30 jobs found in Philadelphia, PA

CSL's organization is accelerating innovation to deliver greater impact for patients. With a project-led structure and a focus on collaboration, we’re building a future-ready team that thrives in dynamic biotech ecosystems. Joining CSL now means being part of an agile team committed to developing therapies that make a meaningful difference worldwide. Could you be our next Associate Director, Medical Affairs (Transplant and Immunology)? The job is in our King of Prussia, PA or Waltham, MA Office. This is a hybrid position and is onsite three days a week. You will report to the Senior Director, Medical Affairs, Transplant & Immunology. You will contribute to the development of medical strategy for assigned inline products in Transplant & Immunology and drive the execution of Medical Affairs plans across the post-launch product lifecycle.   Working in close collaboration with cross-functional partners and engaging effectively with external thought leaders, the role...

Christ Hospital in Jersey City is seeking a dedicated and skilled Emergency Medicine Physician to join their dynamic team. With a high-volume Emergency Department, advanced medical capabilities, and strong specialty backup, this is an exciting opportunity to work in a fast-paced, collaborative environment.Key Highlights:Annual Volume: 37,000Thrombectomy Capable HospitalSTEMI Center State-of-the-art facilities for heart attack careICU Coverage 24/7 In-house critical care supportAnesthesia Coverage 24/7 Comprehensive anesthesia services available at all timesNo OB/Pediatrics Obstetrics and Pediatrics are transferred to Hoboken hospitalFull Range of Medical and Surgical Specialties BackupMidlevel Support: Experienced Physician Assistants and Nurse Practitioners available for supportEMR: Meditech with Dragon for efficient chartingPatient Demographics:10-15% Pediatrics Acute care for pediatric patients, with transfers to Hoboken when necessary15% Behavioral Health Emergency psychiatric...

Ensemble Health Partners seeks a Patient Access Associate Specialist to support front-end revenue cycle operations for hospital and physician partners. In this role, you will perform accurate patient registration, verify insurance and benefits, obtain authorizations, and collect point-of-service payments to ensure timely reimbursement and a positive financial experience. You will use EHR and revenue cycle systems to maintain precise demographic and financial data, resolve coverage issues, and collaborate with clinical and billing teams. Ideal candidates bring strong customer service, attention to detail, and prior patient access or medical front office experience. Responsibilities Perform accurate patient registration and demographic data entry in EHR and revenue cycle systems Verify insurance eligibility and benefits, obtain prior authorizations, and resolve coverage issues Collect and post point-of-service payments, co-pays, and deductibles in alignment with financial...

Ensemble Health Partners is seeking an Associate Specialist, Patient Access to support accurate and timely access to care for patients while optimizing reimbursement. In this role, you will verify insurance eligibility and benefits, obtain authorizations and referrals, and complete patient registration with a high level of accuracy. You will provide clear financial counseling, explain patient responsibility, and collect payments or set up payment plans. Working in a mission-driven, patient-focused environment, you will collaborate with clinical and revenue cycle teams, use EHR/registration and payer portals, and maintain strict HIPAA compliance. This position offers opportunities to grow skills in revenue cycle, analytics, and healthcare operations within a rapidly scaling organization committed to integrity, innovation, and better patient financial experiences. Responsibilities Verify patient insurance eligibility, benefits, and coverage details using payer portals and...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Pharmacy Technician Services Associate Location:  Remote Pay Rate:  $20.00 per hour Employment Type: Full time Shift Information: Mon. – Fri. 9:00 AM – 5:00 Pm (PST)   Job Summary:   We’re hiring a Pharmacy Technician Services Associate; you will support our client’s customers as the first of contact. You will answer questions concerning their accounts. You will help customers will their account issues while providing them with exceptional customer service. Your assistance will make a positive difference in the organization you support. You will be able to provide successful...

Overview About the Role The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and intensity of hospital inpatient services. Audits inpatient coded records, provides continuing education of all inpatient coding staff and facilitates the inpatient coding work flow.   Responsibilities What You’ll Do     Performs daily data quality reviews on inpatient records to validate ICD-10 diagnosis and procedure codes Ensures accuracy, proper sequencing, and adherence to coding guidelines on all cases Reviews cases identified as OIG-focused DRGs, transfer DRGs, and other target areas as needed Verifies the accuracy and appropriateness of the selected DRG Communicates coding corrections to coders and explains the rationale for...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Board Certified Orthopedist with fellowship training in Sports Medicine is sought to join a university affiliated, community based practice. Training or experience in caring for Sports patients is required. Must be a team player and be able to supervise mid-level providers. Call is light. Employed by an award-winning hospital system, the position will offer a competitive base compensation of $427-835,000 plus RVU productivity-based compensation model and an extensive benefits package. The salary range listed does not include any bonuses, incentive pay, or other forms of compensation that may be applicable to this job. Highly desirable area provides easy access to Manhattan for commuters, a wide arrange of award-winning public schools and private school and Universities. Beautiful coastal location, historic communities complete the picture.

Rheumatology Clinician Educator at Montefiore Medical Center and the Albert Einstein College of MedicineAt Montefiore, DOING MORE means building on a history of firsts to create the future of healthcare. For over 100 years, weve been pushing the boundaries of medicine with innovations such as the intravenous cardiac pacemaker and one of the nations first pediatric kidney transplants. The Division of Rheumatology at Montefiore Medical Center/the Albert Einstein College of Medicine is seeking a candidate for a tenure track, full time faculty position at the Assistant or Associate Professor level as a Clinician Educator. The position entails:Clinical outpatient practice at our multi-specialty sites in the Bronx with potential opportunity to expand to the brand new Immunologic Diseases Center in Westchester CountyInpatient consultations and teaching of medical students, residents, and fellows in the Bronx CampusesParticipation in all clinical and academic divisional activities as set...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Optimum is proud to partner with a medical center in Brooklyn, New York, that has a new opening for an Associate Director of Minimally Invasive Gynecologic Surgery to join their team. About the Position: Schedule: Monday-Friday, 8-hour day shifts Backup GYN call, no OB call requirement Setting: Hospital and clinic Daily Volume: 15-20+ clinic patients Annual Volume: 6K deliveries EMR: Epic Must be board-certified or board-eligible About the Benefits: Competitive base salary + bonuses Full benefits package Medical malpractice coverage with tail To learn more, please apply. PRM - 73027

New York, NY, offers physicians an unparalleled professional landscape with world-renowned hospitals, cutting-edge medical research institutions, and diverse patient populations. The city's fast-paced environment fosters continuous learning, collaboration with top-tier medical professionals, and access to the latest advancements in healthcare. With a high demand for medical services across various specialties, physicians can build thriving careers while making a significant impact on public health. Additionally, New York's cultural vibrancy, rich amenities, and endless networking opportunities make it an exciting and fulfilling place to live and work. As industry leaders and Joint Commission Certified, CompHealth applies over 40 years of tenured experience to your unique situation, preferences, and goals. Contact Gordon Diaz at or to learn more about this opportunity. Hospital-employed position at a well-established community health clinic in New York Panel of 22 - 25 patients per...

Case Associate Needed in Queens Residential facility Hours: Sunday-Thursday 9am-5pm Tuesday-Saturday 9am-5pm POSITION OVERVIEW: The Case Associate is the intermediate level of direct care staff working with residents of a supported housing program in order to help residents live in the community as independently as possible. RESPONSIBILITIES May carry a caseload of residents Provides services to those residents within the scope of program regulations and agency mission. Evaluates and assesses independent living skills, and supports residents in meeting individual goals. Assist residents with locating and securing housing Advocates on behalf of residents with other services providers. If carrying a caseload, links residents to community based treatment and collaborate with other service providers when coordinating services. If carrying a caseload, practices person-centered and collaborative service planning with residents, also ensuring service plans are completed and signed by...