Jobs in Wayne, PA

Transform healthcare billing accuracy by overseeing compliance and data integrity, leading error analysis, and guiding team members. Collaborate with stakeholders to enhance service levels and ensure...

Join a team that's driving strategic actuarial excellence, guiding high-level financial performance and compliance within the healthcare industry. Leverage your leadership and analytical skills to mak...

Innovate by designing and implementing security measures for AI/ML systems, ensuring compliance in a stringent healthcare environment. Contribute to cutting-edge strategies to mitigate cybersecurity r...

Help us ensure members with complex healthcare needs receive exceptional care through holistic assessment, coordination, and advocacy, promoting optimal health outcomes while collaborating with divers...

Champion the development and maintenance of data infrastructure, empowering teams to ensure the reliable flow and transformation of data. Collaborate closely with stakeholders to deliver innovative so...

Join a dedicated team focused on improving health outcomes for diverse populations. Utilize your clinical expertise to assess needs, implement strategic interventions, and maintain member engagement...

Optimize payroll tax compliance by managing filings, resolving issues and ensuring accuracy across jurisdictions. Join a dedicated team focused on minimizing financial risks while enhancing payroll pr...

Join us to support and enhance the Epic Resolute Hospital Billing application, driving process improvements and user engagement through analysis, configuration, and problem resolution within dynamic h...

Elevate project management excellence by leading cross-functional initiatives to develop and implement Social Determinants of Health programs that enhance member engagement and address barriers to hea...

Manage utilization review processes while ensuring adherence to clinical standards. Collaborate with multidisciplinary teams on high-risk cases, support case and disease management, and participate in...

Drive strategic vendor partnerships and operational excellence, ensuring alignment with business objectives. Lead a dynamic team to optimize relationships, foster innovation, and streamline processes...

Pioneer medical leadership and quality improvement initiatives, driving utilization management and coordination of care for diverse populations. Collaborate across teams to enhance patient outcomes an...

Champion the operation of a dynamic biomedical research facility overseeing animal care, compliance, and staff management while fostering collaborative relationships with research teams and regulatory...

Pioneer innovative health IT solutions by leading diverse teams to optimize applications for seamless operations, compliance, and enhanced user experience while ensuring alignment with strategic objec...

Empower clinical research by managing protocol initiation and implementation. Lead patient recruitment, data management, and compliance, while collaborating closely with the clinical team to ensure st...

Shape the future of corporate security by leading strategic partnerships that enhance growth and retention. Oversee the complete partner lifecycle while collaborating across teams to develop innovativ...

Manage the quoting and pricing strategy to drive competitiveness and profitability. Lead cross-functional teams, ensuring operational excellence and compliance. Develop talent while establishing gover...

Lead the charge in optimizing custom procedure trays by leveraging clinical expertise to enhance operational efficiency and customer value, driving best practices in pack design and component utilizat...

Join a dynamic team to lead enterprise data technologies, ensuring robust and scalable data solutions. Manage a team and drive standardization across platforms while optimizing performance and alignin...

Transform customer relations by managing escalated cases, enhancing case quality, and driving process improvements. Collaborate with teams to identify gaps while coaching others to ensure regulatory c...

Lead the charge in evaluating and resolving insurance claims, managing litigation, and negotiating settlements. Utilize your legal expertise to drive efficient outcomes while maintaining strong commun...

Join a team that's redefining insights and analytics, driving data-informed decisions with a focus on innovation and AI. Collaborate cross-functionally to enhance strategic planning through actionable...

Join an innovative team as a strategic HR partner, driving talent development, enhancing employee engagement, and shaping organizational culture to foster growth and success in a dynamic business envi...

Champion advanced clinical appeal services by reviewing and escalating complex patient account denials. Lead the clinical appeals team to improve workflows, monitor trends, and promote best practices...

Lead the charge in complex clinical appeal management by evaluating patient account denials, developing prevention strategies, and guiding the team in ensuring compliance and efficiency in the revenue...