The Medication Access Coordinator is responsible for obtaining prior authorizations and conducting benefit investigations for prescribed treatments. They also act as a liaison between patients, insurance companies, and care teams while managing enrollment in medication assistance programs.
The Medication Access Coordinator is responsible for obtaining prior authorizations and conducting benefit investigations for prescribed treatments. They also act as a liaison between patients, insurance companies, and care teams while managing patient assistance programs for the uninsured and under-insured.
The consultant supports the development of performance and business plans to optimize home infusion pharmacy services for partner health systems. They are responsible for project management, data analysis, and the creation of financial models and executive-level presentations.
Directs the activities of an IT team to support organizational segments and develops IT strategy in collaboration with leadership. Manages vendor relationships, departmental budgets, and oversees staff recruitment, development, and performance.
The radiologist will provide 100% remote emergency, trauma, and acute-care imaging services for hospitals across Pennsylvania. Responsibilities include interpreting various imaging modalities and collaborating with subspecialty radiologists and emergency departments.
The Senior Digital Health Analytics Analyst independently manages complex analytics initiatives from discovery to delivery, supporting clinical operations and digital health innovation. This role involves building datasets, designing reporting strategies, and partnering with stakeholders to implement AI-enabled solutions.
The postdoctoral fellow will conduct specific research projects under the supervision of faculty members and provide intellectual and technical support to research initiatives. Responsibilities include gathering, interpreting, and recording data, as well as developing research protocols and presenting findings at scientific venues.
The Lead Financial Planner is responsible for advancing the financial performance of Geisinger Health by preparing quarterly operating forecasts and financial models. This role collaborates with operational leadership and finance partners to ensure goal achievement and accurate financial analysis.
The coder reviews and analyzes medical records to translate diagnostic and procedural phrases into accurate numeric codes for reimbursement. They also perform quality audits, query physicians for documentation clarification, and provide training on coding guidelines and practices.
The Finance Partner Senior provides strategic and operational financial support for business units, including forecasting, financial modeling, and monthly operating reviews. They also lead financial performance improvement initiatives and mentor other team members to ensure goal achievement.
The manager oversees prepayment claims auditing programs, vendor edit oversight, and provider appeal processes to ensure payment accuracy and compliance. They lead a multidisciplinary team of clinical and coding professionals while analyzing audit data to drive strategic improvements and cost savings.
Oversees provider enrollment processes, record maintenance, and regulatory compliance to ensure adherence to accreditation standards. Provides leadership to enrollment staff and manages data flow for audits, network expansions, and quality improvement initiatives.
The Systems Analyst Team Lead supervises staff and manages the configuration, support, and implementation of revenue management applications. They serve as a liaison between IT and the business community while ensuring departmental goals and strategic initiatives are met.
The Nurse Navigator facilitates patient entry into programs by providing clinical support, patient education, and ongoing care coordination. They serve as a primary point of contact for providers and manage patient screening, documentation, and follow-up activities.
The Practice Consultant Liaison serves as the primary link between institutes and revenue management, ensuring efficient revenue cycle processes and clinical workflows. They are responsible for developing educational programs, analyzing financial performance, and implementing action plans to optimize revenue and charging compliance.
Supports pre-award and post-award processes for sponsored projects, including managing funding opportunities and restricted external funding. Facilitates internal approvals, maintains award records, and develops educational materials for project teams.
Draft, review, and negotiate various research-related contracts while collaborating with legal and research teams. Perform clinical study coverage analysis, budget development, and ensure regulatory compliance across all research documentation.
The specialist manages patient accounts, including billing, collections, and setting up payment plans while providing advocacy and support. They handle inbound and outbound calls to resolve patient inquiries and ensure compliance with regulatory and departmental policies.
The Program Director will lead an assigned IT segment, overseeing technical operations, vendor management, and budget administration. They are responsible for developing IT policies, monitoring operational KPIs, and ensuring the reliability and redundancy of IT services.
The Data Scientist Team Lead manages a team of data scientists to deliver high-quality analytical solutions while mentoring staff and fostering professional growth. This role involves collaborating with stakeholders to align data science strategies with business priorities and actively developing machine learning models for healthcare applications.
The Manager Marketing is responsible for planning, strategizing, and executing strategic marketing initiatives to support organizational goals and brand standards. They will analyze campaign data, manage external vendor relationships, and foster internal collaboration to enhance employee and provider engagement.
Responsible for the development, implementation, and evaluation of provider and member communication plans, including direct mail, digital assets, and collateral. Coordinates projects with internal departments and external vendors to ensure accurate data delivery and adherence to marketing goals.
The Care Connector assists patients and members by resolving clinical concerns, providing education, and managing crisis situations through motivational interviewing. They act as a primary contact for the Enhanced Member Supports Unit, coordinating with internal departments and providers to ensure effective service delivery.
Responsible for the development, review, and maintenance of contracts to ensure compliance with regulations and organizational standards. Manages contract templates, monitors renewal dates, and identifies potential operational, legal, or financial risks.
The Strategic Sourcing Specialist III identifies and implements supply chain opportunities to optimize organizational expenses for facilities and construction. They lead complex negotiations, manage supplier relationships, and conduct advanced analytics to ensure cost-effective and efficient procurement.
The Agile Delivery Lead will facilitate cross-functional AI product squads by managing planning, reviews, and daily coordination to ensure consistent delivery. They will coach team members on agile principles and resolve blockers to maintain progress across product, platform, and clinical teams.
Define and drive the product vision and roadmap for a portfolio of AI initiatives across clinical, operational, and pharmacy domains. Lead these initiatives through the full lifecycle from discovery and validation to deployment and continuous improvement.
The Credentialing Coordinator II plans, coordinates, and oversees the Provider Credentialing Program to ensure compliance with regulatory requirements. They conduct background investigations, analyze physician applications, and maintain accurate provider databases for committee review.
The Provider Engagement Liaison serves as a primary relationship manager to ensure positive provider experiences and network retention. They are responsible for developing strategic partnerships, analyzing provider performance, and collaborating with internal teams to resolve complex issues.
The Pharmacy Consulting Services Clinical Specialist leads clinical content and workflow strategy for home infusion engagements with partner health systems. They are responsible for developing business cases, implementing operational workflows, and serving as the primary clinical point of contact.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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 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.
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.
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.
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.
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.
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.
