• Authorization Specialist

    UPMC (Wexford, PA)
    …time required of Services providers. + 5. Submits pertinent demographic and supporting clinical data to payor to request approval for services being rendered. ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The… more
    UPMC (08/29/25)
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  • Authorization Specialist , Digestive Health…

    UPMC (Pittsburgh, PA)
    …administrative time required of providers. + Submits pertinent demographic and supporting clinical data to payor to request approval for services being ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you will… more
    UPMC (08/26/25)
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  • Research Specialist A (Department…

    University of Pennsylvania (Philadelphia, PA)
    …and wellness programs and resources, and much more. Posted Job Title Research Specialist A (Department of Gastroenterology) Job Profile Title Research Specialist ... members of the Gastrointestinal Cancer Genetics Program, including both clinical and basic science research staff, as well as...in alignment with salary ranges based on external market data for the job's level. Internal organization and peer… more
    University of Pennsylvania (08/03/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Harrisburg, PA)
    …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal ... Datavant is a data platform company and the world's leader in...with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding… more
    Datavant (09/04/25)
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  • RN - Registered Nurse Program Integration…

    Geisinger (Scranton, PA)
    …the Pennsylvania Trauma Systems Foundation (PTSF) Board. The Trauma Program Integration Specialist (PI Coordinator) utilizes the data for tracking and trending ... the facility as well as the system. Job Duties The RN Program Integration Specialist Trauma serves in an expanded role to oversee trauma performance improvement … more
    Geisinger (07/05/25)
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  • Certified Risk Adjustment Coding/Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …(HCC's) Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans to Risk Adjustment Data Validation (RADV) Timelines. ... to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates concurrent, prospective and retrospective medical and… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Research Specialist

    UPMC (Pittsburgh, PA)
    …management, with many on the job opportunities to learn more about advanced data management and clinical processes. **This position is grant funded.** ... We are looking for a Research Specialist to work on a research project supported...those who are interested in pursuing academic and or clinical advancement. Applicants with a Bachelor's or Master's degree… more
    UPMC (08/16/25)
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  • Patient Access Specialist I - Pediatrics…

    UPMC (Pittsburgh, PA)
    UPMC is hiring a full-time Patient Access Specialist I to join their Pediatric Allergy Immunology Department at Children's Hospital! This is a very busy scheduling ... focused. Great team with lots of support in role! The Patient Access Specialist I is responsible for answering scheduling calls, scheduling clinic and procedural… more
    UPMC (08/29/25)
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  • Medical Supply Specialist -LPN-Home Health

    St. Luke's University Health Network (Bethlehem, PA)
    …in the provision of care for patients in their homes. This position reviews clinical data regarding wound care, obtains a list of required products/supplies from ... for all aspects of ordering medical supplies for patients. Includes reviewing clinical data in the patients' medical record for pertinent information in order to… more
    St. Luke's University Health Network (08/13/25)
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  • Quality Improvement Specialist

    Devereux Advanced Behavioral Health (Newfoundland, PA)
    …and creating change for those in need in your the community? Use your data driven decision making skills in this Quality Improvment role with Devereux!_** The QI ... Specialist is responsible for working closely with other members...- Support quality management including but not limited to data analysis and reporting - Demonstrate and maintain an… more
    Devereux Advanced Behavioral Health (08/29/25)
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