• Utilization Review Specialist

    Devereux Advanced Behavioral Health (Malvern, PA)
    …answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has its Advantages! You ... need. Devereux's Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work at their acute psychiatric inpatient… more
    Devereux Advanced Behavioral Health (09/26/25)
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  • DRG Specialist II

    UPMC (Pittsburgh, PA)
    …daylight hours. The position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This...that all patient resource utilization , diagnostic complications and co-morbidities have been coded in… more
    UPMC (09/25/25)
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  • Appeals and Grievances Clinical Specialist

    Healthfirst (PA)
    …in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. + Demonstrated ... and Suspension of services. The end-to-end process requires the Specialist to independently: + Research issues + Quality of...understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual,… more
    Healthfirst (10/02/25)
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  • Medical History Specialist - Medication…

    Penn Medicine (Lancaster, PA)
    …day. Are you living your life's work? Job Title: Medication History Specialist Medication Administration Location: 555 N Duke Street Department: Medication History ... entering patient medication histories into the hospital's information system for utilization by health care professional during the hospital encounter. JOB… more
    Penn Medicine (08/09/25)
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  • Physician Specialist -NDC- Advanced

    Health Advocates Network (Harrisburg, PA)
    …certified at least twenty (20) hours per month. Demonstrate an understanding of utilization review processes. Basic computer skills to include, but not limited, ... Physician Specialist -NDC- Advanced **Pay Rate: ** $160 / hour...for the Department of Public Welfare. Resource will provide utilization and quality reviews of services for the Department.… more
    Health Advocates Network (09/10/25)
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  • Sr. Consultant, Nuclear Product Sales…

    Cardinal Health (Harrisburg, PA)
    Job Description **Senior Consultant, Product Sales Specialist - NPHS** **The territory covers Pennsylvania (Philadelphia, Pittsburgh and Allentown), Maryland ... Washington DC and Northeast Ohio (Cleveland)** The Product Sales Specialist is responsible for developing opportunities, selling, growing and maintaining… more
    Cardinal Health (09/25/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... during standard business hours Monday through Friday. In this role, you will review clinical documentation within the medical record to ensure that all patient… more
    UPMC (10/03/25)
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  • Clinical Quality Value Analysis Specialist

    Penn State Health (Hershey, PA)
    …information with dyad leaders. + Coach and mentor end users and requestors. + Review clinical trends as well as CQVA trends. + Maintain best practice for CQVA ... + Strategically expands the CQVA framework to support effective implementation, utilization , and continuous improvement. + Maintain and grow the CQVA process… more
    Penn State Health (08/27/25)
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  • Clinical Specialist - Philadelphia, PA-…

    J&J Family of Companies (Philadelphia, PA)
    …States **Job Description:** We are searching for the best talent for Clinical Specialist to be in Philadelphia, PA. **About Surgery** Fueled by innovation at the ... Learn more at https://www.jnj.com/medtech **Core Job Responsibilities:** + The Clinical Specialist reports to the Regional Sales Manager (RSM) and is responsible… more
    J&J Family of Companies (10/03/25)
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  • CASSP Coordinator (County Mental Health Program…

    Commonwealth of Pennsylvania (PA)
    CASSP Coordinator (County Mental Health Program Specialist 1) (LG) - Washington County MH/ID Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5086618) Apply  CASSP Coordinator (County Mental Health Program Specialist 1) (LG) - Washington County MH/ID Salary $41,201.41… more
    Commonwealth of Pennsylvania (10/01/25)
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