Physician Office Manager III - FT - Day - CH Cardiology Specialist Newtown PA Capital HealthPhysician Office Manager III - FT - Day - CH Cardiology Specialist Newtown PAPA$69,950.40–$91,395.20 / yearKnowledge of insurance (ICD-9/10 coding, CMS regulations, state/federal regulations, CLIA, DOH, OSHA regulations) preferred; Solid knowledge of and experience in billing and health insurance guidelines and practices, including commercial, CMS and managed care payers. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Senior Clinical Database Designer I Everest Clinical ResearchSenior Clinical Database Designer INew JerseyRemoteDevelop new features and functionality within the database design functional areas to increase the efficiency of database design at the study level, and to improve and enhance the company’s database design capabilities. Everest Clinical Research (“Everest”) is a full-service, global, contract research organization (CRO) providing a broad range of expertise-based clinical research services to worldwide pharmaceutical, biotechnology, and medical device industries.
Clinical Pre-Service Nurse Coordinator - Days Trinity Health CorporationClinical Pre-Service Nurse Coordinator - DaysConshohocken, PAThe Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial denials, securing escalated insurance authorizations, handling escalated medical necessity reviews and coordinating with Patient Access, Mid-Revenue Cycle and Patient Business Service (PBS) to identify opportunities for revenue optimization. As a Clinical Pre-Service Nurse Coordinator you will: Works closely with Physician Providers to assure that the proposed intensity of service is in alignment with the severity of illness and accurately documented to support level of care determinations and required authorizations.
Sr Hospitalist Clinical Reviewer - Remote YO AI LabsSr Hospitalist Clinical Reviewer - RemotePhiladelphia, PennsylvaniaRemoteWe are seeking experienced Senior Hospitalist Clinical Reviewers to support a high-impact project focused on inpatient clinical quality, documentation accuracy, and medical review . In this role, you will apply your hospitalist expertise and clinical judgment to evaluate inpatient cases, identify complex or ambiguous clinical scenarios, and provide clear, well-reasoned feedback.
Clinical Data Manager SystImmune, Inc.Clinical Data ManagerPrinceton, NJ$100,000–$170,000 / yearIndependently develop DM documents including but not limited to Data Management Plans (DMP), Case Report Forms (CRFs), CRF Completion Guidelines, Edit Checks, UAT specifications, centralized monitoring plans, data flow and integrity plans, blinding plans, and data review plans. The Clinical Data Manager (CDM) plays a broad role in interfacing with clinical study teams, external partners, and vendors to design, configure, and test clinical database systems, conduct data review, and support company deliverables.
Hospitalist Physician - Remote YO AI LabsHospitalist Physician - RemotePhiladelphia, PennsylvaniaRemoteWe are seeking experienced Hospitalist Physicians to contribute their medical expertise to a project focused on inpatient care, clinical documentation, and medical record quality . In this role, you will review clinical records, evaluate documentation for accuracy and completeness, and apply your clinical expertise to support high-quality medical data and AI training.
Director, Clinical Sciences, Oncology ModernaTXDirector, Clinical Sciences, OncologyPrinceton, New JerseyWe are proud to have been recognized as a Science Magazine Top Biopharma Employer, a Fast Company Best Workplace for Innovators, and a Great Place to Work in the U.S. If you want to make a difference and join a team that is changing the future of medicine, we invite you to visit modernatx.com/careers to learn more about our current opportunities. This role is best suited for candidates holding a PhD, PharmD, Masters’ or advanced nursing degree with significant scientific and clinical oncology knowledge, pharmaceutical/biotechnology company experience and a comprehensive knowledge of drug development.
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 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.
Primary Care Physician – Virtual Primary Care Practice - Jefferson Health Thomas Jefferson UniversityPrimary Care Physician – Virtual Primary Care Practice - Jefferson HealthPhiladelphia, PennsylvaniaRemoteJefferson 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. 1101 Market, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value.
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.
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.
Sr Ophthalmic Technician SightMD CareerSr Ophthalmic TechnicianElkins Park, PennsylvaniaPerform comprehensive pre-examination testing, including visual acuity (with pinhole and glare), confrontational visual fields, extraocular muscle testing, pupillary evaluation, tonometry, angle assessment, and dilation. SightMD is a rapidly growing integrated ophthalmic provider group, extending the reach of exceptional eye care to patients across New York, New Jersey, Pennsylvania, Connecticut and Massachusetts.
Finance Systems Analyst Hogan LovellsFinance Systems AnalystPhiladelphia, PA$100,000–$125,000 / yearThis will involve attending project meetings and working with other departments in Finance and Technology as required in relation to the projects concerned, keeping the appropriate manager regularly informed of progress and developments. The team currently consists of the Finance Systems Manager with analysts based in London and Hong Kong, a Senior Finance Systems Manager with analysts based in the US, and a Finance Systems Manager - Product Owner based in London.
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.
Executive Medical Director, Neurology, Clinical Development Katalyst HealthCares & Life Sciences IncExecutive Medical Director, Neurology, Clinical DevelopmentBridgewater, NJThis individual will be the primary point person for medical monitoring and oversight of assigned clinical programs, including monitoring of clinical studies, review and interpretation of clinical trial data, authoring clinical study and regulatory communications and documents, and monitoring of competitor activities and data. Provide medical/clinical expertise to internal (Marketing, Sales, Manufacturing, Market Access, Patient Services, Regulatory Affairs, R&D, and Legal) and external (healthcare professionals, Data Safety Monitoring Boards, patients, advocacy groups, etc.) customers.
Director, Market Access Strategy, Access Optimization Lead (Oncology) GSK plcDirector, Market Access Strategy, Access Optimization Lead (Oncology)Philadelphia, PAThe Director partners across pricing and contracting, account teams, patient experience, trade and distribution, access marketing, access analytics, HEOR / value evidence, finance, policy, medical, and brand teams to align on the integrated strategic plan and ensure execution against the most critical access priorities. Partner with pricing and contracting, analytics, HEOR, patient experience, account teams, and trade/channel teams to evaluate choiceful tradeoffs across investments, GTN implications, customer strategies, and launch/lifecycle priorities.
Director of Nursing (DON) - Home Care Caresense Home HealthDirector of Nursing (DON) - Home CareMontgomeryville, PennsylvaniaExcellent verbal and written communication skills, to effectively communicate with nurses, physicians, case managers and patients. This is a great top management opportunity to gain experience, expand your skills, and utilize your creativity, while making a Real difference in a growing successful company.
Director of Nursing (DON) Caresense Home HealthDirector of Nursing (DON)Montgomeryville, PennsylvaniaThe Director of Nursing is responsible for the overall direction, management, and supervision of patient care clinical services. This is a great top management opportunity to gain experience, expand your skills, and utilize your creativity, while making a Real difference in a growing successful company.
Clinical Documentation Educator, Remote- CPC and/or CCS-P Required Cooper University HospitalClinical Documentation Educator, Remote- CPC and/or CCS-P RequiredCamden, New JerseyRemoteFull timeShort Description: Reporting 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.