NewCare Management Coordinator/RN - 100% Remote Alpha Business SolutionsCare Management Coordinator/RN - 100% RemotePhiladelphia, PARemote$42–$46 / hourIn addition, the Compliance Specialist monitors the medical review process to assure that staff are making appropriate medical necessity determinations, applying InterQual and medical policy correctly, and making accurate and well-documented referrals to Medical Directors, and documenting correctly for letter generation. • Performs ongoing sample case reviews to assure that staff are applying InterQual and medical and departmental policy guidelines correctly and referring appropriate cases to the Medical Director.
NewCCA Clinical Administrative Lead REMOTE OVERNIGHT Cooper University Health CareCCA Clinical Administrative Lead REMOTE OVERNIGHTCherry Hill, NJRemoteMay make appointments, including follow-up appointments for patients in a high customer service environment in an efficient and timely manner across the healthcare continuum including physician office visits, imaging, and lab post-visit and during patient outreach. Accurately and efficiently performs many administrative duties in various ambulatory settings, including but not limited to rooming functionality and documentation including but not limited to vitals, pain, reason for visit, review of medications, social, surgical, family, and medical history.
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 Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - 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.
Virtual Primary Care Nurse Practitioner - Remote Included HealthVirtual Primary Care Nurse Practitioner - RemotePhiladelphia, PARemoteStarting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. The ideal candidate is skilled at managing their own patient panel, fostering lasting relationships, and working closely with a multidisciplinary team to deliver compassionate, patient-centered care.
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.
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.
Senior Healthcare Analytics Developer (HEDIS & Stars) Contech SystemsSenior Healthcare Analytics Developer (HEDIS & Stars)Pennington, NJRemote$70–$85 / hourThis role is ideal for a hands-on Tableau developer with strong healthcare quality analytics experience who can independently translate complex HEDIS requirements into scalable dashboards, automated reporting solutions, and actionable business insights. We are seeking a highly technical Healthcare Analytics Developer to design, build, and maintain advanced analytics solutions supporting HEDIS and CMS Star Ratings performance initiatives.
Clin Documentation Spec III PRN - Remote Cooper University HospitalClin Documentation Spec III PRN - RemoteCamden, New JerseyRemotePer diemFacilitates 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. Requires excellent work ethic, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette.
Clin Documentation Spec III - Remote Cooper University HospitalClin Documentation Spec III - RemoteCamden, New JerseyRemoteFull timeFacilitates 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. Requires excellent work ethic, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette.
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.
Registered Dietitian - Part Time (75% remote) RD Nutrition ConsultantsRegistered Dietitian - Part Time (75% remote)Burlington, BurlingtonRemoteRD Nutrition Consultants LLC is a leading Registered Dietitian Nutritionist consulting firm that provides dietitians to healthcare facilities across the United States. This role offers flexibility and a balanced blend of in-person and remote work, allowing our patients to receive high-quality care while supporting a healthy work-life balance for our team.
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.