NewProperty Claims Analyst FMProperty Claims AnalystMalvern, PA$68,000–$97,000FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk management skills and support services; tailored risk transfer capabilities; and superior financial strength. Job Description: FM is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEHarrisburg, PARemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Analyst II Towne Park LtdClaims Analyst IIPlymouth Meeting, PA$62,000–$68,000 / yearThe employee frequently is required to sit or stand for extended periods of time and may be required to run, walk, handle objects and tools and controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl. Skills: Computer proficiency and technical aptitude with an ability to utilize advanced functions of MS Office (Excel, Word, and Outlook), the internet and various internal and external Claims applications and databases.
Claims Analyst Factory Mutual Insurance CoClaims AnalystMalvern, PAFM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk management skills and support services; tailored risk transfer capabilities; and superior financial strength. FM is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions.
NewSenior Claims Analyst/Claims Manager, Commercial Auto Starr CompaniesSenior Claims Analyst/Claims Manager, Commercial AutoPhiladelphia, PAProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimePAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
NewSenior Claims Analyst/Claims Manager, Commercial Auto Starr International Co IncSenior Claims Analyst/Claims Manager, Commercial AutoPhiladelphia, PAProviding management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.
Senior Claims Audit Analyst Blue Cross and Blue Shield AssociationSenior Claims Audit AnalystPhiladelphia, PAFive (5) or more years of healthcare claims audit or progressively more responsible experience in Customer Service, Enrollment, Claims, Provider Services, Medicare, Quality, or related administrative activities. Have familiarity and Acquire Working Knowledge Working with BCBSA guidelines for Member Touchpoint Measures (MTM), BCBSA Line Desk Level Audit (LDLA), and Multi-State Plan (MSP).
Mass Tort and Complex Casualty - Senior Claims Adjuster American International Group Inc (AIG)Mass Tort and Complex Casualty - Senior Claims AdjusterPhiladelphia, PA$76,000–$100,000 / yearAs an experienced professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Mass Tort And Complex Casualty - Senior Claims Adjuster American International GroupMass Tort And Complex Casualty - Senior Claims AdjusterPhiladelphia, PA$76,000–$100,000 / yearAs an experienced professional, in this role you'll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Coverage B of Primary/Excess CGL policies, construction defect, as well as environmental and toxic tort claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Claims & Insurance Analyst Sr. University of Pittsburgh Medical CenterClaims & Insurance Analyst Sr.Harrisburg, PAManages complex claims involving primary and excess insurance coverages, significant litigation, and extensive liability; monitors claims work on complicated claims; assumes responsibility for reviewing claims for settlement potential; managing the litigation services provided by all subcontracted defense attorneys; and conducts comprehensive audits of litigated files. Analyze complex, technically challenging, and/or sensitive employee related and third party claims that are submitted for coverage under one of, but not limited to, UPMC Captive policies; Directors & Officers Liability, including Employment Practice Liability, Managed Care Errors & Omissions, General Liability and Professional (malpractice liability.
NewFreight Claims Admin A. Duie Pyle IncFreight Claims AdminWest Chester, PASupported by our vast network of Less-Than-Truckload (LTL) service centers, warehouse facilities, and dedicated locations, we have the ability to offer flexible and seamless integrated solutions tailored to our customer's needs. This includes the timely and accurate resolution of freight claims, communication with the claimant, sales team, customer service, accounting, along with other internal customers and partners.
Stop Loss Claims Specialist Marsh & McLennan Companies IncStop Loss Claims SpecialistConshohocken, PA$57,738–$65,000 / yearThe primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence. REQUIRED EDUCATION AND EXPERIENCE: Minimal of High School Graduate with Associate's Degree in Risk Management & Insurance, Actuarial Science, Mathematics and/or other related field is preferred or equivalent experience preferred; Minimum of two years prior work experience the Benefits Brokerage, Consulting, or Insurance industry; Strong background in self-funding, stop loss or claims administration required.
Claims and Risk Analyst Esler Companies LLCClaims and Risk AnalystKing of Prussia, PAHolds relevant certification such as - Certified Risk Manager (CRM); Associate in Risk Management (ARM); Associate in Insurance Data Analytics (AIDA) - or willingness to pursue certification. The ideal candidate will possess excellent organizational skills, strong analytical capabilities, payroll and business finance understanding, and the ability to handle sensitive information with discretion.
NewFreight Claims Admin A. Duie Pyle, IncFreight Claims AdminWest Chester, PAPart timeSupported by our vast network of Less-Than-Truckload (LTL) service centers, warehouse facilities, and dedicated locations, we have the ability to offer flexible and seamless integrated solutions tailored to our customer’s needs. This includes the timely and accurate resolution of freight claims, communication with the claimant, sales team, customer service, accounting, along with other internal customers and partners.
Claim Operations Analyst - Eastern Alliance ProAssurance CorpClaim Operations Analyst - Eastern AllianceLancaster, PA$16.89–$27.87 / hourThe primary responsibility of this position is to provide technical support to the Claims Department to deliver superior levels of customer service and ensure the compliance with regulatory timeframes and other requirements in support of the Company's revenue and profitability objectives and overall business plan. For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.
Claims and Risk Analyst Renewal by Andersen | Esler CompaniesClaims and Risk AnalystKing of Prussia, PennsylvaniaFull timeHolds relevant certification such as - Certified Risk Manager (CRM); Associate in Risk Management (ARM); Associate in Insurance Data Analytics (AIDA) – or willingness to pursue certification. The ideal candidate will possess excellent organizational skills, strong analytical capabilities, payroll and business finance understanding, and the ability to handle sensitive information with discretion.
Senior Claims Specialist, Cyber AXA SASenior Claims Specialist, CyberEXTON, PA$117,000–$184,400 / yearCoordinating and managing communication with internal colleagues and key external stakeholders (e.g., clients, brokers, reinsurers, vendors, etc.) ensuring we are providing the highest level of customer service Responsive claims management in direct coordination with a diverse team of specialists: computer forensics, data breach notification and call center services, credit and ID monitoring, public relations and expert legal counsel. Managing assigned complex Cyber and Technology claims across multiple jurisdictions, setting the case strategy for these claims in partnership with the Cyber Practice Leader and Claims Management, and taking all available steps to achieve the optimal outcome.
Senior Claims Specialist - TPA Liability AXA SASenior Claims Specialist - TPA LiabilityEXTON, PA$117,000–$184,400 / yearEffective teamwork/collaboration skills in order to effectively collaborative with Regional Practice Leads, Claim Legal, TPA and clients to produce desired outcomes, as well as with other internal and external stakeholders such as, brokers, actuarial, reinsurance and business partners to communicate regarding claim results, experience and trends. By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty.
Lost Time Claims Specialist, Workers'''' Compensation Encova Mutual Insurance GroupLost Time Claims Specialist, Workers'''' CompensationPennsylvania, PAOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.
Claim Director Chubb LtdClaim DirectorPhiladelphia, PA$78,100–$114,400 / yearPerform assignments, tasks or activities that contribute to the overall objectives of the business division being supported including but not limited to; conducting audits, providing financial analysis on reserve adequacy, identifying occupational disease exposures, and providing expertise on jurisdictional nuances. Provide direction, reserve and settlement authority to claim handlers as outlined in Chubb North American Claim Handling Guidelines and within Director's authority, elevating requests above authority to appropriate management levels for approval.
Pharmacy Analyst Integrated Resources, IncPharmacy AnalystPhiladelphia, PennsylvaniaFull timeDemonstrates and supports commitment to corporate goals and objectivesBachelor’s Degree:• 3 to 5 years PBM, pharmacy operations, or claims processing experience required• Progressive and focused work experience in continuous improvement initiatives, project management, and/or organizational development.• Job DescriptionPosition: Pharmacy AnalystLocation: Philadelphia PADuration: 4 monthsThe primary purpose of the job is to:Maintain, review, and provide consultation on basic to moderately complex customer benefits.
Network Reimbursement Analyst II Capital Blue CrossNetwork Reimbursement Analyst IIHarrisburg, PennsylvaniaFull timeThe Network Reimbursement Analyst works with the team manager and other analysts from within the same unit to develop and administer pricing for contracts between Capital BlueCross and various providers of health care services, including professional providers, hospitals, non-hospital providers and ancillary providers. Acts as an advisor for the Network Provider Contracting and Network Analytics and Contract Support teams to answer questions relating to payment and system configuration around fee schedules and facility reimbursement to determine the urgency and importance of system change requests/problems.
Business Analyst AHA Judge GroupBusiness Analyst AHAPhiladelphia, PA$40–$45 / yearBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. You will collaborate with cross‑functional teams such as Configuration and Account Management to resolve discrepancies and enhance the claims processing experience for members.
Sr. Claim Counsel PMA Insurance GroupSr. Claim CounselCAMP HILL, PAAs member of our legal team you will ensure compliance with Defense Counsel Guidelines as well as develop and maintain solid internal and external client relationships, perform legislative and/or regulatory research and analysis and advise internal clients of developments in workers' compensation law and procedure. Utilize your litigation experience and legal knowledge to represent insured and self-insured employers in the litigation of workers' compensation claims, to prepare legal correspondence, memorandums, briefs and pleadings and participate in the negotiation and settlements of litigated claims.
Finance & Business Analysis - Senior Analyst Chubb LtdFinance & Business Analysis - Senior AnalystPhiladelphia, PAPrepare and present clear, concise financial reports and presentations for senior leadership including core internal management for forecast and actuals and special requests (e.g., investor meetings, external reporting). Produce key management financial reports; collaborate with DFOs and Financial Systems team on reporting configurations and design reports to meet business and management needs.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemotePARemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Technical Data Analyst Argo Group International Holdings IncTechnical Data AnalystPA$111,384–$132,498 / yearQualifications / Experience Required: A working knowledge of the claims business environment in order to effectively discuss and prioritize reporting needs through: A minimum of five years' experience focused on data and compliance in a claims environment or other equivalent experience working with data gathering and analysis. Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
Analyst, Kroll Settlement Administration Kroll, LLCAnalyst, Kroll Settlement AdministrationPhiladelphia, PARemote$25–$27 / hourAs a settlement administrator, we are responsible for notifying potential class members, reviewing and processing claim forms filed by individuals and entities, calculating losses, auditing claims to determine the extent of the damages incurred and processing and distributing funds to eligible class members under the court's direction. Kroll Settlement Administration, part of Kroll's Business Services division, is the leader in cutting-edge technology and consulting services for class action, mass tort, regulatory remediation and government claims administration.
Senior Business Analyst Judge GroupSenior Business AnalystPhiladelphia, PA$35–$40 / yearBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. The Senior Business Analyst reviews claims data and trends to determine if system enforcement is appropriate or requires adjustment, as well as identifying areas of improvement, system in consistencies and training opportunities.
Payment Accuracy Analyst, Senior - Hybrid University of Pittsburgh Medical CenterPayment Accuracy Analyst, Senior - HybridPittsburgh, PAHere's what your day-to-day will look like: Collaborate across teams: Partner with Claims Operations, Medical Policy, IT, and more to align edits with clinical and financial goals. Bachelor's degree and 4 years of relevant experience OR equivalent combination of education & work within healthcare payers/claims payment processing will be considered.
Business Analyst AHA Blue Cross and Blue Shield AssociationBusiness Analyst AHAPhiladelphia, PAYou will work closely with other team members and cross functional teams such as configuration and Account Management to resolve discrepancies and improve claims processing experience for BlueCard members. Responsible for evaluating current business processes and developing, implementing, testing and maintaining Technology for more cost effective or quality improvement processing.
Payer Contract Analyst - CarepathRx - Remote The Cigna GroupPayer Contract Analyst - CarepathRx - RemotePA$24–$40 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Manages defined processes to ensure effectiveness and efficiency in the process and maintains databases, including contract/fee schedule rate updates, to ensure proper tracking, audits, reporting, analysis and resolution occurs timely and appropriately.
Business Analyst Berkshire Hathaway GUARD Insurance CompaniesBusiness AnalystConshohocken, PA$57,304.80–$132,706.20 / yearParticipate in Agile/Scrum ceremonies, including backlog refinement, sprint planning, release planning, reviews, and retrospectives, ensuring requirements remain aligned to business value. The Business Analyst plays a critical role in translating business needs into actionable solutions and ensuring alignment between strategy, execution, and measurable results.
Cybersecurity Risk Management Analyst Chubb LtdCybersecurity Risk Management AnalystPhiladelphia, PAIn this role, you will connect data, controls, and risk signals to drive deeper risk analysis, proactively identify potential issues before risk is realized, and support executive reporting on application security exposure and broader cybersecurity risk. You will serve as a hands-on platform specialist for ServiceNow IRM, helping optimize and enhance the GRC ecosystem so it continues to meet Chubb's evolving cybersecurity analytics, compliance, and risk management needs.
NewAVP, Community Resilience Senior Analyst Chubb LtdAVP, Community Resilience Senior AnalystPhiladelphia, PA$127,000–$183,000 / yearThe Assistant Vice President, Community Resilience Senior Analyst will support this enterprise-wide effort to reduce climate-driven losses in communities where Chubb has a significant marketplace presence by providing research, coordination, reporting, and analytical support. If you are a detail-oriented, relationship-driven problem solver who enjoys turning complex challenges into practical community outcomes, this is an opportunity to join a well-resourced, executive-backed initiative at one of the world's leading insurers and help advance community resilience at scale.
Product Services Analyst Chubb LtdProduct Services AnalystPhiladelphia, PAProvide 2nd Level Support with the appropriate sense of urgency for Chubb Commercial Lines Insurance and field staff to resolve issues reported to the helpdesk and respond to inquiries concerning the support of products and filings. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Corporate Insurance & Risk Management Analyst Chubb LtdCorporate Insurance & Risk Management AnalystPhiladelphia, PACritical factors to success include ability to work effectively across all levels both internally and externally, strong organizational, analytical and attention to detail skillsets, and willingness/desire to learn and develop in a dynamic environment. Corporate Insurance and Risk Management Analyst will be primarily responsible for supporting the corporate insurance and risk management function with additional ad hoc support for the other functions within the Global Treasury unit.
Senior Financial Analyst, SEC Reporting Chubb LtdSenior Financial Analyst, SEC ReportingPhiladelphia, PAThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Relationship & Scope: The Senior Financial Analyst, SEC Reporting is a pivotal team member of the Global Controllership unit at Chubb who supports consolidated financial reporting, SEC filings, and related analysis.
Clinical Appeals Analyst | PAM Health Corporate PAM Health Corporate OfficeClinical Appeals Analyst | PAM Health CorporateEnola, PennsylvaniaFull timePAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. • Prepare convincing appeal arguments, using pre-existing criteria sets and/or clinical evidence from existing library of clinical references and/or regulatory guidelines to prepare for an Administrative Law Judge hearing and participate in hearings by providing testimony, as necessary.
Actuarial Analyst CareerscapeActuarial AnalystPhiladelphia, PA$72,000–$92,000 / yearFull timeThis role works closely with senior actuaries and underwriting teams to analyze loss data, develop rate indications, and monitor portfolio performance. This is an on-site role based at the company's Philadelphia headquarters, with opportunities to progress toward actuarial credentialing exams supported by the employer.
Business Information Analyst II - Hedis Quality Analytics Elevance HealthBusiness Information Analyst II - Hedis Quality AnalyticsSeven Fields, PAMay require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Benefits Analyst Rocket SoftwareBenefits AnalystHarrisburg, PARemote$73,000–$90,000 / yearThe analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. The Benefits Analyst supports the administration, and analysis of U.S. and global benefit programs to enhance the employee experience and align with the company’s total rewards philosophy.
Network Reimbursement Analyst II Blue Cross and Blue Shield AssociationNetwork Reimbursement Analyst IIHarrisburg, PAThe Network Reimbursement Analyst works with the team manager and other analysts from within the same unit to develop and administer pricing for contracts between Capital BlueCross and various providers of health care services, including professional providers, hospitals, non-hospital providers and ancillary providers. Acts as an advisor for the Network Provider Contracting and Network Analytics and Contract Support teams to answer questions relating to payment and system configuration around fee schedules and facility reimbursement to determine the urgency and importance of system change requests/problems.
Warranty Analyst Murphy-Hoffman CompanyWarranty AnalystHarrisburg, PAMHC is now a multi-state network of full-service diesel truck dealerships, leasing and rental operations, transport refrigeration locations, and a finance company which offers a complete array of finance and insurance services. Follows-up with Service Managers to ensure all warranty parts are properly tagged and stored in the warranty holding area.
Senior Insurance and Risk Analyst Quaker Chemical CorporationSenior Insurance and Risk AnalystConshohocken, PennsylvaniaCoordinate the renewal processes for all lines of insurance including compilation of exposure data necessary for each coverage; these processes involve interaction with various Finance, Facilities, Human Resources and Operations groups throughout our global footprint. Provide timely notice of workers’ compensation and third-party liability claims to appropriate insurer or third-party administrator; provide notice of a circumstance to Quaker Houghton’s captive insurer on potential liability claims that could exceed the underlying insurance limits.
Actuarial Assistant/Analyst Berkshire Hathaway GUARD Insurance CompaniesActuarial Assistant/AnalystConshohocken, PA$60,000–$80,000 / yearWhat You''ll Do: Collaborate with business partners (e.g., Claims, Underwriting, Product) to support pricing, filings, and profitability work; ask questions to understand how assigned work ties to business priorities. The position offers opportunities to develop technical expertise, gain exposure to key business functions, and continue progressing toward Casualty Actuarial Society (CAS) credentials in a collaborative and growth-oriented environment.
NewSr. Digital Marketing Analyst-All PHLY Offices Philadelphia Insurance CompaniesSr. Digital Marketing Analyst-All PHLY OfficesBala Cynwyd, PennsylvaniaThis role partners closely with Marketing, Product, IT, Customer Experience, Distribution, and external agencies to develop data-driven insights that improve campaign performance, customer journeys, and return on marketing investment. Summary: The Senior Digital Marketing Analyst leads the analysis, measurement, and optimization of digital marketing initiatives across paid media, email, web, social media, and customer experience channels.
Risk Management Analyst for University of Pennsylvania Penn MedicineRisk Management Analyst for University of PennsylvaniaPhiladelphia, PA$95,000–$104,686 / yearReview & track incident reports ensuring that follow-ups are complete; perform investigations under direction of in-house counsel or hospital peer review committees; complete regulatory reporting within the required timeframe if indicated; prepare reports of adverse events resulting in liability exposure; act as resource person for all Health System employees concerning risk management issues; investigate patient complaints & determine most appropriate method of management; participate on committees that address issues with risk management implications; complete clinical summaries for medical legal reviews, provide risk management educational sessions to individual departments or units. BA/BS degree in Nursing required with Professional Nursing License in Commonwealth of PA required; 3 years' clinical experience within last 5 years with prior experience in health care risk management, quality assurance, or case management positions preferred; may be required to travel throughout Medical Center, University Campus & Penn Medicine.
NewBusiness Configuration Analyst (Hybrid- PA, NJ, DE) Blue Cross and Blue Shield AssociationBusiness Configuration Analyst (Hybrid- PA, NJ, DE)Philadelphia, PACreates test case scenarios for application and configuration testing and ensures appropriate testing has been completed before the software enters the production phase. In lieu of degree, minimum 3-4 years proven configuration experience, preferably on Facets, Health Rules, Diamond, Amisys Advance or similar payer system Strong project management skills needed.