April 30, 2026For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at LeidosCareersFraud@leidos.com.
Healthcare (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.
Philadelphia, PA17 days ago
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.
Philadelphia, PA30+ days ago
p>Loading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Specialist III Job ID: 303888 Category: Health Information Management/Coding Work Type: FT Location: Philadelphia, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: 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. • Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: - Missing Operative Notes - Missing Pathology Report - Physician Query Needed - Death Review - Discharge Disposition - Missing Other Reports (Card Cath, EPS, etc) • Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management.
li>Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Responsibilities:
- Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
li>Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Active State RN Nursing License, Physical (PT), Occupational (OT) or Speech (SLP) Therapists with required certifications with a minimum of 2 years clinical experience.
Philadelphia, PA4 days ago
p>More specifically, GSK Medical Analytics Insights goal is to uncover and embed findings and insights to impact the following key focus areas: Input to Innovation - informing asset strategy, evidence generation, improved clinical trial design, lifecycle planning, and emerging scientific opportunity identification.
5+ years' experience, including 3+ years in healthcare, applying analytics and insights to inform business or medical decisions through market research, analytics, forecasting, customer insights, evidence generation or related disciplines; or 3+ years with an advanced degree, including 2+ years in healthcare.
Bala Cynwyd, PA30+ days ago
p>Loading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Spec II Job ID: 304173 Category: Health Information Management/Coding Work Type: FT Location: Bala Cynwyd, PA, United States Work Schedule: M-F, 8 hr day shift, remote Share: 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. • Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: • Missing Operative Notes • Missing Pathology Report • Physician Query Needed • Mortality Review • Discharge Disposition • Missing Other Reports (Card Cath, EPS, etc) • Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management.
Philadelphia, PA30+ days ago
p>PHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent - managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment. EDUCATION:
• Must meet ONE of the following: • Bachelor's degree in social work or a related field from an accredited school of social work • Associate's degree in social work or a related field, with the intent and desire to obtain a bachelor's degree in social work or a related field.
West solved the problem of supplying penicillin in mass quantities to the US Government during World War 2. Through our work to deliver thousands of life-saving and life-enhancing injectable medicines to millions of patients daily, West's indelible mark on the healthcare industry has just begun. Ability to assess, plan, schedule and manage multiple long-term and short-term projects, tasks, responsibilities and/or priorities in a concurrent fashion with several parallel deliverables and execute deliverables to time-line commitments.
ul>Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Bachelor's degree in nursing or RN certification in lieu of bachelor"s degree or Master's degree in Social Work, Counseling, Education, or related field and 3 years" experience in Acute or Managed Care/ experience with Medicaid or Medicare populations.
li>Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients;
Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows;
Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases;
Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards;
Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases;
Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes;
Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases;
Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams;
Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps;
Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and,
Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, our people in software and product innovation focus on developing cutting-edge software solutions and driving product innovation to meet the evolving needs of clients.
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
• Craft and convey clear, impactful and engaging messages that tell a holistic story.
Wilmington, DE21 days ago
PRIMARY FUNCTION: The Manager, Physician Revenue Integrity is responsible for operational management, stabilization, and optimization of Professional Billing (PB) locations as it relates to the professional fee schedule, Epic Charge Generation Tracker (CGT), payer billing rules/regulations, denial prevention, charge capture, and charge reconciliation for all billable professional services. The Manager, Physician Revenue Integrity acts as the primary contact for providers, clinical, and administrative staff to answer coding questions related to evaluation and management services, office-based procedures, and bedside procedures and initiates research related to revenue enhancement and correct coding for Epic PB clinical charge capture.
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
- Craft and convey clear, impactful and engaging messages that tell a holistic story.
Philadelphia, PA30+ days ago
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, our people in software and product innovation focus on developing cutting-edge software solutions and driving product innovation to meet the evolving needs of clients.
OPERATIONS • Develops, gains consensus for, and implements the Management Plan for assigned assets • Ensures completion of JLL internal compliance programs • Manages lease administration process and tenant option rights • Employs or contracts for onsite management and engineering personnel per budget and management plan • Competitively bids and prepares service contracts to ensure quality and cost-effectiveness • Identifies and initiates process improvements for property systems. FINANCIAL • Oversees monthly, quarterly, and annual owner's reports and jurisdictional filings • Prepares final budget documentation and administers building budget • Works with Client Accounting Services to manage accounting, bookkeeping, and collections • Reviews adjustments to tenant billing and approves all accounts payable with accurate coding • Reviews financial statements and reports on occupancy rates and lease expirations.
The Area HEMA Manager works independently, supporting the reimbursement and market access development to improve access for patients, providers, and payors to the organization's technology and product portfolio, as well as the primary expert in the field in all areas related to reimbursement of the company's products. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
KING OF PRUSSIA, PA2 days ago
AI & Data-Driven Solution Design Apply data literacy and AI fluencyto: Ask the right questions of data and models Define meaningful metrics Interpret outputs at a decision-making level Understand AI capabilities, limitations, and risks to appropriately scope use cases. 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.
KING OF PRUSSIA, PA2 days ago
AI & Data-Driven Solution Design Apply data literacy and AI fluencyto: Ask the right questions of data and models Define meaningful metrics Interpret outputs at a decision-making level Understand AI capabilities, limitations, and risks to appropriately scope use cases. 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.
Philadelphia, PA30+ days ago
These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Craft and convey clear, impactful and engaging messages that tell a holistic story.
ul>Master''s Degree in Civil Engineering, Computer and Information Science, Computer Applications, Computer Systems Analysis, Electrical Engineering, Engineering, Information Technology, Management Information Systems, Mathematics, Mechanical Engineering, Risk Management, Software App, Statistics preferred. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
li>Leading the substantive negotiation of complex commercial contracts; Reviewing and redlining detailed risk, legal, and commercial contract terms; Understanding of professional advisory/consulting service offerings, performance details, and related business strategies, including large-scale technology transformations, vendor selection and assessments, small to medium scale system implementations and AI roadmaps, and business integrator/change management projects; Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations; Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties; Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience. Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance.
Philadelphia, PA1 day ago
li>Leading the substantive negotiation of complex commercial contracts; Reviewing and redlining detailed risk, legal, and commercial contract terms; Understanding of managed services offerings and related contract terms and conditions, performance metrics, and experience with (1) finance managed services - payroll, accounting, reporting, treasury and broader finance and accounting operations, (2) technology managed services - IT infrastructure, cloud, data analytics, application delivery maintenance application managed services, (3) cyber managed services, or (4) risk & regulatory managed services - regulatory compliance and enterprise risk programs; Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations; Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties; Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience. Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients' procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance.
King of Prussia, PA30+ days ago
Responsibilities: • Leads or plays a key role in cross-functional teams for the review of safety data or safety-related reports • Mentors and trains newer members of the functional area • Ensures functions to comply with national and international regulations, such as GxP guidelines and/or any other relevant international and national legislation(s), regulations(s), and guidance(s) as well as company policies and procedures in area of responsibility • Ensures direct reports to support and ensure QPPV's oversight on the company's Pharmacovigilance system, and identify, implement and monitor KPIs/KQIs across the company and manages cross functional CAPAs and other improvement activities on behalf of the QPPV. • Participate in ICSR reporting compliance analysis and respective CAPA • Together with Risk Management function develops and maintains Medical Concepts to support internal decision making and safety analyses for safety surveillance and provides expertise to pharmacovigilance and clinical development programs with regards to safety data/ SAE coding • Manages regular MedDRA upgrades and provides impact analysis to RM physicians and ME • Develop and provide advanced analytical outputs to global teams to support analyses and decision making based on safety data.
FAIRFIELD, NJ30+ days ago
This key leadership role requires a hands-on executive with deep experience in medical practice management, including a strong background in auto accident, workers' compensation, and commercial insurance workflows. Hess Spine and Orthopedics is a leading orthopedic and spine surgery practice committed to providing high-quality care to patients with spine and extremity injuries.
The Senior Engineering Manager - Developer Tooling is a hands-on engineering leadership role responsible for the team that delivers and operates our new enterprise CI platform - GitHub Enterprise, GitHub Actions, and JFrog Artifactory - used by tens of thousands of developers across CVS Health. 3+ years operating one or more enterprise CI or CD platforms (e.g., GitHub Actions, Jenkins, Octopus Deploy, UrbanCode Deploy), with working familiarity across source control and artifact repository tooling such as GitHub Enterprise and JFrog Artifactory or Nexus.
p>• Bachelors Degree in Computer and Information Science, Management Information Systems, Computer Engineering, Mathematics, Analytics, Business Analytics preferred • Demonstrates extensive ability to provide end-to-end delivery leadership and technical direction for Azure-based platforms and cloud migration initiatives, including managing delivery across multiple parallel Azure workstreams (e.g., six to seven concurrent workstreams). • Demonstrates extensive knowledge of Azure architecture and hands-on technical execution across services such as virtual networking, identity and access management, Kubernetes services, application platforms, serverless functions, relational and NoSQL databases, and observability tooling.
PROJECT ARCHITECT | PROJECT MANAGER | ARCHITECTURAL PROJECT MANAGER | REGISTERED ARCHITECT (PREFERRED) | REVIT | BLUEBEAM | SKETCHUP | LEED | CONSTRUCTION ADMINISTRATION | REAL ESTATE DEVELOPMENT | IBC & ANSI CODES | SUSTAINABLE DESIGN. Step into a dynamic Project Architect / Manager role in Chester County, Pennsylvania with a privately owned, full-service real estate development firm that has been voted a Top Workplace by The Philadelphia Inquirer for the past five years!
Philadelphia, PA30+ days ago
li>Provides leadership and support to Environment of Care (Safety) committee, sub-committees and/or management programs including but not limited to: Emergency Management, Hazardous Materials, incident review and injury prevention analysis, fire prevention and life safety issues, quality improvement and patient safety issues. The Safety Manager is responsible for compliance and enforcement of regulatory and accreditation requirements including the Joint Commission, NFPA, the PA Department of Health, PA Department of Environmental Protection (PADEP), the Occupational Safety and Health Administration (OSHA) and other federal, state and local codes and ordinances.
Philadelphia, PA30+ days ago
Your work will involve having a deep technical knowledge of cloud security and you will work with one or more Cloud Service Providers (CSP) to implement security protocols, monitor for potential security breaches, conduct risk assessments and vulnerability testing of cloud-based systems, and stay up to date with the latest security threats and trends in cloud technology. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Craft and convey clear, impactful and engaging messages that tell a holistic story.
Philadelphia, PA7 days ago
Our 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. Leverage industry knowledge, market insights, trends, and proven approaches to help clients confirm priorities and develop strategies that drive measurable value to the business and customer experience.
Philadelphia, PA17 days ago
What your day-to-day will look like: Delivering projects: Successfully managing and leading projects from inception to completion, ensuring the highest quality delivery within agreed timelines and budgets. Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward.
Philadelphia, PA30+ days ago
This role ensures a clean, secure, and compliant environment The ideal candidate demonstrates strong leadership, hands-on problem-solving, vendor management, and a proactive approach to facility improvements. • Manage daily facilities operations across all buildings and sites, ensuring uptime and reliability of utilities, HVAC, electrical, plumbing, and life-safety systems.
p>What your day-to-day will look like:
You will be an active technical participant: engaging in architecture decisions, conducting code reviews, and ensuring your teams make sound design tradeoffs that balance delivery velocity with long-term maintainability. Every day, our systems coordinate the storage and movement of food at national scale across a network of state-of-the-art distribution centers, including multiple highly automated warehouse facilities.
Philadelphia, PA30+ days ago
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
• Craft and convey clear, impactful and engaging messages that tell a holistic story.
Philadelphia, PA21 days ago
Imagining our work as a journey, we believe integrity guides our way, inclusion moves us forward together, innovation creates new destinations, and our commitment to success empowers us to deliver on our vision to be the most trusted global consulting firm. You'll develop strategies to solve complex business problems using new ways of thinking, and devise solutions to support your clients' needs through using the latest tools and methods.