Information Technology Jobs in Kearny

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Job Description:

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job Description:

BroadPath, a Sagility Company, is hiring UM RN Appeals Coordinator to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client-specific policies and procedures.

Schedules, pay rates, and program details may vary based on business needs and client assignment.

Compensation Highlights

• Base Pay: up to $50 per hour
• Pay frequency: Weekly pay

Schedule Highlights

• Training Schedule: 2 weeks, Monday – Friday; 8:00 AM - 5:00 PM CST

• Production Schedule: Monday – Friday; 8:00 AM - 5:00 PM CST (Flexible)

Responsibilities

A. Performs necessary review to ensure compliance with HHSC and other regulatory entities

• Collaborate: Partners with the physician team to identify strategies for action and determine appropriate guideline citations or responses based on the category of denial
• Develop: Creates training materials and examples for nursing staff to enhance understanding of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes
• Coordinate: Ensures continuity of care needs are met and advocates on behalf of Members and families for out-of-network authorization approvals
  Implement: Identifies problems, barriers, and opportunities within processes and develops resolutions or revisions as needed
• Evaluate: Conducts quarterly assessments of appeal status and program activities, preparing reports for both the State of Texas and internal review
• Analyze: Reviews requests against regulatory and decision-making guidelines and benefit allowances, implements actions in collaboration with the physician reviewer panel, and monitors timeliness, decision-making, and processing of appeals, EMRs, and State Fair Hearings in accordance with regulatory and accrediting standards

B. Performs all necessary communication and documentation functions

• Communicates with internal staff, Members/LARs, physicians, hospital representatives, and other
• Providers regarding case status, due process, rationale, and regulatory requirements
• Coordinates Fair Hearing requests through TIERS when a Member/LAR or Provider requests an EMR or Fair Hearing
• Utilizes an Independent Review Organization as needed for specialty or external reviews
• Oversees documentation and recordkeeping of all case communications in compliance with accrediting requirements
• Documents all activities and interactions in electronic and event tracking systems
  Generates appeal determination letters as appropriate

C. Collaborates with clinical reviewers, medical directors, external physician reviewers, and network Providers

• Communicates with physicians on each case to establish the most appropriate course of action
• Provides education to nurse and therapist reviewers regarding appeal updates and process changes
• Maintains flexibility in scheduling, including evenings and weekends, to address pharmacy-related denials
• Educates physician reviewers and clinical review staff on managed care and Medicaid policies and procedures

D. Conducts staff and medical director audits on appeal activities

• Assists with appeal file preparation for NCQA file reviews
• Supports the development of corrective action plans based on trended audit findings

E. Provides data for internal and external reporting

• Analyzes quarterly trends in appeal types and sources
• Reports appeal activity, type, and resolution, ensuring timely communication standards are met
• Assists with state reporting in the required format and ensures timely submission to HHSC to avoid financial penalties

Knowledge and Skills

• Demonstrates proficiency in applying advanced principles, concepts, and techniques central to nursing and ancillary therapy services within managed care, with emphasis on complex pediatrics and obstetrics
• Ability to comprehensively assess Member and family medical needs, develop and implement plans of care, provide ongoing evaluation and monitoring, and deliver education to Members, families, Providers, and staff
• Exemplary verbal and written communication skills, with proficiency in computer operation, word processing programs, fax machines, photocopiers, and multi-line telephones
• Strong customer service orientation and advanced interpersonal communication skills with all levels of internal and external stakeholders, including medical staff, patients and families, clinical personnel, support staff, outside agencies, and community partners

Qualifications

• RN license in an eNLC (Enhanced Nurse Licensure Compact) state with multistate privileges
• 3+ years Nursing experience
• 1+ years’ Utilization Management experience
• Familiarity with medical terminology, utilization management guidelines, and clinical documentation standards
• Proficiency in Microsoft Office and experience working with healthcare systems or electronic medical records
• Strong organizational and time management skills with the ability to work independently
• Excellent written and verbal communication skills

At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.

Benefits:

• Medical, Dental, and Vision coverage.
• Life Insurance.
• Short-Term and Long-Term Disability options.
• Flexible Spending Account (FSA).
• Employee Assistance Program.
• 401(k) with employer contribution.
• Paid Time Off (PTO).
• Tuition Reimbursement.

BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements

Diversity Statement

At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at . This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Location:

ORGANIZATION: Green-Wood

POSITION: Chief Operating Officer

REPORTS TO: President

LOCATION: Brooklyn, NY; in-person

INFORMATION:

TO APPLY: Please send cover letter and resume as one PDF to with title

format "Last Name First Name – Letter Resume"

BACKGROUND

Green-Wood is one of the oldest continually operating institutions in New York City. It was founded in 1838 and predates Central Park, Prospect Park, the Brooklyn Museum, the Metropolitan Museum of Art, and all but two of the City's cultural institutions. As an early example of the Rural Cemetery Movement, Green-Wood became the area's most prestigious cemetery within two decades of its founding. Both historically and at present, Green-Wood has offered burials that accommodate many different rituals, customs, and religions. Green burials and other natural memorials are recent additions to its commemorative options.

Today, Green-Wood is a multi-use venue that reaches well beyond its traditional role as a burial ground. The grounds are open 365 days a year, and admission is always free. Over the past decade, Green-Wood has become well-known for its cultural programs, including walking and trolley tours, site-specific art installations, an artist-in-residence program, and classical music and jazz concerts in the Catacombs, to name just a few offerings. Innovative programs in death education have gained a significant constituency in recent years. Green-Wood's environmental initiatives, including climate resilience measures, a massive stormwater abatement program, and fellowships in urban ecology, have garnered national attention. Collectively, these programs have been instrumental in expanding the ways Green-Wood connects with its community and has experienced explosive growth in popularity over the past few years.

POSITION

The inaugural chief operating officer (COO), responsible for shaping Green-Wood's long-term operational, financial, and organizational growth, will serve as a strategic thought partner and advisor to the President and an essential member of the senior leadership team. Leading a team of over 70 staff, this role drives enterprise-wide planning, ensures strong financial stewardship, advances innovative revenue strategies, and builds the operational foundation needed to support Green-Wood's next chapter.

RESPONSIBILITIES

Entrepreneurial Leadership

● Partner with the President to guide Green-Wood's long-term vision and institutional direction.

● Lead the development and execution of major planning initiatives, including Strategic Plan, 20-Year Capital Plan, and Five-Year Operational Plan.

● Conduct rigorous analysis of economic, operational, and land-use impacts across cemetery, horticulture, and resilience functions, including green burials and beyond, innovations in green-space management, emissions and energy-reduction strategies, major capital project planning, and leveraging new exhibition and event venue.

Building Systems/Processes and Operational Oversight

● Work with the President and across departments to convert manual and siloed operations into an integrated system, including cemetery sales, administration, and inventory systems alignment, developing data stories to support fundraising, bookkeeping and budgeting, and land management.

● Lead complete IT overhaul, focused on upgrading and consolidating databases to provide one central portal for information, inquiry and transactions.

● Oversee Green-Wood's administrative domains, including IT, security, and facilities.

● Collaborate with cross-functional teams to establish performance indicators and metrics to measure the effectiveness of core Green-Wood initiatives. Prepare and present results through an internal tracking dashboard and high-level progress reports for the senior leadership team and Board.

● Maximize Green-Wood's buying power through facilities and inventory management and procurement.

● Lead the evaluation of internal systems, business processes, and use of technology resources to ensure continuous innovation, efficiency, and responsiveness to Green-Wood's growing and changing organizational needs.

Revenue Innovation and Business Development

● Lead revenue modeling for new ventures that will support Green-Wood's long-term financial sustainability, such as natural organic reduction (NOR) and the Green-House.

● Evaluate and model the optimal balance between mission-driven public programming and revenue-generating initiatives.

● Develop a detailed understanding of the profit and loss of every aspect of the Green-Wood enterprise, including the Cemetery and Cultural Services.

● Partner with the President to make strategic investments in revenue-generating opportunities that support the cemetery's mission.

Executive Management

● Lead and manage five direct reports across IT, Facilities, Security, Operations, and Finance and a total team of 70 staff.

● Assess roles and functions as needed to ensure alignment with Green-Wood's core mission and strategic priorities.

● Communicate priority goals to all staff, resulting in coordinated work products.

QUALIFICATIONS

Experience – Required

● Bachelor's degree in business administration, public administration, finance, or related field

● 15 years of senior leadership experience in public sector or large, complex nonprofit organizations in NYC, with at least 7 years at the C-suite level with responsibility for organizational/business planning, budgeting, strategy, and/or infrastructure/capacity building

● Proven track record of successfully scaling organizations, driving revenue modeling and generation, overseeing operations and land use portfolio/ventures and complex business transactions, overseeing multiple infrastructure and administrative domains, and/or leading large and diverse teams

● Ability to optimize the sustainable and compliant use of perpetual care funds through strategic planning, expense alignment, and rigorous financial oversight

● Highly disciplined business and financial planning skills with the ability to anticipate and forecast environmental circumstances that impact organizational goals and business plans

● Extensive knowledge of business process optimization, streamlining operations and forecasting; ability to balance multiple priorities, make difficult decisions in complex business matters and transactions, ensure accountability, and align resources to achieve results

● Demonstrated success in managing and overhauling IT departments, including the consolidation of legacy databases

● Advanced subject matter expertise and change management experience within the realms of finance, technology, and operations

Experience – Preferred

● Master's degree with focus on business and/or finance

Personal Attributes

● A passion and drive for leading organizational growth, strategy, and innovation with a hands-on approach and ability to focus at a detailed level when needed

● A quick study who can evaluate a problem effectively, jump in enthusiastically, and provide creative solutions

● A natural and engaging relationship builder who can communicate and execute collaboratively with the President, departmental teams, the Board, and external stakeholders

● Excellent written and verbal communications skills

● A person of high integrity and ethics with impeccable judgment and the ability to communicate decisions with a sense of purpose, clarity, and accountability and responsibility to colleagues and the public

● A willing and excited partner looking to usher Green-Wood into the next era of growth as a final resting place, cultural institution, climate resiliency hub, and public space

COMPENSATION

• Anticipated salary is $260K - $280K, commensurate with qualifications and experience

• Benefits package including medical and dental insurance, retirement contribution match, tax-free commuter benefit, and paid time off

Frequently cited statistics show that women and people from underrepresented groups apply to jobs only if they think they meet 100% of the criteria. If you meet many but not all the criteria and feel you may be a good fit for the role, Green-Wood encourages you to apply.

Green-Wood is an Equal Opportunity Employer and does not discriminate on the basis of age, color, national origin, ethnic origin, citizenship status, disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, marital status, veteran status, or any other

characteristic protected by federal, state, or local law in its employment policies. Green-Wood will provide reasonable accommodations for qualified individuals with disabilities.

Investment Tax Accountant - Special Projects & Strategic Initiatives
Investment Taxes, Corporate Tax Department

Full-Time

Boston MA, New York NY, or Springfield MA

This is an individual contributor role.

The Opportunity

As an Investment Tax Accountant in the Investment Tax group, you will work in a dynamic and collaborative environment, primarily supporting securities tax operations, including system and process efficiency and enhancements, and you will support projects and strategic initiatives for other investment types, such as partnerships, real estate, and derivatives. The ideal candidate will have a convergent skillset of technical tax, accounting, and system proficiency, experience navigating large data sets, excellent communication skills, and the ability to partner effectively with tax colleagues, finance organization teams, and across the broader investment ecosystem. This position, in collaboration with cross-functional teams, will be responsible for analyzing securities transactions and processes to ensure accurate tax outcomes are achieved and a reliable control environment is maintained.  Further, this position will participate in investment initiatives or project tracks to develop, enhance, and automate tax processes, and onboard significant transactions, new mandates, and tax legislation involving investments.

The Team

As an Investment Tax Accountant, you will be a member of the Investment Tax team within the Corporate Tax Department, part of MassMutual’s Controllers Organization. The Corporate Tax Department is comprised of high-performing, collaborative, and agile tax professionals who are motivated by challenging work that delivers sustained value and a culture of accountability. Team members are focused on continuous improvement and transforming the department through innovative solutions that align with the finance organization’s strategic goals and initiatives.

The Impact

The Investment Tax Accountant will help develop and execute Investment Tax goals and initiatives. Your responsibilities will include:  

• Monitor and track tax data quality and performance of securities tax results tracked in the Eagle processing system and compare to general ledger results.
• Participate in daily, cross-functional Eagle operational governance meetings and other discussions that analyze and track system issues and changes in securities across the investment data ecosystem.
• Participate in testing of Eagle software upgrades to ensure changes are applied accurately and existing software continues to operate as intended.
• Ensure accurate tax basis is maintained for investments tracked in Eagle and accurate rules are applied as intended to exception situations.
• Understand and analyze differences between the tax basis and Statutory or GAAP basis of accounting for various investment types.
• Assist in reviewing new investment transactions for securities, partnerships, LLCs, and derivatives to determine correct tax treatment and how to efficiently operationalize.
• Assist in executing various tax internal controls for investments.
• Reconcile deferred tax balances for securities investments, collaborating with the securities tax operations team.
• Assist in preparing wash sales analysis.
• Assist in maintaining tax planning strategies involving investments.
• Assist in analyzing exchange transactions to determine if taxable or non-taxable.
• Assist in analyzing tax cash flows on structured securities to achieve correct processing of tax amortization in Eagle.
• Stay current with tax law changes in general and impacting investments.
• Proactively identify and implement process improvements, increase automation, and enhance digital analytics using existing and emerging technology solutions.

The Minimum Qualifications

• Undergraduate degree in Accounting/Finance or related field
• 6+ years of tax experience, preferably in public accounting or financial service environments.

The Ideal Qualifications

• Master’ degree in Taxation and/or CPA a plus.
• 8+ years of tax experience, preferably in public accounting or large financial services environments.
• Experienced tax and accounting technical knowledge, including tax code and regulations and GAAP accounting under ASC 740. Experience with Statutory Accounting Principles a plus.
• Education and/or experience utilizing business intelligence applications, such as Alteryx, highly desirable.
• Comfortable working with investment systems platforms, a data-intensive environment, and data interfaces between ERP and tax systems.
• Understanding of tax treatments of various securities transaction types.
• Experience with tax transactions, accounting and reporting for investment types other than securities, including partnerships, LLCs, real estate debt and equity, derivatives.
• Proficient Excel skills and workpaper organizational ability, integrating systems and analytical results.
• Excellent written and verbal communication skills.
• General knowledge of corporate taxation to understand how investments fit into larger tax compliance, reporting and audit frameworks.
• Some experience with U.S. tax aspects of non-U.S. transactions, issues, and reporting (e.g. PFICs, CFCs, foreign partnerships, foreign disregarded entities, withholding taxes).
• Experience with large, multidisciplinary projects that impact tax (e.g., ERP implementations, tax co-sourcing engagements, finance transformations).
• Conversant in Financial and Accounting Systems, such as SAP.
• Ability to identify issues and recommend effective solutions.
• Extremely organized, detail-oriented, and demonstrated ability to effectively prioritize and multi-task in a continually evolving environment.
• Ability to utilize project management tools and best practices to organize and prioritize tasks.
• Proven ability to collaborate cross-functionally and influence outcomes.
• Exhibits intellectual curiosity to seek and broaden knowledge and understanding beyond the core responsibilities of the position.

What to Expect as Part of MassMutual and the Team

• Regular meetings with the Corporate Tax Department 

• Focused one-on-one meetings with your manager 

• Networking opportunities including access to Asian, Hispanic/Latinx, African American, women, LGBTQIA+, veteran and disability-focused Business Resource Groups 

• Access to learning content on Degreed and other informational platforms 

• Your ethics and integrity will be valued by a company with a strong and stable ethical business with industry leading pay and benefits 

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