- Actalent (Philadelphia, PA)
- …Index. + Experience with coverage analysis, research rate setting, and protocol interpretation for budget development. + Experience in medical coding or billing. + ... 3 years of experience in clinical research (industry/pharmaceutical and/or federal grants), billing compliance, research contract management, research administration, or budget development. Work Environment This is a remote position with flexibility to work… more
- Humana (Harrisburg, PA)
- …by precedent and/or documented procedures/regulations/professional standards with some interpretation . Humana's Encounter Data Management (EDM) team is seeking ... an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. As the Encounter Data Management Professional, you will identify complex errors and problems within the encounter… more
- Evolent (Harrisburg, PA)
- …in research activities/questions related to the Utilization Management process, interpretation , guidelines and/or system support. . Participates in on-going training ... per inter-rater reliability process. **Qualifications:** . MD/DO/MBBS . Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred . Current, unrestricted clinical license… more
- Southland Industries (Berwick, PA)
- …material as needed. Estimates the impact of project changes. + Provides interpretation of plans and specifications. + Assembles complete submittal packages and other ... required project documentation information. + Procures equipment and materials and services; and participates in selection and hiring of subcontractors. + Analyzes and resolves more complex questions and problems as needed. **What you'll need to be… more
- Veterans Affairs, Veterans Health Administration (Butler, PA)
- …must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed ... at least equivalent to that gained in conventional US programs. f. Physical Requirements. See VA Directive and Handbook 5019. g. English Language Proficiency. MSAs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II,… more
- Kaleida Health (Bradford, PA)
- …for performing quality Nuclear Medicine images on patients for interpretation by a radiologist and/or physician. **Education And Credentials** **Responsibilities:** ... Completion of formal Radiologic Technologist or Nuclear Medicine School training from an accredited school of Radiology. Current New York State license to practice as a licensed Nuclear Medicine Technologist in the State of New York. Certified by ASRT or NMTCB… more
- Prime Therapeutics (Harrisburg, PA)
- …to collaborate and work well as a team. + Data review and interpretation skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM) ... + Oncology experience + Board or Specialty certification + Decision support tool experience (eg, order sets) Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all… more
- WellSpan Health (Gettysburg, PA)
- …a quality tracing. + Assures the tracing is properly processed for interpretation . **Common Expectations:** + Completes all job functions as per departmental ... policies and procedures. + Demonstrates responsibility for own standards of practice or areas of responsibility. + Completes or assists with tasks that are not specifically outlined in their job description but are within their scope of practice or position. +… more
- UPMC (Pittsburgh, PA)
- …RIS system, all exams are properly networked to ISITE for archiving and interpretation , and all charges are adequately entered for the exams performed. + Performs ... a variety of technical procedures that require independent judgement to adjust protocols and shows initiative to apply prescribed ionizing radiation appropriately for diagnostic radiography purposes. + Utilizes complex imaging equipment for the acquisition,… more
- UPMC (Pittsburgh, PA)
- …Completion of a medical terminology course (or equivalent) required + Knowledge and interpretation of medical terminology, ICD-9, and CPT codes required + Must be ... proficient in Microsoft Office applications + Excellent communication and interpersonal skills + Ability to analyze data and use independent judgment + Understanding of authorization processes, insurance guidelines, third party payors, and reimbursement… more