic/metrics layer patterns and practices (e.g., consistent metric definitions, metric governance, semantic modeling approaches) and enabling KPI consumption across BI tools., • Experience with CI/CD for analytics (automated tests, PR checks, environment promotion) and data observability/monitoring practices., • Working knowledge of Python for data tooling or analytics enablement (e.g., automation, validation checks), and comfort collaborating with orchestration/workflow tools when needed. This range represents the low and high end of the anticipated base salary range for the NY-based position. The actual base salary will depend on several factors such as experience, knowledge, and skills, and if the location of the job changes. 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. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$100,000—$120,000 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 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 This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$129,600—$204,500 USDNew York, NY Salary Range$163,600—$204,500 USDDenver, CO Salary Range$150,000—$187,500 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 $15,000 Sign-On Bonus or Student Loan Assistance! MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury, or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home. Someone with your depth of compassion, clinical insight and strong decision-making capabilities is the ideal person to map out and oversee the process of a patient’s recovery from illness, injury or surgery at home. You will provide a full range of advanced clinical home care services, including patient assessment, medication management and patient/family education. In this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients. You will also review patient insurance information, coordinate activities involved in each individual care plan and make sure that pertinent findings are shared with family and professional caregivers. Your excellent communication, documentation and time management capabilities will be essential to your success. And all along the way, you will experience the respect for your opinions and the high level of autonomy you need to do the job right. • To create the initial comprehensive and interdisciplinary patient centered home health plan of care; update the home health plan of care in collaboration with the physician, • To effectively case manage the care and services for assigned patients resulting in positive clinical outcomes and minimized risks of rehospitalization, • Supports agency established financial goals, • Demonstrate expert knowledge unique to the practice of community health nursing, • Excellent clinical assessment skills, • Strong ability to solve problems independently and interact with an integrated team, • Current NYS RN license and registration, • Bachelor’s degree in nursing preferred, • Minimum of one year acute medical-surgical nursing experience, • CHHA experience preferred, • Driver license and car required

Job Description Fee for Service Rates: Initial & ROC Weekday visit rate: $100 Initial & ROC Weekend/Holiday visit rate: $120 Revisit daily rate: $85 Orientation daily rate: $250 In-Service hourly rate: $55 Weekday and weekend shifts available. MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury, or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home. Someone with your depth of compassion, clinical insight and strong decision-making capabilities is the ideal person to map out and oversee the process of a patient’s recovery from illness, injury or surgery at home. You will provide a full range of advanced clinical home care services, including patient assessment, medication management and patient/family education. In this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate thehome care needs of your patients. You will also review patient insurance information, coordinate activities involved ineach individual care plan and make sure that pertinent findings are shared with family and professional caregivers. Yourexcellent communication, documentation and time management capabilities will be essential to your success. And allalong the way, you will experience the respect for your opinions and the high level of autonomy you need to do the jobright. • To create the initial comprehensive and interdisciplinary patient centered home health plan of care; update the home health plan of care in collaboration with the physician, • To effectively case manage the care and services for assigned patients resulting in positive clinical outcomes and minimized risks of rehospitalization, • Supports agency established financial goals, • Demonstrate expert knowledge unique to the practice of community health nursing, • Current NYS RN license and registration required, • Bachelor’s degree in nursing preferred; Associate's degree required, • Minimum of one year acute medical-surgical nursing experience required, • Certified Home Health Agency (CHHA) experience preferred, • Driver license and car will be required based on regional needs

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

The Medicare Outside Sales Representative is a top performing membership growth agent responsible for identifying, educating, and enrolling prospective Medicare Advantage (MA) beneficiaries in the appropriate MA plan based on prospects needs and qualifications. The Outside Sales Rep explains program benefits in a manner that is compliant with the Center for Medicaid and Medicare Services (CMS) and company policies and regulations. This role will come with challenging goals and targets as part of a competitive sales incentive plan designed to reward top performers. This individual must be goal oriented and an expert at grassroots marketing to create new sales locations and penetrate geographies and markets where HF holds lower market penetration. The Outside Sales Rep must be able to generate their own leads through myriad marketing activities. They must possess a deep understanding of and extensive experience in organizing sales activities to engage prospective members in distinct communities. The Outside Sales Rep will collaborate closely with the Delivery Services Engagement (DSE) team that works with in-network clinical providers to promote Healthfirst and ensure visibility, ultimately increasing market share. The Outside Sales Rep will also be responsible for driving retention efforts, so that Healthfirst members maintain consistent health insurance coverage to avoid gaps or disruptions in care. • Drive membership growth by acquiring new members while also meeting aggressive retention targets., • Work directly with community-based organizations, providers, sales locations, and other sources to develop self-generated referral channels resulting in increased enrollments., • Identify potential members and design plans to educate them on the available benefits plans and features that are tailored to the member's needs and eligibility., • Live Healthfirst's mission of "Members are our North Star" to ensure that our goal and activities are guided by member needs and preferences., • Ensure a superior customer experience through consistent and timely service, follow-up, and plan benefit reviews., • Ensure the right member is in the right plan., • Deliver effective sales presentation to consumer groups, individual prospects and community or provider partners., • Determine and recommend (and/or partner on) to Community Engagement to organize events within the territory including but not limited to health fairs, holiday-themed events, provider sponsored events as well as health-related theme events., • Partner with DSE for scheduling face to face meetings with Hospitals, IPA's, and community providers to engage, education and identify related issues. Inform DSE of related issues and appropriately follow up with updates when needed., • Strictly adhere to all CMS regulations and Healthfirst marketing guidelines., • Ensure all documentation is complete, comprehensive, clear, appropriately filled out including Application, Application Confirmation Form, Scope of Appointment and Application Submission Form, and Salesforce., • Provide competitive intelligence to management on any activities Healthfirst's market competitors are engaging in: e.g. marketing approach, branding campaign, new designs or benefit changes., • Develop and present strategic and tactical business acquisition plans for implementation throughout the year., • Assist with corporate initiatives related to Medicare quality or STAR ratings- i.e. HRAs/FPL/MSP., • Successfully pass audit (educational and marketing) exams., • High School Diploma or GED from an accredited institution, • Experience in a health plan sales role in the New York City market with a record of consistently producing maximum results in a compliant manner, • Ability to manage travel, time, and territory efficiently, including simultaneously monitoring multiple marketing locations, • Ability to collaborate with internal stakeholders and support teams for cross-referral and joint promotions, • Ability to use technology and tools including Salesforce and Tableau for prospect/member record keeping and lead management, • Active participation in continued professional development activities, • Ability to travel throughout the New York City area, • Ability to work majority of time outside of HF offices with little direct supervision, • Strong interpersonal and collaboration skills, • Must have good organizational skills, • Ability to communicate effectively orally and in writing, • Proof of valid driver's license and insurance, • Associates or Bachelor's degree from an accredited institution If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to or calling 212-519-1798. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $68,900 - $99,620 * All Other Locations (within approved locations): $61,300 - $91,120 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

Knowledge of Medicaid, Medicare and commercial insurance billing and ICD/CPT codes for psychiatry services preferred.

Job has expired - search other jobs.Tags: Featured 1 yr exp needed Service.Benefits: Health Insurance, Dental Insurance, PTO, 401K.Gross Annual Salary $34,580, Federal Income Tax -$2,390, State Income Tax -$1,236, Social Security Tax -$2,144, Medicare Tax -$501, Total Taxes -$6,271, Net Annual Pay $

Licensed Mental Health Counselor (LMHC) Wage: Up to $122 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.

Licensed Mental Health Therapist (LMHT) Wage: Up to $121 an hour Licensed Mental Health Therapist — 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 Therapist at a Master's level or above with LMHC, LPCMH, LIMHP, LMFT, LMFTS, LCMFT, LPC, LPCC, LCPC, LCPCS, LPCC-S, LCSW, LICSW, or LCSCW 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.

Patient Service Coordinator RMA SoHo, 594 Broadway Share Apply on Company Site Job has Expired - Search Other Jobs Tags: Featured No exp needed Service Min. base wage: $ 17.75 /hr Service Est. base annual: $ 35,074 Est. base weekly: $ 674 /wk Est. base monthly: $ 2,922 /mth Benefits: Health Insurance Dental Insurance PTO 401K Gross Annual Salary: $ 35,074 Federal Income Tax: -$ 2,449 State Income Tax: -$ 1,265 Social Security Tax: -$ 2,175 Medicare Tax: -$ 509 Total Taxes: -$ 6,398 Net Annual Pay: $ 28,676 Est. base wage (post-taxes): $ 14.51 /hr Est. base weekly (post-taxes): $ 551 /wk Est. base monthly (post-taxes): $ 2,390 /mth $ 17.75 /hr 38hrs/wk Loading Loading Loading Loading Loading 40hrs/wk Loading Loading Loading Loading Loading 45hrs/wk (overtime) Loading Loading Loading Loading Loading 50hrs/wk (overtime) Loading Loading Loading Loading Loading 55hrs/wk (overtime) Loading Loading Loading Loading Loading Create a free account to compare your current role with all roles on Workwise (including this one) For over fifteen years, the staff of RMA of New York has prided itself on providing patients with world-class care, applying the most up-to-the-minute assisted reproductive technologies (ART), guided by a highly-skilled team with decades of combined experience in the field of reproductive medicine. Led by the team of Drs. Kimberley Thornton and Lucky Sekhon, RMA of New York – Downtown provides an extension of the state-of-the-art fertility technology, quality care, and clinical research for which RMA of New York is renowned. Due to our phenomenal growth and expansion, Reproductive Medicine Associates of New York, one of the country's top fertility centers, is looking for a Patient Services Coordinator to join our office. This is an exciting full time position that requires one rotating weekend shift and some holidays. A successful candidate must possess a High School Degree; Associates or Bachelors preferred, and should be passionate about providing excellent patient care. Verbal and reading skills, basic familiarity with computers and computer applications and excellent interpersonal skills required. Responsibilities include but are not limited to: · Interacting with patients; practicing effective, courteous communication · Answering telephones, · Scheduling appointments, · Preparing charts; consistently ensuring appropriate forms are used · Collecting patient payments due at the time of service; verifying accurate insurance information · Application of good judgment and initiative; adaptable to changes in workload · Other related tasks as needed NOTE - Tax withholding is calculated using Federal and New York State 2022 income tax guidelines. For simplification, we've assumed "single" marital status and no additional income. This does not represent any legal authority and is just an estimate used for approximation purposes. RMA is hiring for a Patient Service Coordinator Position in SoHo, New York City. Base pay starts at $17.75/hr. #TransparentPay #TransparentSalaries #NYCJobs #SalaryTransparency

" " Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Licensed Clinical Social Worker — 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 Social Worker at a Master’s level or above with LCSW, LICSW, or LCSCW 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. "

Manager, Claims Analytics AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: "Arete." And excellence is exactly what we strive for. We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment. The Role We are seeking a Manager, Claims Analytics to lead analytic workstreams that help health plans better understand their claims data, uncover cost and utilization trends, improve reimbursement accuracy, and enhance overall operational performance. This individual will manage project delivery, mentor team members, and develop analytic solutions that generate meaningful insights for payer and provider clients. This role requires strong experience working with healthcare claims data, technical and analytical expertise, and the ability to translate complex findings into clear, actionable recommendations for stakeholders. Work You'll Do • Lead day-to-day delivery of claims analysis projects for multiple payer and provider clients, • Design analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunities, • Develop advanced SQL queries, data models, and automated workflows to create scalable analytic solutions, • Guide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing files, • Validate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checks, • Build dashboards and reporting frameworks using BI tools to support client decision making, • Translate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholders, • Manage project plans, timelines, and prioritization across concurrent engagements, • Partner with clients to understand goals, develop custom analyses, and make strategic recommendations, • Support business development through proposals, scoping discussions, and client presentations, • Contribute to internal best practices, methodologies, and analytics frameworks, • 7+ years of experience in healthcare analytics, payer operations, and claims analytics with a Bachelor's Degree, or 11+ years of equivalent experience, • Demonstrated experience leading project teams or mentoring analysts and consultants, • Strong experience analyzing healthcare claims datasets, including medical and pharmacy, • Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business, • Proficiency in SQL or similar query languages used to analyze complex datasets, • Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data, • Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules, • Experience with BI tools such as Power BI, Tableau, or Qlik, • Strong communication skills with ability to explain analytic findings clearly, • Advanced proficiency in Excel or equivalent data tools, • Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis, • Willingness to engage in direct client interaction, including travel to client locations, • Must be legally authorized to work in the United States without the need for employer sponsorship Preferred Requirements • Experience supporting practice growth, solution development, or analytics capability expansion, • Experience designing automated analytic workflows or ETL processes, • Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments, • Familiarity with data warehousing concepts and healthcare data architecture, • Experience building visual analytics dashboards for ongoing monitoring and reporting, • Based in Chicago, IL, and flexible to work from our Chicago office as needed Compensation & Benefits • Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays, • Own Your Day flexible work policy, • Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match, • Generous paid parental leave options, • Employer-paid Life Insurance, Short Term Disability, Long Term Disability, • Charitable contribution matching program, • New client commission opportunities and referral bonus program AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI

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, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us. Summary We are seeking a practicing 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. Our 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. 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 Internal Medicine or Family Medicine trained physicians- two-three years practicing experience. * 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 We offer a highly 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 Compensation Information: $250000.00 / Annually - $280000.00 / Annually

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health. For more information, go to ___, and interact with us on ___, ___, ___, ___, ___, ___ and ___. Position Summary: We have an exciting opportunity to join our team as a Staff Speech Pathologist, temporary part time - Acute Adult. In this role, the successful candidate Responsible for providing speech-language pathology services under supervision, and any other duties deemed necessary by the Department Head. Job Responsibilities: • Performs other duties as assigned., • Develops, implements, amends, evaluates and plans speech-language pathology treatment programs according to changing communication needs and requirements. Uses medical, psycho-social information results of SLP evaluation and patient stated goals to develop realistic plans for patients. Provides clear rationale for all aspects of treatment plan, re-evaluates and amends plan as necessary. Monitors and reassesses functional and clinical programs in a complete manner. Anticipates and plans for discharge. Informs supervisor of changes in patients program to insure coordination of total program., • Conducts group and individual therapy sessions. Implements plan in individual/group sessions appropriately orients patient caregivers to SLP treatment and interprets SLP role. Establishes/ maintains accepting climate for expression of feelings. Uses flexibility and creativity in task design for group or individual sessions and permits patient control and choice as much as feasible., • Documents treatments rendered and patient attendance accurately and in accordance with departments protocol. Maintains clinical documentation according to Departmental P&P manual. Completes concise, accurate and timely documentation and keeps patient documentation confidential. Follows insurance (e.g. Medicare) guidelines for documentation. Provides verbal reports at staff meetings that are clear, concise, and relevant to ensure representatives at team meetings are well informed. Maintains active/cooperative dialogue with peers and other members of the rehabilitation team regarding shared patients., • Interprets assessment findings to patient and family in a timely fashion and provides information to patient /family re: nature of SLP, course of recovery, psycho-social impact. Provides information regarding access to SLP services. Engages family in ongoing treatment planning, training re: techniques to improve communication function. Involves caregivers (as necessary) in planning for treatment termination. Provides opportunity for expression of feelings regarding the SLP disorder. Provides information regarding community resources (support services, web sites, etc.)., • Effectively assesses patients communication function and abilities. Effectively screens patient for identification of SLP assessment needs and assigns accurate FIM and WEE FIM ratings. Uses medical and social history to determine constraints on evaluations. Demonstrates thorough patient/family interviewing techniques to determine functional communication, establish patients understanding of SLP goals for treatment, recovery expectations and desire for SLP treatment. Conducts SLP evaluation according to P&P manual. Confers with Acting Director or Pediatric Supervisor regarding recommendations for patient management. Contacts referring MD to report evaluation findings once necessary. Required Licenses: Speech Pathologist Lic-NYS, ASHA Cert Preferred Qualifications: NYS Certification as Teacher of Students with Speech and Language Disabilities (TSSLD). Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View ___. NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $55.24 - $55.24 Hourly. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. To view the Pay Transparency Notice, please ___

We are looking to fill Health Insurance Specialist, GS-0107-7, positions in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). What is a Health Insurance Specialist (HIS)? At CMS, an HIS can wear many hats. This series typically works within health insur

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job DescriptionBenefits: • Company parties, • Competitive salary, • Employee discounts, • Competitive Compensation, • Great Work Environment Responsibilities • Assist processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Maintains the highest level of confidentialityQualifications, • Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others, • Strong organization skills, • Excellent attention to detail