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Geisinger Medical Center Remote jobs - 82 jobs

  • Body Imaging Radiologist - Remote or Onsite

    Geisinger 4.7company rating

    Danville, PA jobs

    Join Geisinger, a nationally recognized leader in healthcare innovation, and become part of a dynamic team of over 90 radiologists. We're seeking a Board-Certified or Board-Eligible Radiologist with expertise in Abdominal Imaging to support our growing practice. Whether you prefer working remotely or onsite, you'll thrive in our collaborative, academic environment with access to advanced imaging technologies and a balanced call schedule. Job Duties + Interpret a full spectrum of abdominal imaging studies: CT, MR, Ultrasound, and GI Fluoroscopy + Engage in multidisciplinary conferences and educational opportunities + Collaborate with a dedicated team of 20 abdominal imaging radiologists + Utilize state of the art tools including 3T MRI, TeraRecon, and 3D printing Position Details + Competitive compensation with performance-based incentives + Comprehensive benefits starting day one (medical, dental, vision, pharmacy) + Generous PTO and CME allowance + Robust retirement plans: 401(k), 403(b), and 457(b) + Malpractice coverage with tail + Relocation assistance for qualified candidates Education Doctor of Medicine or Doctor of Osteopathic Medicine- (Required) Experience Certification(s) and License(s) Licensed Medical Doctor - State of Pennsylvania OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
    $272k-486k yearly est. 60d+ ago
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  • Wellness Associate II (Danville, Pennsylvania and surrounding area)

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No We are seeking a dynamic Wellness Associate to lead and support community and facility-based health initiatives. This role involves developing and implementing wellness programs, facilitating evidence-based activities, and providing on-site screenings and education. The successful candidate will reside within the geographic area to actively participate in on-site events and community engagement. The position requires flexibility, including early mornings, some evenings, and occasional weekends to support programs and events. Responsibilities include program design, outcome reporting, event coordination, and collaboration with internal teams and community partners. The successful candidate will reside within the geographic area to actively participate in on-site events and community engagement. Job Duties: Serves community or practice/facility-based population management initiatives including on site programs, screening services, fitness classes, evidence based program facilitation and program development for the wellness team and partners. Responsible for the development and oversight, as well as implementation of health and wellness programs at the facility as well as surrounding community initiatives. Develops and designs programs in conjunction with their assigned facility ensuring competencies, training requirements, reporting and documentation requirements are being meet. Supports regional teams, operations, new program design and implementation of new products and services. Develops and implements tools to evaluate the effectiveness of the wellness program to manage outcomes. Reports program participation and outcomes quarterly to stakeholders. Prepares and presents educational information consistent with the mission and objectives of the wellness program and the facility. Provides on site screening support and education as needed. Supports team on site with programs, biometric screenings and phlebotomy support as needed and as appropriate, based on skill set and educational background. Represents the facility at various business and community events as needed or coordinates events at the facility. Serves as a wellness resource and oversees member communication and outreach initiatives within the wellness program. Supports regionally based teams and employers throughout our coverage area, as well strategic opportunities as needed. Monitors changes in employee wellness research, new developments and standards. Researches and creates new program to meet the population needs, as appropriate. Supports reporting needs, data management and outcomes. Assists with other policies which have wellness components. Learns new software applications and maintains databases. Coordinates ongoing record keeping and prepares reports as requested. Works closely with internal departments including, but not limited to Health Services, Marketing, IT, Sales and wellness. Responsible for calendar management, promotion of activities in conjunction with marketing and coordination of all onsite activities. Participates on committees, as assigned, to represent and provide expertise related to the Wellness Program. Provides telephonic and on site health coaching for lifestyle management programs, as needed. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: Education: Bachelor's Degree-Healthcare Related Degree (Required) Experience: Minimum of 1 year-Related work experience (Required) Certification(s) and License(s): Skills: Computer Literacy, Critical Thinking, Interpersonal Communication OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $36k-71k yearly est. Auto-Apply 13d ago
  • Practice Administrator Primary Care & Endocrinology

    Crouse Hospital 4.6company rating

    East Syracuse, NY jobs

    Why Crouse Medical Practice? At Crouse Medical Practice, our focus is on improving the lives of our patients. This focus is what drives us to recruit the best employees to support our patients. Our practice fosters an inclusive environment that prioritizes work-life balance, welcoming individuals from all backgrounds to join our close-knit work family. Here#s what we offer: Monday-Friday work week Supportive team environment Competitive starting rates based on experience Annual salary increases Opportunities for professional growth # stability within a fast-growing Medical Practice Longevity and consistency of management Tuition reimbursement program Affiliation with Crouse Hospital Other benefits include: Generous Health/Dental/Vision # Life insurance, Flexible spending account or Health savings account # available first of the month following your date of hire, Employee assistance program, 25 days of paid time-off within first year of employment, 7 paid holidays annually, and a 401k with 4% employer match. Position Overview: Responsible for all day-to-day operations and activities of two offices # a Primary Care office with 9 providers and an Endocrinology office with 7 providers.#Plans, develops, organizes, monitors and manages all protocols and activities to improve patient access and care.# Ensures efficient utilization of all resources.# Provides leadership, supervision and motivation of all staff.# Works collaboratively with all staff to assist the patient and facilitate a successful interaction within the practice team. This position reflects and carries forward the mission and goals of the practice both internally and throughout the community. Responsibilities: Greet, receive and handle patients in a courteous, professional manner. Promote favorable patient relations while maintaining patient confidence at all times. Develop and conduct programs for enhancing patient relations. Coordinate office and hospital activities Analyze and prioritizes daily work duties, evaluating effectiveness and modifying activities as necessary. Coordinate activities of clinical, front office support, surgical scheduling and ancillary services. Assures proper inventory levels of medical and office supplies. Invoice submission and tracking for pro allocation of budget. Ensure accuracy of patient information collected at time of registration. Ensure all revenue and charges are captured and forwarded to billing company. In cooperation with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems. Work closely with the hospital to ensure proper functions are taking place. Complete reappointment applications, health assessments and credentialing documents as needed. Obtain signatures and submit to hospital and CMP credentialing. Create and maintain the call and consult schedule to be typed up and emailed accordingly. Track appointment data to determine no show rate, distance for scheduling out, etc. Provide for adequate office staff Prepare and manage position descriptions for each position in cooperation with Human Resources. Assist in recruiting, interviewing, hiring, retaining and terminating staff. Maintain and manage master schedule of staff across the office. Analyze and forecast staffing needs.# Recommend changes to staff levels as required to maintain, enhance and improve patient flow and provider productivity. Coordinate oversight of new staff orientation, training, and proficiency program(s) in cooperation with Human Resources. Conduct annual performance evaluations and monitor quality of work of staff. Train new staff to an adequate level that allows them to keep up with the demands of their position. Take steps in resolving conflicts when they arise. Track time and attendance of staff; to include timecard approvals; PTO approvals and processing of FMLA/PFL time as communication by Human Resources. Track physician paid time off. Track provider continuing medical education. Track SNF hours for required provider and submit to Finance on a monthly basis. Monitor relative value units (RVUs) to ensure the budget is being used to its fullest capacity. Review WRVUs with physicians and Executive Director to determine provider bonus eligibility as outlined in the physician employment contracts.# Maintain workers compensation portals to ensure all providers stay active. Provider liaison, to include, executive duties, meeting scheduling, conflict resolution, and IT support. Retaining quality of work Implementing a level of understanding with staff training, education, policy and procedure information. Tracking of productivity/work flow of both in-practice and work from home staff. Setting up monthly meetings with staff, physicians and APPs. Implement new workflow to provide the best care. Manage provider templates and provider master schedule; to include, creating templates when providers onboard, extend schedules and/or make changes to templates when needed. Cover areas within the department when needed. Track phone system to ensure we are answering in a timely manner. Maintain the quality of patient care Coordinate patient flow and scheduling, minimizing patient waiting time and ensuring efficient flow of patients in order to maximize provider productivity and effective patient care. Help resolve patient billing issues. Discharge patients professionally when needed. Manage and resolve patient complaints. Determines and updates operating procedures for office procedure manual. Promote participation from staff on operational and quality issues. Assures adherence to OSHA requirements at all times. Works with the Director of Clinical Operations and Executive Director to ensure proper implementation and successful attestation of several incentive programs to include but not limited to:#Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Transition of Care Management (TCM). Ensures the delivery of the Patient Centered Medical Home Standards through a care team approach. Perform other group-related projects and duties, as necessary Participate with senior management in strategic, operational, fiscal and long term planning. Assist in development of annual budget and manages the practice within the established budget.# Assist in development and implementation of business plans as approved by the Crouse Medical Practice Advisory Committee and its Executive Director. Manage good faith estimate (GFE) costs per procedure are completed. Delinquent dictation point of contact for the hospital Completes open superbill list. Supports customer satisfaction and business activities of company by performing full spectrum of billing and collection related activities.# Uses full spectrum of Protected Health Information (PHI) as necessary to accomplish billing and collection activities.# Discloses PHI as necessary according to company policy. Ensures compliance with all regulatory agencies governing healthcare delivery and the rules of accrediting bodies.# Attends company sponsored training sessions on Compliance, HIPAA, and OSHA as required. Patient Care Environment:#Demonstrates appropriate knowledge and expectations related to emergency procedures to implement in the event of the medical emergency, violence, fire, disaster or severe weather. This individual is expected to assist in meeting the goals set forth by the Executive Director.# This will include other duties as assigned by members of the management staff. Qualifications: To perform this job successfully, this individual must understand and work well in a production-driven environment, meeting established benchmarks. This individual must understand and work well in a fast-paced and often times stressful environment.# The Practice Administrator must demonstrate concern and empathy, providing personal patient care while acknowledging physiological and psychological needs. To be successful, a Practice Administrator must have the ability to work well with others in a team environment and display sound judgment while taking appropriate actions regarding questionable findings or concerns. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required Qualifications: Associates Degree in Health Care Science, Business Administration or equivalent. Current Basic Life Support Certification. Minimum of 5 years# experience in ambulatory/clinic setting. Minimum of 5 years# supervisory experience. Demonstrated experience with systems, process and work flow. Proven excellent interpersonal and communication skills. Desirable Qualifications: Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse. Bachelor#s degree in Nursing, Health Care Science, Business Administrator or equivalent. Demonstrated competence interpersonal and intra professional relations. Demonstrated competence in acute care patient management/organization. Demonstrated commitment to collaboration with physician to individualize and enhance patient care. Experience in a physician office. Salary Range: $83,000 - $115,000 Why Crouse Medical Practice? At Crouse Medical Practice, our focus is on improving the lives of our patients. This focus is what drives us to recruit the best employees to support our patients. Our practice fosters an inclusive environment that prioritizes work-life balance, welcoming individuals from all backgrounds to join our close-knit work family. Here's what we offer: * Monday-Friday work week * Supportive team environment * Competitive starting rates based on experience * Annual salary increases * Opportunities for professional growth & stability within a fast-growing Medical Practice * Longevity and consistency of management * Tuition reimbursement program * Affiliation with Crouse Hospital Other benefits include: Generous Health/Dental/Vision & Life insurance, Flexible spending account or Health savings account - available first of the month following your date of hire, Employee assistance program, 25 days of paid time-off within first year of employment, 7 paid holidays annually, and a 401k with 4% employer match. Position Overview: Responsible for all day-to-day operations and activities of two offices - a Primary Care office with 9 providers and an Endocrinology office with 7 providers. Plans, develops, organizes, monitors and manages all protocols and activities to improve patient access and care. Ensures efficient utilization of all resources. Provides leadership, supervision and motivation of all staff. Works collaboratively with all staff to assist the patient and facilitate a successful interaction within the practice team. This position reflects and carries forward the mission and goals of the practice both internally and throughout the community. Responsibilities: * Greet, receive and handle patients in a courteous, professional manner. * Promote favorable patient relations while maintaining patient confidence at all times. * Develop and conduct programs for enhancing patient relations. * Coordinate office and hospital activities * Analyze and prioritizes daily work duties, evaluating effectiveness and modifying activities as necessary. * Coordinate activities of clinical, front office support, surgical scheduling and ancillary services. * Assures proper inventory levels of medical and office supplies. * Invoice submission and tracking for pro allocation of budget. * Ensure accuracy of patient information collected at time of registration. * Ensure all revenue and charges are captured and forwarded to billing company. * In cooperation with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems. * Work closely with the hospital to ensure proper functions are taking place. * Complete reappointment applications, health assessments and credentialing documents as needed. Obtain signatures and submit to hospital and CMP credentialing. * Create and maintain the call and consult schedule to be typed up and emailed accordingly. * Track appointment data to determine no show rate, distance for scheduling out, etc. * Provide for adequate office staff * Prepare and manage position descriptions for each position in cooperation with Human Resources. * Assist in recruiting, interviewing, hiring, retaining and terminating staff. * Maintain and manage master schedule of staff across the office. * Analyze and forecast staffing needs. Recommend changes to staff levels as required to maintain, enhance and improve patient flow and provider productivity. * Coordinate oversight of new staff orientation, training, and proficiency program(s) in cooperation with Human Resources. * Conduct annual performance evaluations and monitor quality of work of staff. * Train new staff to an adequate level that allows them to keep up with the demands of their position. * Take steps in resolving conflicts when they arise. * Track time and attendance of staff; to include timecard approvals; PTO approvals and processing of FMLA/PFL time as communication by Human Resources. * Track physician paid time off. * Track provider continuing medical education. * Track SNF hours for required provider and submit to Finance on a monthly basis. * Monitor relative value units (RVUs) to ensure the budget is being used to its fullest capacity. * Review WRVUs with physicians and Executive Director to determine provider bonus eligibility as outlined in the physician employment contracts. * Maintain workers compensation portals to ensure all providers stay active. * Provider liaison, to include, executive duties, meeting scheduling, conflict resolution, and IT support. * Retaining quality of work * Implementing a level of understanding with staff training, education, policy and procedure information. * Tracking of productivity/work flow of both in-practice and work from home staff. * Setting up monthly meetings with staff, physicians and APPs. * Implement new workflow to provide the best care. * Manage provider templates and provider master schedule; to include, creating templates when providers onboard, extend schedules and/or make changes to templates when needed. * Cover areas within the department when needed. * Track phone system to ensure we are answering in a timely manner. * Maintain the quality of patient care * Coordinate patient flow and scheduling, minimizing patient waiting time and ensuring efficient flow of patients in order to maximize provider productivity and effective patient care. * Help resolve patient billing issues. * Discharge patients professionally when needed. * Manage and resolve patient complaints. * Determines and updates operating procedures for office procedure manual. * Promote participation from staff on operational and quality issues. * Assures adherence to OSHA requirements at all times. * Works with the Director of Clinical Operations and Executive Director to ensure proper implementation and successful attestation of several incentive programs to include but not limited to: Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Transition of Care Management (TCM). * Ensures the delivery of the Patient Centered Medical Home Standards through a care team approach. * Perform other group-related projects and duties, as necessary * Participate with senior management in strategic, operational, fiscal and long term planning. * Assist in development of annual budget and manages the practice within the established budget. * Assist in development and implementation of business plans as approved by the Crouse Medical Practice Advisory Committee and its Executive Director. * Manage good faith estimate (GFE) costs per procedure are completed. * Delinquent dictation point of contact for the hospital * Completes open superbill list. * Supports customer satisfaction and business activities of company by performing full spectrum of billing and collection related activities. Uses full spectrum of Protected Health Information (PHI) as necessary to accomplish billing and collection activities. Discloses PHI as necessary according to company policy. * Ensures compliance with all regulatory agencies governing healthcare delivery and the rules of accrediting bodies. Attends company sponsored training sessions on Compliance, HIPAA, and OSHA as required. * Patient Care Environment: Demonstrates appropriate knowledge and expectations related to emergency procedures to implement in the event of the medical emergency, violence, fire, disaster or severe weather. * This individual is expected to assist in meeting the goals set forth by the Executive Director. This will include other duties as assigned by members of the management staff. Qualifications: To perform this job successfully, this individual must understand and work well in a production-driven environment, meeting established benchmarks. This individual must understand and work well in a fast-paced and often times stressful environment. The Practice Administrator must demonstrate concern and empathy, providing personal patient care while acknowledging physiological and psychological needs. To be successful, a Practice Administrator must have the ability to work well with others in a team environment and display sound judgment while taking appropriate actions regarding questionable findings or concerns. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Required Qualifications: * Associates Degree in Health Care Science, Business Administration or equivalent. * Current Basic Life Support Certification. * Minimum of 5 years' experience in ambulatory/clinic setting. * Minimum of 5 years' supervisory experience. * Demonstrated experience with systems, process and work flow. * Proven excellent interpersonal and communication skills. * Desirable Qualifications: * Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse. * Bachelor's degree in Nursing, Health Care Science, Business Administrator or equivalent. * Demonstrated competence interpersonal and intra professional relations. * Demonstrated competence in acute care patient management/organization. * Demonstrated commitment to collaboration with physician to individualize and enhance patient care. * Experience in a physician office. Salary Range: $83,000 - $115,000
    $83k-115k yearly 20d ago
  • Coding Inpatient Auditor & Education Specialist-Full time, Days, Remote

    Centra 4.6company rating

    Lynchburg, VA jobs

    The Auditor/Educator Inpatient Coding performs internal Inpatient coding audits and coordinates Inpatient coder education in the Health Information Management department. Conducts data quality audits of inpatient encounters to validate coding assignments is in compliance with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Prepares and distributes audit results/reports to Coding Management staff. Prepares and presents education to Inpatient coding staff based on audit findings and denials related to Inpatient coding following ICD-10 Coding Conventions, Official Guidelines for Coding & Reporting, and American Hospital Association Coding Clinic guidance. Assists in the development of programs and procedures to support improvement of coding accuracy rate. Required Qualifications: Associate degree in health information management or a related field Minimum of five (5) years of hospital Inpatient coding experience In-depth knowledge of ICD-10-CM and ICD-10-PCS Proficient in Diagnosis Related Groups structure (MS-DRG, APR-DRG), and Inpatient Prospective Payment System Knowledge of reimbursement methodologies and claims processing. Ability to develop educational materials and job aids pertaining to Inpatient coding. American Health Information Management Association credentialed, RHIT or CCS Proficient in Microsoft Office Products including Word, Excel, and PowerPoint Strong Analytical skills, Critical Thinking, and excellent verbal and written communication skills Preferred Qualifications: Bachelor's degree in health information management or related field Previous Inpatient auditing experience. Essential Duties and Responsibilities: This position will work with the Corporate Director of Health Information Management and Inpatient Coding Manager to design, plan, and organize training programs and timelines for new hire and ongoing staff education. Monitors and reports coders progress through the orientation and training process. Develops ongoing audit schedule for all Inpatient coding staff and reviews cases for accurate ICD-10-CM/PCS, Diagnosis Related Group, Present on Admission Indicators, Severity of Illness, Risk of Mortality, and discharge disposition assignments. Conducts random and focused quality audits on all Inpatient Centra and contracted/vendor coding staff. Documents audit findings, trends and ensures they are investigated, and timely education is prepared and reviewed with coding staff when necessary. Keeps abreast of new regulatory requirements, annual revisions to the codes, etc. and applies this information appropriately. Communicates clearly, leads innovative and engaging training and education sessions for Inpatient coding staff development. Serves as a resource and subject matter expert to Inpatient coding staff Monitors changes in laws, regulations, standards as they affect coding, billing, and related compliance. Develops and maintains Inpatient facility specific coding guidelines. Attend Inpatient Denials Management meetings. Assists with the analysis of Case Mix Index (CMI) reports. Shares audit trends and key findings with Health Information Management team. Participates in strategic planning workgroups to develop and plan education curriculums. Other Functions: Maintains strict confidentiality of all information, including financial/operational, employee/human resource, healthcare/patient data and information. Works in close collaboration with Inpatient Coding Manager and Corporate Director of Health Information to ensure timely, accurate education. Performs other duties as assigned.
    $45k-73k yearly est. Auto-Apply 60d+ ago
  • Actuary Associate, Geisinger Health Plan (Eastern United States resident)

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Supports the daily operations associated with the Health Plan's Actuarial Department. Assists in the development of rate filings, trend analysis, revenue strategy, forecasting, reserving, data management and analytics. Monitors the impact of strategic initiatives, regulatory reforms and legislation, and communicates effectively with peers and leadership Job Duties: Performs the pricing of products, including but not limited to building sound pricing models and tools, working with internal staff to arrive at sound products and strategies, and working with regulatory authorities to get approval of products and pricing. Serves as subject matter expert for regulatory reform and legislative changes, while quantifying impact of change, and identifying potential risks to successful implementation. Supports the development of claim and premium deficiency reserves while working with auditors to arrive at mutually acceptable conclusions. Guides the forecasting, analytic, underwriting, and performance monitoring functions. This includes trend development, monitoring financial performance relative to budget/pricing, evaluating provider, vendor, and reinsurance agreements, and studying performance relative to external benchmarks. Supports data management by providing direction and oversight to IT teams for appropriate data aggregation, partitioning, and extract rules to meet analytic and reporting needs. Provides guidance and support to upcoming actuarial talent. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. #LI-REMOTE Position Details: Education: Bachelor's Degree- (Required) Experience: Minimum of 5 years-Related work experience (Required) Certification(s) and License(s): Member of Society of Actuaries - Society of Actuaries Skills: Actuarial Function, Insurance Finance And Actuarial Concepts, Insurance Industry, Mathematical Finance, Probability, Statistics And Actuarial Modeling OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $77k-109k yearly est. Auto-Apply 18d ago
  • Senior Auditor

    Carilion Clinic Foundation 4.6company rating

    Remote

    Employment Status:Full time Shift:Day (United States of America) Facility:Remote - VARequisition Number:R155319 Senior Auditor (Open) How You'll Help Transform Healthcare:Remote opportunity available for candidates residing in the following states: Alabama, Florida, Georgia, Arkansas, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, West Virginia, and Virginia. Senior Auditor with an IT focus wanted to join a stable, growing internal audit team at Carilion Clinic. In this in-charge role you will lead risk-based audits across our integrated health system and affiliates, scope and direct fieldwork on high-risk and technology-enabled processes, evaluate internal controls for compliance and efficiency, communicate findings to leadership, mentor staff, and partner on system implementations and special projects. Carilion offers executive support for audit, clear visibility to decision makers, and the resources of a large, academically affiliated health system committed to long-term stability and improvement. Remote applicants are welcome. Plans, leads and performs internal audits in all operational areas and affiliates of the Carilion Clinic. These audits provide an independent evaluation of the adequacy and effectiveness of the systems of control within Carilion. As In-Charge Auditor or team leader, plans, directs and schedules the documentation and evaluation of selected audit areas. Emphasis is on large and/or high risk projects. Also reviews work of other auditors and completes quarterly reviews on team members. Supervises documentation of internal controls including policies, procedures, security and compliance with regulatory, professional and corporate guidelines for all operational areas and affiliates of the Carilion Clinic. Directs evaluation of processes, procedures, and internal control structures to determine the adequacy and effectiveness of those activities and controls. Decides the materiality of risks and concerns in order to report to management. Leads the assigned audit team in achieving audit goals and participates as a team member. Promotes and maintains regular and effective communication within the department concerning audit project status and perceived risks. Acts as a team member on special projects including system installations and conversions. This entails evaluating products, reviewing implementation procedures, recommending controls, analyzing training needs and collaboratively developing and assisting in testing. Guides and trains staff members on audit processes. Also trains new staff members and maintains updated training materials for new auditors. Provides new ideas for the department and takes the initiative to assist the Manager or Director as necessary, including final sign-off on preliminary and fieldwork workpapers (includes follow-ups and special projects). What We Require: Education: Bachelor's Degree required (Accounting, Finance or other business major preferred). Experience: Five years of progressively responsible internal audit or other accounting experience with at least two years minimum internal audit experience (healthcare preferred). Licensure/certification: CIA (Certified Internal Auditor), CPA (Certified Public Accountant), CISA (Certified Information Systems Auditor), or CFE (Certified Fraud Examiner) required. If the candidate has only their CISA and/or CFE, they must be actively working towards obtaining their CPA or CIA. Other Minimum Qualifications: Ability to effectively lead teams, excellent oral and written communication skills, ability to work with minimal supervision. Collaborative problem solving skills, ability to work well with all levels of employees. Working use of Word and Excel or comparable software. Recruiter: Dave Niven Recruiter Email: ************************** For more information, contact the HR Service Center at **************. Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at ************, 8:00 a.m. to 4:30 p.m., Monday through Friday. For more information on E-Verify: ******************************************************************* Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away. When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision Benefits Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training
    $64k-80k yearly est. Auto-Apply 12d ago
  • Appeals Coordinator, Geisinger Health Plan

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding denied claims/services, referrals, membership and benefit issues and concerns regarding quality of care or service. PresentsMember appeals to the Plan Medical Staff and Center for Medicare/Medicaid Services contracted reviewer. Job Duties: Prepares and facilitates Member appeals, complaints and grievances by communicating directly with Members, their Representatives, Vendors and Medical Providers and their Representatives to obtain the necessary information to complete the appeal process successfully within the time period allowed by regulation. Investigates the full details of the appeal and complaints and grievances by consulting with, but not limited to, health care providers, legal services, internal medical staff and administration. Provides timely and accurate documentation of all communications with involved parties within both the individual case file and departmental tracking database. Ensures that all complaint, appeal and grievance time frames are met as dictated by guidelines set forth by the Department of Labor (DOL), the Department of Health (DOH), the Department of Insurance (DOI), the National Committee for Quality Insurance (NCQA), and the Centers for Medicare and Medicaid Services (CMS). Implements regulatory changes to current practices, policies and procedures within the Department. Maintains a complete and accurate database via departmental software for reporting and tracking and trending purposes. Conducts regular audits of own files and data entry to ensure timely, accurate and appropriate documentation. Coordinates activities for review committees and educational sessions with other Health Plan departments to ensure overall compliance is maintained. Acts as the primary resource regarding the complaint, appeal and grievance processes to all other Health Plan and external entities, communicating with all entities involved throughout the appeals and grievance process. Maintains strict compliance with all applicable laws and regulations set forth by the Federal and State regulatory bodies, continually reviewing updates as pertains to regulatory changes and implement those changes within current departmental practices, policies and procedures. Makes suggestions for policies and procedures covering all regulatory and accreditation standards for all lines of business. Work is typically performed in an office environment. Ability to travel is required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years). Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 5 years-Relevant experience* (Required) Certification(s) and License(s): Skills: Communication, Multitasking, Working Independently OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $45k-69k yearly est. Auto-Apply 8d ago
  • Staff Scientist/Biostatistician - Geisinger Program Evaluation

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Geisinger seeks an outstanding researcher to serve as a Staff Scientist/Biostatistician for the newly created Geisinger Program Evaluation (GPE) team, whose purpose is to conduct rigorous evaluations of potentially high-impact programs intended to improve patient health or improve efficiency at Geisinger. The GPE Staff Scientist/Biostatistician will be responsible for helping lead rigorous, primarily non-randomized (or partially randomized) evaluations of existing or new programs at Geisinger. The Staff Scientist will help lead or participate in study design, analysis (preferably using R), and reporting/dissemination of results to internal stakeholders (e.g., Geisinger leaders) as well as to academic audiences (e.g., at conferences and in academic publications). Evaluations from GPE team members have been published or are forthcoming in high-impact journals, including PNAS, Nature Human Behaviour, JAMA Network Open, and The Journal of Pediatrics. Additionally, the Staff Scientist will coordinate with other team members (e.g., Staff Scientist, Data Analyst, Project Manager). The Staff Scientist/Biostatistician will report to the GPE Associate Director, Neal Goldstein, PhD, under the GPE Director, Amir Goren, PhD, with oversight by Faculty Co-Directors, Christopher Chabris, PhD, and H. Lester Kirchner, PhD. The Staff Scientist will also collaborate with the Behavioral Insights Team (BIT). The BIT was created in 2018 to apply behavioral science methods to the design, implementation, and experimental evaluation of programs and lightweight behavioral interventions intended to improve outcomes and experiences for patients, clinicians, employees, and other stakeholders of Geisinger and other health systems. The BIT now collaborates on randomized prospective evaluations as part of GPE. It is led by Professors Michelle Meyer, PhD, JD, and Christopher Chabris, PhD, the founding Faculty Co-Directors, and Program Director Gail Rosenbaum, PhD. The ideal candidate will have expertise in field(s) related to biostatistics, epidemiology, health economics, and/or health services research in a healthcare, academia, or industry setting, as well as strong methodological training in causal inference using non-randomized (quasi-experimental and observational) study designs. A Ph.D. in biostatistics, epidemiology, health economics, public health, or another relevant scholarly discipline is strongly preferred, with track records of publishing original empirical research, collaborating with others, and disseminating work to technical and non-technical audiences. The GPE Staff Scientist/Biostatistician will be based in Danville, Pennsylvania at the main campus and headquarters of Geisinger. Remote work from another U.S. location (with occasional travel to Danville) may be possible for an exceptional candidate. Geisinger is a large, integrated health services organization founded in 1915. Through its 11 hospital campuses, the Geisinger Health Plan, and the Geisinger College of Health Sciences, which includes the Clinical Education Institute and Research Institute, the Geisinger Commonwealth School of Medicine (GCSOM), and the Geisinger School of Nursing, Geisinger serves more than 1 million residents throughout 46 counties in central, south-central, and northeastern Pennsylvania. The system includes over 26,000 employees, including over 1,700 employed physicians, while Geisinger Health Plan serves over 550,000 members. Geisinger's main campus in Danville, PA, is located within a three-hour drive of New York City, Philadelphia, and Washington, DC. This GPE reports up to the Research Institute within the Geisinger College of Health Sciences. The Research Institute is engaged in investigating a broad range of research topics, including genomics, population health, and bioethics and decision sciences, using a broad range of methods, including data science and informatics, implementation science, and health services research. Research at Geisinger benefits from the system's nearly 30 years of electronic health records, its clinical and genomics data warehouses, and its large, stable patient population. Geisinger's research environment involves over 400 team members including more than 40 research faculty and a growing number of clinicians and learners engaging in collaborative research. In 2024, Geisinger was awarded $41 million in external grant and contract funding, carried out more than 1,400 research studies, including clinical trials, and published over 1,400 scientific articles. Job Duties: Major duties and responsibilities: Assisting the Associate Director in day-to-day operations and development of the GPE Liaising, initiating, and coordinating execution of projects with internal and external stakeholders; this includes Geisinger groups such as clinical departments, the IRB, and the compliance, quality, and legal functions Providing expert level biostatistical knowledge - theoretical and applied - to observational study design and analytic methodologies Staying abreast of methodological developments for program evaluation in healthcare Contributing to or leading manuscript drafting and submission for select evaluation studies (first-author opportunities available) Participating in the design of interventions for evaluation and implementation at Geisinger Participating in data management, analysis, visualization, and reporting to assess the effectiveness of Geisinger programs, including assessing their effects on patient and other outcomes and quantifying the associated costs and return on investment Engaging in open science best practices (e.g., preregistration, preparing and sharing de-identified data and code) Disseminating GPE findings at scientific conferences and to lay audiences (e.g., sharing findings with Geisinger leaders) Required qualifications: Experience using statistical software (preferably R, others acceptable) Training in advanced, quasi-experimental and observational statistics Strong critical thinking skills Curiosity and problem-solving skills to proactively identify solutions to pragmatic challenges in a complex healthcare system environment Ability to work in an independent manner and complete increasingly complex assignments Strong teamwork skills and the ability to work effectively in a group environment Exceptional organizational, planning, and analytical skills Competence in written, oral, and electronic communication skills (interpersonal/communication and technological effectiveness competencies) Desired qualifications: Experience implementing applied research in a healthcare and/or relevant industry setting Experience with open science best practices Training in program evaluation or health services research Experience with econometrics Experience with epidemiology Experience with implementation science Experience in interdisciplinary research and working in collaborative teams Experience in the healthcare industry or academia Experience with programming and databases (e.g., Python, SQL) Education and/or experience: A Ph.D. in biostatistics, epidemiology, health economics, public health, but exceptional candidates with other credentials will be considered Graduate training in non-randomized causal inference methods, including quasi-experimental and observational study designs Minimum 3 years' post-graduate experience managing healthcare or other research projects and supervising or otherwise collaborating actively in a team setting Scholarly publications Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: To apply: Please send a cover letter, C.V. or resume, and two representative scholarly publications in a single email to ****************************************. Please also include names, titles, and contact information for three references (we will contact you before reaching out to your references). Questions about the position may also be sent to the same address. Review of applications will begin immediately and will continue until the position is filled. Dr. Goren: ******************** Professor Kirchner: ***************************************************************************************************************** Professor Chabris: ********************** Education: Doctoral Degree- (Required), Doctoral Degree-Behavioral Science (Preferred) Experience: Minimum of 3 years-Related work experience (Required) Certification(s) and License(s): Skills: Reference Content, Research Analysis, Research And Development Function, Research Documents, Research Methodologies OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $74k-106k yearly est. Auto-Apply 46d ago
  • Pharmacy Sales Representative

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Cultivates and maintains favorable contact with potential new key accounts and major accounts of the organization for the sale of products and services in assigned area or geographic territory. The primary role of this position is to lead sales efforts for Geisinger Health Plan (GHP) pharmacy benefit management services and Geisinger Pharmacy services, such as mail order, home infusion, and specialty pharmacy. This will include creating sales strategies, responding to RFP's (Request for Proposal), presenting to sales prospects and potential clients, and developing relationships with clinical provider offices, clients, broker partners, and industry consultants. This individual must have extensive knowledge of, and experience with sales, broker distribution channels, the healthcare industry, and pharmacy benefit management services and associated distribution channels. Position requires travel. Job Duties: Develops and implements sales strategies in conjunction with sales, underwriting, pharmacy leadership and other departments. Grows business through identification and pursuit of new business opportunities for both GHP growth and Geisinger Pharmacy revenue. Maintains sales pipeline and reports monthly progress. Demonstrates knowledge of Geisinger Pharmacy and Geisinger Health Plan pharmacy benefits products, services, organization's policies and procedures. Communicates directly with new and existing customers or clients to help grow base of business through up-selling, new lead generation, referrals, and by explaining features and merits of products or services offered. Develops marketing materials and value proposition related to value based outcomes associated with Geisinger Pharmacy and integrated care Documents client visits and service inquiries. Periodically reviews calls from clients to track issues and potential client concerns. Develops and maintains relationships with pharmacy benefit managers PBM), clients, broker partners, industry consultants, providers and other health systems to keep abreast of new products and/or program offerings, customer needs, and industry trends. Coordinates support and services for new customers to ensure ongoing needs are met. Attends trade shows and conferences as assigned and maintains relationships with local chambers of commerce and other strategic state and local non-profit organizations. Coordinates pharmacy RFP requests and responses and participate in contract negotiations. Collaborates with system and health plan marketing teams to create and present customized prospect-specific sales materials. Remains informed about the latest trends and developments in the PBM industry, pharmacy and the broader healthcare landscape including regulations and compliance requirements. Work is typically performed in an office environment. Travel is required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: Additional qualifications: Proven history of success in PBM or health plan pharmacy sales. Thorough understanding of the pharmacy benefit management industry, including pricing strategies, industry trends, regulatory guidelines, and market dynamics. Significant analytical and problem-solving skills. Exceptional communication and presentation skills. Ability to manage multiple priorities and meet deadlines effectively. Self-motivated and able to work independently. Willingness to travel as needed to meet with prospects. Education: Bachelor's Degree-Related Field of Study (Required), Master's Degree-Related Field of Study (Preferred) Experience: Minimum of 5 years-Related work experience (Required) Certification(s) and License(s): Skills: OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $42k-80k yearly est. Auto-Apply 4d ago
  • Application Specialist III

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes We are seeking a Databricks Platform Administrator / Data Engineer who enjoys development, application configuration, and building innovative solutions. This role is ideal for someone who thrives on possibilities, sees the bigger picture, and consistently delivers the best version of any task. You will architect solutions from conversational ideas, break work into actionable tasks in Microsoft Planner or Azure DevOps, and collaborate across a dynamic team to drive data platform excellence. You'll be responsible for the performance of tasks related to application implementation, adoption, enhancement, and support. This includes but is not limited to analysis, development, training, testing, documentation, go-live and on-going support, problem resolution, and maintenance. Job Duties: Key Responsibilities Databricks Administration: Manage workspaces, clusters, jobs, security configurations, libraries, and overall platform health. Data Engineering: Build and optimize data pipelines and transformations using PySpark and T‑SQL. Automation & Development: Create automation and tooling using Python, Bash, and PowerShell. Governance & Security: Implement and automate data governance, access controls, auditability, and compliance best practices. Note: A significant portion of our development focuses on governance and security automation. Solution Architecture: Translate conversational ideas into clear solution architectures; break work into tasks in Planner or Azure DevOps for team execution. Effort Estimation: Estimate level of effort and forecast delivery dates with reasonable accuracy. Documentation: Produce high-quality documentation including workflows, gap analyses, design specs, build docs, test plans, and transition documentation. Testing Oversight: Oversee unit, scenario-based, integrated, capacity, and parallel testing. On-Call Support: Participate in a 24×7×365 on-call rotation to support Databricks, SQL Server, and other relevant applications supported by the team. Upgrades & Monitoring: Support system upgrades, patches, performance tuning, observability, and proactive monitoring. Data Integrity: Maintain accountability for data integrity across applications and pipelines. Change Management: Complete system build and documentation in adherence to departmental guidelines and change management policy. Peer Review: Review teammates' work and provide constructive feedback. Communication & Escalation: Communicate effectively with peers, stakeholders, and leadership; provide regular status updates and escalate issues appropriately. Facilitation & Leadership: Drive discussions, mentor accountable leaders, and coordinate resources across initiatives. Training & Mentorship: Provide feedback on training materials; conduct training sessions; develop and mentor other team member. Policies & Vendor Engagement: Help develop department guidelines, standards, procedures, and policies; facilitate vendor reviews and selection processes. Integrations (as applicable): Demonstrate understanding of integration and technical requirements for peripherals/devices that interface with assigned applications. Support Coordination: Coordinate remote and/or on-site support as needed for end-users. Optional Contributions Create complex AI/BI dashboards. Contribute to CI/CD pipelines and integrations using Azure DevOps or GitHub. Apply Terraform for infrastructure as code. Provide MS SQL Server administrative support. Work is typically performed in an on-campus or home office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years). Position Details: Required Skills & Qualifications Solid experience with Databricks administration, including workspace management, cluster configuration, security, jobs, and libraries. Strong proficiency in Python and scripting with Bash and PowerShell. Experience with PySpark and/or T‑SQL for data processing and transformation. Excellent communication skills with the ability to articulate technical concepts clearly to varied audiences. Demonstrated critical thinking, problem-solving, and troubleshooting skills. Ability to estimate effort and deliver on time. Strong understanding of data governance principles and best practices. Commitment to information security best practices. Preferred Qualifications Familiarity with Terraform for infrastructure as code. Experience creating AI/BI dashboards. Knowledge of CI/CD pipelines and integration using Azure DevOps or GitHub. Hands-on experience with AWS data ingestion tools (e.g., Glue, Lambda). Experience with MS SQL Server administration. Knowledge of cloud architecture and multi-cloud environments. Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 12 years-Relevant experience* (Required), Minimum of 3 years-Managing people, processes, or projects (Required) Certification(s) and License(s): Skills: Communication, Critical Thinking, Interpersonal Communication OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $73k-114k yearly est. Auto-Apply 22d ago
  • Diagnostic Radiology, Remote Days

    Carilion Clinic Foundation 4.6company rating

    Roanoke, VA jobs

    Please navigate to Kontact Intelligence to view complete job posting and search for other Physician Opportunities. At Carilion Clinic, Inspire Better Health. With more than 800 physicians working on our team, Carilion's unique clinic structure fosters strong interdisciplinary care where cooperation and collaboration drive quality outcomes and a strong culture of synergy. As a non-profit, integrated healthcare system, we are committed to using the latest technology, research and advanced medical practices to be a statewide leader in care. Together, we are dedicated to helping communities throughout the Blue Ridge stay healthy and inspiring our region to grow stronger. EXPLORE OUR PHYSICIAN CAREERS Join our dedicated team committed to using the most advanced technology, medical training, and research to provide the highest quality in patient care. For general information and questions, please contact Andrea Henson, Director, Physician Recruitment, ************************** or **************.
    $47k-61k yearly est. Auto-Apply 60d+ ago
  • Join Geisinger as a Remote Neuroradiologist - Redefine Your Work-Life Balance

    Geisinger 4.7company rating

    Remote

    Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Geisinger Neuroradiology is seeking board-certified or board-eligible Neuroradiologists to join our dynamic and growing team. This is a 100% remote opportunity offering a flexible lifestyle, cutting-edge technology, and a collaborative environment - all while making a meaningful impact on patient care. Job Duties: Subspecialty Focus: Adult and pediatric neuroradiology, including brain, head & neck, and spine imaging. Advanced Imaging: Access to perfusion, DTI/tractography, spectroscopy, and fMRI. Supportive Infrastructure: Real-time case processing by a dedicated 3D radiology lab. Flexible, non-accruing schedule options to fit your lifestyle: 10:00 AM - 8:00 PM | 8 days on / 12 days off 9:00 PM - 7:00 AM | 7 days on / 14 days off Team: 12+ Neuroradiologists within a department of 80+ Radiologists Technology: Fully integrated EPIC electronic health record Academic Opportunities: Engage in teaching and research if desired Position Details: Competitive Compensation: Robust salary and incentive package Retirement Plans: 401(k), Roth TSA-403(b), and 457(b) options CME Support: Generous allowance for continuing medical education Comprehensive Benefits: Medical, dental, vision, and prescription coverage Malpractice Coverage: Paid malpractice with tail coverage included Education: Doctor of Medicine or Doctor of Osteopathic Medicine- (Required) Experience: Certification(s) and License(s): Licensed Medical Doctor - State of Pennsylvania Skills: Patient Care And Procedural Skills, Professional Etiquette, Systems-Based Practice OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $44k-67k yearly est. Auto-Apply 60d+ ago
  • Supervisor Revenue Management (Pennsylvania resident)

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes This position supervises and implements programs to ensure efficient operations of Geisinger are in order to generate patient satisfaction and sufficient cash flow to support operations and strategic initiatives. Responsibilities include overseeing, collecting, adjudicating, identifying, analyzing, reducing, and resolving various physician and patient service issues. Job Duties: Regular travel to Geisinger locations required: Northeast, Central and Western Geisinger regions / Geisinger footprint. Exercises supervision over employees measuring results to ensure proper utilization of labor resources. Reviews report data in order to measure employee and section performance to ensure that organizational goals and objectives are achieved. Reviews employee schedules in order to ensure proper coverage. Responsible for training, development, discipline, and conducting the performance appraisal of employees. Assists in maintaining and meeting budget targets. Reviews and recommends process improvement for individual and department workflow. Reviews and updates departmental policies and procedures, in conjunction with workflow changes. Provides written weekly status reports to leadership. Researches and reports problems to Help Desk and follow-up with IT personnel as appropriate per policy. Responds to physician and department heads regarding revenue and charging procedures. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years). Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 9 years-Relevant experience* (Required) Certification(s) and License(s): Skills: Communication, Critical Thinking, Interpersonal Communication, Leads Others, Multitasking, Organizing, Teamwork, Working Independently OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $58k-88k yearly est. Auto-Apply 49d ago
  • Financial Analyst Senior - Budgeting and Forecasting (Eastern Standard Time resident)

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes This position will primarily be focused on maintenance, configuration, and optimization of the Strata OnePlan budget and long-range forecasting software utilized by Geisinger, along with other financial planning related work. Job Duties: Coordinates, oversees, and prepares financial analysis in support of business processes, accounting, identification of revenue or expense management opportunities, and understanding and resolution of issues. Establishes relationships with finance partners, operational teams, and other departments to create efficient and effective processes. Coordinates, oversees, and prepares financial analysis, reports, and/or accounting processes for assigned functions, which may include general ledger transactions, account analysis and reconciliations, planning models and forecasts, capital management, productivity, management reporting, cost accounting, revenue and contracts, transformation, volume and statistical metrics, or other areas of focus. Identifies opportunities for revenue enhancement, expense management, and process improvements. Develops financial tools and templates to support business processes, analytical capabilities, and activity tracking. Maintains appropriate documentation of analytical processes and targets. Ensures that all work is performed in an auditable fashion. Reviews, refines, and automates department procedures to improve workflow efficiency. Develops strong finance and business partner relationships to understand needs and provide actionable analysis. Work is typically performed in an office environment. Travel may be required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. #LI-REMOTE Position Details: Education: Bachelor's Degree- (Required) Experience: Minimum of 5 years-Related work experience (Required) Certification(s) and License(s): Skills: Office Administration OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $52k-65k yearly est. Auto-Apply 13d ago
  • EPIC Application Analyst III-Cadence

    Carilion Clinic Foundation 4.6company rating

    Remote

    Employment Status:Full time Shift:Day (United States of America) Facility:Remote - VARequisition Number:R157398 EPIC Application Analyst III-Cadence (Open) How You'll Help Transform Healthcare:Responsible for performing Epic application system analysis and design to include requirements, specifications, configuration, documentation, testing, and implementation of systems. Will also be involved in providing Epic application support, troubleshooting, training and reporting activities. May also be involved in providing non-Epic application support and troubleshooting for integrated third-party applications. Serves as a liaison between TSG groups, clients and vendors. Onsite is preferred, hybrid or remote work option is available. Candidates residing in the following states may be considered for remote work: Alabama, Florida, Georgia, Arkansas, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, West Virginia, and Virginia Conducts advanced analysis of Epic application design including but not limited to planning implementations and maximizing application benefits. Mentors teammates in resolution of issues, tracking issues and providing updates to peers, leadership and clients. (no supervision listed) Manages assigned projects and meets deadlines. Conducts highly complex work unsupervised and with extensive latitude for independent judgement. Adheres to departmental policies and procedures. Plans and conducts requirements gathering for Epic projects and requests. Coordinates, plans and conducts detailed design sessions through knowledge of client/business needs and application functionality. (no supervision listed) Coordinates, plans, and conducts analysis of client business needs. Develops reference materials (status reports, documentation, knowledge transfer, etc.) for supported applications (Epic and non-Epic) and related technologies. Serve as a liaison between Epic modules. Serve as a professional and technical mentor to teammates. Recognized as a subject matter expert and advanced individual contributor. Serve as advocate for department initiatives and processes. Facilitates a positive and collaborative work environment. Adheres to the application change management process to include timely reporting of all pertinent change information, effective discussion of the changes, internal and external communications, contingency planning, support of the change event and post-change reporting, as appropriate. What We Require: Education: High school diploma or equivalent required. Associates/Bachelors degree in computer science, information systems, healthcare, business or equivalent experience required. Experience: Minimum of eight years of related experience. Licensure, certification, and/or registration: Valid Virginia drivers' license required. Vendor and/or industry certifications/proficiencies as determined by management. Certification/Proficiency in applicable Epic module. Additional Certifications/Proficiencies in module associated with primary Epic module required. Other Minimum Qualifications: Must be a self-initiated team player that can work under minimal supervision, with strong organizational, problem-solving and analytical skills. Must be able to work both independently and in a team setting. Must facilitate a positive and collaborative work environment. Must be able to serve as mentor to teammates to foster skills development among team. Must be flexible and capable of prioritizing multiple projects and meeting deadlines. Effective communication skills (oral, written and presentation). Ability to collaborate with others, including clients and vendors. Primary business hours Monday-Friday including some weekends, holidays. Will require after-hours on-call coverage · Occasional travel required. Recruiter: MARK MISKOVIC Recruiter Email: ***************************** For more information, contact the HR Service Center at **************. Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at ************, 8:00 a.m. to 4:30 p.m., Monday through Friday. For more information on E-Verify: ******************************************************************* Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away. When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision Benefits Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training
    $74k-100k yearly est. Auto-Apply 11d ago
  • CLINICAL DIETITIAN (CAP I)

    Carilion Clinic Foundation 4.6company rating

    Roanoke, VA jobs

    Employment Status:Full time Shift:Day (United States of America) Facility:1906 Belleview Ave SE - RoanokeRequisition Number:R157533 CLINICAL DIETITIAN (CAP I) (Open) How You'll Help Transform Healthcare:Sign on Bonus Eligible: $15,000 per applicable guidelines (external applicants only) We are seeking Registered Dietitians to join our growing nutrition team. Monday to Friday flexible schedule with 1-day/week remote work available. Weekend coverage 6-7 times per year. Coverage areas available: -Roanoke, VA -Christiansburg, VA -Tazewell, VA -Some remote/virtual options available Practice opportunities include: -Inpatient clinical nutrition, including multiple service lines and ICU/critical care coverage -Outpatient nutrition counseling -Additional pediatric coverage options available if preferred We are a Level 1 Trauma Center experiencing continued growth and expansion of services. Our team values collaboration, evidence-based practice, and professional development. Located in the beautiful Blue Ridge Mountains, we offer a supportive work environment. New graduates and experienced RDs are encouraged to apply. may include (based on position covered): The Clinical Dietitian plans and provides medical nutrition therapy and client education for inpatients and outpatients ranging from neonates to geriatrics. Conducts individualized nutrition assessment and evaluation and implements appropriate medical nutrition therapy approaches. Provides advanced and specialized nutrition support and communicates recommendations for changes in patient treatment plan to physicians and hospital staff, Documents recommendations and monitors changes and patient outcomes. Facilitates the development and implementation of policies, procedures, and protocols related to nutrition care. Evaluates and tracks data for outcomes and related performance improvement measures and makes recommendations to improve quality. Develops and oversees patient and staff educational materials regarding evidence-based medical nutrition therapy. Serves as the nutrition resource to the healthcare team. Responds to inpatient consults and outpatient referrals and establishes appropriate plan of care. Evaluates the nutritional status of inpatients and outpatients of all ages and recommends appropriate nutrition intervention based on the age-specific patient population. Applies knowledge of growth and development to appropriately assess patients of all ages. Develops, implements, and documents in the medical record, the nutritional plan of care in collaboration with other health care providers with follow-up. Documents results of assessments, intervention recommendations and nutritional progress in the medical record. Identifies and documents evidence-based criteria to support a physician's diagnosis of malnutrition. Coordinates documentation with Clinical Documentation Integrity medical coders to accurately reflect clinical care. Calculates, evaluates, and documents the assessment of specialized and advanced enteral and parenteral nutrition support according to ASPEN guidelines. Collaborates with inpatients and outpatients to identify individualized educational needs. Coordinates individual and group instructional activities. Serves as the nutrition educator for individuals and groups; plans and provides presentations for the public, civic organizations, business and industry, and healthcare care providers (i.e., medical students, residents, physicians, nurses, and staff members) regarding nutrition topics. Conducts media interviews and writes articles for publication. May serve as clinical preceptor for dietetic interns. Collaborates with physicians and other members of the healthcare team to develop and implement evidence-based nutrition protocols, as well as educational programs and materials to meet the needs of the target population. Actively participates in multidisciplinary team meetings established for inpatient units. Acts as a liaison between nutrition services and other departments. Cooperates with management and staff to meet the goals and objectives of the department. Develops and executes performance improvement and quality assurance projects with Director of Clinical Nutrition. Monitors and reports quality and productivity on a regular and timely basis. Assists the Director of Clinical Nutrition in coordinating activities of flex resource staff. What We Require: Education: Bachelor of Science Degree in Nutrition or Dietetics or equivalent 4 years of experience required for anyone who graduated before January 1, 2024. Master's degree is required for new Registered Dietitians (RDs) who graduated after January 1, 2024. Experience: Completion of an American Dietetic Association approved internship or clinical experience required. Licensure/Certification: Registered Dietitian Nutritionist (R.D.N.); Certified Diabetes Educator (C.D.E.) desired for the Diabetes Education Program for Critical Care, Oncology and Trauma Services, Certified Nutrition Support Clinician (C.N.S.C.) preferred. Registration eligible to become an RDN required, must work under the supervision of an RDN, registration to be attained within 90 days of hire. Other: Effective interpersonal, communication and teamwork skills required. Keyboarding skills required for automated computer systems, including electronic medical records. Must successfully complete orientation and competency for position. This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Recruiter: TAMIKA RICKMAN Recruiter Email: **************************** For more information, contact the HR Service Center at **************. Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at ************, 8:00 a.m. to 4:30 p.m., Monday through Friday. For more information on E-Verify: ******************************************************************* Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away. When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision Benefits Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training
    $54k-63k yearly est. Auto-Apply 6d ago
  • Patient Contact Specialist I

    Geisinger 4.7company rating

    Pennsylvania jobs

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Join our team and be a dedicated supporter of patient access and care. Our team receives and places calls to schedule medical appointments for our patients, ensuring alignment with patient preferences and physician-specific guidelines. We collect and maintain accurate, essential patient information related to registration and insurance. We respond to non-scheduling inquiries and route calls appropriately. Geisinger is proud to offer a minimum starting rate of $15.25 per hour for full-time Patient Contact Specialist positions. Higher starting rates are available based on relevant experience. Job Duties: Work Schedule: Shifts will be assigned based on business and specialty need and may vary within the Patient Contact Center's hours of operation, which are Monday through Friday, 7:00 AM to 7:00 PM and Saturday - Sunday 8:00 AM - 12:00 PM. Skills required: Proficiency in computer operations, including the ability to efficiently navigate and manage tasks across multiple monitors. Candidates should demonstrate adaptability in learning and using various software applications and programs, with a strong aptitude for quickly mastering new digital tools and systems. This includes familiarity with standard office software, web-based platforms, and proprietary systems, as well as the ability to troubleshoot basic technical issues independently. Preferred Experience: Familiarity with medical terminology is strongly preferred, as it supports effective communication and understanding within a healthcare environment. Job Description: Completes all appointment scheduling, cancellation and confirmation requests by matching patient preferences with documented, physician or diagnostic specific scheduling guidelines to provide the first available appointment in conjunction with patient preferences for time, date and location of each appointment. Respond to non-scheduling inquiries and route calls appropriately. Coordinates and completes accurate basic registration, demographic and insurance information to ensure timely and accurate payment for services while scheduling appointments. Provides one-call resolution whenever possible. Processes multi-channel messages related to patient and physician requests such as appointments, referrals, prescriptions and complaints. Achieves and maintains quality and service goals related to contact center metrics. Functions as a team member to organize and prioritize responsibilities to complete daily work assignments. Assists with training initiatives for new hires. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: Work at Home requirements: To ensure a productive and secure remote work environment, the following conditions must be met: Quiet, Dedicated Workspace: A private, distraction-free area within your home to support focused work. Adequate Workstation Setup: Sufficient space to accommodate all employer supplied equipment, including monitors, keyboard, and other peripherals. High-Speed Internet Connection: Connection Type: Cable modem only (DSL, wireless cellular, and satellite services are not permitted). Minimum Speed Requirements: Download: 75 Mbps Upload: 25 Mbps Ping: Less than 150 ms Jitter: Less than 30 ms Connectivity: The computer must be connected via Ethernet cable. Wi-Fi is not permitted unless a Virtual Private Network (VPN) is used to secure the connection. Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 1 year-Related work experience (Required) Certification(s) and License(s): Skills: Communication, Computer Literacy, Customer Service OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $15.3 hourly Auto-Apply 15d ago
  • Contract Analyst

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Responsible for development, review and maintenance of contracts according to applicable regulations, policies and standards. Job Duties: Responsible for development, review and maintenance of contracts that (i) comply with applicable regulations, policies and standards; and (ii) contain complete and accurate terms and conditions of a business relationship that benefit the System by identifying, reducing, shifting or eliminating risk using department standards, professional discretion and independent judgment. Identifies and notifies management of potential operational, legal and financial issues and recommends alternatives throughout document development. Develops and manages the maintenance of contract template documents and/or reference materials to be utilized as an initial foundation to assist in the generation and review of commonly requested agreements and coordinates managing and maintaining accurate records of important contracting reference materials. Maintains precise documentation of contractual records and retention of resolutions for future situations. Manages all database requirements with respect to contracts. Monitors contract anniversaries for renewal and coordinates the renewal with the departments and any recommended or department requested renegotiation. Provides accurate inventory and filing of current and pending contracts awaiting completion. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Bachelor's Degree = 2 years). Position Details: Education: Graduate from Specialty Training Program- (Required), Associate's Degree-Related Field of Study (Preferred) Experience: Minimum of 2 years-Relevant experience* (Required) Certification(s) and License(s): Skills: Analytical Thinking, Customer Service, Investigative Skills, Legal-Contracts Review, Multitasking, Negotiation, Oral Communications, Researching, Team Player, Written Communication OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $50k-63k yearly est. Auto-Apply 11d ago
  • Manager Reimbursement Services (CPC, CRC, or RHIT), Geisinger Health Plan

    Geisinger Medical Center 4.7company rating

    Remote

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes We are seeking a strategic and experienced leader to oversee our Reimbursement Services team. This role is responsible for guiding the planning, analysis, and implementation of reimbursement methodologies for healthcare providers. The ideal candidate will manage both short- and long-term reimbursement initiatives, collaborate with senior leadership to align financial strategies, and lead forecasting efforts to assess the impact of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider setup. A minimum of one certification is required: CPC, CRC, or RHIT. Job Duties: Oversees the Reimbursement Services team members who lead the planning, analysis, consultation and direction of the reimbursement methodology for healthcare providers. Oversees short and long term reimbursement initiatives with the ability to work closely with senior management to develop strategic goals and implement reimbursement initiatives. Leads the forecasting process related to changes in reimbursement methodology and associated financial impact. Oversees daily coding and reimbursement support to negotiations, claims processors and provider set-up representatives. A minimum of one certification is required: CPC, CRC, or RHIT. Coordinates and provides oversight for the ongoing analysis and planning of industry reimbursement changes. Coordinates ongoing physician fee changes and primary care capitation analysis. Provides impact analysis as fee changes occur. Coordinates the ongoing fee revision process. Ensures efficient and timely processing of problem claims for all lines of business and all markets, including new and expansion markets. Monitors and evaluates provider-specific payment waivers and distinctive edit exclusions negotiated within the provider network. Consultative activities with internal and external customers to assist with the development of reimbursement strategies related to TPA or new market relationships. Provides consultative support on all financial planning issues related to provider reimbursement. Evaluates reimbursement initiatives and changes in payment to control medical expense. Leads implementation of new or existing predictive modeling software tools, as well as, supports the accuracy and integrity of reimbursement related information. Assists with presentations to provider network managers to educate on industry trends in reimbursement, reimbursement changes and tools and templates available for requesting reports on historical provider reimbursement. Ensures that accurate predictive modeling is done by line of business (Medicare versus Commercial). Recommends reimbursement opportunities by utilizing statistical reports, reimbursement summary documents and industry information to conduct review and analysis of coding practices or fee levels. Determines appropriateness of provider coding and charging practices and associated claims processing payment accuracy to validate actual provider payment against contracted payment terms. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. #LI-REMOTE Position Details: Education: Bachelor's Degree- (Required), Bachelor's Degree-Business Administration/Healthcare Management (Preferred) Experience: Minimum of 3 years-Managing people, processes, or projects (Required) Certification(s) and License(s): Certified Professional Coder - American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association Skills: Builds Relationships, Computer Literacy, Manages Conflict And Crisis, Manages Projects And Functions, Mathematics OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $79k-112k yearly est. Auto-Apply 60d+ ago
  • Body Imaging Radiologist - Remote or Onsite

    Geisinger Medical Center 4.7company rating

    Danville, PA jobs

    Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Join Geisinger, a nationally recognized leader in healthcare innovation, and become part of a dynamic team of over 90 radiologists. We're seeking a Board-Certified or Board-Eligible Radiologist with expertise in Abdominal Imaging to support our growing practice. Whether you prefer working remotely or onsite, you'll thrive in our collaborative, academic environment with access to advanced imaging technologies and a balanced call schedule. Job Duties: Interpret a full spectrum of abdominal imaging studies: CT, MR, Ultrasound, and GI Fluoroscopy Engage in multidisciplinary conferences and educational opportunities Collaborate with a dedicated team of 20 abdominal imaging radiologists Utilize state of the art tools including 3T MRI, TeraRecon, and 3D printing Position Details: Competitive compensation with performance-based incentives Comprehensive benefits starting day one (medical, dental, vision, pharmacy) Generous PTO and CME allowance Robust retirement plans: 401(k), 403(b), and 457(b) Malpractice coverage with tail Relocation assistance for qualified candidates Education: Doctor of Medicine or Doctor of Osteopathic Medicine- (Required) Experience: Certification(s) and License(s): Licensed Medical Doctor - State of Pennsylvania Skills: Patient Care And Procedural Skills, Professional Etiquette, Systems-Based Practice OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
    $272k-486k yearly est. Auto-Apply 60d+ ago

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