Contract Business Analyst- Hybrid in Philly up to 48/hour! Beacon Hill Staffing Group, LLCContract Business Analyst- Hybrid in Philly up to 48/hour!Philadelphia, PennsylvaniaFull timeLearn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. This individual will support critical claims operations initiatives, process improvement efforts, and cross-functional projects focused on enhancing the member experience and driving operational efficiency.
NewBoard Certified Behavioral Analyst JobotBoard Certified Behavioral AnalystKennett Square, PA$75,000–$85,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Our client, a mission-driven non-profit organization, is seeking a compassionate and experienced Board Certified Behavior Analyst (BCBA) to support individuals with behavioral and developmental needs.
Coding Quality Analyst UnitedHealth Group IncCoding Quality AnalystNewtown Square, PA$23.89–$42.69 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Follows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, and inclusion of appropriate medical literature references.
NewHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteNJRemote$64,625.60–$84,448 / yearp>Hospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
Hospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Lawrenceville NJ Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Lawrenceville NJNJ$28.70–$37.32 / hourp>Assigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
NewHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding RemoteNJRemote$28.70–$37.32 / hourp>Assigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
Coding Quality Reviewer/Audit Thomas Jefferson UniversityCoding Quality Reviewer/AuditPhiladelphia, PennsylvaniaShowell%252540jefferson.edu%25257C673e1607452d4029553308db62bc903f%25257C55a89906c710436bbc444c590cb67c4a%25257C0%25257C0%25257C638212334228975351%25257CUnknown%25257CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%25253D%25257C3000%25257C%25257C%25257C%2526sdata%253D7iMQ6V6sMcJ3yBHG%25252FSt9Jpd4bGY9m0%25252BAco9WP9U5oWw%25253D%2526reserved%253D0%26a%3DThomas%2BJefferson%2BUniversity&data=05%7C02%7CTierra. Showell%252540jefferson.edu%25257C673e1607452d4029553308db62bc903f%25257C55a89906c710436bbc444c590cb67c4a%25257C0%25257C0%25257C638212334228975351%25257CUnknown%25257CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%25253D%25257C3000%25257C%25257C%25257C%2526sdata%253DOPutlxWHBD0yUuQAAIXqbjs9AEK4%25252B0xOE2JwFSR4rcE%25253D%2526reserved%253D0%26a%3DJefferson%2BHealth%2BPlans&data=05%7C02%7CTierra.
NewCoding Quality Reviewer Educator - Remote Cooper University HospitalCoding Quality Reviewer Educator - RemoteCamden, New JerseyRemotep>Applicant must have demonstrated proficiency in coding inpatient accounts, ICD-10, PCS coding and/or complex outpatient coding of Observation, Radiation Oncology, Chemotherapy Infusion, Surgery, Cardiology Cath, EP and/or Interventional Radiology. License/Certification Requirements: One or more of the following required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA.
Coding Quality Reviewer Educator Remote Cooper University Health CareCoding Quality Reviewer Educator RemoteCamden, NJRemoteApplicant must have demonstrated proficiency in coding inpatient accounts, ICD-10, PCS coding, and/or complex outpatient coding of Observation, Radiation Oncology, Chemotherapy Infusion, Surgery, Cardiology Cath, EP, and/or Interventional Radiology. License/Certification Requirements: One or more of the following are required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC, and/or any of the Core Credentials or specialty credential of AAPC or AHIMA.
NewMedical Coding Coordinator Pyramid, IncMedical Coding CoordinatorPhiladelphia, PAFull timeBring your drive for excellence, team orientation and customer commitment to Independence Client; help us renew and reimagine our business and shape the future of health care. If this describes you, we want to speak with you Ensures accurate medical coding related to technology assessments, medical policies, claim payment policies and adhoc coding projects.
Medical Coding Automation Senior Associate athenahealth IncMedical Coding Automation Senior AssociatePA$77,000–$131,000 / yearThe Medical Coding Services team partners closely with Product, Operations, Commercial, Revenue Cycle, and R&D stakeholders to improve coding quality, reduce denials, optimize claim adjudication outcomes, and strengthen service integrity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Medical Coding Specialist (31620) ExamWorks Group IncMedical Coding Specialist (31620)Mount Laurel, NJp>ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
Manager - Coding University Health Services IncManager - CodingWAYNE, PAHealthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements Thorough understanding of the revenue cycle and how the various components work together Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations AAPC CPC Certification required Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable As an IPM employee you will be part of a first-class organization offering: A Challenging and rewarding work environment.
HIM Coding Specialist Penn MedicineHIM Coding SpecialistPhiladelphia, PAp>Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.
Medical Billing & Coding/Receptionist Chestnut Hill Allergy & AsthmaMedical Billing & Coding/ReceptionistWyndmoor, PAThis role combines front desk responsibilities with medical billing and coding duties to help provide a smooth and positive patient experience from check-in through claim processing. The ideal candidate is professional, detail-oriented, able to multitask in a fast-paced environment, and has experience with insurance verification, medical billing, and customer service.
Medical Insurance and Coding Instructor Reading Area Community CollegeMedical Insurance and Coding InstructorWilmington, DEp>Summary: The Medical Insurance and Coding (MIC) Instructor reports to the Associate Vice President of Workforce & Continuing Education department, who will assign location and hours of the Instructor activities. FOR ANNUAL SECURITY AND CRIME STATISTICS REPORTS: https://www.racc.edu/about-racc/clery.
Hospital Billing Revenue Analyst Main Line Health SystemHospital Billing Revenue AnalystNewtown Square, PA$65,520–$101,504 / yearThe Hospital Billing Revenue Analyst plays a key role at the intersection of Revenue Cycle operations and Data Analytics, combining technical reporting skills with an understanding of hospital billing and coding practices. By monitoring key revenue metrics, identifying trends, and ensuring the accuracy of financial reporting, you help drive improvements in revenue recognition, cash flow, payer performance, and regulatory compliance.
IT Programmer/Analyst Lead Capital HealthIT Programmer/Analyst LeadPennington, NJ$86,964.80–$113,672 / yearWhen determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care.
Senior HealthCare Analyst, Risk Adjustment - Jefferson Health Plan Thomas Jefferson UniversitySenior HealthCare Analyst, Risk Adjustment - Jefferson Health PlanPhiladelphia, PAJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
Revenue Integrity Analyst - Epic Revenue Cycle Analyst *Hospital experience required/EPIC highly preferred! (Hybrid) Virtua Health IncRevenue Integrity Analyst - Epic Revenue Cycle Analyst *Hospital experience required/EPIC highly preferred! (Hybrid)Mount Laurel, NJ$70,935–$110,268 / yearp>Location: PACCT - 2000 Crawford Place Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: (Not specified). In the following sections, the incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps.
NewRevenue Integrity Analyst Cooper University HospitalRevenue Integrity AnalystCamden, New Jerseyli>Works with institute/department staff, Billing, Coding, Revenue Cycle Analysts, Claims Review Nurses, Clinical Documentation Improvement, and/or other relevant staff to correct conflicting coding, ambiguous documentation, and incorrect charging and charging practices. Short Description: Reporting directly to the Manager of Revenue Integrity and working closely with the CDM Analysts, the Revenue Integrity Analyst position will be responsible for all aspects of revenue integrity for assigned institutes, cost centers, and/or departments, including the following: .
NewSr Charge Master Analyst Cooper University HospitalSr Charge Master AnalystCamden, New Jerseyli>Advises and instructs providers, department managers, end users regarding billing and documentation policies, procedures and regulations; interacts with Cooper University Health Care staff regarding incorrect charging, conflicting coding, ambiguous documentation, obtaining clarification of same and educate in regard to changes and measuring compliance. Oversee Chargemaster maintenance for CUH to ensure proper revenue generation and reimbursement, improvement to all aspects of revenue cycle operation (coding, charge capture, and work processes), while maintaining compliance with third party and government requirements.
Programmer Configuration Analyst JPK Secure Healthcare SolutionsProgrammer Configuration AnalystPaoli, Pennsylvaniadiv class="account_description">JPK Secure HealthCare Solutions is a true single source providing pre/post enrollment communications and provider correspondence in a secure HIPAA compliant environment for government health plans, commercial health carriers and TPA’s.. We are seeking a hands-on Programmer/Configuration Analyst as a member of our development team to design, build, and implement code/maps for print, email, and SMS communications, and support automated workflows that power our healthcare communications platform.Senior Principal Real World Analyst (RWA)-1 Jazz Pharmaceuticals PlcSenior Principal Real World Analyst (RWA)-1Philadelphia, PARemote$151,200–$226,800 / yearReporting to the head of RWD/A, and positioned within the RWE/A, Global Evidence & Value Generation department, the successful candidate will demonstrate deep expertise in RWD analytics, exceptional programming and analytical capabilities, strong organizational skills and a keen eye for detail, and a proven record of delivering high-quality RWE projects. Brief Description: The Senior Principal Real-World Analyst (RWA) will be responsible for conducting analyses for Real-World Evidence (RWE) studies and analytic projects using diverse Real-World Data (RWD) sources including administrative claims, electronic medical records (EMR), and registry data.Senior Principal Real World Analyst (RWA)-2 Jazz Pharmaceuticals PlcSenior Principal Real World Analyst (RWA)-2Philadelphia, PARemote$151,200–$226,800 / yearReporting to the head of RWD/A, and positioned within the RWE/A, Global Evidence & Value Generation department, the successful candidate will demonstrate deep expertise in RWD analytics, exceptional programming and analytical capabilities, strong organizational skills and a keen eye for detail, and a proven record of delivering high-quality RWE projects. Brief Description: The Senior Principal Real-World Analyst (RWA) will be responsible for conducting analyses for Real-World Evidence (RWE) studies and analytic projects using diverse Real-World Data (RWD) sources including administrative claims, electronic medical records (EMR), and registry data.Lead Healthcare Data Analyst (Pre-sale) HealthVerityLead Healthcare Data Analyst (Pre-sale)Philadelphia, PennsylvaniaRemotep>As a Lead Healthcare Data Analyst, Real World Data Solutions (RWDS), you will apply your healthcare data analytics expertise to support pre-sales solutioning, helping clients and internal teams assess data feasibility, shape analytic approaches, and identify the right data assets to support prospective licensing opportunities. Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, chargemaster) using SQL to identify populations of interest in HVM data, apply appropriate inclusion and exclusion criteria, and assess outputs using univariate analysis, distributions, trends, and data investigations.Revenue Cycle Analyst - Data and Analytics University Health Services IncRevenue Cycle Analyst - Data and AnalyticsPAAs a Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Revenue Cycle Analysts performing Analytics are responsible for reviewing and manipulating raw data and leveraging data analytics to identify and communicate trends and issues, combining revenue cycle expertise with advanced analytics capabilities to transform raw data into actionable insights, supporting strategic decision-making, and monitoring key performance indicators (KPIs).Senior Analyst Physician Compensation Data and Analytics Penn MedicineSenior Analyst Physician Compensation Data and AnalyticsBala Cynwyd, PAli>Advanced proficiency in Microsoft Excel, including complex formulas (e.g., XLOOKUP, INDEX/MATCH), PivotTables, data modeling (Power Query/Power Pivot), dashboards, and process automation through macros or VBA. Summary: The Senior Analyst, Physician Compensation Data & Analytics serves as the primary resource for managing and analyzing physician and APP compensation data within the Penn Medicine Medical Group (PMMG) Regional division.Application Analyst I - Pharmacy Systems University Health Services IncApplication Analyst I - Pharmacy SystemsKING OF PRUSSIA, PABasic knowledge of Pharmacy and related computer systems such as Med Distribution and Order Management Systems (i.e. Pyxis), analysis and programming techniques and procedures, including: consulting with users to determine hardware, software or system functional specifications; design, development, documentation, analysis, creation, testing, coding, debugging, or modification of computer systems or programs based on and related to user design specifications. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.Revenue Cycle Analyst - Patient Access University Health Services IncRevenue Cycle Analyst - Patient AccessTREDYFFRIN, PAAs a Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Revenue Cycle Analysts supporting Patient Access functions are responsible for enhancing patient access processes within the UHS Acute Care Division by ensuring efficient, accurate, and patient-focused service through data analysis, system troubleshooting, and process improvement within scheduling, pre-registration, registration, insurance verification, and financial counseling.Sr. Application Analyst - Patient Accounting (Soarian Financials) University Health Services IncSr. Application Analyst - Patient Accounting (Soarian Financials)KING OF PRUSSIA, PAWorks closely with operations to modify the Patient Accounting system for any payment methodology modifications including fee schedules, DRG, APC, Per-Diem, Case Rates, Percentage of Charges and/or Outlier Reimbursement Maintains all system-wide Financial Classes, Insurance Plan Codes and Transaction Codes and confirms that team members complete each assigned portion of the system build Performs quality reviews on all system modifications and manages daily workflow through UHS Incident Ticketing System Creates Tip Sheets/How To Documentation, when applicable, to support new functionality of system, workflow modifications, or modifications to current build/design. Comprehensive working knowledge of computer systems analysis and programming techniques and procedures, including consulting with users to determine hardware, software or system functional specifications; design, development, documentation, analysis, creation, testing, coding, debugging, or modification of computer systems or programs based on and related to user design specifications.Compliance Analyst I Penn MedicineCompliance Analyst IBala Cynwyd, PALoading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE Compliance Analyst I Job ID: 304781 Category: Business Process Improvement Work Type: FT Location: Bala Cynwyd, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: share to e-mail Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Keeps abreast with all the changes in the CPT coding, CMS regulations, local Medicare carrier (Novitas) in order to provide the most accurate information when participating in any internal and external projects/discussions.Revenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthRevenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$64,625.60–$84,448 / yearp>Monitor and report key KPIs, including (as applicable): Initial denial rate, Preventable denial rate, Appeal overturn rate, Days to appeal submission/resolution, DNFB aging and pre-bill hold impact, Net collections and reimbursement variance trends. Monitors charge capture performance and identify potential revenue leakage across inpatient and outpatient workflows, including missed charges, late charges, charge lag, and documentation-to-bill discrepancies.NewSenior Cyber Security Analyst TrinnexSenior Cyber Security AnalystWilmington, DEJoin the Trinnex Security Team as a Senior Cyber Security Analyst, where you will operate at the intersection of cybersecurity and DevSecOps to protect critical software systems that support water utilities and infrastructure. Whether it's optimizing water supply and demand, detecting leaks and anomalies, or enhancing water quality and resilience, Trinnex delivers value and impact to public sector clients across the country.Associate Application Analyst - Workforce Management Systems University Health Services IncAssociate Application Analyst - Workforce Management SystemsKING OF PRUSSIA, PAWorking knowledge of computer systems analysis and programming techniques and procedures, including: consulting with users to determine hardware, software or system functional specifications; design, development, documentation, analysis, creation, testing, coding, debugging, or modification of computer systems or programs based on and related to user design specifications. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.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.Sr. Analyst Delivery Operations GoBrands IncSr. Analyst Delivery OperationsPhiladelphia, PA$72,000–$90,000 / yearp>Dispatch is the engine behind our delivery speed and cost efficiency - it determines how orders are batched routed and fulfilled and it directly drives one of our most important financial metrics Delivery Cost Per Order DCPO. Youll own these domains end-to-end building the reporting infrastructure running experiments identifying inefficiencies and partnering cross-functionally to implement solutions.Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystPA$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.Customer Remediation Quality Control Data Analyst - Consumer & Business Banking Risk U.S. BancorpCustomer Remediation Quality Control Data Analyst - Consumer & Business Banking RiskPA$105,400–$124,000 / yearem> Maintain awareness of bank, regulatory, and industry changes and trends Responsibilities may also include contributing to CBB Risk Data Team projects or project implementation Perform other duties as assigned BASIC QUALIFICATIONS Seven to ten years of applicable experience Bachelor's degree or equivalent work experience PREFERRED SKILLS/EXPERIENCE SQL/SAS coding experience Five years of experience with bank systems Five years in a reporting, analytics, or technology environment Strong problem-solving, process facilitation, project management, and analytical skills Excellent interpersonal, written, and verbal communication skills Considerable knowledge of applicable laws, regulations, financial services, and regulatory trends that impact CBB Advanced understanding of CBB products, services, systems, and associated risks/controls, as well as supporting operational functions Python experience Advanced Excel computer skills and database knowledge Experience with SharePoint or TEAMS Comfortable working in a team environment with layers of required review/approval Ability to work in a fast-paced environment with large workloads If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. RESPONSIBILITIES Customer Remediation Support: The CBB Risk Data Team supports issue and business line management with research, data analysis, documentation and execution Credible Challenge: The CBB Risk Data Team accepts ownership of the data used within all CBB customer remediation events.NewCompliance Analyst II Penn MedicineCompliance Analyst IIBala Cynwyd, PAIt is also responsible for focused reviews of other specialty areas within UPHS and other special projects to include, but not limited to, assisting in the creation of specialty specific departmental education sessions. Summary: The Compliance Analyst (CA) II is responsible for the performance of annual reviews of the professional fee billing for the faculty members of UPHS (HUP, PMC, PAH, CCH and PMPHC) and the Clinical Care Associates (CCA).Marketing Automation Analyst - Remote CLEAResult Consulting, Inc.Marketing Automation Analyst - RemotePARemote$90,000–$100,000 / yearp>We are seeking a detail-oriented and technically skilled Marketing Automation Analyst to support our email marketing initiatives and drive performance through Salesforce Marketing Cloud (SFMC). Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant's skills and prior relevant experience, certain degrees and certifications (e.g.Quantitative Risk Analyst WSFS BankQuantitative Risk AnalystPhiladelphia, Pennsylvania64,491.00 - $105,949.50Individual base pay may vary on additional factors such as the candidate’s experience, job-related skills, relevant education, geographic location, and other specific business and organizational needs. Assist the Quantitative Risk Manager in constructing a Credit Decision Scorecards and statistically based credit risk modeling strategies based on quantitative modeling methods (e.g., good / bad definition, performance sample windows, sample size and exclusions).Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystPhiladelphia, PA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.Senior Analyst - Provider Revenue Excellence McKinsey & Co IncSenior Analyst - Provider Revenue ExcellencePAOur engagements are typically focused on growth solutions that leverage cutting edge assets and expertise, revenue cycle management capabilities across the value chain to ensure maximum value capture, or pricing capabilities that enable providers to excel along the full managed care contracting life cycle. descriptive statistics, predictive analytics and machine learning • Strong analytical skills in claims, productivity, access, and volume data to identify trends and opportunities • Ability to work collaboratively in a team environment • Comfortable traveling to client sites, up to 60-70% of time traveling.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. • Communication Skills: Strong written and verbal communication skills for interacting with various stakeholders and resolving issues quickly.Epic Integration Analyst, Level I Thomas Jefferson UniversityEpic Integration Analyst, Level IMontgomery County, PAThomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.Senior Analyst Systems Configuration & Programming Thomas Jefferson UniversitySenior Analyst Systems Configuration & ProgrammingMontgomery County, PAThomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.Quantitative Analytics & Model Analyst Senior - C&IB - Commercial The PNC Financial Services Group IncQuantitative Analytics & Model Analyst Senior - C&IB - CommercialPhiladelphia, PA$55,000–$157,300 / yearp>In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.Entry Level Java/DevOps Developer - Remote/Bi Analyst SynergisticITEntry Level Java/DevOps Developer - Remote/Bi AnalystPrinceton, NJRemote$95,000–$154,000 / yearSynergisticIT works especially well for candidates such as: recent grads in CS/Engineering/Math/Stats, jobseekers who were laid off and need an updated stack, career switchers who want a guided plan, candidates with career gaps, people with "learning but not hired” bootcamp history, experienced professionals not landing interviews, and international candidates on F1/OPT needing a clear employment pathway. Since 2010, SynergisticIT has helped thousands of candidates secure full-time roles with leading companies and recognizable brands—think Google, Apple, PayPal, Visa, Western Union, Wells Fargo, Client, Walmart Labs, Client, Banking, Client, Wayfair, and many more—often in the $95k to $154k offer range depending on role, location, and skillset.Senior PeopleSoft Developer/Analyst II Princeton UniversitySenior PeopleSoft Developer/Analyst IIPrinceton, NJ$121,000–$137,000 / yearA Senior Developer/Analyst will build and maintains interactive applications within the ERP landscape: focusing on design, development, integration, testing, and deployment, while collaborating with stakeholders and ensuring scalable, high-performance solutions that meet business needs. Essential Qualifications: A minimum of 5 years of experience as a PeopleSoft developer/analyst, which includes direct programming experience and experience conducting business analysis with technical and non-technical staff.1234567Similar Job SearchesCoding Manager Jobs
Senior Principal Real World Analyst (RWA)-1 Jazz Pharmaceuticals PlcSenior Principal Real World Analyst (RWA)-1Philadelphia, PARemote$151,200–$226,800 / yearReporting to the head of RWD/A, and positioned within the RWE/A, Global Evidence & Value Generation department, the successful candidate will demonstrate deep expertise in RWD analytics, exceptional programming and analytical capabilities, strong organizational skills and a keen eye for detail, and a proven record of delivering high-quality RWE projects. Brief Description: The Senior Principal Real-World Analyst (RWA) will be responsible for conducting analyses for Real-World Evidence (RWE) studies and analytic projects using diverse Real-World Data (RWD) sources including administrative claims, electronic medical records (EMR), and registry data.
Senior Principal Real World Analyst (RWA)-2 Jazz Pharmaceuticals PlcSenior Principal Real World Analyst (RWA)-2Philadelphia, PARemote$151,200–$226,800 / yearReporting to the head of RWD/A, and positioned within the RWE/A, Global Evidence & Value Generation department, the successful candidate will demonstrate deep expertise in RWD analytics, exceptional programming and analytical capabilities, strong organizational skills and a keen eye for detail, and a proven record of delivering high-quality RWE projects. Brief Description: The Senior Principal Real-World Analyst (RWA) will be responsible for conducting analyses for Real-World Evidence (RWE) studies and analytic projects using diverse Real-World Data (RWD) sources including administrative claims, electronic medical records (EMR), and registry data.
Lead Healthcare Data Analyst (Pre-sale) HealthVerityLead Healthcare Data Analyst (Pre-sale)Philadelphia, PennsylvaniaRemotep>As a Lead Healthcare Data Analyst, Real World Data Solutions (RWDS), you will apply your healthcare data analytics expertise to support pre-sales solutioning, helping clients and internal teams assess data feasibility, shape analytic approaches, and identify the right data assets to support prospective licensing opportunities. Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, chargemaster) using SQL to identify populations of interest in HVM data, apply appropriate inclusion and exclusion criteria, and assess outputs using univariate analysis, distributions, trends, and data investigations.
Revenue Cycle Analyst - Data and Analytics University Health Services IncRevenue Cycle Analyst - Data and AnalyticsPAAs a Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Revenue Cycle Analysts performing Analytics are responsible for reviewing and manipulating raw data and leveraging data analytics to identify and communicate trends and issues, combining revenue cycle expertise with advanced analytics capabilities to transform raw data into actionable insights, supporting strategic decision-making, and monitoring key performance indicators (KPIs).
Senior Analyst Physician Compensation Data and Analytics Penn MedicineSenior Analyst Physician Compensation Data and AnalyticsBala Cynwyd, PAli>Advanced proficiency in Microsoft Excel, including complex formulas (e.g., XLOOKUP, INDEX/MATCH), PivotTables, data modeling (Power Query/Power Pivot), dashboards, and process automation through macros or VBA. Summary: The Senior Analyst, Physician Compensation Data & Analytics serves as the primary resource for managing and analyzing physician and APP compensation data within the Penn Medicine Medical Group (PMMG) Regional division.
Application Analyst I - Pharmacy Systems University Health Services IncApplication Analyst I - Pharmacy SystemsKING OF PRUSSIA, PABasic knowledge of Pharmacy and related computer systems such as Med Distribution and Order Management Systems (i.e. Pyxis), analysis and programming techniques and procedures, including: consulting with users to determine hardware, software or system functional specifications; design, development, documentation, analysis, creation, testing, coding, debugging, or modification of computer systems or programs based on and related to user design specifications. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Revenue Cycle Analyst - Patient Access University Health Services IncRevenue Cycle Analyst - Patient AccessTREDYFFRIN, PAAs a Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Revenue Cycle Analysts supporting Patient Access functions are responsible for enhancing patient access processes within the UHS Acute Care Division by ensuring efficient, accurate, and patient-focused service through data analysis, system troubleshooting, and process improvement within scheduling, pre-registration, registration, insurance verification, and financial counseling.
Sr. Application Analyst - Patient Accounting (Soarian Financials) University Health Services IncSr. Application Analyst - Patient Accounting (Soarian Financials)KING OF PRUSSIA, PAWorks closely with operations to modify the Patient Accounting system for any payment methodology modifications including fee schedules, DRG, APC, Per-Diem, Case Rates, Percentage of Charges and/or Outlier Reimbursement Maintains all system-wide Financial Classes, Insurance Plan Codes and Transaction Codes and confirms that team members complete each assigned portion of the system build Performs quality reviews on all system modifications and manages daily workflow through UHS Incident Ticketing System Creates Tip Sheets/How To Documentation, when applicable, to support new functionality of system, workflow modifications, or modifications to current build/design. Comprehensive working knowledge of computer systems analysis and programming techniques and procedures, including consulting with users to determine hardware, software or system functional specifications; design, development, documentation, analysis, creation, testing, coding, debugging, or modification of computer systems or programs based on and related to user design specifications.
Compliance Analyst I Penn MedicineCompliance Analyst IBala Cynwyd, PALoading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE Compliance Analyst I Job ID: 304781 Category: Business Process Improvement Work Type: FT Location: Bala Cynwyd, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: share to e-mail Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Keeps abreast with all the changes in the CPT coding, CMS regulations, local Medicare carrier (Novitas) in order to provide the most accurate information when participating in any internal and external projects/discussions.
Revenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthRevenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$64,625.60–$84,448 / yearp>Monitor and report key KPIs, including (as applicable): Initial denial rate, Preventable denial rate, Appeal overturn rate, Days to appeal submission/resolution, DNFB aging and pre-bill hold impact, Net collections and reimbursement variance trends. Monitors charge capture performance and identify potential revenue leakage across inpatient and outpatient workflows, including missed charges, late charges, charge lag, and documentation-to-bill discrepancies.
NewSenior Cyber Security Analyst TrinnexSenior Cyber Security AnalystWilmington, DEJoin the Trinnex Security Team as a Senior Cyber Security Analyst, where you will operate at the intersection of cybersecurity and DevSecOps to protect critical software systems that support water utilities and infrastructure. Whether it's optimizing water supply and demand, detecting leaks and anomalies, or enhancing water quality and resilience, Trinnex delivers value and impact to public sector clients across the country.
Associate Application Analyst - Workforce Management Systems University Health Services IncAssociate Application Analyst - Workforce Management SystemsKING OF PRUSSIA, PAWorking knowledge of computer systems analysis and programming techniques and procedures, including: consulting with users to determine hardware, software or system functional specifications; design, development, documentation, analysis, creation, testing, coding, debugging, or modification of computer systems or programs based on and related to user design specifications. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
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.
Sr. Analyst Delivery Operations GoBrands IncSr. Analyst Delivery OperationsPhiladelphia, PA$72,000–$90,000 / yearp>Dispatch is the engine behind our delivery speed and cost efficiency - it determines how orders are batched routed and fulfilled and it directly drives one of our most important financial metrics Delivery Cost Per Order DCPO. Youll own these domains end-to-end building the reporting infrastructure running experiments identifying inefficiencies and partnering cross-functionally to implement solutions.
Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystPA$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Customer Remediation Quality Control Data Analyst - Consumer & Business Banking Risk U.S. BancorpCustomer Remediation Quality Control Data Analyst - Consumer & Business Banking RiskPA$105,400–$124,000 / yearem> Maintain awareness of bank, regulatory, and industry changes and trends Responsibilities may also include contributing to CBB Risk Data Team projects or project implementation Perform other duties as assigned BASIC QUALIFICATIONS Seven to ten years of applicable experience Bachelor's degree or equivalent work experience PREFERRED SKILLS/EXPERIENCE SQL/SAS coding experience Five years of experience with bank systems Five years in a reporting, analytics, or technology environment Strong problem-solving, process facilitation, project management, and analytical skills Excellent interpersonal, written, and verbal communication skills Considerable knowledge of applicable laws, regulations, financial services, and regulatory trends that impact CBB Advanced understanding of CBB products, services, systems, and associated risks/controls, as well as supporting operational functions Python experience Advanced Excel computer skills and database knowledge Experience with SharePoint or TEAMS Comfortable working in a team environment with layers of required review/approval Ability to work in a fast-paced environment with large workloads If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. RESPONSIBILITIES Customer Remediation Support: The CBB Risk Data Team supports issue and business line management with research, data analysis, documentation and execution Credible Challenge: The CBB Risk Data Team accepts ownership of the data used within all CBB customer remediation events.
NewCompliance Analyst II Penn MedicineCompliance Analyst IIBala Cynwyd, PAIt is also responsible for focused reviews of other specialty areas within UPHS and other special projects to include, but not limited to, assisting in the creation of specialty specific departmental education sessions. Summary: The Compliance Analyst (CA) II is responsible for the performance of annual reviews of the professional fee billing for the faculty members of UPHS (HUP, PMC, PAH, CCH and PMPHC) and the Clinical Care Associates (CCA).
Marketing Automation Analyst - Remote CLEAResult Consulting, Inc.Marketing Automation Analyst - RemotePARemote$90,000–$100,000 / yearp>We are seeking a detail-oriented and technically skilled Marketing Automation Analyst to support our email marketing initiatives and drive performance through Salesforce Marketing Cloud (SFMC). Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant's skills and prior relevant experience, certain degrees and certifications (e.g.
Quantitative Risk Analyst WSFS BankQuantitative Risk AnalystPhiladelphia, Pennsylvania64,491.00 - $105,949.50Individual base pay may vary on additional factors such as the candidate’s experience, job-related skills, relevant education, geographic location, and other specific business and organizational needs. Assist the Quantitative Risk Manager in constructing a Credit Decision Scorecards and statistically based credit risk modeling strategies based on quantitative modeling methods (e.g., good / bad definition, performance sample windows, sample size and exclusions).
Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystPhiladelphia, PA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Senior Analyst - Provider Revenue Excellence McKinsey & Co IncSenior Analyst - Provider Revenue ExcellencePAOur engagements are typically focused on growth solutions that leverage cutting edge assets and expertise, revenue cycle management capabilities across the value chain to ensure maximum value capture, or pricing capabilities that enable providers to excel along the full managed care contracting life cycle. descriptive statistics, predictive analytics and machine learning • Strong analytical skills in claims, productivity, access, and volume data to identify trends and opportunities • Ability to work collaboratively in a team environment • Comfortable traveling to client sites, up to 60-70% of time traveling.
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. • Communication Skills: Strong written and verbal communication skills for interacting with various stakeholders and resolving issues quickly.
Epic Integration Analyst, Level I Thomas Jefferson UniversityEpic Integration Analyst, Level IMontgomery County, PAThomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
Senior Analyst Systems Configuration & Programming Thomas Jefferson UniversitySenior Analyst Systems Configuration & ProgrammingMontgomery County, PAThomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
Quantitative Analytics & Model Analyst Senior - C&IB - Commercial The PNC Financial Services Group IncQuantitative Analytics & Model Analyst Senior - C&IB - CommercialPhiladelphia, PA$55,000–$157,300 / yearp>In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Entry Level Java/DevOps Developer - Remote/Bi Analyst SynergisticITEntry Level Java/DevOps Developer - Remote/Bi AnalystPrinceton, NJRemote$95,000–$154,000 / yearSynergisticIT works especially well for candidates such as: recent grads in CS/Engineering/Math/Stats, jobseekers who were laid off and need an updated stack, career switchers who want a guided plan, candidates with career gaps, people with "learning but not hired” bootcamp history, experienced professionals not landing interviews, and international candidates on F1/OPT needing a clear employment pathway. Since 2010, SynergisticIT has helped thousands of candidates secure full-time roles with leading companies and recognizable brands—think Google, Apple, PayPal, Visa, Western Union, Wells Fargo, Client, Walmart Labs, Client, Banking, Client, Wayfair, and many more—often in the $95k to $154k offer range depending on role, location, and skillset.
Senior PeopleSoft Developer/Analyst II Princeton UniversitySenior PeopleSoft Developer/Analyst IIPrinceton, NJ$121,000–$137,000 / yearA Senior Developer/Analyst will build and maintains interactive applications within the ERP landscape: focusing on design, development, integration, testing, and deployment, while collaborating with stakeholders and ensuring scalable, high-performance solutions that meet business needs. Essential Qualifications: A minimum of 5 years of experience as a PeopleSoft developer/analyst, which includes direct programming experience and experience conducting business analysis with technical and non-technical staff.