- St. Luke's University Health Network (Sellersville, PA)
- …ability to pay for health care. The responsibilities of the Residential Advisor include partnering with residents in their daily activities according to their ... individual needs, and goals. The Residential Advisor provides on-site coverage and assists in performing routine...Program Manager for correction. Work with Program Manager and Clinical Coordinator in resolving all physical plant or furnishing… more
- The Cigna Group (Philadelphia, PA)
- …and exceed overall Health Improvement goals, including but not limited to: Clinical value metrics to achieve Total Medical Cost savings targets, implement ... business areas and projects. + Collaborates and aligns with Product, Clinical Operations, Service Operations, Pharmacy, Claims, Analytics, Network, IT and many… more
- Geisinger (Wilkes-Barre, PA)
- …best practice information while providing project / program management for clinical and operational leader achievement of transformational strategic and tactical ... and outcome metrics in improvement initiatives that; draw data electronically from clinical and administrative records; are presented in easy to understand graphic… more
- The Cigna Group (Philadelphia, PA)
- …levels of the organization. This individual will partner with network and Clinical Operations, Payment Policy Unit, and other matrix partners to understand how ... data, systems, and applications for claims payment, eligibility, benefit design, and clinical data. + Knowledge of provider contracting terms and methodologies a… more
- The Cigna Group (Philadelphia, PA)
- …and opportunities as needed to business partners including National Contracting, Clinical , Local Market, other Network Analytics, etc. **Qualifications** + 2+ years' ... of financial analysis and planning experience with demonstrated ability to perform financial analysis at macro and micro levels; experience in healthcare analytics is preferred + Proficiency with SQL for data query + Proficiency with Tableau for Data… more
- Penn State Health (Hershey, PA)
- …to hospital sites supporting virtual services is required** A successful Clinical Development and Implementation Specialist (CDIS) at Penn State Health Virtual ... in leading cross-functional initiatives, from launching virtual health products to training clinical teams and clients across the health system and partner sites.… more
- Penn Medicine (Philadelphia, PA)
- …in the implementation of the CyberSecurity strategy for Medical Devices + Represent Clinical Engineering and serve as an expert advisor to other departments ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- The Cigna Group (Philadelphia, PA)
- …and value-based care to inform product development. + Serve as a strategic advisor to Cigna Healthcare senior clinical and business leadership, translating ... **Job Summary** The Principal, Clinical Product & Innovation Strategy will serve as...serve as a strategic leader responsible for shaping the clinical roadmap across product and innovation teams at Cigna… more
- The Cigna Group (Philadelphia, PA)
- …and Operations at Cigna Healthcare. **Responsibilities** + Serve as a strategic advisor to Cigna Healthcare senior clinical and business leadership, translating ... **Job Summary** The Principal, Clinical & Provider Strategy is a strategic leadership...strategic leadership role responsible for driving the development of clinical and provider strategies across the Cigna Healthcare organization,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more