The medical coder reviews and analyzes health records to translate diagnostic and procedural phrases into accurate numeric or alphanumeric codes. They also query physicians to clarify documentation and ensure compliance with standard coding guidelines and federal regulations.
Geisinger
64 Remote Job Openings at Geisinger
Develop and lead the implementation of comprehensive marketing, communications, and digital engagement strategies to achieve organizational business objectives. Lead cross-functional teams to co-create tactical plans while monitoring performance metrics and maintaining strong client relationships.
Supervisor Customer Service - Enrollment, Geisinger Health Plan
Geisinger
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Full Time
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3 days ago
Geisinger
Supervises and manages a team of customer service representatives to ensure high standards of service, regulatory compliance, and operational efficiency. Analyzes production metrics, resolves escalated customer complaints, and provides ongoing training and development for staff.
Collaborate on the design of clinical research studies and develop biostatistical analysis plans for research proposals and grants. Manage, analyze, and interpret study data while educating research team members on statistical methods.
The Lead BI Analyst will partner with the pharmacy department to provide analytic expertise, interpret complex data sets, and drive data-informed decision-making. They are responsible for leading analytic studies, mentoring junior staff, and communicating strategic insights to non-technical stakeholders.
The supervisor is responsible for the daily operations of the department, ensuring efficient access to medical services and community resources. They provide leadership to staff, manage performance standards, and oversee quality assurance processes to meet departmental goals.
Health Services Team Lead - Food is Health and Fresh Food Farmacy, Geisinger Health Plan (Pennsylvania resident)
Geisinger
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Full Time
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5 days ago
Geisinger
The Team Lead oversees the development and implementation of food-based health initiatives, including the Fresh Food Farmacy program, to address food insecurity and improve health outcomes. This role manages daily operations, staff performance, and community partnerships while utilizing data to drive strategic decision-making.
Patient Contact Specialist I (medical appointment scheduling)
Geisinger
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Full Time
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6 days ago
Geisinger
The Patient Contact Specialist manages medical appointment scheduling, cancellations, and confirmations while ensuring accurate patient registration and insurance data collection. They also handle non-scheduling inquiries and route calls to appropriate departments to ensure efficient patient access.
The Senior Digital Solutions Analyst translates operational challenges into technical designs and architecture to support the organization's digital strategy. They lead the full product life cycle, including requirements definition, design, implementation, and continuous improvement.
Directs and leads marketing strategies for clinical institutes to support business development, revenue growth, and brand enhancement. Manages cross-functional teams to implement marketing plans while monitoring outcomes and return on investment.
The Marketing Coordinator Senior is responsible for developing, implementing, and evaluating communication plans for products and services, including direct mail, websites, and provider portals. They also manage relationships with external vendors and internal departments to ensure accurate and timely production of marketing materials.
LPN - Nurse Navigator Licensed Practical Nurse - STAIR - Lung Nodule Program
Geisinger
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Full Time
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7 days ago
Geisinger
The Nurse Navigator guides incoming calls and facilitates the entrance of new patients into the Lung Nodule Program. They provide patient education, coordinate care plans with healthcare providers, and ensure timely follow-up and surveillance.
Leads pharmacy growth and sales strategy across commercial health plans, employer groups, and PBM partnerships to drive revenue. Responsible for negotiating PBM agreements and designing innovative pharmacy products and cost-management solutions.
Operations Specialist - Government Programs, Geisinger Health Plan (work from home Eastern Standard Time Zone)
Geisinger
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Full Time
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12 days ago
Geisinger
Manage daily operations for CHIP and Marketplace lines of business, ensuring regulatory compliance and timely submission of deliverables. Coordinate regulatory audits, manage departmental policies, and handle member appeals and grievances.
This role supports IT Demand Management and Due Diligence by collaborating with stakeholders to assess new technology and strategic initiatives. The position facilitates the intake, analysis, and documentation of IT requests to ensure alignment with organizational priorities.
The pharmacist manages pharmacy benefits by performing literature reviews to develop clinical criteria and conducting medical necessity reviews for prior authorizations. They act as a liaison between the health plan and customers to ensure cost-effective drug selection and high-quality member care.
Employee Relations Specialist - Pennsylvania Residents Only
Geisinger
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Full Time
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13 days ago
Geisinger
Serves as the subject matter expert for employee relations, managing day-to-day HR functions and providing policy guidance to managers. Responsible for conducting thorough investigations, handling disciplinary actions, and ensuring compliance with collective bargaining agreements.
Directs an IT team to support an organizational segment and develops IT strategies in collaboration with leadership. Oversees project implementation, vendor management, and budget administration while mentoring staff in best practices.
Customer Financial Specialist Associate (Eastern Standard Time Zone resident)
Geisinger
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Full Time
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18 days ago
Geisinger
This role involves handling inbound and outbound calls in a fast-paced call center to resolve patient billing and financial issues. Responsibilities include managing accounts receivable, setting up installment plans, and educating patients on insurance and regulatory matters.
Integrates nursing, computer, and information sciences to manage clinical data and support decision-making across patient care facilities. Acts as the primary IT clinical contact to design workflows and implement clinical tools for continuous improvement.
The Director of AI Evaluation defines and enforces quality standards for all internal and vendor-provided AI systems across the enterprise. This role manages a multidisciplinary team of data scientists and analysts to ensure AI performance, equity, and clinical outcomes are rigorously validated.
Collaborate with clinical investigators to design research studies, develop analysis plans, and manage and interpret study data. Provide statistical consultations, prepare publication-quality graphics, and educate research staff on statistical methods.
Improvement Optimization Advisor Associate (Pennsylvania resident)
Geisinger
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Full Time
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22 days ago
Geisinger
Facilitates multidisciplinary teams to drive operational and clinical process improvements through data analysis and project management. Focuses on enhancing patient experience, safety, and efficiency within a single system platform.
Design, develop, and maintain scalable automation solutions using UiPath and other tools within the Intelligent Automation Hub. Collaborate with stakeholders to analyze business requirements and provide technical leadership through code reviews and mentoring.
Health Insurance Sales Representative, Licensed - Geisinger Health Plan (Pennsylvania resident in Geisinger service area*)
Geisinger
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Full Time
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24 days ago
Geisinger
Cultivate new sales of Medicare Advantage and supplemental plans through group and home presentations. Build collaborative relationships with community-based organizations and strategic partners to develop prospects in the assigned region.
Financial Improvement Advisor Intermediate (Eastern United States resident)
Geisinger
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Full Time
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25 days ago
Geisinger
Provide operational financial support and leadership for performance improvement initiatives and business cases. Collaborate with project management and finance teams to ensure goal achievement and compliance with financial standards.
Provides project management and administrative support for market advancement and growth initiatives. Responsibilities include maintaining databases, coordinating due diligence materials, and facilitating communication between strategy and marketing teams.
Lead the end-to-end transformation of the enterprise contracting process and Contract Lifecycle Management (CLM) capabilities across the organization. Manage a team of specialists to drive compliance, operational efficiency, and the integration of CLM into business decision-making.
Directs an IT team to support organizational segments and develops technology strategies in collaboration with leadership. Oversees project implementation, vendor management, and budget administration while mentoring staff.
Acts as the subject matter expert for disability and accommodation management across the enterprise. Responsible for managing the interactive process under the ADA and developing return-to-work programs.
Customer Financial Specialist Associate (work from home eastern United States resident)
Geisinger
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Full Time
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a month ago
Geisinger
Handle inbound and outbound calls in a call center setting to assist patients with billing and financial inquiries. Manage accounts receivable functions, including cash collection, installment plans, and financial assistance programs.
Develop and implement scalable on-demand training programs and online tracking systems. Collaborate with subject matter experts to design courses using instructional theory and media applications.
Identify and implement supply chain expense opportunities to optimize organizational spending through strategic sourcing and formulary management. Manage the full procurement lifecycle, including competitive bidding, contract negotiation, and post-execution compliance monitoring.
Provides strategic and operational leadership for reimbursement and patient service revenue recognition to ensure regulatory compliance. Oversees financial estimates, third-party cost reports, and interactions with Medicare Administrative Contractors to optimize financial outcomes.
Geisinger Neuroradiology | $150K Starting Bonus | 7-on / 14-off Overnight Schedule | 100% Remote
Geisinger
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Full Time
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a month ago
Geisinger
Perform remote neuroradiology interpretations for adult and pediatric patients, focusing on brain, head, neck, and spine imaging. Utilize advanced imaging tools and collaborate with a dedicated 3D radiology lab to process cases.
Emergency Radiologist – $150K Starting Bonus | 100% Remote Nights | 7-On/14-Off
Geisinger
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Full Time
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2 months ago
Geisinger
Interpret a full range of imaging modalities, including Body and Neuro, for Level I and II trauma centers. Provide overnight coverage on a 7-on/14-off schedule working independently with subspecialty support.
Appeals Coordinator, Geisinger Health Plan (Pennsylvania resident)
Geisinger
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Full Time
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2 months ago
Geisinger
Administers the appeals and grievance process by serving as a liaison between members and the health plan. Investigates denied claims and services while ensuring compliance with regulatory timeframes and guidelines.
The Director serves as the enterprise strategy lead for a business unit, translating high-level enterprise direction into actionable multi-year plans. They are responsible for shaping strategic choices, managing investment theses, and ensuring alignment between business unit execution and enterprise priorities.
The Director serves as the enterprise strategy lead for a business unit, translating high-level direction into actionable multi-year plans and metrics. They partner with executive leadership to shape strategic choices and ensure alignment with enterprise priorities and governance.
Provides outreach and navigation assistance to patients with complex medical and social needs within the community. Collaborates with multidisciplinary teams to implement care plans, conduct medication reviews, and facilitate telemedicine visits.
Provides outreach and navigation assistance to patients with complex medical and social needs within the community. Collaborates with multidisciplinary teams to implement care plans, conduct medication reviews, and facilitate telemedicine visits.
RN - Registered Nurse - Clinical Documentation Improvement Educator
Geisinger
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Full Time
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2 months ago
Geisinger
Develop and implement clinical documentation education programs and onboarding for CDI specialists and providers. Monitor medical records for accuracy in patient acuity and severity of illness while providing feedback to ensure compliant practices.
Customer Financial Specialist Associate (Eastern United States resident)
Geisinger
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Full Time
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2 months ago
Geisinger
Handle inbound and outbound calls in a call center environment to assist patients with billing and financial inquiries. Manage accounts receivable functions, including cash collection, installment plans, and financial assistance programs.
Leads project teams to achieve goals on time and within budget by managing scope, timelines, and stakeholders. Responsible for risk management, budget tracking, and coordinating with IT functional leadership.
Leads the enterprise intelligence and strategy execution backbone by integrating strategic insights and performance management to inform decision-making. Oversees market assessments, consumer research, and the design of the enterprise strategic performance management system.
Lead the full lifecycle of data science projects to develop AI models that predict acute healthcare utilization and improve population health outcomes. Collaborate with clinical leaders to translate complex data into actionable care pathways and mentor junior data scientists.
Program Director Information Technology (Epic Bridges)
Geisinger
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Full Time
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2 months ago
Geisinger
Provides leadership and technical oversight for an assigned IT segment, focusing on policy creation and system reliability. Manages vendor contracts, departmental budgets, and operational KPIs to ensure efficient service delivery.
The Intermediate BI Developer converts complex data into intuitive dashboards and reports to enable data-driven decision-making. They consult with stakeholders to gather requirements and design reporting solutions for small to medium-sized projects.
Coordinates patient appointment scheduling and registration while ensuring adherence to physician-specific guidelines. Facilitates multi-channel communication between patients, providers, and internal departments to manage referrals and care gaps.
The Senior Contract Manager oversees the development, negotiation, and maintenance of complex contracts while ensuring compliance with regulatory standards. They also lead and coach a team of contract professionals and drive operational improvements in the contract lifecycle process.
The Associate BI Developer creates reports and dashboards to enable data-driven decision-making for the organization. They collaborate with internal partners to design reporting solutions and troubleshoot data quality issues.
Leads and mentors a team of data scientists and analysts to deliver high-quality AI/ML solutions for healthcare applications. Balances team management and strategic resource allocation with active technical development, spending approximately 50% of the time coding.
Business Intelligence Analyst Senior (AI Evaluation & Monitoring)
Geisinger
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Full Time
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3 months ago
Geisinger
The Senior BI Analyst partners with AI Evaluation & Monitoring teams to collect, clean, and interpret data sets to support data-driven decisions. They are responsible for running validation studies, instrumenting production monitoring, and translating complex analyses into actionable insights for non-technical stakeholders.
Business Intelligence Analyst Senior (AI Evaluation & Monitoring)
Geisinger
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Full Time
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3 months ago
Geisinger
The Senior BI Analyst partners with AI Evaluation & Monitoring teams to collect, clean, and interpret data to drive data-driven decisions. They are responsible for executing validation studies, monitoring production AI performance, and mentoring junior developers.
The Tech Lead Data Scientist will define and oversee the technical methodology for evaluating, monitoring, and optimizing AI systems in production. They will provide hands-on guidance to program teams and mentor a team of data analysts to ensure rigorous validation and performance measurement.
The Senior Data Scientist leads the end-to-end lifecycle of AI and machine learning initiatives to improve healthcare outcomes and operational efficiency. They also mentor junior staff and translate complex technical findings into actionable insights for stakeholders.
Define and drive the product vision and roadmap for a portfolio of clinical and operational AI initiatives. Collaborate with cross-functional teams including data scientists, clinicians, and operational leaders to take AI solutions from discovery through deployment and scale.
The Senior Platform Data Engineer owns the architecture, roadmap, and platform standards for clinical data products and AI infrastructure. They are responsible for building and maintaining real-time data feeds, RAG retrieval pipelines, and managing the Databricks environment to support AI at scale.
Facilitate cross-functional AI product squads by managing planning, reviews, and retrospectives to ensure consistent delivery. Coach team members on agile principles and proactively resolve blockers to maintain project momentum.
The analyst will partner with product managers to quantify AI opportunities, define success metrics, and build measurement frameworks for AI performance in production. They will also conduct exploratory data analysis and ensure data quality across enterprise systems like Epic to inform strategic AI investment decisions.
The analyst will build quantitative business cases and size AI opportunities to inform strategic investment decisions across clinical, operational, and health plan functions. They will design measurement frameworks for pilots and produce analytical narratives to guide organizational leadership.
Patient Contact Specialist Bilingual (English / Spanish)
Geisinger
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Full Time
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9 months ago
Geisinger
The Patient Contact Specialist schedules medical appointments for patients, ensuring alignment with their preferences and physician guidelines. They also handle non-scheduling inquiries and maintain accurate patient information related to registration and insurance.
The Care Connector serves as the primary contact for the Special Needs Unit, assisting in resolving patient/member concerns and providing education and support. They manage crisis situations and advocate for patients/members who are unable to communicate effectively with service delivery systems.
RN - Registered Nurse Navigator Triage - Population Health
Geisinger
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Full Time
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10 months ago
Geisinger
The RN Nurse Navigator Triage provides nursing triage services and health advice for patients over the phone and in person. Responsibilities include assessing patients' acuity levels, providing education related to diagnostic testing, and coordinating care across departments.