• Quality Senior Analyst

    CVS Health (PA)
    …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the Centers of Medicare and Medicaid… more
    CVS Health (09/30/25)
    - Related Jobs
  • Senior HRIS Analyst

    Globus Medical, Inc. (Audubon, PA)
    …of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and ... as possible. Position Summary: We're seeking a detail-oriented and proactive Senior HRIS Analyst to join our dynamic Human Resources team. This role is responsible… more
    Globus Medical, Inc. (09/13/25)
    - Related Jobs
  • Special Investigation Unit Lead Review…

    CVS Health (Harrisburg, PA)
    …committed by insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in case ... tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates...Ability to utilize company systems to obtain relevant electronic documentation . * Ability to travel and participate in legal… more
    CVS Health (09/20/25)
    - Related Jobs
  • Clinical Care Manager

    Penn Medicine (Bala Cynwyd, PA)
    …QA and maintenance efforts for patient registries and quality reporting. Works with the Clinical Analyst to summarize and analyze data from registries + Promotes ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (09/12/25)
    - Related Jobs
  • Insurance Specialist II - Corporate Patient AR…

    Guthrie (Sayre, PA)
    …I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of ... 4. Works with team and department management to develop and train internal rejection protocols. Keeps current with coding knowledge, reimbursement policies, payer… more
    Guthrie (09/11/25)
    - Related Jobs
  • Perioperative Inventory Spec 1 - Supply…

    Guthrie (Sayre, PA)
    Job Summary: As a Perioperative Inventory Analyst - Level 1, you will be responsible for assisting in the management and optimization of inventory processes within ... coordinating with various stakeholders to ensure adequate supply levels, accurate documentation , and efficient utilization of resources. The Perioperative Inventory … more
    Guthrie (08/02/25)
    - Related Jobs
  • Lead Decision Scientist, Analytics

    CVS Health (Blue Bell, PA)
    …provides analytical and advisory services that meet the market and clinical challenges faced by pharmaceutical, biotech, and device companies. Our services ... outcomes and the realities of therapeutic use in genuine clinical settings. You have the flexibility to work both...investigate root cause, and assist Senior Decision Scientist, Senior Analyst , or Analyst in completing investigations as… more
    CVS Health (08/27/25)
    - Related Jobs
  • Senior Product Marketing Specialist - Healthcare…

    Wolters Kluwer (Philadelphia, PA)
    …landscape, customer needs, and develop go-to-market plans that differentiate Clinical Effectiveness (CE) products from the competition while reinforcing customer ... + **Content Creation:** create and manage a variety of content (eg, sales documentation , product videos, website copy, blog posts) to articulate the benefits of our… more
    Wolters Kluwer (09/13/25)
    - Related Jobs
  • Behavioral Health Counselor | Beaver SAFE Program

    UPMC (Pittsburgh, PA)
    This Behavioral Health Counselor is a full-time clinical position responsible for providing individual, family, and parent management treatment in an outpatient ... and their families in Beaver County, Pennsylvania. The clinician will conduct clinical intake and discharge assessments and will provide treatment to youth aged… more
    UPMC (08/02/25)
    - Related Jobs