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.
Director, Staffing Transformation & Operations - Remote Included HealthDirector, Staffing Transformation & Operations - RemotePhiladelphia, PARemote$186,360–$229,779 / yearReporting to the Head of Member Care Strategy & Operations, you will partner closely with Member Care Advocacy (our member-facing teams), Staffing Forecasting, Quality, Training, Project Management, Finance, Product, Engineering, IT and vendor partners to turn strategic priorities into an operating model that works in production. You will directly oversee workforce management and scheduling functions (skilling, staffing, scheduling, and real‑time management) and vendor/BPO operations, ensuring we consistently meet or exceed service level, quality, and margin goals while delivering a top-notch member and employee experience.
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.
Director, Clinical Documentation Integrity - Remote UnitedHealth Group IncDirector, Clinical Documentation Integrity - RemoteExton, PARemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Provide consultation to providers and other clinical professionals, and leads implementation of changes that result in improvements in the patient care team"s ability to provide appropriate and timely treatment, communication regarding the patient"s condition, patient"s response to treatment, severity of illness, risk of mortality and treatment complexity.
Manager,Field Training Remote-100% Travel Compass Group North AmericaManager,Field Training Remote-100% TravelChesterbrook, PARemoteIntelas, a Compass Healthcare company, delivers smarter asset management by blending expert service teams with intelligent, data-driven strategies that help hospitals improve uptime, simplify oversight, and make more informed capital decisions. We support nearly 4,500 healthcare sites nationwide-from large, campus-based acute care hospitals to system-integrated outpatient clinics.
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.
Clin Documentation Spec III PRN Remote Cooper University Health CareClin Documentation Spec III PRN 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.
Remote Client Relationship Manager/Senior Accountant - (LLI977530) RES Consultant GroupRemote Client Relationship Manager/Senior Accountant - (LLI977530)Philadelphia, PARemote$70,000–$90,000This role is a dynamic mix of Accounting 40%, Advisory Services 30% includes both business and tax services, Tax Prep 25%, and Bookkeeping 5%, designed for someone who wants to help practice owners truly understand their numbers to make better financial decisions. Our client is a thriving CPA firm specializing in the dental industry, and they are looking for a Remote Client Relationship Manager / Senior Accountant to own a book of 30 to 40 clients.
Quality and Privileging Manager (REMOTE) Cooper University HospitalQuality and Privileging Manager (REMOTE)Camden, New JerseyRemoteFull timeFor new privileges, the Quality and Privileging Analyst will compile information relevant to the privileges requested which may include appropriate privilege criteria, position and opinion papers from specialty organizations, white papers from the Credentialing Resource Center and documentation from other health systems, as appropriate. Collaborate with providers and clinical departments to complete modifications in provider privileges regarding the addition of new privileges, department transfers and/or change in Medical Staff category/status.
Quality and Privileging Manager (REMOTE) Cooper University Health CareQuality and Privileging Manager (REMOTE)Camden, NJRemoteFor new privileges, the Quality and Privileging Analyst will compile information relevant to the privileges requested which may include appropriate privilege criteria, position and opinion papers from specialty organizations, white papers from the Credentialing Resource Center and documentation from other health systems, as appropriate. Collaborate with providers and clinical departments to complete modifications in provider privileges regarding the addition of new privileges, department transfers and/or change in Medical Staff category/status.
Remote Certified Medical Assistant- Bilingual Russian MedsienRemote Certified Medical Assistant- Bilingual RussianPhiladelphia, PARemoteCollaborative Approach: Work closely with healthcare providers, insurance companies, social workers, and other relevant parties to ensure seamless patient enrollment. Program Updates: Stay informed about changes, updates, and new offerings related to healthcare programs, and effectively communicate these changes to patients.
Remote Client Relationship Manager/Senior Accountant - (Lli977530) RES Consultant GroupRemote Client Relationship Manager/Senior Accountant - (Lli977530)Philadelphia, PARemoteThis role is a dynamic mix of Accounting 40%, Advisory Services 30% includes both business and tax services, Tax Prep 25%, and Bookkeeping 5%, designed for someone who wants to help practice owners truly understand their numbers to make better financial decisions. Our client is a thriving CPA firm specializing in the dental industry, and they are looking for a Remote Client Relationship Manager / Senior Accountant to own a book of 30 to 40 clients.
Advanced Practice Provider, Nurse Practitioner, Remote Telehealth ChenMed LLCAdvanced Practice Provider, Nurse Practitioner, Remote TelehealthPhiladelphia, PARemote$111,140–$158,771 / yearEDUCATION AND EXPERIENCE CRITERIA: Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required. Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in keyboarding and other systems required for the position.
Clinician Expert - Remote YO AI LabsClinician Expert - RemotePhiladelphia, PennsylvaniaRemoteYou will review clinical content, evaluate trial data, and provide expert medical insights to help improve AI systems. We are looking for experienced Oncology and Hematology Clinicians to support an innovative AI healthcare project.
Pharmacovigilance Expert - Remote YO AI LabsPharmacovigilance Expert - RemotePhiladelphia, PennsylvaniaRemoteIn this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining pharmacovigilance documentation, safety reports, and regulatory content. Experience in clinical development safety, post-marketing surveillance, QPPV/deputy QPPV roles, safety committees, or AI-assisted safety review tools is a plus.
Regulatory Affairs Expert - Remote YO AI LabsRegulatory Affairs Expert - RemotePhiladelphia, PennsylvaniaRemoteThe role involves assessing clinical documents, ensuring compliance with regulatory guidelines, identifying inconsistencies, and providing clear, evidence-based feedback to improve AI-generated regulatory content. We are seeking an experienced Regulatory Affairs Specialist to support AI-driven healthcare projects by reviewing and evaluating regulatory documentation.
Hematology Expert - Remote YO AI LabsHematology Expert - RemotePhiladelphia, PennsylvaniaRemoteExperience reviewing clinical trial documents, including protocols, investigator brochures, clinical study reports, safety narratives, and DSMB/IDMC materials. In this role, you will help improve next-generation AI systems by evaluating clinical content, reviewing trial data, and providing expert medical judgment.
Clinicia Expert - Remote YO AI LabsClinicia Expert - RemotePhiladelphia, PennsylvaniaRemoteExperience reviewing clinical trial documents, including protocols, investigator brochures, clinical study reports, safety narratives, and DSMB/IDMC materials. We are seeking experienced Clinicians specializing in Oncology and Hematology to contribute their medical expertise to an innovative healthcare AI project.
Oncology Expert - Remote YO AI LabsOncology Expert - RemotePhiladelphia, PennsylvaniaRemoteExperience reviewing clinical trial documents, including protocols, investigator brochures, clinical study reports, safety narratives, and DSMB/IDMC materials. In this role, you will help improve next-generation AI systems by evaluating clinical content, reviewing trial data, and providing expert medical judgment.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemotePhiladelphia, PennsylvaniaRemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.