Mental Health Therapist (LPC, LCSW, LMFT) UnitedHealth Group IncMental Health Therapist (LPC, LCSW, LMFT)Wilmington, DEClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Director, Patient Accounts Receivable Holy Redeemer Health System IncDirector, Patient Accounts ReceivablePhiladelphia, PAIn addition, this position collaborates with other departmental managers to analyze and resolve operational issues that will improve organizational effectiveness, promotes teamwork among staff members, provides technical assistance, and assures the maintenance of an aggregated clinical information data base for financial, planning and external data reporting requirements. The Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting, and healing for all in need.
Field Reimbursement Manager - Kidney (NJ-MD-DE) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (NJ-MD-DE)PA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - Kidney (OH-PA) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (OH-PA)PA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - Kidney (Tri-State - NY, PA, NJ) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Tri-State - NY, PA, NJ)Philadelphia, PA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemotePhiladelphia, PARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Key Account Manager, Interventional Spine - Northeast Ferring Pharmaceuticals IncKey Account Manager, Interventional Spine - NortheastPhiladelphia, PA$95,000–$150,000 / yearEstablished relationships within key accounts and across sites of care, specifically pain or interventional spine focused outpatient procedural practices, hospital outpatient and other related outpatient settings. Built on a 70-year plus commitment to science and research, Ferring is relentless in its pursuit of science that drives powerful discoveries and therapies to help people build families, stay healthy, and stand up to the world's oldest enemy: disease.
Business Development Executive (MedInsight) Milliman IncBusiness Development Executive (MedInsight)Berwyn, PARemote$120,635–$199,065 / yearMedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.
Authorization Representative Thomas Jefferson UniversityAuthorization RepresentativePAJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
NewWorkers Comp Clinical State Manager IVYREHAB Network IncWorkers Comp Clinical State ManagerPhiladelphia, PARemoteDrive Workers' Comp KPI Metrics, including but not limited to Workers' Comp Visits, New Patients, LOS, SFQ, coding accuracy for PT/OT and Work conditioning payor mix, functional capacity evaluations, SSG planning, and other industrial specialty services. Responsible for implementation, monitoring and reporting on results of assigned special projects nurse case manager CEUs, social media blogs, workers' comp networking/conference activities, and integration/companywide trainings.
NewMedical Claim Analyst CVS Health CorpMedical Claim AnalystPA$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
NewService Center Clerical Support-FT Ward Transport & Logistics Corp.Service Center Clerical Support-FTChester, PA$20–$22 / hourJob Title: Service Center Clerical Support-FT Advertising Title: Req #: 12592 Company: Ward Trucking, LLC Job Code: SVCCTRCS Location: Chester Employment Status: Full Time City: Chester Area of Interest: Administrative Support State: VA Rate of Pay: $20 to $22 per hour. All linehaul driver envelopes are to include: trailer number, Pro number of one shipment on the trailer, road driver's name, tractor number, seal number, weight, driving (route) instructions and any hazardous placards that may be required (if applicable).
Senior SAP Technical Engineer First Quality Enterprises IncSenior SAP Technical EngineerPAThis role is purely technical and platform-focused - responsible for system engineering, integration enablement, performance optimization, archiving execution, connectivity, and S/4HANA migration readiness across a complex SAP ecosystem including EWM, TM, SCM, MDG, GRC, BW, SAP PI, and Solution Manager. Our personal care and household product portfolio includes baby diapers, wipes, feminine pads, paper towels, bath tissue, adult incontinence products, laundry detergents, fabric finishers, and dishwash solutions.
NewData Integrity Audit Representative Thomas Jefferson UniversityData Integrity Audit RepresentativePhiladelphia, PennsylvaniaJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
TVT/LAAO Data Abstractor:Part Time Carta HealthcareTVT/LAAO Data Abstractor:Part TimePhiladelphia, PARemote$28–$32.10 / hourCarta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other.
Optometrist - Paoli / King of Prussia Wills Eye HospitalOptometrist - Paoli / King of PrussiaPaoli, PennsylvaniaParticipates in regularly scheduled patient care activities, which includes: taking a pertinent medical history including relevant symptoms as appropriate: pertinent ocular health, family and medical history, medications, current glasses and any other data required to manage the patients’ vision and ocular health needs. Documents in a manner consistent with Medicare coding and documentation guidelines, and conforms to the requirements of PQRS and Meaningful Use and any other quality program in which Wills Eye Ophthalmology Clinic may participate in the future.
Occupational Therapist edu prime llcOccupational TherapistPhiladelphia, PAIn strict accordance with Pennsylvania state law, valid hard copies of the following background screenings (less than one year old at the time of hire) must be safely cataloged into our secure vault before direct student contact is permitted: Act 34 - Pennsylvania State Police Criminal History Record Check. Your objective is to address fine motor limitations, sensory processing barriers, and self-care needs to help high-acuity students (with Autism, Emotional Disturbance, and Multiple Disabilities) achieve functional school-based outcomes.
Clinical Documentation Educator, Remote CPC and/or CCS P Required Cooper University Health CareClinical Documentation Educator, Remote CPC and/or CCS P RequiredCamden, NJRemoteReporting to the Manager of the Clinical Documentation Team the Clinical Documentation Educator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.). Well-versed in using, referring to and researching CMS and other federal and local clinical documentation and compliance guidelines, CPT, ICD-9-CM and HCPCS codes, Evaluation and Management Documentation Guidelines and PATH guidelines.
Clin Documentation Spec III PRN Remote Cooper University Health CareClin Documentation Spec III PRN RemoteCamden, NJRemoteFacilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Ability to sit for long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
Clin Documentation Spec III Remote Cooper University Health CareClin Documentation Spec III RemoteCamden, NJRemoteFacilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Ability to sit for long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
Accounts Receivable Specialist United Wound HealingAccounts Receivable SpecialistYeadon, PARemote$24–$27 / hourClaims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.
Senior Clinical Trial Case Manager CSL Behring LLCSenior Clinical Trial Case ManagerKing of Prussia, PAResponsibilities: • Leads or plays a key role in cross-functional teams for the review of safety data or safety-related reports • Mentors and trains newer members of the functional area • Ensures functions to comply with national and international regulations, such as GxP guidelines and/or any other relevant international and national legislation(s), regulations(s), and guidance(s) as well as company policies and procedures in area of responsibility • Ensures direct reports to support and ensure QPPV's oversight on the company's Pharmacovigilance system, and identify, implement and monitor KPIs/KQIs across the company and manages cross functional CAPAs and other improvement activities on behalf of the QPPV. • Participate in ICSR reporting compliance analysis and respective CAPA • Together with Risk Management function develops and maintains Medical Concepts to support internal decision making and safety analyses for safety surveillance and provides expertise to pharmacovigilance and clinical development programs with regards to safety data/ SAE coding • Manages regular MedDRA upgrades and provides impact analysis to RM physicians and ME • Develop and provide advanced analytical outputs to global teams to support analyses and decision making based on safety data.
NewTrauma Registrar Main Line Health SystemTrauma RegistrarWynnewood, PA$24.42–$37.84 / hourEducation: Graduation from an accredited program or University in a health care related field or in Health Information Technology 2. Work experience with knowledge of ICD9 trauma coding, AIS scoring, and two to three years of medical record and / or coding experience / database entry may be substituted for educational preferences 3. Knowledge of Collector desirable. The Trauma Registrar is responsible for maintaining the trauma registry data base to include patient identification, abstraction, coding and entering data; retrieval and presentation of registry data for quality improvement, education and research.
Nurse Practitioner, NP Heartland HospiceNurse Practitioner, NPChadds Ford, PennsylvaniaComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Lead .Net Platform Engineer (Payments Ingestion) - Senior Vice President Citigroup IncLead .Net Platform Engineer (Payments Ingestion) - Senior Vice PresidentNew Castle, DE$156,160–$234,240 / yearDrive the adoption of AI-powered quality practices, including leveraging tools like GitHub Copilot for coding, utilizing LLMs (Gemini experience preferred) to improve payment processing quality, and implementing automated test script generation and vulnerability remediation. Microservices Architecture: Proven experience designing microservices ecosystems, including service decomposition, API design, inter-service communication, and cloud engineering.
Clinical Documentation Educator PRN - Remote Cooper University HospitalClinical Documentation Educator PRN - RemoteCamden, NJRemoteEducator, through diverse assignments, supports and participates in educational activities to improve of the quality, completeness and accuracy of clinical documentation for Cooper University Physicians (CUP.). Well-versed in using, referring to and researching CMS and other federal and local clinical documentation and compliance guidelines, CPT, ICD-9-CM and HCPCS codes, Evaluation and Management Documentation Guidelines and PATH guidelines.
AWS Lead Software Engineer-Java/Spring Boot JPMorgan Chase Bank, N.A.AWS Lead Software Engineer-Java/Spring BootNewark, DEFull timeAs an AWS Lead Software Engineer-Java/Spring Boot at JPMorgan Chase within Commercial & Investment Bank's Post Trade Technology Reporting team, you are an integral part of an agile team that works to enhance, build, and deliver trusted market-leading technology products in a secure, stable, and scalable way. Strong understanding of responsible AI use in engineering workflows, including data sensitivity considerations, secure handling of inputs/outputs, and adherence to resiliency and security expectations; experience coaching engineers on safe, compliant adoption within delivery practices.
NewSoftware Engineer III - Databricks JPMorgan Chase Bank, N.A.Software Engineer III - DatabricksWilmington, DEFull timeAs a Software Engineer III - Databricks at JPMorgan Chase within the Corporate Sector's Enterprise Technology team, you serve as a seasoned member of an agile team to design and deliver trusted market-leading technology products in a secure, stable, and scalable way. Hands-on experience using enterprise-authorized AI-assisted software development tools within the work environment (e.g., for coding, test creation, troubleshooting, or documentation) with demonstrated ability to critically evaluate, validate, and refine AI-generated outputs for correctness, performance, and security.
Resident Assessment Coordinator Sunrise Senior Living LLCResident Assessment CoordinatorHaverford, PAWhat You'll Do: • Coordinate and complete MDS, CAA and Care Plans per federal and state regulations • Maintain MDS schedules and ensure timely, accurate submissions • Facilitate Triple Check and weekly Medicare meetings • Review clinical documentation for accuracy and reimbursement support • Ensure Care Plans are individualized and aligned with resident goals • Monitor Quality Indicators and analyze CASPER/iQIES reports • Participate in IDT and QAPI meetings to drive quality improvement • Provide MDS and documentation training to clinical team members • Support ICD-1 coding accuracy and skilled services documentation • Collaborate with Business Office to ensure timely billing Resident Assessment Coordinator (RN/LPN) - Lead MDS Accuracy and Drive Quality Care Outcomes MDS Coordinator | Resident Assessment Coordinator | RN | LPN | Skilled Nursing | Care Planning | RAI. The Resident Assessment Coordinator (RAC) leads the Resident Assessment Instrument (RAI) process for Skilled Nursing, ensuring accurate MDS completion, individualized care planning and regulatory compliance.
NewAirborne Software Engineer INFINITY SYSTEMS ENGINEERING, LLCAirborne Software EngineerKing of Prussia, PAJob Summary: The Airborne Software Engineer is responsible for designing, developing, integrating, and testing software for airborne mission systems supporting DoD programs. Project Management & Collaboration: Collaborate with systems, hardware, test, cybersecurity, and program management teams to refine requirements and design solutions.
Clinical Documentation Specialist (40 Hrs/Temple Physicians Inc.) Temple University Health SystemClinical Documentation Specialist (40 Hrs/Temple Physicians Inc.)Philadelphia, PAResponsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. The specialist provides valuable feedback to management for provider education and correction purposes, ensuring that patient records are complete and compliant with payer guidelines in a timely matter.
NewWound Care Nurse - RN - PRN Project RestorixWound Care Nurse - RN - PRNLansdale, PAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Program Director - Regional Compliance Officer University Health Services IncProgram Director - Regional Compliance OfficerKING OF PRUSSIA, PAStrong understanding of healthcare regulatory compliance generally and including but not limited to fraud waste and abuse laws, general knowledge of billing and coding requirements and physician compensation issues, conflicts of interest and general healthcare compliance matters Self-motivated, organized and able to function successfully in fast-paced, high volume work environment in publicly traded, Fortune 300 healthcare company. Collect data supporting these activities, reports findings to key leaders, follows up on corrective action to ensure improvements are made Create, deploy, and coordinate compliance education and training activities across assigned region including revisions concerning government announcements, changes in healthcare regulation, and changes to compliance processes in assigned region Perform other duties as assigned/required.
Manager, Practice Operations, Quakertown/Harleysville Pediatrics St. Luke's University Health NetworkManager, Practice Operations, Quakertown/Harleysville PediatricsHarleysville, PAMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc. Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).
NewSenior Software Engineer (Python) - Senior Associate PricewaterhouseCoopers LLPSenior Software Engineer (Python) - Senior AssociatePhiladelphia, PA$77,000–$202,000 / yearWithin our Cloud Engineering, Data & Analytics practice, you will leverage your technical skills and creative thinking to design, code, and test applications that redefine industries and deliver exceptional user experiences. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Senior Product Manager - Billing Motorola Solutions IncSenior Product Manager - BillingPennsylvania, PAUnify the Billing Experience: Drive a consistent billing and licensing experience across Alta Access and Alta Video, eliminating friction for customers managing multi-product subscriptions and for internal teams reconciling revenue. Collaborate Cross-Functionally: Work with Finance, Sales Operations, ERP teams, and other product teams within Motorola Solutions to ensure billing changes are coordinated, launches are clean, and feedback from the field shapes the roadmap.
Accounts Receivable Lead SarnovaAccounts Receivable LeadPhiladelphia, PAThe A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
Lead Software Engineer - Databricks JPMorgan Chase & CoLead Software Engineer - DatabricksWilmington, DEStrong responsible-AI and security-first engineering mindset, including data sensitivity awareness, secure handling of inputs/outputs, roles/instance profiles, secrets management, encryption at rest/in transit, network controls, and adherence to resiliency and security expectations; experience coaching teams on safe, compliant adoption within delivery practices. As a Lead Software Engineer-Databricks at JPMorgan Chase within our Corporate Sector's Enterprise Technology team, you are an integral part of an agile team that works to enhance, build, and deliver trusted market-leading technology products in a secure, stable, and scalable way.
Software Engineer III-Databricks JPMorgan Chase & CoSoftware Engineer III-DatabricksWilmington, DEAs a Software Engineer III - Databricks at JPMorgan Chase within the Corporate Sector''s Enterprise Technology team, you serve as a seasoned member of an agile team to design and deliver trusted market-leading technology products in a secure, stable, and scalable way. Hands-on experience using enterprise-authorized AI-assisted software development tools within the work environment (e.g., for coding, test creation, troubleshooting, or documentation) with demonstrated ability to critically evaluate, validate, and refine AI-generated outputs for correctness, performance, and security.
NewSoftware Engineer III - Databricks JPMorgan Chase & CoSoftware Engineer III - DatabricksWilmington, DEAs a Software Engineer III - Databricks at JPMorgan Chase within the Corporate Sector''s Enterprise Technology team, you serve as a seasoned member of an agile team to design and deliver trusted market-leading technology products in a secure, stable, and scalable way. Hands-on experience using enterprise-authorized AI-assisted software development tools within the work environment (e.g., for coding, test creation, troubleshooting, or documentation) with demonstrated ability to critically evaluate, validate, and refine AI-generated outputs for correctness, performance, and security.
Medical Director - ENT CVS Health CorpMedical Director - ENTPA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Director -Spine CVS Health CorpMedical Director -SpinePARemote$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications.
Senior Clinical Scientist CSL Behring LLCSenior Clinical ScientistKing of Prussia, PAWe use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives. Support the medical monitoring and oversight of individual clinical studies with an emphasis on subject safety and eligibility, data integrity, trend identification, analysis and remediation, including ongoing review of blinded data, use of data visualization tools and programmed reports.
Revenue Cycle Analyst - Data and Analytics University Health Services IncRevenue Cycle Analyst - Data and AnalyticsTREDYFFRIN, PAAs a Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Revenue Cycle Analysts performing Analytics are responsible for reviewing and manipulating raw data and leveraging data analytics to identify and communicate trends and issues, combining revenue cycle expertise with advanced analytics capabilities to transform raw data into actionable insights, supporting strategic decision-making, and monitoring key performance indicators (KPIs).
NewSr. Full Stack Engineer HHAeXchangeSr. Full Stack EngineerPhiladelphia, PennsylvaniaOur employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, caregivers, home care provider agencies, and payers. You’ll work across the full stack — from intuitive frontends to scalable backend services — diving into technologies like Go, Angular, PostgreSQL, Redis, SQS, Kubernetes, and GenAI tooling.
Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerPA$83,430–$222,480 / yearCVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Senior Software Development Engineer with deep expertise in Java/JEE, Spring Boot, RESTful microservices, and Kafka to lead the design and development of scalable, secure cloud-native solutions.
Medicaid Risk Adjustment Market Manager CVS Health CorpMedicaid Risk Adjustment Market ManagerPA$54,300–$145,860 / yearPartner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
Frontend Developer Tata Consultancy Services LtdFrontend DeveloperMalvern, PA$110,000–$120,000 / yearDevelop, enhance, and maintain modern, scalable, and high-performance web applications using React, JavaScript/TypeScript, and related frontend technologies while ensuring code quality, automation, and seamless CI/CD delivery. Risk & Issue Management - Identify potential risks early, address blockers proactively, and implement mitigation strategies to ensure smooth project execution.
NewWound Care Nurse-Rn - Floater - PRN Project RestorixWound Care Nurse-Rn - Floater - PRNPhiladelphia, PAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associates degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Cherry Hill, New Jersey$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.