- Highmark Health (Pittsburgh, PA)
- …verification systems utilizing accurate plan code and COB order. Obtains limited clinical data based on service required. Collects and updates all necessary ... services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting… more
- Highmark Health (Pittsburgh, PA)
- …and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary ... and have an understanding of their financial responsibilities. Assumes clinical and financial risk of the organization when collecting... data to assure timely, accurate bill submission. + Verifies… more
- Highmark Health (Pittsburgh, PA)
- …and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary ... what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting... data to assure timely, accurate bill submission. (30%) +… more
- Penn Medicine (Lancaster, PA)
- …and Development: + Contribute to research and development initiatives by participating in clinical trials, data collection, and analysis. Stay updated with the ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- University of Pennsylvania (Philadelphia, PA)
- …other research staff. Major duties include screen/enroll patients, conduct follow-up assessments, data collection and use of EDC systems , assessment of adverse ... for specific studies and determine patient eligibility by communicating with physicians, clinical staff, and by reviewing medical data . Recruit patients and… more
- Evolent (Harrisburg, PA)
- …internal teams to define, measure, and report key performance metrics related to clinical services. + Identify data discrepancies and reporting gaps, working ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...across disciplines, contribute to scalable solutions, and help shape data that drives care decisions. We value curiosity to… more
- Highmark Health (Harrisburg, PA)
- …modular utilization and care management solutions, patient-focused digital products, and clinical data exchange capabilities, as well as outsourced technology ... competitive pricing strategies for our diverse portfolio SaaS, Platform, Modular, Data and AI-based healthcare technology products and services, covering the Payor… more
- Publicis Groupe (Philadelphia, PA)
- …proven experience scaling a team or function preferred. + Deep familiarity with clinical trial data , treatment pathways, and competitive landscapes. + Deep ... goes beyond ensuring medical accuracy-it's about translating complexity into clarity, connecting data to insight, and making the science relevant so the work can… more
- UPMC (Pittsburgh, PA)
- …administrative time required of providers. 5. Submits pertinent demographic and supporting clinical data to payor to request approval for services being ... the highest level of care to patients and families through clinical expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior… more
- Trinity Health (Philadelphia, PA)
- …assessment/reassessment, plan, interventions and outcomes according to policy and interprets and utilizes clinical data in the plan of care: + Documents pain ... risk and plan of care. + Interprets & utilizes clinical data in the plan of care....Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of… more