Top Tech Jobs & Startup Jobs in NYC, NY

Prepare, review, and submit Workers' Compensation EDI FROI and SROI filings using vendor platforms. Analyze claim data, interpret state-specific EDI implementation guides and reporting rules, resolve transaction errors/rejects, monitor compliance with deadlines, communicate with internal stakeholders, and ensure HIPAA and regulatory compliance.

Lead end-to-end product management for PBM, Ancillary Benefit Management, and specialty network offerings. Define roadmap, ensure regulatory and contractual compliance, drive profitability and client metrics, coordinate cross-functional stakeholders, streamline operations, support RFP/pricing, and launch/optimize products to align with business objectives.

The Claims Specialist manages lower-level workers' compensation claims, ensuring validity, compensability, and communication with clients while working under supervision.

Supervise a team of workers' compensation claims examiners, ensure compliance with WC laws and regulatory reporting, provide technical/jurisdictional guidance, coach and evaluate staff, assist with hiring/onboarding, participate in client claim reviews, and recommend claim resolutions. Must maintain WC certification and Washington claims experience.

The Data Scientist II will design, build, and deploy machine learning models and data products, translating business problems into data-driven solutions, while collaborating with various stakeholders and ensuring reliable, production-ready outcomes.

Supervise hospital bill audit nurses, ensuring accurate audits and compliance with regulations. Foster team collaboration and handle auditor inquiries while maintaining productivity standards.

The Appeals Representative analyzes appeals in accordance with policies and guidelines, communicates with providers, and ensures timely completion of appeals while adhering to industry standards.

Provide remote HR support for leaves and accommodations across multiple states: maintain LOA system, manage HR inbox, assist VP HR, prepare reports and presentations, coordinate events and trainings, and handle general HR administrative duties while ensuring confidentiality and excellent employee communication.