Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOPA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
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.
Wound 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.
Wound Care Nurse - RN - PRN Project RestorixWound Care Nurse - RN - 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: 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.
Wound Care Nurse - Lpn-Lvn - PRN Project RestorixWound Care Nurse - Lpn-Lvn - PRNHamilton Township, NJWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystNJRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
Medical Assistant - Internal Medicine UnitedHealth Group IncMedical Assistant - Internal MedicineSpringfield, NJIreland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialMedical Assistant - Internal Medicine Springfield New Jersey Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. BlogsJob seeker resources Login Bookmarked jobs 0 Career areasLife hereJoin our talent communitySearch jobsClinical ›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.
Trauma Registrar Per Diem Cooper University Health CareTrauma Registrar Per DiemCamden, NJWithin one year of hire: Trauma Registry Course (TRC), Trauma-specific ICD-10 Coding Course, and AAAM AIS Coding Course. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Surgical Scheduling Specialist - PMPH Penn MedicineSurgical Scheduling Specialist - PMPHPlainsboro, NJ$18.11–$28.86 / hourSummary: Surgical Scheduling Specialist schedules all surgical procedures, associated pre-admission testing and assures that all of the appropriate clinical coding and insurance information is collected for the surgical procedure. Provides accurate and timely information so that all departments may view the schedule daily and maintains open communication with hospital departments and physician offices regarding schedule changes etc.
Trauma Registrar - Per Diem Cooper University HospitalTrauma Registrar - Per DiemCamden, New JerseyPer diemLicense/Certification Requirements: Within one year of hire: Trauma Registry Course (TRC), Trauma-specific ICD-10 Coding Course, and AAAM AIS Coding Course. Short Description: The Trauma Registrar is responsible for the accurate collection, abstraction, coding, and management of trauma patient data for the Trauma Registry.
Part-Time Physician Assistant Consensus HealthPart-Time Physician AssistantCollingswood, New JerseyThe duties include, but are not limited to: Contributes to physician's effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives. The employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer).
Physician Consensus HealthPhysicianNew JerseyProper and complete medical documentation (without copy/paste) for all patient care in order to assure accuracy (above 80% with goal of 95%) of E/M coding – and closing/sign off after review of all patient charts in accordance with company policies. Located in: Blairstown, New Jersey 07832 The Physician operates in a team with other clinic healthcare providers and support staff.
Physician Assistant Consensus HealthPhysician AssistantNew JerseyThe duties include, but are not limited to: Contributes to physician's effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives. The employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer).
Field Registered Nurse, Montgomery Bucks Counties UnitedHealth Group IncField Registered Nurse, Montgomery Bucks CountiesPA$60,200–$107,400 / yearAs a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
RN Field Clinician Nursing Homes - Ocean County NJ UnitedHealth Group IncRN Field Clinician Nursing Homes - Ocean County NJJackson, NJ$60,200–$107,400 / yearAs a team member of our Senior Community Care (SCC) team, we work to provide care to patients in nursing homes, senior housing and assisted living settings. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
RCM Business Development Manager - NJ - On Site Vensure Employer ServicesRCM Business Development Manager - NJ - On Site[Edison, NJ, 08837], NJ$75,000–$125,000 / yearYou will be responsible for identifying new market opportunities, securing high-value partnerships, and expanding our footprint in the Revenue Cycle Management sector. Market Intelligence: Stay ahead of industry shifts including regulatory changes, payer trends, and AI-driven billing technologies to keep our offerings competitive.
Intake Specialist Vital Care Infusion ServicesIntake SpecialistPhiladelphia, PennsylvaniaRequired Skills/Abilities: Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts. Obtain prior authorizations; initiate requests, follow up to provide the additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
Senior HealthCare Analyst, Risk Adjustment - Jefferson Health Plan Thomas Jefferson UniversitySenior HealthCare Analyst, Risk Adjustment - Jefferson Health PlanPhiladelphia, 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.
Marketing Director, Biomarkers Photocure ASAMarketing Director, BiomarkersPrinceton, NJThis role will initially focus on commercialization of centralized laboratory-developed testing (LDT) services while supporting the long-term strategic transition toward distributed FDA-regulated in vitro diagnostic (IVD) products. Partner effectively across Global Marketing, Sales, Medical Affairs, Clinical Affairs, Regulatory Affairs, Research & Development, Market Access, Laboratory Operations, Quality, Finance, and Executive Leadership.
Risk Adjustment Revenue Cycle Analysis and Solutions AnewHealthRisk Adjustment Revenue Cycle Analysis and SolutionsNJRemoteActing as a strategic partner, the Client Service Liaison collaborates closely with PACE program financial teams to interpret Medicare payment data, identify variances or risks, and support accurate and timely premium payments in the Medicare revenue cycle for PACE programs. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly.