NewRevenue Integrity Recovery Coordinator- Remote Trinity HealthRevenue Integrity Recovery Coordinator- RemoteConshohocken, PARemoteMinimum Qualifications: Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience. Knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
AI/ML Engineer with Medicaid Experience - Remote The Dignify Solutions, LLCAI/ML Engineer with Medicaid Experience - RemoteSomerset, NJRemoteWorking knowledge of HIPAA (or equivalent regulated-data) practices: least privilege, secrets management, PHI/PII handling in AI pipelines. Strong experience building RAG systems (chunking, embeddings, retrieval evaluation, grounding, citation, safe refusal patterns).
Senior Azure Integration Engineer (Remote Opportunity) VetsEZSenior Azure Integration Engineer (Remote Opportunity)Philadelphia, PARemoteThe ideal candidate will work closely with Data Scientists, Solutions Analysts, Architects, Product Owners, and customer stakeholders to design scalable cloud-native solutions using Azure Data Factory, Azure Databricks, Azure Data Lake Storage Gen2, and modern DevSecOps practices. The Technical Lead will provide hands-on leadership for Azure-based cloud integration, enterprise data pipelines, and secure interoperability with Department of Defense (DoD) systems while collaborating with cross-functional teams throughout the software development lifecycle.
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift CareHarmonyRemote - Licensed Practical Nurse - LPN - LVN - Day ShiftPhiladelphia, PARemoteCareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote – LPN Nurse (LPN) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Regional GM - Philadelphia (Remote) UnframeRegional GM - Philadelphia (Remote)Philadelphia, PennsylvaniaRemoteWith over $100M in TCV secured within 12 months, and a new $50M Series B led by Highland Europe, Unframe is rapidly scaling globally alongside Fortune 500 customers, backed by Bessemer, Craft, and TLV. Lead complex, multi-stakeholder sales cycles into highly regulated industries (FinServ, Healthcare, Manufacturing, Retail) where our on-premises capabilities provide a competitive advantage.
Specialty Pharmacist (Remote Options) Pharmacy CareersSpecialty Pharmacist (Remote Options)Philadelphia, PennsylvaniaRemoteSpecialty Pharmacist – High-Impact Therapies | Remote & Hybrid Opportunities | Career Growth Specialty pharmacy is one of the fastest-growing areas in healthcare. Our pharmacists deliver safe, effective, and personalized care for patients on complex specialty therapies.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Philadelphia, PennsylvaniaRemoteRemote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.
NewCase Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Philadelphia, PennsylvaniaRemoteRemote Case Management Pharmacist – Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication reviews, care coordination, and adherence support — all from a remote setting. Our case-management pharmacists improve outcomes, reduce readmissions, and support patients across the continuum of care.
NewClinical Solutions Delivery Consultant- Remote (Pennsylvania or New Jersey) PhilipsClinical Solutions Delivery Consultant- Remote (Pennsylvania or New Jersey)Philadelphia, PARemote$90,000–$143,000 / yearYou must be able to provide verification for current/active certification through the American Registry of Radiologic Technologists (ARRT) and must have an advanced certification in at least one of the following (or required to obtain within 12 months from beginning of employment): Cardiovascular Interventional Radiology (CV), Cardiac Interventional Radiology (CI), Vascular Interventional Radiology (VI), or Registered Cardiovascular Invasive Specialist (RCIS). The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
NewClinical Solutions Delivery Consultant- Remote (Pennsylvania Or New Jersey) PhilipsClinical Solutions Delivery Consultant- Remote (Pennsylvania Or New Jersey)Philadelphia, PARemote$90,000–$143,000 / yearYou must be able to provide verification for current/active certification through the American Registry of Radiologic Technologists (ARRT) and must have an advanced certification in at least one of the following (or required to obtain within 12 months from beginning of employment): Cardiovascular Interventional Radiology (CV), Cardiac Interventional Radiology (CI), Vascular Interventional Radiology (VI), or Registered Cardiovascular Invasive Specialist (RCIS). The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Senior Manager, Clinical Nurse Educator – Sickle Cell Disease - Remote Agios PharmaceuticalsSenior Manager, Clinical Nurse Educator – Sickle Cell Disease - RemotePhiladelphia, PARemote$127,219–$190,828 / yearBuilding on the company’s leadership in the field of cellular metabolism, Agios is advancing a robust clinical pipeline of investigational medicines with active and planned programs in alpha- and beta-thalassemia, sickle cell disease, pediatric PK deficiency and MDS-associated anemia. Our teams cultivate strong bonds with patient communities, healthcare professionals, partners and colleagues, which helps us discover, develop and deliver therapies for genetically defined diseases – and make a bigger difference in their lives.
NewSenior Data Analyst - MN Or PA Markets - Remote UnitedHealth Group Inc.Senior Data Analyst - MN Or PA Markets - RemoteFort Washington, PARemote$91,700–$163,700 / yearThe Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subject matter expertise, data analytics, data delivery and stewardship, and production support for technical assets which deliver Medicare Advantage product and benefit data across the enterprise. This Senior Data Analyst role is s business-facing data analyst role responsible for developing and delivering complex reporting, analytics, and business insights that guide decisions for local and national Medicare Advantage supplemental benefit programs and vendor partnerships.
Physician Advisor II - Remote Med-Metrix, LLCPhysician Advisor II - RemotePhiladelphia, PARemoteThe Physician Advisor II works closely with the Client's medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to recommend methods to optimize use of hospital services for all patients while also ensuring the quality of care. This includes identifying opportunities to optimize length of hospital stay and efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.
Staff Pharmacist - Accredo - Remote (AZ, FL, IN, OH or PA) The Cigna GroupStaff Pharmacist - Accredo - Remote (AZ, FL, IN, OH or PA)PARemote$54–$91 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemotePhiladelphia, PennsylvaniaRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistPhiladelphia, PennsylvaniaRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.
NewPsychiatrist (Virtual - Remote) - PA - 1099 Contractor Lyra Health IncPsychiatrist (Virtual - Remote) - PA - 1099 ContractorPARemoteWith our advanced matching technology, supportive provider platform, and opportunities for training and clinical consultation, being part of our network is an incredible chance to do what you love (like patient care) with support for the things you don't love (like self promotion and scheduling). Lyra Clinical Associates partners with Lyra Health, a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships.
NewPrescribing Nurse Practitioner (PMHNP) or Physician Assistant (Virtual - Remote) - PA - 1099 Contractor Lyra Health IncPrescribing Nurse Practitioner (PMHNP) or Physician Assistant (Virtual - Remote) - PA - 1099 ContractorPennsylvania, PARemoteRequirements: Graduate from an accredited (CCNE) Psychiatric-Mental Health Nurse Practitioner (PMHNP) program; OR graduate from an accredited PA program (ARC-PA) with certification through PANCE with preference for Certificate of Added Qualifications in psychiatry, post-graduate fellowship in psychiatry, or other academic psychiatry certificate program completion, including a Doctor of Medical Science with Psychiatry concentration. With our advanced matching technology, supportive provider platform, and opportunities for training and clinical consultation, being part of our network is an incredible chance to do what you love (like patient care) with support for the things you don't love (like self promotion and scheduling).
Senior Payroll Manager - Remote The Cigna GroupSenior Payroll Manager - RemotePARemote$131,500–$219,100 / yearThis role blends strategic leadership with operational excellence, partnering across HR, Finance, Technology, and external vendors to ensure payroll processes scale with the business while maintaining strong controls and a positive employee experience. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Telehealth Nurse Practitioner or Physician Assistant Remote - Pennsylvania License Ophelia Health IncTelehealth Nurse Practitioner or Physician Assistant Remote - Pennsylvania LicensePARemote$110,000–$125,000 / yearSystematically track treatment response and monitor patients for changes in clinical symptoms and side effects, treatment adherence, the effectiveness of treatment or complications, and prescribe or queue the appropriate medications. In order to prevent pay disparities and reduce time spent in negotiations, we take a "first and best" offer approach: this means were not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someones negotiation skills.