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58 results for Healthcare in New York, NY

Project Manager (Healthcare)
  • New York, NY
  • onsite
  • Permanent
  • 115000.00 - 125000.00 USD / Yearly
  • We are looking for a skilled Healthcare Project Manager to lead critical initiatives within the payment integrity domain. This role requires a strategic thinker with a strong background in healthcare operations and project management, capable of driving cross-functional collaboration and ensuring compliance with industry regulations. The ideal candidate will excel in managing complex projects while delivering impactful solutions that align with organizational objectives.<br><br>Responsibilities:<br>• Manage and oversee healthcare projects, including validation processes, cost analysis, and readmission reviews, ensuring they meet organizational goals and compliance standards.<br>• Coordinate the implementation of technology solutions that enhance payment integrity functions, collaborating closely with IT and business teams.<br>• Facilitate communication and collaboration across departments such as IT, clinical operations, and finance to ensure seamless project execution.<br>• Develop comprehensive project plans, including scope definition, timeline creation, resource allocation, and progress monitoring for successful delivery.<br>• Identify and address project risks, creating mitigation strategies and escalating issues as needed to maintain project continuity.<br>• Provide stakeholders and sponsors with regular updates, maintaining clear documentation and enabling informed decision-making.<br>• Ensure adherence to healthcare regulations and compliance standards, including HIPAA and HITRUST, throughout all project activities.<br>• Translate technical requirements into actionable business strategies, ensuring alignment between technical solutions and organizational needs.
  • 2025-09-10T15:49:04Z
Business Analyst (Healthcare / Insurance)
  • Florham Park, NJ
  • onsite
  • Permanent
  • 110000.00 - 140000.00 USD / Yearly
  • <p>A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves engaging with stakeholders to gather and analyze requirements, transforming them into actionable functional specifications. Responsibilities include evaluating existing processes, offering solutions to drive business value, and ensuring project success under tight timelines. The position also includes mentoring junior analysts, leading cross-departmental projects, and fostering innovation. Strong analytical and communication skills, along with a solid understanding of software development life cycles, are essential to succeed in this fast-paced environment.</p><p>The ideal candidate will work closely with development and QA teams to monitor project milestones, provide updates to stakeholders, and address any project risks and challenges. A proactive approach to improving application usability and efficiency will be critical. Focusing on the specialty pharmacy sector, the organization provides end-to-end solutions including hub services, pharmacy network management, group purchasing (GPO) services, cutting-edge technology platforms, and more. With a strong presence as an industry advocate, the focus remains on delivering strategic channel management, advanced products, and tailored services to optimize patient outcomes and improve healthcare delivery.</p><p><br></p><p><strong>** Qualified candidates should have experience with pharmacy insurance, medical insurance, and claims processing **</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Collect and translate business requirements into detailed functional specifications for new and existing systems.</li><li>Perform gap analyses between current system capabilities and business needs using tools like Confluence, flowcharts, and wireframes to document workflows.</li><li>Create use cases for review during functional testing phases by developers and QA teams.</li><li>Work with IT teams to evaluate project scope and affected systems, providing strategic insights.</li><li>Assess new methodologies for feasibility and implementation efficiency.</li><li>Gain in-depth knowledge of internal software platforms and their underlying functionalities.</li><li>Analyze and optimize existing processes to identify inefficiencies and propose re-engineering solutions.</li><li>Host regular meetings with development teams to resolve obstacles and track progress.</li><li>Provide project status reports to business stakeholders.</li><li>Identify potential risks and escalate issues as required.</li><li>Continuously explore opportunities to improve application functionality, making recommendations for enhancements.</li><li>Maintain compliance with HIPAA regulations and related amendments</li></ul>
  • 2025-09-22T20:08:59Z
Medical Accounts Receivable Specialist
  • Hillsborough, NJ
  • onsite
  • Temporary
  • 20.00 - 25.00 USD / Hourly
  • <p>We are looking for a <strong>Medical Accounts Receivable Specialist</strong> to join our team in <strong>Hillsborough, New Jersey.</strong> This long-term contract position offers an opportunity to contribute to the healthcare industry by managing financial operations and ensuring the accuracy of accounts. If you excel in accounts receivable processes and enjoy working in a fast-paced environment, this role is for you.</p><p><br></p><p><strong>Medical A/R Specialist Responsibilities:</strong></p><p>• Process and reconcile accounts receivable transactions with accuracy and efficiency.</p><p>• Manage cash applications, ensuring payments are correctly allocated and recorded.</p><p>• Oversee collections for commercial accounts, addressing outstanding balances and resolving discrepancies.</p><p>• Handle billing functions to ensure timely and accurate invoicing for services rendered.</p><p>• Monitor daily cash activity to maintain accurate financial records and reporting.</p><p>• Communicate effectively with clients and internal teams to address account-related inquiries.</p><p>• Analyze account data to identify trends and implement process improvements.</p><p>• Collaborate with the finance team to support month-end closing activities.</p><p>• Maintain compliance with healthcare industry regulations and company policies.</p>
  • 2025-09-23T15:24:05Z
Medical Front Desk Specialist
  • Bridgeport, CT
  • onsite
  • Contract / Temporary to Hire
  • 16.15 - 18.70 USD / Hourly
  • <p>Are you an organized, personable, and proactive individual looking to make a difference in patient care? We are seeking a <strong>Medical Front Desk Specialist</strong> to join our healthcare team and provide outstanding service to patients, staff, and providers.</p><p>As the first point of contact for patients, the role requires strong customer service skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment. If you are bilingual and have a knack for creating smooth experiences for people, we want to hear from you!</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li><strong>Patient Check-In/Check-Out:</strong> Greet patients warmly upon arrival, maintain accurate registration details, and manage documentation for check-out procedures.</li><li><strong>Insurance Verification:</strong> Verify patient insurance benefits and handle all related inquiries for accurate processing.</li><li><strong>Appointment Scheduling:</strong> Coordinate patient scheduling, manage cancellations/rescheduling, and assist with appointment reminders.</li><li><strong>Receptionist Duties:</strong> Answer phones promptly, handle inquiries professionally, and triage calls as needed.</li><li><strong>Document Management:</strong> Fax, scan, and file medical records effectively while maintaining patient information confidentiality (Source: HIPAA standards).</li><li><strong>Copay Collection:</strong> Process patient payments and provide receipts for financial transactions accurately.</li><li><strong>Greeting Patients and Providers:</strong> Provide welcoming and attentive support to all visitors, ensuring a positive experience.</li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>High school diploma or equivalent required; additional education in healthcare or administration is a plus.</li><li>Previous experience in a medical front office or similar healthcare setting preferred.</li><li>Proficiency in using medical scheduling software and Microsoft Office (Word, Excel, and Outlook).</li><li>Bilingual (English and [Specify Second Language]), with strong communication and interpersonal skills.</li><li>Familiarity with insurance verification processes and billing procedures is highly desirable.</li><li>Ability to multitask and remain calm under pressure in a busy healthcare environment.</li></ul><p><br></p>
  • 2025-08-28T14:04:35Z
DevOps Engineer (Healthcare Industry)
  • Florham Park, NJ
  • onsite
  • Permanent
  • 120000.00 - 150000.00 USD / Yearly
  • <p>The DevOps Engineer will maintain and build out the existing CI/CD pipeline, which is currently built upon the Atlassian and other third-party tools. Ideally, the candidate will also serve as the primary release engineer.</p><p><br></p><p><strong>Job Scope and Major Responsibilities:</strong></p><p>• Maintain the existing pipeline, which is currently architected with the following tools: Source repository (Bitbucket), Build server (Bamboo), Deployments (Octopus Deploy). The current branching strategy is a modified form of GitFlow.</p><p>• Ensure that build and deploy plans are developed for all critical applications that are not currently automated.</p><p>• Serve as the primary release engineer, ensuring that code repositories are well maintained, and that release branches are created and maintained in an appropriate manner.</p><p>• Will need to work well across departments, in close coordination with members of the Development and QA teams.</p><p>• Document and demonstrate solutions by producing flowcharts, layouts, diagrams, charts, and any other documentation as necessary.</p><p><br></p><p><strong>Performance Criteria:</strong></p><p>This role is evaluated by the accuracy and effectiveness of relevant reporting as well as timely communication with customers and internal teams. Achieving performance targets for individual programs is critical for assessing this role’s performance.</p><p><br></p><p><br></p>
  • 2025-09-19T17:08:54Z
Medical Scheduler
  • New Haven, CT
  • remote
  • Temporary
  • 17.00 - 19.00 USD / Hourly
  • <p>A respected <strong>healthcare organization</strong> located in <strong>New Haven, Connecticut</strong>, is seeking a detail-oriented <strong>Medical Scheduler</strong> to join their administrative team. The ideal candidate will play a pivotal role in coordinating patient appointments, managing scheduling systems, and ensuring seamless communication between patients and providers. This is an excellent opportunity for someone with strong organizational skills and a commitment to patient-centered care.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Appointment Scheduling:</strong></li><li>Coordinate and schedule patient appointments using electronic health record (EHR) systems.</li><li>Optimize schedules to ensure patient access while balancing provider availability.</li><li>Respond to appointment inquiries via phone and email, addressing patient needs promptly.</li><li><strong>Communication & Patient Support:</strong></li><li>Serve as the primary point of contact for patients regarding appointment confirmations or changes.</li><li>Provide clear instructions to patients about required documentation or preparations prior to visits.</li><li>Communicate effectively with providers and other departments to manage schedule adjustments.</li><li><strong>Recordkeeping & Data Management:</strong></li><li>Maintain accurate scheduling records in compliance with organizational standards and HIPAA regulations.</li><li>Update appointment details or patient information in the system when necessary.</li><li>Generate daily and weekly scheduling reports for administrative review.</li><li><strong>Problem Solving:</strong></li><li>Identify and resolve scheduling conflicts or errors promptly to avoid disruptions.</li><li>Assist with follow-up calls or rescheduling for any canceled or missed appointments.</li><li><strong>Process Improvement:</strong></li><li>Participate in continuous improvement initiatives to streamline scheduling workflows.</li><li>Proactively suggest changes for greater office efficiency and improved patient experiences.</li></ul>
  • 2025-09-11T21:05:17Z
Credentialing Specialist
  • Bronx, NY
  • onsite
  • Temporary
  • 21.85 - 22.00 USD / Hourly
  • We are looking for a meticulous and proactive Credentialing Specialist to join our team in Bronx, New York. In this long-term contract position, you will play a vital role in ensuring healthcare providers meet hospital credentialing requirements while maintaining accurate records. This is an excellent opportunity to contribute to the seamless operation of a healthcare organization and collaborate with professionals in the field.<br><br>Responsibilities:<br>• Manage the credentialing process for healthcare providers, ensuring compliance with hospital standards.<br>• Communicate with providers to gather and verify references, licenses, and other necessary documentation.<br>• Maintain up-to-date credentialing files and organize records efficiently.<br>• Monitor credentialing deadlines and ensure timely submission of applications and renewals.<br>• Serve as the primary liaison between providers and administrative teams for credentialing matters.<br>• Provide clerical and administrative support to the Department of Medicine as needed.<br>• Address inquiries related to credentialing processes and resolve issues promptly.<br>• Ensure compliance with regulatory requirements and hospital policies throughout the credentialing process.<br>• Utilize software tools effectively to manage credentialing data and documentation.
  • 2025-09-19T18:54:10Z
Medical Billing Specialist
  • Hatboro, PA
  • onsite
  • Contract / Temporary to Hire
  • - USD / Hourly
  • <p><strong>Job Title: </strong>Medical Biller</p><p><strong>Location:</strong> Hatboro, PA (100% Onsite)</p><p><strong>Schedule</strong>: Monday – Friday, 8:00 AM – 5:00 PM</p><p><strong>Employment Type: </strong>Permanent, Full-Time</p><p><br></p><p><strong>Overview:</strong></p><p>A healthcare facility near Hatboro, PA is seeking an experienced and detail-oriented Medical Biller to join their team. This role is fully onsite and offers the opportunity to play a key part in the billing and revenue cycle process. The ideal candidate will have strong knowledge of medical billing practices, claims management, and coding standards, with a proven ability to ensure accuracy and timely collections.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Code charges and process billing for medical procedures</li><li>Prepare, review, and complete billing cycles for accuracy and timeliness</li><li>Research and resolve billing discrepancies; identify and process refunds, credits, and write-offs</li><li>Collect and process patient payments, including credit card transactions; set up payment plans for past due balances</li><li>Generate and mail weekly patient statements</li><li>Post patient and payer Explanation of Benefits (EOB) payments into the system</li><li>Monitor and follow up on unpaid claims and denials; prepare reconciliations and appeals as necessary</li><li>Submit claims to insurance carriers electronically or by mail</li><li>Communicate with staff, physicians, and their offices to obtain billing details and updated patient demographic information</li><li>Collaborate with internal staff and physician offices to gather required documentation and ensure billing accuracy</li><li>Handle incoming patient inquiries, providing thorough and timely follow-up to resolve account issues</li></ul>
  • 2025-09-16T18:54:10Z
Director of Marketing
  • Great Neck, NY
  • onsite
  • Permanent
  • 100000.00 - 140000.00 USD / Yearly
  • We are looking for a dynamic Director of Marketing to lead strategic initiatives and drive brand growth in the healthcare industry. This role requires expertise in digital marketing, event planning, and analytics to enhance audience engagement and achieve business objectives. The ideal candidate will excel in managing agency relationships and crafting innovative strategies to elevate brand presence.<br><br>Responsibilities:<br>• Develop and execute comprehensive marketing strategies tailored to healthcare audiences.<br>• Oversee the planning and execution of events designed to promote the brand and engage stakeholders.<br>• Utilize digital tools and analytics platforms, such as Google Analytics, to monitor campaign performance and optimize results.<br>• Collaborate with external agencies to ensure alignment with brand goals and marketing objectives.<br>• Drive initiatives to enhance brand awareness and visibility across multiple channels.<br>• Manage budgets and resources effectively to maximize the impact of marketing campaigns.<br>• Lead and mentor a marketing team, fostering a collaborative and results-driven environment.<br>• Stay abreast of industry trends and emerging technologies to incorporate innovative strategies.<br>• Evaluate and refine marketing tactics to support organizational goals.<br>• Ensure all marketing efforts comply with relevant regulations and standards within the healthcare sector.
  • 2025-09-05T15:09:02Z
Product Manager
  • Montebello, NY
  • onsite
  • Permanent
  • 110000.00 - 140000.00 USD / Yearly
  • <p>We are looking for a strategic and hands-on Analytical Product Manager to lead the development of advanced analytics solutions tailored to the healthcare workforce sector. This role focuses on creating impactful tools that enhance payroll, HR, attendance, and scheduling processes for healthcare administrators and operators. Based in Airmont, New York, this position offers the chance to shape innovative analytics capabilities that drive workforce efficiency and compliance.</p><p><br></p><p>Responsibilities:</p><p>• Define the vision and roadmap for analytics and insights within the platform, ensuring alignment with organizational goals.</p><p>• Establish key metrics and performance indicators to address workforce challenges such as overtime trends, payroll discrepancies, and employee turnover.</p><p>• Collaborate with clients, account managers, and product teams to identify high-value use cases for analytics solutions.</p><p>• Translate business requirements into detailed product specifications, dashboards, and data models.</p><p>• Oversee the creation of dashboard mockups using tools like Power BI and other visualization platforms.</p><p>• Partner with leadership to assess future hiring needs for roles such as BI developers and data engineers.</p><p>• Develop tools for generating pre-payroll analytics, enabling detailed reporting by employee, department, and earning code.</p><p>• Build HR analytics capabilities that provide insights into turnover rates and headcount trends.</p><p>• Design attendance dashboards with advanced filtering and drill-down features to identify patterns such as no-shows and excessive overtime.</p><p>• Create facility-level reporting tools that support trend analysis, benchmarking, and comparative insights.</p>
  • 2025-08-25T14:14:30Z
Medical Billing Specialist
  • Ridgefield, CT
  • onsite
  • Temporary
  • 20.00 - 25.00 USD / Hourly
  • <p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Ridgefield, Connecticut. This position, lasting 4–5 months, and will be roughly 30 hours per week, the role will involve accurately posting payments and reconciling billing data within a healthcare setting. If you have a strong background in medical billing and a keen eye for detail, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post both insurance and patient payments into the practice management system.</p><p>• Identify discrepancies in contracted rates and underpaid claims, ensuring proper resolution.</p><p>• Reconcile daily payment batches to maintain accurate financial records.</p><p>• Examine explanation of benefits (EOBs) and electronic remittance advice (ERAs) to ensure correct posting.</p><p>• Prepare appeals for denied claims and follow up with insurance payers as needed.</p><p>• Perform additional billing-related tasks as assigned by the supervisor.</p><p>• Collaborate with team members to streamline billing workflows and improve accuracy.</p>
  • 2025-09-18T19:04:09Z
Billing Specialist
  • Willow Grove, PA
  • onsite
  • Permanent
  • 52000.00 - 59000.00 USD / Yearly
  • Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
  • 2025-09-22T17:24:10Z
Controller
  • New York, NY
  • onsite
  • Permanent
  • 125000.00 - 150000.00 USD / Yearly
  • <p>Are you a numbers-driven professional with a passion for healthcare? Our client is currently looking for a <strong>Controller</strong> to take charge of financial operations and help shape the future of the organization. If you thrive in a fast-paced environment and are ready to make a meaningful impact, we want to hear from you!</p><p><br></p><p>Responsibilities of this position will include:</p><ul><li>Lead all accounting operations: A/R, A/P, billing, general ledger, and cost accounting</li><li>Drive financial reporting with daily, monthly, and annual statements</li><li>Own the budgeting process and monitor financial performance</li><li>Oversee cash flow to ensure operational stability</li><li>Manage compliance, audits, and insurance risk</li><li>Strengthen internal controls and streamline accounting processes</li><li>Collaborate with leadership to support business goals</li><li>Supervise and mentor accounting staff</li></ul><p>Please contact Ben.Turnbull@roberthalf.</p>
  • 2025-09-23T19:58:44Z
Accounts Payable Manager
  • Howell, NJ
  • onsite
  • Permanent
  • 120000.00 - 150000.00 USD / Yearly
  • <p>We are looking for an experienced Accounts Payable Manager to oversee and optimize the accounts payable function for our organization in the Howell, New Jersey area. This leadership role requires a highly organized individual capable of managing a team, improving processes, and utilizing technology to drive efficiency. The ideal candidate will have a strong background in Sage Intacct and a proven track record in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage the full accounts payable lifecycle, ensuring timely and accurate processing of invoices and payments.</p><p>• Supervise and develop a team of accounts payable specialists, fostering a culture of collaboration and excellence.</p><p>• Build and maintain strong relationships with vendors, addressing inquiries and resolving payment discrepancies promptly.</p><p>• Ensure compliance with company policies, healthcare regulations, and industry standards for accurate financial transactions.</p><p>• Prepare and analyze accounts payable reports, including aging schedules and cash flow impact, to provide insights for strategic decision-making.</p><p>• Design and implement process improvements and leverage automation tools to enhance operational efficiency.</p><p>• Develop scalable systems and workflows that support organizational growth and adaptability.</p><p>• Collaborate with finance, procurement, and operations teams to streamline processes and resolve accounts payable challenges.</p>
  • 2025-09-02T20:28:58Z
Patient Service Representative
  • Yardley, PA
  • onsite
  • Contract / Temporary to Hire
  • 18.00 - 20.00 USD / Hourly
  • <p><strong><em><u>**Please do not apply unless you have prior medical experience checking patients in and out at the front desk and general knowledge regarding insurances. This is a Must-Have!**</u></em></strong></p><p><br></p><p><strong>Job Title: </strong>Patient Service Representative (Temporary-to-Hire)</p><p><strong>Location: </strong>Yardley, PA</p><p><strong>Schedule: </strong>35-40 hours per week (shifts vary between 6:30 AM – 7:00 PM)</p><p><strong>Contract Length: </strong>Minimum of 12 weeks, with potential for extension or permanent placement</p><p><br></p><p><strong>Job Summary:</strong></p><p>A well-established healthcare provider in Yardley is seeking a Patient Service Representative for a full-time temporary-to-hire opportunity. This role is essential in ensuring smooth and professional front-end support for patients seeking therapy services. The ideal candidate will have a strong administrative background and excellent communication skills, with an interest or experience in healthcare.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Answer and triage a high volume of incoming phone calls in a timely and professional manner</li><li>Schedule patient appointments and ensure efficient calendar management</li><li>Verify, secure, and maintain both initial and ongoing health insurance coverage for patients</li><li>Educate patients on insurance benefits and provide accurate information regarding coverage for therapy services</li><li>Document and update patient information accurately in internal systems</li><li>Collaborate with clinical and administrative teams to ensure a seamless patient experience.</li></ul>
  • 2025-09-22T20:08:59Z
Medical Malpractice Paralegal
  • Yardley, PA
  • onsite
  • Permanent
  • 75000.00 - 105000.00 USD / Yearly
  • <p>Our distinguished client is seeking a dedicated Medical Malpractice Paralegal to join our team in Yardley, Pennsylvania. This position offers the chance to work in a dynamic legal environment where your expertise will contribute to meaningful case outcomes. If you thrive on managing complex litigation and supporting attorneys in high-stakes cases, this role is an excellent opportunity to grow and advance your career.</p><p><br></p><p>Please only apply if you have direct medical malpractice legal experience. Interested candidates who would like to be considered immediately should reach out to Kevin Ross at Robert Half in Philadelphia. </p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough case investigations to identify liable parties and gather critical evidence.</p><p>• Maintain consistent communication with clients to monitor their injuries and medical treatments.</p><p>• Collect, organize, and analyze medical and billing records to support case development.</p><p>• Evaluate health insurance liens and subrogation claims to ensure compliance and accurate resolution.</p><p>• Draft compelling legal documents, including demand letters and settlement agreements.</p><p>• Assist attorneys with preparing for settlements, discovery, and litigation proceedings.</p><p>• Manage trial preparation tasks, such as creating exhibits and organizing necessary documentation.</p><p>• Facilitate clear and effective communication with clients, opposing counsel, and other legal stakeholders.</p><p>• Oversee case timelines and maintain accurate records in legal management software.</p>
  • 2025-09-12T19:04:27Z
Director
  • Princeton, Nj, NJ
  • onsite
  • Permanent
  • 200000.00 - 225000.00 USD / Yearly
  • A global biopharmaceutical company with a growing U.S. presence is seeking a Director of Pricing Policy and Analytics to lead pricing policy evaluation and build an advanced analytics function within the U.S. Pricing & Contracting team. This role plays a key part in shaping pricing strategies, assessing the impact of evolving healthcare policy, and supporting executive decision-making through data-driven insights.<br><br>In this role, you will:<br><br>Evaluate the impact of U.S. healthcare policy (e.g., IRA, CMS reforms, international reference pricing) on pricing strategies and market access.<br><br>Design and implement data-driven pricing dashboards and analytical models to support pricing decisions and strategic planning for in-line and pipeline assets.<br><br>Benchmark pricing strategies across therapeutic areas and geographies; track payer/PBM behavior, formulary trends, and contract performance.<br><br>Oversee advanced analytics efforts, including price elasticity analysis, scenario modeling, and value-based pricing strategy development.<br><br>Use claims data and forecasting tools to inform data-backed reimbursement strategies.<br><br>Collaborate cross-functionally with Market Access, Government Affairs, Legal, Regulatory, Finance, and Commercial teams to ensure pricing approaches are consistent, competitive, and compliant.<br><br>Key stakeholders include:<br><br>U.S. Market Access & Patient Services<br><br>Government Affairs<br><br>Finance & Government Pricing<br><br>Legal and Compliance<br><br>What we’re looking for:<br><br>8–12 years of experience in pharmaceutical pricing and contracting, pricing policy, market access, or advanced analytics, particularly within brand/specialty products.<br><br>Master’s degree preferred (e.g., MBA, Finance, Healthcare Management, or related field).<br><br>Strong knowledge of U.S. healthcare reimbursement landscape and pricing frameworks; global exposure a plus.<br><br>Hands-on experience with value-based contracting and policy analysis.<br><br>Proficiency with SAS, R, Python, or Tableau for data modeling and visualization.<br><br>Excellent communication skills and the ability to simplify complex data for senior leadership.<br><br>Ideal candidate traits:<br><br>Analytical mindset with a proactive, hands-on approach.<br><br>Entrepreneurial spirit with the ability to manage multiple initiatives in a fast-moving environment.<br><br>Detail-oriented and highly organized.<br><br>Additional Details:<br><br>Travel: Approximately 10%<br><br>Work model: Hybrid (3 days per week in Princeton, NJ office)<br><br>Benefits include:<br><br>401(k) with match<br><br>Medical, dental, and vision insurance<br><br>Company-paid life and disability coverage<br><br>HSA/FSA options<br><br>Legal and pet insurance<br><br>Paid parental leave<br><br>Mental health resources<br><br>Employee discounts and incentive compensation programs
  • 2025-09-08T19:48:52Z
Medical Accounts Receivable Specialist
  • Doylestown, PA
  • onsite
  • Temporary
  • - USD / Hourly
  • <p>We're looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Doylestown, Pennsylvania. In this long-term contract position, you will play a vital role in managing Medicare billing, insurance claims, and patient accounts to ensure the financial stability of the organization. This opportunity is ideal for professionals with expertise in medical billing processes and a commitment to resolving accounts efficiently and accurately.</p><p><br></p><p>Responsibilities:</p><p>• Manage Medicare billing operations, ensuring all patient accounts are handled with accuracy and compliance.</p><p>• Submit electronic and paper insurance claims following payer guidelines and regulatory requirements.</p><p>• Process patient claims promptly and oversee account management to maintain compliance standards.</p><p>• Conduct timely follow-ups on payments to resolve outstanding balances, collaborating with stakeholders as necessary.</p><p>• Regularly review work lists to prioritize accounts requiring immediate attention and action.</p><p>• Work assigned accounts diligently until they are fully resolved, maintaining detailed documentation throughout the process.</p><p>• Analyze remittances to confirm that charges processed or paid align with insurance contracts and fee schedules.</p><p>• Utilize and interpret billing forms such as UB04 and 1500 to ensure proper claim submission and resolution.</p><p>• Leverage electronic medical record systems and billing software to streamline account management and reporting.</p>
  • 2025-09-16T17:53:48Z
Fundraising Officer
  • New York, NY
  • onsite
  • Temporary
  • 24.70 - 28.60 USD / Hourly
  • We are looking for a dedicated Fundraising Officer to join our team in New York, New York. In this long-term contract position, you will play a pivotal role in driving initiatives to secure financial support, ensuring compliance with fundraising regulations, and maintaining strong relationships with contributors. Ideal candidates will bring expertise in financial services, CRM tools, and customer engagement to support our goals in the healthcare industry.<br><br>Responsibilities:<br>• Develop and implement effective fundraising strategies to meet organizational financial goals.<br>• Manage donor relationships and provide exceptional customer service to ensure ongoing support.<br>• Utilize CRM systems to track and analyze donor data, contributions, and campaign effectiveness.<br>• Prepare detailed financial reports using tools such as Crystal Reports to monitor fundraising performance.<br>• Ensure all fundraising activities comply with legal and regulatory standards.<br>• Collaborate with internal teams to create compelling banner ads and promotional materials.<br>• Provide guidance and counseling to contributors, addressing their needs and concerns.<br>• Oversee disbursement processes to ensure funds are allocated efficiently and transparently.<br>• Monitor automated underwriting systems to streamline financial workflows.<br>• Analyze campaign outcomes to identify areas for improvement and future opportunities.
  • 2025-09-24T19:49:43Z
Senior Director of Data Operations
  • Florham Park, NJ
  • onsite
  • Permanent
  • 175000.00 - 225000.00 USD / Yearly
  • <p>We are looking for a Senior Director of Data Operations to lead data management initiatives and drive strategic solutions for complex data environments in the pharmaceutical industry. Based in Florham Park, New Jersey, this role requires an experienced and detail-oriented individual to oversee data strategy, reporting accuracy, and process improvements to ensure optimal results. The ideal candidate will excel at managing cross-functional teams and ensuring data solutions align with client and organizational objectives.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>• Oversee the design, development, and validation of data reporting processes to ensure accuracy and reliability.</p><p>• Develop and implement methods to evaluate data for completeness, accuracy, and scope, while providing insights into discrepancies.</p><p>• Lead the deployment of data solutions for new programs and recommend improvements to data processing workflows.</p><p>• Investigate and resolve data anomalies, implementing solutions to prevent recurring issues.</p><p>• Ensure timely delivery of data reports that meet program requirements by enhancing processes to improve accuracy.</p><p>• Participate in regular meetings and business reviews to represent the Data Operations function and contribute to program success.</p><p>• Support account managers in onboarding and implementing new data programs, collaborating with internal teams to enhance client satisfaction.</p><p>• Recruit, train, and manage staff, fostering a culture of continuous improvement, accountability, and high performance.</p><p>• Evaluate and refine business processes to enhance efficiency, quality, and output.</p><p>• Lead data onboarding sessions with pharmacy network members, ensuring compliance with healthcare regulations and alignment with organizational goals.</p>
  • 2025-09-19T19:04:31Z
Claims Examiner-Lost Time
  • New Haven, CT
  • remote
  • Temporary
  • 30.00 - 33.00 USD / Hourly
  • <ul><li><strong>Position: Claims Examiner - Lost Time (Contract Role)</strong></li><li><strong>Location: 555 Long Wharf Drive New Haven CT USA 06511-5941</strong></li><li><strong>Type: 100% Onsite</strong></li><li><strong>Hourly Pay Range: $30-33/per hour</strong></li><li><strong>Interview Process: Virtual interview 1-2 round of 30 minute interview</strong></li></ul><p> </p><p><strong>Job Description: </strong></p><p>Job Schedule-100% ONSITE</p><p>Job hours-8:30am-5:00pm EST</p><p> </p><p>3 years of Workers Compensation Lost Time Claim Examiner or Commensurate Experience </p><p> </p><p>Duties and Responsibilities:</p><p>- Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.</p><p>- Reviews claim and policy information to provide background for investigation.</p><p>- Conducts 3-part ongoing investigations obtaining facts and taking statements as necessary with insured claimant and medical providers.</p><p>- Evaluates the facts gathered through the investigation to determine compensability of the claim.</p><p>- Informs insureds claimants and attorneys of claim denials when applicable.</p><p>- Prepares reports on investigation settlements denials of claims and evaluations of involved parties etc.</p><p>- Timely administration of statutory medical and indemnity benefits throughout the life of the claim.</p><p>- Sets reserves within authority limits for medical indemnity and expenses and recommends reserve changes to Team</p><p>Leader throughout the life of the claim.</p><p>- Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.</p><p>- Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.</p><p>- Works with attorneys to manage hearings and litigation</p><p>- Controls and directs vendors nurse case managers telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.</p><p>- Complies with customer service requests including Special Claims Handling procedures file status notes and claim reviews.</p><p>- Files workers compensation forms and electronic data with states to ensure compliance with statutory regulations.</p><p>- Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.</p><p>- Works with in-house Technical Assistants Special Investigators Nurse</p><p>Consultants Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.</p>
  • 2025-09-17T22:08:56Z
Medical Authorizations Paralegal
  • New York, NY
  • onsite
  • Temporary
  • 42.75 - 49.50 USD / Hourly
  • <p>Robert Half is seeking a <strong>Litigation Paralegal</strong> with strong experience in <strong>Personal Injury (PI)</strong> and <strong>Property Damage</strong> litigation. This is a full-time, onsite contract position based in the Bronx, NY. The ideal candidate is polished, professional, and ready to contribute to complex legal matters and regulatory cases.</p><p><br></p><p><strong>Important:</strong> <em>Attorneys will not be considered for this position.</em></p><p><br></p><p><strong>Start Date</strong>: ASAP</p><p><strong>Pay Rate </strong>$45+/ hour</p><p><strong>Duration</strong>: 6+ months (with a possibility of extension)</p><p><strong>Location</strong>: Onsite; New York- Near Union Square </p><p><strong>Hours:</strong> Standard Business Hours</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Support litigation efforts, including:</li><li>Drafting and responding to <strong>interrogatories</strong></li><li>Managing <strong>discovery</strong> processes</li><li>Preparing <strong>pre-filing documentation</strong></li><li>Assist in <strong>rate cases before the Public Service Commission (PSC)</strong><em>PSC experience is preferred but not required – training will be provided.</em></li><li>Provide paralegal support to an additional manager within the legal team.</li></ul>
  • 2025-09-19T16:24:07Z
Claims Examiner-Lost Time
  • Jersey City, NJ
  • onsite
  • Temporary
  • 31.00 - 34.00 USD / Hourly
  • We are looking for a skilled Claims Examiner specializing in lost time claims to join our team on a contract basis in Jersey City, New Jersey. In this role, you will oversee the full lifecycle of workers' compensation claims, ensuring compliance with regulations while maintaining strong relationships with all involved parties. This position requires someone with excellent attention to detail, capable of managing complex claims processes and delivering high-quality service.<br><br>Responsibilities:<br>• Manage workers' compensation lost time claims from initial setup to closure, maintaining excellent customer relationships throughout the process.<br>• Conduct thorough investigations by reviewing policy details, collecting statements, and gathering facts from claimants, insured parties, and medical providers.<br>• Evaluate gathered information to determine claim compensability and communicate decisions regarding claim approvals or denials to all relevant parties.<br>• Administer statutory medical and indemnity benefits in a timely manner, ensuring compliance with applicable regulations.<br>• Set and adjust claim reserves for medical, indemnity, and related expenses, recommending changes to the Team Leader as necessary.<br>• Partner with attorneys to oversee litigation processes, including hearings, and manage legal documentation.<br>• Direct and coordinate efforts with vendors, nurse case managers, and rehabilitation managers to support medical management and return-to-work initiatives.<br>• Prepare and submit reports on claim settlements, denials, evaluations, and potential exposures to the Team Leader.<br>• Ensure compliance with state regulations by filing workers' compensation forms and electronic data accurately and on time.<br>• Identify subrogation opportunities and work to recover claim-related costs effectively.
  • 2025-09-18T17:08:44Z
Associate
  • New York, NY
  • onsite
  • Permanent
  • 120000.00 - 150000.00 USD / Yearly
  • <p>We are looking for a dedicated medical malpractice Litigation Associate to join a boutique law firm located in New York, New York. This role is ideal for someone with strong courtroom presence, exceptional writing skills, and a passion for advocacy. Candidates should have a proven track record in litigation and the ability to manage multiple deadlines in a dynamic environment.</p><p><br></p><p>Responsibilities:</p><p>• Draft compelling legal documents, including motions and briefs, with exceptional attention to detail.</p><p>• Represent clients in court proceedings, including arguing motions and attending hearings.</p><p>• Conduct depositions effectively to gather critical information for cases.</p><p>• Prepare for trials by organizing evidence, coordinating witnesses, and developing case strategies.</p><p>• Collaborate with colleagues to ensure successful outcomes for clients in personal injury or medical malpractice cases.</p><p>• Analyze case details and develop innovative legal strategies to address client needs.</p><p>• Maintain organized case files and manage deadlines in a fast-paced environment.</p><p>• Communicate effectively with clients, providing updates and addressing concerns throughout the litigation process.</p><p>• Stay up-to-date with legal developments and best practices in personal injury and medical malpractice law.</p>
  • 2025-09-17T13:03:50Z
Senior Accountant - PE backed
  • Stamford, CT
  • onsite
  • Permanent
  • 100000.00 - 120000.00 USD / Yearly
  • <p>PE backed, rapidly growing healthcare company is offering an exciting opportunity for a Senior Accountant to join the team based in Greenwich, Connecticut (3 days in office). The role will involve overseeing various accounting functions. Fun outgoing group. Growth mode company! For immediate consideration, please contact: Jennifer.Beilin@Roberthalf com</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Oversee and manage the general accounting functions, including accounts payable, accounts receivable, and auditing</li><li>Manage the execution of month-end and quarter-end close procedures</li><li>Prepare revenue accounting, cost accounting, and SG& A</li><li>Ensure compliance with ASC 606 and ASC 842 accounting standards</li><li>Conduct regular billing functions and manage customer credit records</li><li> Monitor customer credit accounts and take appropriate action for delinquent payments</li><li>Collaborate with the team to drive the growth of the company</li></ul><p><strong>Requirements:</strong></p><ul><li>3+ years of accounting experience, specializing in month-end and quarter-end</li><li>Revenue accounting, cost accounting or SG& A experienced</li><li>Enjoys being part of a growing company</li><li>CPA or Masters degree</li><li>Can commute to Greenwich, CT 3-4 times a week</li></ul><p>For immediate consideration, please contact: Jennifer.Beilin@Roberthalf com</p>
  • 2025-09-10T12:58:41Z
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