Top Tech Jobs & Startup Jobs in NYC, NY

The Program Integrity Clinical Reviewer II evaluates medical records for accuracy, audits claims, provides training, and collaborates across departments to enhance clinical documentation compliance.

The AVP, Network and Contracting oversees provider contracting and network strategy, ensuring compliance and optimizing member access while leading a high-performing team.

The Compliance Analyst II supports the Compliance Program through analysis, training, and collaboration, ensuring effective implementation of compliance requirements and managing corrective actions.

The Operations Specialist III provides analytical support for claims projects, leads initiatives, reviews claims, and develops policies for claims processing.

The Operations Specialist II provides analytical support for Claims projects, assists in training staff, resolves provider issues, and analyzes claims data.

The Claims Management Analyst III leads eBusiness initiatives, manages EDI trading partners, ensures compliance, and analyzes performance for continuous improvement.

The Clinical Psychologist provides oversight for Behavioral Health coverage, develops clinical policies, participates in quality improvement, and ensures compliance with regulations while working with providers, members, and state agencies.

The Clinical Psychologist provides behavioral health coverage determination, ensuring appropriate care in a cost-effective setting. Responsibilities include patient safety, developing clinical policies, participating in quality improvement, and serving as a clinical liaison.

The Configuration Architect oversees the architecture for clinical system configurations, ensures alignment with business needs, evaluates solutions, and leads teams in implementing standards and guidelines while mentoring others in the department.

Design, develop, and deploy AI/ML solutions—especially generative and agentic AI—build LLM and RAG architectures, implement MLOps pipelines, prototype PoCs, and integrate models into production using cloud, containerization, and CI/CD practices while collaborating across teams.