• Senior Clinical Pharmacy Specialist

    UPMC (Pittsburgh, PA)
    …Senior Pharmacist to manage. This may include but is not limited to, training other staff , actively participating and contributing solutions in strategic ... Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a work-from-home position… more
    UPMC (11/22/25)
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  • Supervisor Home Modification Specialist

    AmeriHealth Caritas (Philadelphia, PA)
    …the department's interview team. + Plans, develops and supports or conducts orientations, training programs and creates educational material for staff members to ... providing daily oversight of LTSS Review Home Modification Team and staff members within the LTSS Review Utilization Management Department. Responsibilities include… more
    AmeriHealth Caritas (11/13/25)
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  • Supervisory Logistics Management Specialist

    Headquarters, Air Force Reserve Command (Pittsburgh, PA)
    …senior technical advisor as well as the supervisor of logistics readiness operations including but not limited to readiness; logistics planning; resource management; ... performance capabilities of the squadron. Manages and performs work for providing training , resources, and systems to ensure the efficient and effective operation of… more
    Headquarters, Air Force Reserve Command (11/22/25)
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  • Outpatient Audit Specialist FT- 2,500 Sign…

    Datavant (Harrisburg, PA)
    …vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information… more
    Datavant (11/22/25)
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  • Supply Service & Program Activation…

    Sodexo (Philadelphia, PA)
    …This transformation impacts every aspect of the business, including Sales, Marketing, Operations , Culinary, FM, IS&T, and Supply. As the **Supply Service & Program ... Activation Specialist ,** you will play a critical role in ensuring...a candidate's specific criteria, like experience, skills, education, and training . Sodexo offers a comprehensive benefits package that may… more
    Sodexo (11/21/25)
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  • Inpatient Audit Specialist PRN- 1,000 Sign…

    Datavant (Harrisburg, PA)
    …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information… more
    Datavant (11/12/25)
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  • Patient Access Specialist I

    UPMC (Wexford, PA)
    UPMC Community Medicine Incorporated is hiring a casual Patient Access Specialist to assist Tri-Rivers at their call center in Wexford. This position is ... distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.). + Treat all patients with respect and demonstrates… more
    UPMC (10/31/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... the Network Coding and CDMP Managers for education of the medical staff , clinical documentation professionals and the coding professionals on documentation issues… more
    St. Luke's University Health Network (10/28/25)
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  • MECT - Quality Specialist (Entry Level)

    Kiewit (Homer City, PA)
    …Transportation **Employment Type:** Full Time **Position Overview** As a Quality Specialist , you will be responsible for coordinating, documenting, and reporting ... Centers. At MEC we maintain our commitment to hire the best people, provide the training needed to keep up with the demands of today's work environment, and the… more
    Kiewit (10/14/25)
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  • Clinical Quality and Regulatory Specialist

    Highmark Health (Pittsburgh, PA)
    …including but not limited to: policy and procedure development and revision, individual staff audits, overall operations to ensure compliance to standards and ... changes, industry trends, and contract changes on an ongoing basis. Educates staff and management as needed, both formal and informal. Suggests new approaches… more
    Highmark Health (11/15/25)
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