- R1 RCM (Jenkintown, PA)
- …help our client facilities navigate the path to compliant revenue by reviewing payor peer -to- peer cases. Every day you will review cases for which authorization ... has been denied evaluating if the proper documentation was available for the admission status, procedure, and care setting that was requested. You will also advise our clients regarding the appropriateness of the request based on available documentation, as… more
- WellSpan Health (York, PA)
- …software. + Assists Echo Team Leader in the planning and presentation of peer to peer continuing education in-services on current & future Echocardiology ... exam protocols, techniques and image data analysis in support of current and future advanced cardiac procedures. **Common Expectations:** + Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient… more
- Highmark Health (Harrisburg, PA)
- …& Quality Assurance:** Manage the full publication process for assigned policies. Conduct peer reviews of other policies as part of the quality assurance process to ... candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range… more
- Evolent (Harrisburg, PA)
- …+ Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering ... providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s… more
- Amazon (Berwick, PA)
- …job responsibilities * Data entry on a computer and resolving questions from peer organizations * Ensure that all billing associated with the Inventory supply chain ... job responsibilities * Data entry on a computer and resolving questions from peer organizations * Ensure that all billing associated with the Inventory supply chain… more
- University of Pennsylvania (Philadelphia, PA)
- …may include the study of police use of force, gun violence, and peer effects on criminal behavior. The position-holder will work in collaboration with departmental ... or data science). They should have an emerging publication record in peer -reviewed journals, commensurate with their career stage. Applicants should possess a strong… more
- UPMC (Lancaster, PA)
- …appropriate feedback to all members of the healthcare team and participates in the peer review process. Promotes change that enhances the quality of patient care of ... appropriate feedback to all members of the healthcare team and participates in the peer review process. Promotes change that enhances the quality of patient care of… more
- Evolent (Harrisburg, PA)
- …reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect… more
- Coinbase (Harrisburg, PA)
- …SLAs. *What we look for in you (ie. job requirements):* * Experience in peer to peer payments. * Experience in crypto, particularly blockchain networks. * ... At least 7 years of experience in software engineering. * At least 2 years of engineering management experience leading consumer products. * You possess a strong understanding of what constitutes high-quality code and effective software engineering processes,… more
- Lilly (Philadelphia, PA)
- …scientific field. + Experience with in vitro assay development + Peer -reviewed publications **Additional Skills/Preferences:** + PhD degree preferred + Experience in ... + Experience in drug discovery of PET molecular imaging agents + Peer reviewed publications + Willingness/desire to learn and incorporate additional technologies or… more
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