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healthcare Philadelphia, PA

171 healthcare jobs found in Philadelphia, PA

Jun 03, 2023  
Sr Healthcare Consultant - Ireland, Remote
Senior Healthcare Consultant – Ireland, Remote  Optum, the fast-growing part of UnitedHealth Group, is a leading information and technology-enabled health services business. Our teams are dedicated to modernising the health care system and improving the lives of people and communities. Serving virtually every dimension of the health system, we work with a diverse set of clients across 150 countries – from those who diagnose and treat patients to those who pay for care, deliver health services, and those who supply the cures. Optum maintains operations across North America, South America, Europe, Asia Pacific and the Middle East. Our innovative partnerships provide technology and tools that enable unprecedented collaboration and efficiency. As a result, we can tap into valuable health care data to uncover insights and develop strategies for better care at lower costs.   About the Role: In healthcare, evolution doesn’t just happen. It takes innovation, imagination,...
UnitedHealth Group Philadelphia, PA, USA
Jun 02, 2023  
Developer Programmer Lead - SQL Developer w/ Healthcare Experience (REMOTE)
Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services....
Amerihealth Philadelphia, PA, USA
Jun 01, 2023  
Bilingual Licensed Healthcare Insurance Agent - Spanish-English - Remote USA
Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Bilingual Licensed Healthcare Insurance Agent - Spanish-English working remotely, you'll be a part of creating and delivering amazing customer experiences while you also #experienceTTEC, an award-winning, employment experience and company culture. We value your investment in yourself to study and pass the insurance exam in your current state. In this role, we'll help expand on that experience and grow by paying for you to be reciprocally licensed in other states and invest in your continuing education credits, as well as any renewal costs. Our TTEC work from home team has 41 preferred residency states. We are currently not hiring from the following geographies: AK, CA, HI or outside of the United States. Residents of Colorado, Illinois, Massachusetts, New Jersey, New York, Washington, and Washington, D.C. will be considered only based on special business need. What You'll be Doing You'll be using...
TTEC Philadelphia, PA, USA
Jun 01, 2023  
Healthcare Economic Consultant - Remote in PST or MST
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and  your life's best work. (sm) If you are located in PST or MST time zones, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Conduct analyses and reporting designed to inform and produce recommendations Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems Extracts, aggregates and QAs applicable data for...
UnitedHealth Group Philadelphia, PA, USA
Jun 01, 2023  
Senior Healthcare Economics Consultant - Remote US
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  The Senior Healthcare Economics Consultant is responsible for researching and investigating key business problems through quantitative and statistical analyses of utilization and healthcare cost data. The key areas of focus for this role include the identification of potential medical cost saving opportunities and the effectiveness of health management initiatives.               You’ll...
UnitedHealth Group Philadelphia, PA, USA
Jun 01, 2023  
Healthcare EDI 278 Analyst - Remote
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)  You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Monitor Daily EDI Transaction Processing Troubleshoot and Resolve any EDI processing issues  Implementation Team Resource for EDI Mapping, Validation and Testing as required Prepare and update program documentation, job aides, and other artifacts as requested Scheduled and ad hoc auditing of various systems and databases to support prior authorization transactions Process review, data analysis and measurement for various programs related to prior authorizations, claims and member eligibility Create process and data flow diagrams for the various...
UnitedHealth Group Philadelphia, PA, USA
May 26, 2023  
Healthcare Customer Service Representative - Remote in Texas
Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Healthcare Customer Service Representative working remotely in Texas, you'll be a part of creating and delivering amazing customer experiences while you also #experienceTTEC, an award-winning, employment experience. What You'll be Doing Do you have a passion for helping others and giving them peace of mind? Whether it's getting answers for customers quickly, consulting on health-related products with compassion or resolving their issues with a smile, you'll be the difference between their customer experience being just average or an exceptional one. On a typical day, you'll Answer incoming communications from customers Conduct research to provide answers for customers to resolve their issues What You Bring to the Role 6 months or more of customer service experience Integrity to follow HIPAA guidelines on maintaining patient privacy (just as you would expect if it were your...
TTEC Philadelphia, PA, USA
Jun 03, 2023  
REMOTE | Provider Performance Analyst [Managed Care or Healthcare required]
Job Brief Must possess a unique blend of Enterprise analytics and Business analyst proficiency to best qualify. Proven background in Healthcare/Managed Care, Claims Processing & Value-Based Programs essential. Project Management highly preferred. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of...
Amerihealth Newtown Square, PA, USA
Jun 02, 2023  
REMOTE | Provider Performance Analyst SR. - Enterprise and Business Analytics [Managed Care or Healthcare required]
Job Brief Talented professional must possess a unique blend of Enterprise analytics and Business analyst and Project Management proficiency to best qualify. Proven background in Healthcare/Managed Care, Claims Processing and Value-Based Programs are essential. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years...
Amerihealth Newtown Square, PA, USA
Jun 02, 2023  
REMOTE | Digital Process Design Engineer Sr. [Healthcare Business Domains & Automation Expert]
Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services....
Amerihealth West Chester, PA, USA
Jun 03, 2023  
Healthcare Customer Service Representative - Remote in Texas
Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Healthcare Customer Service Representative working remotely in Texas, you'll be a part of creating and delivering amazing customer experiences while you also #experienceTTEC, an award-winning, employment experience. What You'll be Doing Do you have a passion for helping others and giving them peace of mind? Whether it's getting answers for customers quickly, consulting on health-related products with compassion or resolving their issues with a smile, you'll be the difference between their customer experience being just average or an exceptional one. On a typical day, you'll Answer incoming communications from customers Conduct research to provide answers for customers to resolve their issues What You Bring to the Role 6 months or more of customer service experience Integrity to follow HIPAA guidelines on maintaining patient privacy (just as you would expect if it were your...
TTEC Trenton, NJ, USA
Jun 01, 2023  
Licensed Healthcare Insurance Agent – Remote USA
Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Licensed Healthcare Insurance Agent working remotely, you'll be a part of creating and delivering amazing customer experiences while you also #experienceTTEC, an award-winning, employment experience and company culture. We value your investment in yourself to study and pass the insurance exam in your current state. In this role, we'll help expand on that experience and grow by paying for you to be reciprocally licensed in other states and invest in your continuing education credits, as well as any renewal costs. Our TTEC work from home team has 41 preferred residency states. We are currently not hiring from the following geographies: AK, CA, HI or outside of the United States. Residents of Colorado, Illinois, Massachusetts, New Jersey, New York, Washington, and Washington, D.C. will be considered only based on special business need. What You'll be Doing You'll be using the knowledge that you bring...
TTEC Trenton, NJ, USA
Jun 02, 2023  
Director and Relationship Manager-Healthcare Finance - Remote
Overview: The Director Candidate is responsible for facilitating growth initiatives for the Healthcare Asset Based Lending group through consistent business development efforts and management of key client and referral source relationships throughout the United States. The Candidate must have strong contacts and be able to develop new relationships among typical HCABL referral sources such as investment banks (i.e. debt advisors), private equity sponsors and non sponsor owned private and public companies within the targeted geography and transaction size ($15mm + RLOCs).     Responsibilities: Job Responsibilities: The Candidate will have a strong record of revenue generation from self-generated sales along with extensive experience structuring asset based loans to fit borrower’s needs ranging from sole bank Asset Based Lending transactions to highly complex multi-debt stack capital structures.   The Candidate should have experience working with a team of underwriting...
First Citizens Bank New Jersey/US, NJ, USA
Jun 01, 2023  
Healthcare Provider Network Contract Manager - Remote in the State of Georgia
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) You get it. Everyone gets it. The health care system needs to evolve even further than it has, and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. Take on this Network Contract Manager role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a Network Contract Manager within our network contracting team, you'll guide the development and support of Provider Networks as well as unit cost management activities...
UnitedHealth Group Philadelphia, PA, USA
Jun 01, 2023  
Lead Program Manager - IT Healthcare Applications - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  The purpose of the PMO is to provide the skills, processes, tools and methodology to enhance Optum’s and our customers’ ability to implement organizational strategy through successful, consistent and predictable delivery of value from project investments. Be the center of excellence for project management practices at Optum and be the sought after partner for project initiatives throughout...
UnitedHealth Group Philadelphia, PA, USA
May 14, 2023  
Healthcare Provider Network Contract Manager - Remote for Arizona
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  It's a big step forward when you realize that you've earned the trust to lead a team. Now, let's determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a manager within our network contracting team, you'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the impact you want and the...
UnitedHealth Group Philadelphia, PA, USA
Jun 03, 2023  
Clinical Quality Improvement LPN - New Orleans, LA - Remote
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  Position in this function is responsible for the performance of Quality Improvement activities in the Primary Care Plus (PCP) Clinics related to clinic operations to include staff training and auditing, reporting, and the development of corrective action plans, as well as activities related to HEDIS and Star Ratings of the patient population. The Clinical Quality Improvement LPN assists with identifying opportunities to improve processes within all PCP clinics in order to produce positive trending of quality initiatives and maintain compliance with Regulatory Standards. This position...
UnitedHealth Group Philadelphia, PA, USA
Jun 03, 2023  
Preservice Review Nurse RN - Utilization Management - Remote
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  Positions in this function requires a North Carolina RN. This role works under the direct supervision of the NC Health Plan UM Manager. Function is responsible for performing pre-service clinical coverage review of Private Duty Nursing (PDN) and Personal Care services (PCS) that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.  If you are...
UnitedHealth Group Philadelphia, PA, USA
Jun 03, 2023  
Quality Improvement Director - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Optum’s Quality Management & Performance business is an integrated team focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing brand and reputation for high-quality health plans. Join us and help guide our efforts to improve the patient experience. It takes passion, commitment, intense focus and the ability to contribute effectively in a...
UnitedHealth Group Philadelphia, PA, USA
Jun 03, 2023  
Master Data Management & Governance Manager - Remote or Hybrid in Etna, OH
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Optum is seeking a dynamic and motivated individual to fill the role of Distribution Master Data Management & Governance Manager specialty distribution business. The Distribution Master Data Management & Governance Manager will be on the team of an exciting new specialty distribution business serving patients with specialty and rare disease pharmaceutical manufacturers and healthcare...
UnitedHealth Group Remote * (Philadelphia, PA, USA)