Trabajos remote claims en Bayonne, New Jersey - Page 3Crear alertas

Job DescriptionPlease note that DMM will only contact you using email addresses that end in .com. We have been made aware that someone may be using aliases such as to contact individuals as part of an apparent scam. Those individuals are not affiliated with DMM, so we do not recommend interacting with that email alias, or any others that do not end in .com should you receive email correspondence that claims to be from us. If you have any questions or concerns, please do not hesitate to contact us at . Digital Media Management (DMM), a Keywords Studios company, is a full-service social media agency that specializes in 360 campaigns for the entertainment, games, and consumer brands industries. DMM creates groundbreaking social-first marketing campaigns rooted in innovative strategy, and provides clients with community management, creative, video production, influencer, talent, and performance marketing capabilities. We are currently looking for a Jr. Social Content Producer, Temporary to join our fun and growing Talent Partnerships team. This role will be based in Los Angeles OR New York City and will work with our LA and NY based team to support campaigns, titles, talent and the overall team. The ideal candidate is passionate about social media, television/movies, and the entertainment industry. Your Impact • Create original, engaging social content for multiple high-profile celebrity talent, • Post approved content and engage with each talent’s audience and related accounts while maintaining the talent’s voice and a high level of accuracy, • Manage a social calendar, assist with the strategy, and help develop innovative new ideas for each talent, • Ideate and assist with social media activations and content capture (both remote and on-site), • Stay up to date and in the know on all things digital, including trending formats (e.g. TikTok trends, Twitter trending topics), and help provide recommendations for talent to participate when appropriate, • Report weekly observations on social media analytics and growth, and assist with compiling monthly recap reports Your Experience, • Experience video editing using iPhone apps such as CapCut, Edits & InShot required, • Strong written and verbal communication, great research skills, self-motivated, and able to meet deadlines while multitasking on several projects, • Working knowledge of - and ideally experience professionally managing - social media platforms (Instagram, TikTok, Twitter, and Facebook at minimum, with other platforms such as YouTube, LinkedIn, etc. a bonus), • Excellent copywriting skills, creative with a descriptive and engaging writing style, • Digitally fluent and able to identify trending topics as they emerge, • A strong understanding of activism / social justice topics and current events as pertains to social media, • Experience working with talent (especially film/television actors and/or reality stars)strongly preferredYour Availability

Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your knowledge and experience to adjudic

Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your knowledge and experience to adjudicat

Job DescriptionPosition Overview: We are seeking an experienced Project Manager to lead strategic and operational payment integrity initiatives within our healthcare organization. The ideal candidate embodies a proactive, detail-oriented approach to driving project success in a regulated environment and is responsible for managing: Business projects related to healthcare initiatives (DRG validation, Cost outlier, readmission reviews), and the integration of technology solutions that support these functions. Cross-functional teams, project timelines, ensuring efficient deployments, and bridging the gap between technical resources, and business operations. Please be advised that position is in-office Monday to Thursday and remote on Friday. Responsibilities: • Project Management: Tactically plan, execute, monitor, and close all projects particularly those involving healthcare, • Team Coordination: Collaborate with internal teams (IT, Business operations) and external vendors to ensure effective project execution, • Requirements Gathering: Work with stakeholders to define scope, requirements, milestones, and resource needs for each project, • Scheduling & Budget Tracking: Develop project schedules, track progress, monitor budgets, and manage timelines, • Risk & Issue Management: Identify risks and develop mitigation strategies. Escalate issues appropriately to senior leadership or technical teams, • Communication: Provide regular updates to project sponsors, stakeholders, and team members. Maintain clear documentation and status reports, • Quality & Compliance: Ensure project outcomes comply with healthcare regulations (HIPAA/HITRUST), IT security policies, and internal quality standards, • 4+ years’ experience in healthcare project management, and 2+ years’ experience with DRG validation, hospital bill audits, or claims adjudication reviews., • Knowledge of HITRUST, HIPAA, HITECH, and general compliance standards in healthcare/IT., • Proficiency with MS Project, MS Excel (pivot tables, v-lookups), MS Office suite (Excel, Power Point, Word) for documentation/presentations and familiarity with Power BI is a plus., • Deep understanding of ICD-10 coding and healthcare audit practices., • Strong interpersonal skills and ability to communicate effectively both orally and in writing., • Ability to manage competing priorities and influence cross-functional teams., • Organizational and time management skills to keep teams and projects on schedule., • Bachelor’s degree or equivalent experience in health information management, healthcare administration or related field., • Familiarity with payment integrity, claims adjudication, or healthcare fraud/waste/abuse prevention., • Baseline technical knowledge whereby complex technical information is translated for non-technical stakeholders and business goals for technical teams., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, and 11 observed holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered. Powered by JazzHR v8ccuLG2ZO

Job DescriptionOur mission: to eliminate every barrier to mental health. At Spring Health, we're on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it's therapy, coaching, medication, or beyond—tailored to each individual's needs. We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we've been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers. We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We're just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere. As Manager, Payer Integrations, you will oversee Spring Health's payer integration portfolio—owning performance for the CSN book of business, leading a growing team of Payer Integration Managers, and driving high-quality, on-time integrations with health plans and TPAs. You'll build cross-functional processes that accelerate implementations, reduce DSO, and increase clean-claim rates while acting as a trusted partner to internal teams and external payer contacts. This is a full-time, remote position on our team reporting to the Director, Payer Revenue Programs. What You'll be doing: • Own a portfolio of payer integrations, driving clean claims, faster payments, and improved accuracy across systems., • Set and achieve key metrics including clean-claim rate, denial reductions, DSO, and launch timelines., • Lead and grow a team of Payer Integration Managers, fostering clarity, development, and accountability., • Prioritize and resource a high-impact pipeline of integrations and escalations based on business risk and revenue., • Manage end-to-end payer launches—requirements, testing, and workflows across EDI, benefits, portals, and more., • Identify and resolve barriers in claims logic, provider data, and configuration to ensure seamless adjudication., • Partner across Billing, Benefits, Legal, and more to create repeatable playbooks and system-wide solutions., • Build and evolve a payer KPI dashboard to monitor and optimize performance., • Represent Spring Health with payers, building strong relationships and aligning on implementation and operations., • Drive automation, tooling, and process improvements to reduce manual work and accelerate cycle time., • Lead special projects as needed, translating learnings into scalable, evergreen practices.What success looks like in this role:, • Delivery: Consistent, on-time launches that meet quality gates and SLA commitments., • Revenue-cycle impact: Improved clean-claim rate, DSO, first-pass acceptance, and reduction in denials and rework., • Team performance: Hiring, development, retention, and readiness of a 3+ person integrations team., • Operational maturity: Adoption of SOPs, dashboards, and automation that scale performance and reduce cycle times., • Cross-functional trust: Clear, proactive communication and reliable execution that strengthens partnerships inside and outside Spring.What We Expect From You:Minimum qualifications, • 5+ years of relevant experience in payer integrations/relations, healthcare implementation, or RCM within payer/provider ecosystems., • 2+ years of experience directly managing a team, with demonstrated success in coaching, developing talent, and driving team performance in a fast-paced, cross-functional environment., • Expert knowledge of payer operations and claims adjudication, including benefit design, funding structures, eligibility, and payment workflows., • Hands-on expertise with HIPAA/ EDI (837, 835, 270/271), clearinghouses, payer portals, roster/CAQH workflows, EFT/ERA., • Demonstrated success leading integration projects end-to-end—planning, execution, testing, launch, —with measurable KPI improvements (DSO reduction, denial reduction, clean-claim success)., • Advanced analytical and problem-solving skills; ability to identify integration risks and craft innovative mitigation strategies., • Exceptional communication and stakeholder management across technical and non-technical audiences; adept at presenting findings to senior leadership.Nice to have, • Bachelor's degree in Health Information Management Systems (HIMS) or related field; Certified EDI Professional (CEP) or similar credentials., • Experience with behavioral health, multi-state provider networks, and regulatory/compliance standards., • Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type., • Employer sponsored 401(k) match of up to 2% for retirement planning, • A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents., • We offer competitive paid time off policies including vacation, sick leave and company holidays., • At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents., • Access to Noom, a weight management program—based in psychology, that's tailored to your unique needs and goals., • Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses., • Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription, • Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care, • Up to $1,000 Professional Development Reimbursement a year. Ready to do the most impactful work of your life? Learn more about our values, what it's like to work here, and how hypergrowth meets impact at Spring Health: Our Values Our privacy policy: Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.

Job Description Job Title: Program Manager Location : Remote Compensation : 50-60$/Hr on C2C/1099 Work Authorization: GC, USC Role Summary Seeking Program Manager with strong healthcare IT expertise to drive large-scale programs across payer, provider, and digital health initiatives. This role requires strategic leadership, cross-functional delivery management, and executive stakeholder engagement. Key Responsibilities · Lead program strategy, roadmap, and governance for healthcare technology initiatives. · Oversee multi-project delivery (EHR/EMR, claims, interoperability, digital health). · Manage budgets, risks, and dependencies to ensure timely, compliant execution. · Partner with executives, business, and technology leaders for alignment and reporting. · Drive team leadership, PMO best practices, and stakeholder communication. Qualifications · 15+ years of program/project management, with 5+ in healthcare. · Proven success managing enterprise-scale, multi-million-dollar programs. · Strong knowledge of healthcare IT (EHR/EMR, HL7, FHIR, claims, HIPAA compliance). · Expertise in Agile/SAFe and traditional PMO methods. · PMP/PgMP/SAFe certification preferred.

Job Description Fractional-CEO for Startup. Founding team is in NYC. Their preference is onsite in Long Island, NY. However, they're open to remote candidates with the right experience. Our client is a PE-backed platform prepared to build nation-wide Home & Community-Based Services (HCBS). They are looking for a Chief Growth Officer that's ambitious and prepared to build a company that'll scale into all 50 states through a mix of organic de-novo launches and rapid M&A. If you've taken HCBS or home-health entities from application to first claim in multiple states, this is your green-field moment. I need 10+ years building or flipping HCBS/HHA entities in 2 or more states. Location • Preferred: On-site with the founding team on Long Island, NY (easy commute from NYC)., • Operational Launch & Scale, • Own every state filing, readiness checklist, survey, and first-claim timeline., • Stand up EVV, scheduling, payroll, and claims across de-novo and acquired agencies., • Regulatory & Clinical Compliance, • Serve as Chief Growth Officer for all state, CMS, and managed-care requirements., • Lead QAPI, incident-management, and continuous-survey preparedness., • M&A Execution, • Partner with PE sponsors on diligence; translate LOIs into operational day-1 plans., • Integrate people, processes, and tech while safeguarding clinical quality., • Payer & Referral Contracting, • Negotiate/network with Medicaid MCOs, Medicare Advantage, PACE, VA Community Care, AAAs, and health-system discharge planners., • People & Culture, • 10+ years building or turning around HCBS/Home-Health agencies in two or more states., • End-to-end experience taking at least two entities from initial application to first paid claim (licensure, waiver enrollment, MCO credentialing, EVV go-live)., • Demonstrated success scaling through both de-novo launches and M&A integration., • Deep working knowledge of §1915(c)/(k) waivers, CMS-855A, ACHC/CHAP/JCAHO standards, HIPAA, EVV, incident reporting, and QAPI., • Track record negotiating multi-state MCO/MA contracts and aligning them with operating economics., • Built or led a national platform backed by private equity., • Builder's Mindset: You see blank maps as playgrounds., • Compliance-First: Quality and safety are non-negotiable., • People-Centric: You scale humans, not just dashboards., • Green-Field Authority: Architect the playbook that wins all 50 states., • PE Firepower: Capital is committed for aggressive de-novo growth and rapid M&A., • National Impact: Keep vulnerable populations healthy at home—at scale., • Career Defining: Be the operations & compliance force behind a future market leader.

Job Description JOB TITLE: Anti-Violence Program Case Manager & Advocate REPORTS TO: Director of the Anti-Violence Program EMPLOYMENT TYPE: Full-Time LOCATION: Brooklyn Family Justice Center SCHEDULE: Hybrid – 4 days in office and 1 remote day SALARY: $60,000.00 annually ABOUT AAFSC: For over 30 years, the Arab-American Family Support Center (AAFSC) has proudly served immigrants and refugees. We help children stay safe, families remain together, and newcomers navigate life in New York City. While our doors are open to all, AAFSC has expertise in serving Arab, Middle Eastern, North African, Muslim, and South Asian communities. JOB SUMMARY: The Mayor’s Office to End Domestic and Gender-Based Violence (ENDGBV) operates the City’s five Family Justice Centers (FJCs), which provide comprehensive, multi-disciplinary and trauma-informed services for victims of intimate partner violence, sex trafficking and sexual assault. The Arab-American Family Support Center provides case management services, crisis intervention, advocacy, information, and referrals to victims of domestic violence at each Family Justice Center. As a member of AAFSC’s Anti-Violence Program Team, the Case Manager and Advocate will provide crisis intervention and direct services to program clients at the Family Justice Center. He or she will be responsible for conducting safety assessments, crisis intervention, supportive counseling and safety planning with survivors, as well as referrals and advocacy on behalf of survivors. PRIMARY DUTIES AND RESPONSIBILITIES: • Conduct intake with clients to assess risk and determine service needs., • Provide ongoing safety planning and survivor-centered case management., • Engage in crisis intervention, including but not limited to service coordination with law enforcement, District Attorney offices, hospitals and other service providers., • Provide criminal justice and family court information, advocacy/support (e.g. drafting Order of Protection petitions), and court accompaniment to victims/survivors., • Provide information and filing-support regarding public assistance and other government entitlements, housing/shelter applications and transfers, Office of Victim Services compensation, lock replacement, short-term financial assistance, food pantries, and clothing donation centers., • Assist clients in preparing OVS compensation claims applications and submit a minimum of 3 applications a month., • Identify and provide referrals to outside therapeutic, legal, and other services as necessary., • Maintain thorough case files, document client sessions and services provided, and maintain updated demographic reports for regular funder reports in a timely manner., • Attend ongoing technical trainings, workshops, committees and lectures to ensure best- practice development and knowledge of current resources for clients., • Perform data entry into a computerized record keeping system and maintain thorough and accurate case records and statistics., • Assist in developing informational materials and presenting about domestic violence, gender-based violence and sexual assault dynamics, structural factors, and resources., • Attend weekly individual and monthly group supervision meetings., • Participate in AAFSC meetings and attend meetings on behalf of AAFSC., • BA/BS/BSW required in human service or a related field, • Fluency in Spanish or Arabic preferred. Reading and writing proficiency is a plus., • Relevant work experience with one or more of the following populations/issues preferred: domestic violence, assault, and/or torture survivors; trafficked persons; immigrants; refugees; social justice, • Counseling, community organizing, and/or group work experience preferred, with understanding of impact of intersectional violence and trauma (sexual, political, structural), • Excellent and culturally competent interpersonal skills, with preference for experience with/interest in Arab, Middle Eastern, North African, Muslim, and/or South Asian communities, • Experience and creativity in navigating medical, legal, and social service systems, • Demonstrate ability to work under pressure in a calm and reassuring manner, • Strong written communication and organizational skills; ability to manage multiple tasks, • U.S. Work Authorization required. Powered by JazzHR kFg1DSzdHW