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.
<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>
<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>
We are looking for an experienced Support Project Manager/Lead to join our team in Philadelphia, Pennsylvania. In this long-term contract role, you will oversee the planning and execution of IT infrastructure projects within the healthcare industry, ensuring seamless installation and integration of systems and devices. This position offers the opportunity to lead teams and collaborate with stakeholders to deliver impactful results.<br><br>Responsibilities:<br>• Oversee the planning, execution, and delivery of IT infrastructure projects, focusing on system and device installations in healthcare facilities.<br>• Manage project teams ranging from 10 to 20 members, ensuring effective collaboration and productivity.<br>• Develop detailed project documentation, including charters, work plans, and budgets, to maintain clarity and alignment.<br>• Utilize advanced project management tools and methodologies to estimate timelines and track progress.<br>• Communicate effectively with stakeholders and project staff to ensure alignment and address concerns.<br>• Provide coaching and guidance to team members, fostering growth and skill development.<br>• Ensure adherence to IT security standards and operating policies during project execution.<br>• Coordinate with hospital information systems teams to ensure smooth integration of new technologies.<br>• Apply Agile Scrum principles to enhance project efficiency and adaptability.
<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>
We are looking for an experienced Medical Accounts Receivable Team Lead to join our team in Mt. Holly, New Jersey. This long-term contract position is ideal for someone with a strong background in medical billing, claims management, and collections. If you have a passion for ensuring financial accuracy and operational efficiency in healthcare, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee the daily operations of medical accounts receivable, ensuring timely and accurate processing of claims and collections.<br>• Manage and resolve billing discrepancies, appeals, and authorizations to maintain compliance and optimize revenue.<br>• Utilize accounting software systems, including Allscripts and Cerner Technologies, to streamline billing functions.<br>• Lead efforts in handling dynamic data exchange (DDE) processes for efficient communication and data sharing.<br>• Monitor accounts receivable to identify and address outstanding balances or payment issues.<br>• Collaborate with healthcare providers and insurance companies to ensure proper benefit functions are applied.<br>• Train and mentor team members on EHR systems and best practices in medical billing and claims.<br>• Develop and implement strategies to improve billing accuracy and reduce claim denials.<br>• Prepare reports and analyze data to track performance metrics and identify areas for improvement.
<p>A nationally recognized and highly successful plaintiff law firm known for securing landmark verdicts and settlements in complex cases. </p><p><br></p><p>Seeking an experienced and detail-oriented <strong>Medical Malpractice Paralegal</strong> to join our dynamic litigation team. The ideal candidate will have a strong background in plaintiff or defense medical malpractice cases, including preparing cases from intake through trial, managing medical records, and working closely with attorneys, clients, and experts.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Draft and prepare legal documents including complaints, discovery requests/responses, and motions</li><li>Conduct medical record reviews and chronologies; summarize complex medical information</li><li>Assist attorneys with trial preparation, including trial binders, exhibit lists, and witness coordination</li><li>Maintain litigation calendars, track deadlines, and manage case files</li><li>Communicate with clients, experts, providers, and opposing counsel in a professional and timely manner</li><li>Coordinate and manage expert retention, discovery, and deposition preparation</li><li>Perform factual and legal research to support case development</li></ul>
<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>
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.
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!
<p><strong>Job Title: </strong>Patient Service Representative (Contract-to-Permanent Opportunity)</p><p><strong>Location: </strong>Radnor, PA</p><p><strong>Schedule: </strong>35-40 hours per week (shifts vary between 6:45 AM – 6:15 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 contract-to-permanent 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>
<p>We are looking for a Medical Data Entry Clerk to join a team in Plymouth Meeting, Pennsylvania. In this role, you will play a vital part in processing claims related to dental, behavioral health, childcare, education, and physical wellbeing. This is a Contract-to-Permanent position, offering an excellent opportunity to grow within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process claims for dental, behavioral health, childcare, education, and physical wellbeing services.</p><p>• Ensure all data entries comply with company policies and industry standards.</p><p>• Use software tools such as Office Suite, EHR systems, and IBM AS/400 to complete tasks efficiently.</p><p>• Maintain a high level of attention to detail to minimize errors in claim administration.</p><p>• Collaborate with the team to resolve discrepancies and ensure smooth operations.</p><p>• Handle sensitive medical information with confidentiality and professionalism.</p><p>• Prioritize and manage multiple tasks effectively in a fast-paced environment.</p><p>• Conduct thorough reviews of claim submissions to verify accuracy and completeness.</p><p>• Support internal processes by utilizing Armed Forces Health Longitudinal Technology Application (AHLTA) and McKesson systems.</p><p>• Communicate effectively with stakeholders to address inquiries and provide updates on claim statuses.</p>
<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>
<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>
<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>
<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>
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
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in King of Prussia, Pennsylvania. In this long-term contract position, you will play a vital role in ensuring accurate billing, timely claims management, and efficient collections processes. Your efforts will directly support our mission of providing personalized autism services by working closely with families and stakeholders to facilitate smooth billing operations.</p><p><br></p><p>Responsibilities:</p><p>• Manage denial responses and accounts receivable follow-ups using Waystar and insurance portals.</p><p>• Submit primary and secondary claims for both commercial and Medicaid payors.</p><p>• Handle claims across all aging buckets, from initial billing to final resolution, including identifying and correcting errors, rejections, and denials.</p><p>• Investigate and appeal claim denials to ensure optimal resolution.</p><p>• Review and input billing data with a focus on precision and compliance.</p><p>• Collaborate with the Billing Manager and clinic teams to ensure accurate billing processes.</p><p>• Monitor and verify Medicaid status for clients to ensure eligibility.</p><p>• Develop and maintain strong relationships with Pennsylvania Medicaid payors to streamline claims processing and payments.</p><p>• Assist the intake team with completing Medicaid documentation for new clients or reassessments.</p><p>• Perform additional tasks as assigned by the Billing Manager or Director.</p>
<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>
We are looking for an organized and customer-focused Front Desk Coordinator to join our team on a contract basis in Forest Hills, New York. In this role, you will serve as the first point of contact for visitors and callers, ensuring smooth communication and detail-oriented service in a healthcare environment. This is an excellent opportunity to contribute to a dynamic team while delivering exceptional front desk support.<br><br>Responsibilities:<br>• Greet and assist visitors with a welcoming and detail-oriented demeanor.<br>• Manage incoming calls using a multi-line phone system, ensuring timely and accurate responses.<br>• Coordinate concierge services to address patient and visitor needs efficiently.<br>• Handle general receptionist duties, including scheduling and maintaining records.<br>• Operate a switchboard system for up to 10 lines, directing calls appropriately.<br>• Provide clear and courteous communication to resolve inquiries or concerns.<br>• Maintain a clean and organized reception area to uphold a detail-oriented appearance.<br>• Collaborate with internal staff to support daily operational needs.<br>• Ensure confidentiality and accuracy when handling sensitive information.
<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>
<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>
<p>Robert Half is seeking an experienced <strong>Contract Manager</strong> for a dynamic <strong>contract-to-hire opportunity</strong> in Princeton, NJ, offering a hybrid work schedule (3 days onsite, 2 days remote). The ideal candidate will bring expertise in <strong>contract lifecycle management</strong>, <strong>cross-functional collaboration</strong>, and <strong>rebate/discount programs</strong> while ensuring compliance and operational excellence.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p><br></p><p><strong>1. Manage Contract Lifecycle:</strong></p><ul><li>Assist in the drafting, negotiation, execution, and management of payer, specialty pharmacy, and GPO agreements, including rebate, discount, and data-sharing contracts.</li><li>Ensure contracts comply with organizational requirements and regulatory guidelines.</li></ul><p><strong>2. Execute Contract Operations:</strong></p><ul><li>Supervise the setup, validation, and implementation of contract terms in relevant systems.</li><li>Monitor contract performance to ensure adherence to agreed-upon terms.</li></ul><p><strong>3. Validate and Process Rebates:</strong></p><ul><li>Collaborate with Rebate Operations and Finance teams to ensure accurate rebate calculations and timely payments.</li><li>Address discrepancies and ensure compliance with rebate terms.</li></ul><p><strong>4. Foster Cross-Functional Partnerships:</strong></p><ul><li>Build strong working relationships with Legal, Finance, Pricing, Market Access, Trade, and Compliance teams to ensure effective contract alignment and execution.</li><li>Act as a key point of contact to resolve contract-related issues collaboratively.</li></ul><p><strong>5. Manage Contract Systems:</strong></p><ul><li>Utilize and maintain contract management and rebate tools (e.g., Model N, Revitas, Vistex, iContracts) to track contract performance, validation, and intake processes.</li></ul><p><br></p>
<p>We are looking for a skilled HR Recruiter to join our team on a contract basis in Marlton, New Jersey. In this role, you will manage full cycle recruiting efforts and play a key part in attracting top talent to our organization. This position requires someone who is detail-oriented, organized, and experienced in recruiting.</p><p><br></p><p>Responsibilities:</p><p>• Manage the entire recruitment process, including job postings, candidate sourcing, interview scheduling, and conducting interviews.</p><p>• Extend employment offers and oversee onboarding processes to ensure a seamless experience for onboarding employees.</p><p>• Conduct reference checks and ensure compliance with company policies.</p><p>• Collaborate with hiring managers to understand staffing needs and tailor recruiting strategies accordingly.</p><p>• Utilize applicant tracking systems to streamline recruitment workflows and maintain accurate candidate records.</p><p>• Develop and maintain a pipeline of candidates with relevant experience for current and future openings.</p><p>• Ensure an engaging and well-organized candidate experience throughout the recruitment process.</p><p>• Provide regular updates to management regarding recruitment progress and challenges.</p><p>• Stay informed about industry trends and best practices to enhance recruitment strategies.</p>
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.
