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.
Salesforce Technical Architect LTM LtdSalesforce Technical ArchitectEdison, NJ$140,000–$200,000 / yearWe are seeking an experienced Salesforce Agentforce Technical Architect to design architect and lead the implementation of enterprisescale AIpowered solutions leveraging Salesforce Agentforce Einstein AI Data Cloud Service Cloud Sales Cloud and Experience Cloud The ideal candidate will define scalable technical architectures guide development teams establish AI governance frameworks and ensure successful delivery of agentic AI solutions aligned with business objectives and Salesforce best practices. Together with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it.
Sr Ophthalmic Technician Long Island Vision ManagementSr Ophthalmic TechnicianElkins Park, PAPart timePerform 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.
Senior Forward Deployed Engineer, Servicenow DeloitteSenior Forward Deployed Engineer, ServicenowPhiladelphia, PA$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
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.
NewPhysician 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.
Physician Office Manager III - Cap Inst Neuro Lawrence - FT - Day Capital HealthPhysician Office Manager III - Cap Inst Neuro Lawrence - FT - DayLawrence, NJ$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.
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.
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.
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, PennsylvaniaBSN or Masters• Holds a current CPR card• Computer savvy• Valid state driver’s license and car insurance. 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, 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.
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.
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.
Appeals Specialist GeneDX LLCAppeals SpecialistCranbury, NJRemote$31.25–$33.65 / hourGeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest, rare disease data sets. The Appeals Specialist is responsible for reviewing denied claims, identifying root causes, and submitting well-documented appeals to maximize reimbursement for specialized laboratory services.
MDS Coordinator Sunrise Senior Living ServicesMDS CoordinatorEdison, New Jersey$41–$56.65 / hourWhat 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.
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.