Medical Director, Vascular Surgery - Remote UnitedHealth Group IncMedical Director, Vascular Surgery - RemotePhiladelphia, PARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Clinic Assistant - PRN Rogers Memorial HospitalClinic Assistant - PRNPhiladelphia, PAThe Clinic Assistant performs receptionist and billing responsibilities related to clinic operations; coordinates patient information, maintains confidentiality of patient files, and coordinates billing functions with central offices. Contribute to refining systems for direct feedback to unit staff, communication book, interdisciplinary report, memos, and memo boards.
Patient Navigator Healogics IncPatient NavigatorSewell, NJ$19.69–$24.20 / hourLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
NewCoordinator Risk Adjustment 22nd Century Technologies, Inc.Coordinator Risk AdjustmentPhiladelphia, PARemoteServe as Subject Matter Expert for Providers, Provider Network Management and other customers regarding risk adjustment programs and related applications (e.g., NaviNet, vendor chart retrieval application, etc.) by researching issues with internal process or vendor applications, interfacing with vendors as needed, and documenting/ delivering resolution. Duties: Under the general direction of the Manager, Risk Adjustment Coding Quality, the Coordinator Risk Adjustment is responsible for supporting enterprise risk adjustment programs by completing the following duties: " Coordinate chart retrieval projects by: o ensuring that records are routed to appropriate resources.
Data Entry Associate (Remote) Workoo TechnologiesData Entry Associate (Remote)Philadelphia, PennsylvaniaRemoteOversee the day-to-day operations of one or more designated teams or areas according to established policies & procedures including daily staff assignments & work schedules. Under general supervision and in accordance to established policies and procedures, the Data Entry Associate reviews and codes medical documents and/or charge tickets as assigned.
Senior Analyst, Payment Integrity Disputes Oscar HealthSenior Analyst, Payment Integrity DisputesPhiladelphia, PARemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
SIU Investigator Centene Corporation GroupSIU InvestigatorPA$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Special Investigation Unit Investigator Centene Corporation GroupSpecial Investigation Unit InvestigatorPA$56,200–$101,000 / yearEducation/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience (or) An Associates or Bachelor's degree in criminal justice or a related field; (or) employment as an investigator in the MMCO's SIU on or before the effective date of this SubPart required. Minimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven years of professional investigation experience involving economic or insurance related matters.
Value & Implementation (V&I) Medical Data Analytics Center Data Enablement Associate Director Merck & Co IncValue & Implementation (V&I) Medical Data Analytics Center Data Enablement Associate DirectorNorth Wales, PA$156,900–$247,000 / yearRequired Skills: Active Listening, Actuarial Science, Big Data, Business Acumen, Business Intelligence (BI), Database Design, Data Engineering, Data Modeling, Data Science, Data Visualization, Detail-Oriented, Health Data Analytics, Medical Insurance Coding, Object-Oriented Design (OOD), Object Oriented Modeling, Object-Oriented Programming (OOP), Software Development, Stakeholder Relationship Management, Trend Knowledge, Version Control. Bachelor's degree (computer science, physics, mathematics, actuarial science, or equivalent) with 10 years of relevant job experience; Master's degree (computer science, physics, mathematics, actuarial science, or equivalent) with 8 years of relevant job experience; PhD (computer science, physics, mathematics, actuarial science, or equivalent) with 5 years of relevant job experience.
Orthotist EnovisOrthotistCamden, New JerseyIncludes American Board forCertification (ABC) Certified Orthotist (CO), Certified Prosthetist Orthotist (CPO), Board of Certification (BOC) Certified Orthotist (BOCO), National Board Certification for Occupational Therapy (NBCOT) Registered Occupational Therapist (OTR), or Federation of State Boards of Physical Therapy (FSBPT) Licensed Physical Therapist. This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovation possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.
Orthotist Enovis CorpOrthotistCamden, NJIncludes American Board for Certification (ABC) Certified Orthotist (CO), Certified Prosthetist Orthotist (CPO), Board of Certification (BOC) Certified Orthotist (BOCO), National Board Certification for Occupational Therapy (NBCOT) Registered Occupational Therapist (OTR), or Federation of State Boards of Physical Therapy (FSBPT) Licensed Physical Therapist. This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovation possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.
Insurance Specialist Cooper University HospitalInsurance SpecialistCAMDEN, New JerseyFull timeOur extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. Short Description: An Insurance Specialist will be conducting interviews with patients and families to ensure insurance coverage, which includes obtaining benefit information and pre-certification.
Financial Screening Navigator Cooper University HospitalFinancial Screening NavigatorCamden, New JerseyFull timeShort Description: Financially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients.
Vice President, Market Access & Strategy, Commercial Cabaletta Bio IncVice President, Market Access & Strategy, CommercialPhiladelphia, PAPipeline & Business Development Support Partner with New Product Planning (NPP) on future indications and business development opportunities. Market Research & Insights Oversee payer and hospital market research to inform pricing, access strategy, and evidence needs.
Associate Optometrist - LensCrafters - Plymouth Meeting, PA EssilorLuxottica SAAssociate Optometrist - LensCrafters - Plymouth Meeting, PAPlymouth Meeting, PAIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Part Time Physician Assistant (PA-C) in Dermatology Private Practice Philadelphia Center for DermatologyPart Time Physician Assistant (PA-C) in Dermatology Private PracticeJenkintown, PAPart timeWe are an established, physician‑owned dermatology clinic seeking a part‑time Physician Assistant who is clinically strong, personable, and eager to grow with our team. Order and interpret laboratory tests, imaging, and pathology reports ; communicate results promptly to patients.
Financial Screening Navigator Cooper University Health CareFinancial Screening NavigatorCamden, NJFinancially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients.
Insurance Specialist Cooper University Health CareInsurance SpecialistCAMDEN, NJOur extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. An Insurance Specialist will be conducting interviews with patients and families to ensure insurance coverage, which includes obtaining benefit information and pre-certification.
Revenue Cycle Specialist Wills Eye HospitalRevenue Cycle SpecialistPhiladelphia, PennsylvaniaThe Revenue Cycle Specialist is responsible for providing top-notch billing services while ensuring accuracy and efficiency in managing inpatient claims. Accurately bills inpatient medical claims within established timelines and initiates dialog with payors, patients and departments.
Remote Certified Professional Coder/ PIP Adjuster EDI StaffingRemote Certified Professional Coder/ PIP AdjusterHamilton, NJRemoteInterpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes. Qualifications and Experience: 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules.