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.
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.).
Field Reimbursement Liaison - MidAtlantic Crinetics Pharmaceuticals IncField Reimbursement Liaison - MidAtlanticPhiladelphia, PA$162,000–$203,000 / yearThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside within the MidAtlantic region, including Pennsylvania, West Virginia, New Jersey, Washington DC, Maryland, or Delaware, to support timely and consistent engagement with healthcare providers, patient access stakeholders, and key accounts across this high priority territory.
Electrophysiology Coder (CPC) Cardiovascular LogisticsElectrophysiology Coder (CPC)Philadelphia, PAPart timeThe CPC reviews provider documentation and assigns ICD-10-CM, CPT, and HCPCS codes across EP studies and catheter ablations, cardiac implantable electronic device procedures, device programming and monitoring, cardioversion, and EP clinic evaluation and management services, ensuring that every service billed is supported by the clinical record and meets payer and regulatory requirements. Maintain current knowledge of CMS regulations, Medicare and commercial payer clinical policies, and annual CPT, HCPCS, and ICD-10-CM updates, with particular attention to the annual changes affecting electrophysiology and device coding, and communicate changes that affect CCP coding and billing workflows.
Field Reimbursement Liaison - MidAtlantic Crinetics PharmaceuticalsField Reimbursement Liaison - MidAtlanticNew JerseyThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside within the MidAtlantic region, including Pennsylvania, West Virginia, New Jersey, Washington DC, Maryland, or Delaware, to support timely and consistent engagement with healthcare providers, patient access stakeholders, and key accounts across this high priority territory.
Associate Director, Pharmacovigilance/ Product Safety InsmedorporatedAssociate Director, Pharmacovigilance/ Product SafetyNew JerseyRemoteAuthor, review and provide input and approval for drug-safety related regulatory reports and clinical study documents including clinical study protocols, Informed Consent Forms, Investigator Brochures, Integrated Summary of Safety (ISS), Integrated Summary of Efficacy (ISE), MedDRA coding of AEs, product package and labeling. Investigate and review emerging safety data from various sources including individual clinical trial AE/SAE case reports, spontaneous Adverse Drug Reaction (ADR) reports, published literature, aggregate reports, toxicology reports, non-clinical studies, and other source.
Associate Director, Pharmacovigilance/Product Safety InsmedorporatedAssociate Director, Pharmacovigilance/Product SafetyNew JerseyRemoteAuthor, review and provide input and approval for drug-safety related regulatory reports and clinical study documents including clinical study protocols, Informed Consent Forms, Investigator Brochures, Integrated Summary of Safety (ISS), Integrated Summary of Efficacy (ISE), MedDRA coding of AEs, product package and labeling. Investigate and review emerging safety data from various sources including individual clinical trial AE/SAE case reports, spontaneous Adverse Drug Reaction (ADR) reports, published literature, aggregate reports, toxicology reports, non-clinical studies, and other source.
Coder- Cardiology and Orthopedics University Health Services IncCoder- Cardiology and OrthopedicsKING OF PRUSSIA, PARemoteTimely communication with providers and market staff to ensure that medical record documentation is completed and signed to avoid coding delays, minimize lag days and meet team goals/objectives Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality, or revenue to mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution.
Cloud Infrastructure Senior Manager Protiviti IncCloud Infrastructure Senior ManagerPhiladelphia, PA$137,000–$219,000 / yearA diverse skill base in both Information Systems and Information Security which address organizational structure and administration practices, system development and maintenance procedures, system software and hardware controls, security and access controls, computer operations, environmental protection and detection, and backup and recovery procedures. Ability to perform network traffic forensic analysis, utilizing packet capturing software, to isolate malicious network behavior, inappropriate network use or identification of insecure network protocols.
Business Analyst AHA Blue Cross and Blue Shield AssociationBusiness Analyst AHAPhiladelphia, PAYou will work closely with other team members and cross functional teams such as configuration and Account Management to resolve discrepancies and improve claims processing experience for BlueCard members. Responsible for evaluating current business processes and developing, implementing, testing and maintaining Technology for more cost effective or quality improvement processing.
NewFlutter Developer SarnovaFlutter DeveloperPhiladelphia, PAThe ideal candidate will have hands-on experience building Flutter applications for iOS and Android, a strong understanding of software engineering principles, and experience working within Agile development teams. The Flutter Developer will collaborate with product managers, UI/UX designers, QA engineers, and backend developers to deliver scalable, secure, and user-friendly applications that support business objectives.
Senior Software Development Engineer Envestnet IncSenior Software Development EngineerBerwyn, PARemote$129,500–$157,400 / yearWe tackle complex engineering challenges every day from large‑scale data ingestion and analytics to deep system integrations, high‑performance trading algorithms, and a robust full‑stack web experience used by thousands of advisors. Responsible for building scalable, secure platforms in support of Envestnet business operations, including wealth management, financial data aggregation and advisor-driven technology solutions.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerPA$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS 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.
Software Engr II Honeywell International IncSoftware Engr IIhamilton township, NJ$130,603–$144,000 / yearQualifications/Skills and Competencies Experience: Experience must include four (4) years involving each of the following: MySQL or NoSQL DB design in Dynamo DB; Java, Spring boot, React, Rest API, jQuery, Junit, or Python; Microservices architecture and development; Development of Unit and Integration tests; Git or Jenkins; Troubleshooting customer reported issues; and. As a trusted partner, we provide actionable solutions and innovation through our Aerospace Technologies, Building Automation, Energy and Sustainability Solutions, and Industrial Automation business segments - powered by our Honeywell Forge software - that help make the world smarter, safer and more sustainable.
OneShield Technical Consultant - Fully Remote (FTE) NTT DATA Group CorpOneShield Technical Consultant - Fully Remote (FTE)PARemote$106,480–$159,720 / yearManage and coordinate end-to-end application releases across Development, QA, UAT, and Production environments, working closely with development, QA, infrastructure, DevOps, release management, and business teams to ensure successful deployments with minimal business impact. The Technical Lead will manage production incidents, lead defect resolution and application enhancements, perform code reviews, mentor development teams and coordinate with business stakeholders and offshore teams to deliver high-quality solutions.
Senior Software Architect Towne Park Ltd.Senior Software ArchitectPlymouth Meeting, PA$223,000–$250,000 / yearKnowledge & Skills: Expert-level proficiency with Microsoft Azure, NET/C#, Angular, React, SQL Server, NoSQL databases, REST APIs, event-driven architecture, authentication/authorization, and modern cloud application design. With its best-in-class parking and hospitality solutions and its fully integrated technology platform, we deliver seamless parking and mobility experiences in the places where people live, learn, work, play, rejuvenate, and recover.
Tech Lead/ Principal Software Engineer Towne Park Ltd.Tech Lead/ Principal Software EngineerPlymouth Meeting, PA$182,000–$200,000 / yearWorking closely with Architecture, Product Management, and Quality Engineering, the Tech Lead drives engineering excellence, supports business priorities, and promotes best practices in modern software development, cloud technologies, and AI-assisted engineering. Work Experience: 8+ years of experience developing enterprise software, including 2+ years leading engineering teams as a Technical Lead, Principal Engineer, or similar technical leadership role.
Engineering Manager- Technical Program Manager PwCEngineering Manager- Technical Program ManagerPhiladelphia, PA$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. Guide teams in the application of Acceptance Test Driven Development (ATDD), Continuous Integration/Continuous Delivery (CI/CD), and application development frameworks to enhance quality, speed, and functionality.
NewC#/.NET Engineer CAIC#/.NET EngineerNew JerseyQuality, Testing & Delivery: Ensure functional equivalence: build unit and regression tests (xUnit/NUnit, Moq) to validate refactored code against the legacy baseline; fix FET-surfaced defects. Design entity models, DbContext configuration, Fluent API mappings, relationships, keys, and indexes reflecting the IDS-II PostgreSQL schema (168 tables, 4,024+ fields).
Call Center/ Patient Service Representative Henry J Austin Health CenterCall Center/ Patient Service RepresentativeTrenton, NJ$38,000–$52,600 / yearThis position requires excellent communications and customer service skills, and is responsible for professionally responding to telephone inquiries to the Call Center from patients seeking health services provided by Henry J. Austin Health Center, and for front desk registration of patients for healthcare services. Front Desk Patient Representatives are responsible for maintaining accurate and efficient patient registration, including accurate collection of payments and accurate and complete insurance information collection, and comprehensive patient enrollment and registration into other programs, such as Medicaid and Uncompensated Care which provide for patient healthcare needs.