Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemotePhiladelphia, PARemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemotePhiladelphia, PARemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemotePhiladelphia, PARemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteIndianaRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Case Manager Registered Nurse - Medicare (Remote) CVS Health CorpCase Manager Registered Nurse - Medicare (Remote)Work At Home, PARemote$60,522–$129,615 / yearCommunity Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs.
Data Architect, Healthcare Payer AmeriHealth CaritasData Architect, Healthcare PayerNewtown Square, PARemoteThe Data Architect is responsible for designing, building, and maintaining the data infrastructure and solutions that enable efficient and secure collection, storage, and analysis of healthcare data in different data platforms (Data Warehouse & Data Lake). + Collaborate with Business data analysts, data scientists, IT Professionals and business leaders to understand their data needs and ensure architecture supports organizational goals.
Remote Medical Assistant Phoenix Healthcare ServicesRemote Medical AssistantPennsylvaniaRemoteWe are seeking a detail-oriented and compassionate Remote Medical Assistant to support healthcare professionals by providing virtual administrative and clinical assistance. Key Responsibilities: Assist healthcare providers with scheduling appointments, patient follow-ups, and medical record updates.
ViiV Healthcare (GSK) Regional Sales Director, HIV Treatment LAI, NYC/NJ/PA GSK plcViiV Healthcare (GSK) Regional Sales Director, HIV Treatment LAI, NYC/NJ/PAPhiladelphia, PARemote$182,250–$303,750 / yearThe Regional Sales Director, HIV Treatment LAI, NYC/NJ/PA will lead a regional commercial sales team, in the treatment injectable space, focused on improving patient access and care across the Northeast region. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment.
Clinical Appeals Nurse - Full Time Remote - Jefferson Health Thomas Jefferson UniversityClinical Appeals Nurse - Full Time Remote - 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. 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.
Senior Federal Healthcare Data Engineer Metasys TechnologiesSenior Federal Healthcare Data EngineerBensalem, PARemote$75–$105 / hour3+ Years of Cloud Data Engineering: Hands-on experience developing and maintaining pipelines using tools the client values: Databricks, Snowflake, Azure Data Factory, AWS Glue, Spark/PySpark, Python, and SQL . This critical role supports a Defense Health Agency (DHA) initiative focused on improving the connection between healthcare data, operational medical readiness data, electronic health records (EHR), clinical decision support, and leadership visibility across the armed services.
Case Mgr Behavioral Health - Remote (PA/NJ/DE) Blue Cross and Blue Shield AssociationCase Mgr Behavioral Health - Remote (PA/NJ/DE)Philadelphia, PARemoteThis also includes coordination and collaboration with the member's health care team to better enhance advocacy and communication around the delivery of high quality, cost effective services including ongoing screening, assessment, treatment planning, treatment delivery and monitoring of a member's mental and physical health conditions. Case Managers have a strong understanding of the behavioral change process and use motivational interviewing techniques to help the member resolve any barriers to change thereby improving adherence to evidence-based, cost-effective treatment and services.
Medical Case Manager - Pediatric Shift Care (RN) Remote Highmark IncMedical Case Manager - Pediatric Shift Care (RN) RemotePARemoteLicensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). 3 years of experience in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance experience with RN licensure or a Master's degree OR; 5 years' experience with a Bachelor's in Social Work.
Care Manager RN - Medicaid (Remote) Highmark IncCare Manager RN - Medicaid (Remote)PARemoteThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
NewCentral PA based Clinical Specialist - Remote, USA CalyxoCentral PA based Clinical Specialist - Remote, USAHarrisburg, PARemote$100,000–$140,000 / yearThe Clinical Specialist works closely with the surgical team members to provide clinical product assistance to the surgeon by being familiar with the surgical procedure, instruments, supplies, and equipment. Industry experience: 3+ years of full-time employment by a medical device company as a clinical specialist (or comparable position) focused on case coverage and patient outcomes (not equipment/service provider).
NewNurse Practitioner (Remote, PA License Required) GalileoNurse Practitioner (Remote, PA License Required)Hershey, PARemoteOperating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Day to day work includes telephonic outreach ("cold calls") and scheduled video/phone visits for patients who have recently been hospitalized and discharged.
Remote Medical Biller Needed SYDIERA Healthcare StaffingRemote Medical Biller NeededPhiladelphia, PennsylvaniaRemoteQualified candidates without prior medical billing experience may be considered for additional training and development opportunities designed to help them build the skills needed for success in the field. This opportunity is open to both experienced medical billing professionals and individuals looking to enter the field and develop new skills.
Complex Case Manager RN - (Remote) Highmark IncComplex Case Manager RN - (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Care Manager RN - UM (Full-Time) Weekends (Remote) Highmark IncCare Manager RN - UM (Full-Time) Weekends (Remote)PARemoteThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Sr Product Owner, State & Payer Solutions (Product Owner III) - REMOTE Net Health Systems, Inc.Sr Product Owner, State & Payer Solutions (Product Owner III) - REMOTEPittsburgh, PARemote$103,200–$129,000 / yearThe Senior Product Owner, State & Payer Solutions is a senior individual contributor within the Value-Based Care Solutions (VBCS) organization who owns both product ownership and business analysis for software, analytics, and reporting solutions supporting State Medicaid Agencies, health plans, and provider organizations in value-based care programs. This role combines Agile Product Ownership with senior business analysis and deep healthcare payer domain expertise - spanning Medicaid policy, quality measurement (HEDIS, CMS Core Sets), and value-based payment models - serving as the business owner for assigned products from requirements through delivery.
Client Success Manager (Client Management II) - REMOTE Net Health Systems, Inc.Client Success Manager (Client Management II) - REMOTEPittsburgh, PARemote$66,400–$83,000 / year3+ years in client success, account management, or healthcare software PLUS 3+ years in healthcare revenue cycle management preferably using Optima Direct Bill. #WorkFromAnywhere #UnlimitedPTO #ComprehensiveBenefitsPackage #EmployeeResourceGroups #CasualDressCode #PrioritizedEmployeeWellness #DiversityAndInclusion #AVoice #NewHireSupport #CareerDevelopment #EducationalAssistance #EmployeeReferralBonus #ProgressiveParentalLeave.