UPMC

Software Engineer - Inter (.Net/Azure Cloud )

UPMC · Full Time · 8 hours ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The software engineer will develop, validate, and implement software solutions while collaborating with cross-functional teams in an agile environment. Responsibilities include maintaining coding standards, performing unit testing, and creating technical documentation for modernization projects.

cloud user-experience security architecture project-management azure communication feedback documentation

APPLY

Scheduling Specialist, Associate

UPMC · Full Time · 3 days ago

UPMC

🌎 United States ⭐ 0-2 yrs exp 💼 Virtual Assistant

The Scheduling Specialist acts as the first point of contact for patients, managing appointment scheduling and verifying demographic and insurance information. They also provide patient guidance, handle documentation, and coordinate post-discharge care requirements.

insurance customer-service call-center leadership

APPLY

Data Quality Monitor

UPMC · Full Time · 3 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Data Entry

The Data Quality Monitor is responsible for maintaining data integrity within the Enterprise Master Patient Index and coordinating patient information merging. They act as a resource for the EMPI project, troubleshoot data issues, and collaborate with IS and Medical Records departments.

insurance medical training hiring

APPLY

Sr Research Coordinator

UPMC · Full Time · 3 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Senior Research Coordinator supervises research staff and manages clinical study protocols, including patient recruitment, data collection, and regulatory compliance. They are also responsible for maintaining laboratory inventory, processing specimens, and assisting with budget preparation and research publication.

security medical clinical-research data-analysis communication reporting

APPLY

CDI Specialist

UPMC · Full Time · 4 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Clinical Documentation Specialist facilitates modifications to clinical documentation through concurrent interaction with physicians to ensure appropriate clinical severity is captured. They are responsible for the daily evaluation of medical records, including lab results, diagnostic information, and treatment plans.

medical hiring therapist documentation

APPLY

Actuary – Medical Cost Economics (Remote)

UPMC · Full Time · 5 days ago

UPMC

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

The Actuary will lead the development of actuarial tools to drive medical cost improvement strategies and analyze healthcare utilization trends. They will also provide analytical support to leadership, manage data validation for HCG Grouper software, and supervise less experienced staff.

insurance medical communication economics

APPLY

Medical Director - Specialized UM

UPMC · Full Time · 7 days ago

UPMC

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Director oversees specialized cases for Community Health Choices to ensure high-quality healthcare delivery and adherence to utilization standards. Key duties include leading provider credentialing, conducting medical reviews, and collaborating with network providers and state epidemiologists.

medical communication reporting leadership compliance

APPLY

Coder II - Technical (Inpatient Coding)

UPMC · Full Time · 7 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The Coder II is responsible for assigning and verifying ICD-10-CM and PCS codes for inpatient accounts by reviewing electronic health records. They must ensure coding accuracy and completeness for reimbursement while adhering to official guidelines and internal policies.

medical training hiring documentation statistics

APPLY

Absence Management Specialist II

UPMC · Full Time · 7 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Absence Management Specialist II analyzes medical claims to determine eligibility for leave and disability benefits while managing the full lifecycle of the absence. They provide guidance to employees and managers on policies and deliver training and mentoring to peers and clients.

medical payroll onboarding training counseling documentation time-management mentoring

APPLY

Coder II, Profee

UPMC · Full Time · 7 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Review physician and nursing documentation to assign accurate ICD and CPT codes while maximizing reimbursement. Resolve coding edits and denials and formulate physician queries to clarify missing documentation.

assistant medical excel hiring documentation statistics

APPLY

HRIS Cloud Analyst, Intermediate

UPMC · Full Time · 11 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The role focuses on the development, maintenance, and production support of Oracle HCM Cloud and related HR systems. Responsibilities include system configuration, resolving process flaws, and collaborating with stakeholders to improve business processes.

oracle recruiting cloud security hris testing documentation compliance human-resources

APPLY

HRIS Technical Support - Temporary

UPMC · Full Time · 11 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Support

The role provides technical support and maintenance for Oracle HCM Cloud and other HR systems to ensure data integrity and reliability. Responsibilities include resolving system problems, performing basic configurations, and supporting system improvements and testing.

oracle sql cloud hris excel technical-support reporting documentation human-resources

APPLY

HRIS Cloud Developer, Senior

UPMC · Full Time · 11 days ago

UPMC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The role focuses on the administration, development, and maintenance of Oracle HCM Cloud and related HR systems. Responsibilities include building interfaces, loading complex data, and collaborating with stakeholders to improve business processes.

oracle sql cloud security hris documentation human-resources

APPLY

Coder II - Technical

UPMC · Full Time · 13 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Responsible for assigning accurate ICD-10 and CPT codes for outpatient services, including injections and infusions, while reconciling NCCI edits. The role involves reviewing medical documentation for completeness and ensuring accurate reimbursement through precise sequencing and physician queries.

assistant medical training hiring documentation statistics

APPLY

Coder III - Technical

UPMC · Full Time · 13 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The Coder III monitors pre-bill edit reports, performs coding corrections, and ensures timely billing for Interventional Radiology and Cardiology. They are also responsible for training other coders and maintaining high accuracy and productivity standards.

assistant medical feedback training hiring documentation statistics

APPLY

Clinical Pharmacy Specialist (Remote)- Prior Authorization Team!

UPMC · Full Time · 14 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Perform clinical reviews of prior authorizations, step therapy, and quantity limits to manage pharmacy utilization. Participate in the appeals process and provide expertise in managing member care in compliance with NCQA and CMS standards.

insurance pharmacist communication hiring science compliance

APPLY

Medical Director, Utilization Management

UPMC · Full Time · 18 days ago

UPMC

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Oversees adherence to quality and utilization standards to ensure high-quality healthcare delivery for health plan members. Provides leadership for provider credentialing, medical reviews, and coordination with state health departments regarding reportable conditions.

medical communication reporting leadership compliance

APPLY

Lost Time Claims Specialist II (VA, MD, PA, and DC)

UPMC · Full Time · 21 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

Responsible for the investigation, evaluation, and disposition of lost time workers' compensation claims across several US jurisdictions. The role involves managing litigation activities, setting reserves, and coordinating with medical experts and legal counsel.

insurance medical training hiring negotiation

APPLY

Precert Care Manager (Evening Shift)

UPMC · Full Time · 25 days ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Responsible for reviewing clinical information and making authorization determinations for behavioral health and substance use disorder levels of care. The role also involves crisis management, triage assessments, and coordinating service plans between primary care and behavioral health providers.

APPLY

Behavioral Health Absence Specialist

UPMC · Full Time · 2 months ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Manage behavioral health and minor medical disability cases by coordinating leave processes and verifying eligibility. Collaborate with healthcare providers and employees to monitor treatment plans and facilitate return-to-work efforts.

APPLY

Workers Comp Lost Time Claims Specialist II - PA & NJ Claims

UPMC · Full Time · 2 months ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

Responsible for the investigation, evaluation, and disposition of Workers Compensation lost time claims for the WorkPartners business unit. This includes managing litigation activities, establishing reserves, and coordinating with medical experts and legal counsel.

APPLY

PA Workers Compensation Adjuster (Remote)

UPMC · Full Time · 4 months ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The specialist is responsible for the investigation, evaluation, negotiation, and disposition of assigned workers' compensation lost time claims. They will also manage litigation activities, budgets, and claim outcomes while ensuring compliance with company policies and state regulations.

APPLY

Medical Physicist

UPMC · Full Time · 4 months ago

UPMC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Medical Physicist will oversee dosimetrists to ensure accurate treatment plans and collaborate with the Radiation Oncologist for treatment planning and delivery. Key duties include developing quality control programs, ensuring equipment functionality through precise measurements, and maintaining regulatory compliance.

APPLY