161 jobs found in philadelphia

About LighthouseAI LighthouseAI provides pharmaceutical state licensing software and services to pharmaceutical manufacturers, wholesale distributors, logistics companies, and pharmacies. The LighthouseAI product suite includes LighthouseAI Intelligence®, which uses artificial intelligence to automate compliance requirement research, and LighthouseAI Management® which enables maintenance. LighthouseAI creates a stress-free and streamlined state licensing experience with support from our expert industry veterans and professional solutions. This is a full-time remote position. Working hours: Monday-Friday 8am - 4:30pm ET Essential Duties and Responsibilities: Research:  Research and review and interpretation of statutes, laws, legislation, rules, emergency orders, etc.). Familiarity with various state agencies across the life sciences industry. Collaboration:  Offering insight and ideas for improvements within the team and the software so that we...

PHL - Philadelphia, PA - Flight Checker(PHL) The flight checker picks up flight schedules for specific airline from dispatch. Look/collect Final information count to include flight number, type of aircraft, configuration and type of service. Locate flights and final/pack specific items on the meal carts. Add/check ice cream, condiments, hot entre, check special meals, crew, flight completion and temperature taking before finalizing flight. Identify all discrepancies, inform supervisor and ensure that all missing items are placed on the flight. Communicate any problems with the flight to dispatch. Perform additional duties as needed. Must be able to read, speak and write English and must have excellent verbal and written communication skills. They must have the ability to be accurate, organized, thorough, pays attention to detail. Need to understand and interpret Airline SITA telexes. They must have strong mathematical skills, be able to interact...

Patient Services Representative I JOB SUMMARY Greet visitors, ascertain purpose of visit, and direct them to appropriate staff. Maintain pleasant and positive disposition during every patient interaction to ensure a positive patient experience Instruct patients to complete documents and forms such as intake and insurance forms. Schedule, cancel and confirm patient appointments. Compile, record and archive medical charts, reports, and correspondence with confidentiality. Operate telephones and direct calls, emails and documents to appropriate staff. Transmit correspondence and medical records by mail, e-mail, or fax. Verify insurance via various methods (phone, internet, etc), obtain authorizations and certifications and explain patient responsibility forms. Perform financial functions with accuracy (i.e. charge entry) to ensure optimal...

BI Report Developer Join a National Top Workplace Named a Top Workplace in the USA and Top Remote Workplace, Kobie is where the best minds in loyalty come together, driven by passion and innovation. Were always looking for talented individuals who are ready to join a collaborative, growth-focused culture. As a partner to some of the worlds most recognized brands, we are leaders in loyalty, helping brands build lasting emotional connections with their consumers. Join Us from Anywhere While our headquarters are nestled in sunny St. Petersburg, Florida, Kobie embraces a flexible work environment, offering teammates the freedom to work remotely. We understand the importance of work-life balance and support our team with: Flexible Time Off to recharge when needed Nine Company-Wide Holidays A diverse suite of benefits prioritizing your growth, development, and personal well-being Discover more about our perks and benefits here ....

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Title: Medical Scribe Company: Oak Street Health Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam...

Join our fast-paced pediatric dental practice and make a difference in children's oral health alongside a dedicated team of professionals. We offer a competitive salary and great benefits. *Primary Responsibilities:* * Perform dental prophylaxis and apply fluoride treatments. * Educate patients and parents on effective oral hygiene. * Administer local anesthetic agents (*if licensed*). *Required Qualifications:* * Active Pennsylvania Dental Hygienist License. * Ability to multi-task and work effectively in a team environment. * Current (within 5 years) PA criminal background check, child abuse clearance, and FBI fingerprinting. *Preferred Qualifications:* * Experience with Dentrix Enterprise software. Bilingual ability (Spanish, Russian, or Chinese). Job Type: Full-time Expected hours: 32 – 38 per week Benefits: * 401(k) * Dental insurance * Health insurance * Life insurance * Paid time off License/Certification: * Registered Dental Hygienist (Required) Ability to...

Please note: We have immediate openings for the remainder of the current school year, as well as opportunities available for the 2026–2027 school year. Whether you're a seasoned SLP ready for a fresh start, a Clinical Fellow eager to jumpstart your career with the right guidance, or an SLP looking to transition from a different setting — this could be the right fit for you. At Nyman Associates, we provide the tools, guidance, and supportive environment you need to grow, feel connected, and make a lasting impact. Nyman Associates is a local, trusted educational services provider for school-based and early intervention therapy services, proudly serving Southeastern PA, New Jersey, Delaware, Maryland, and Connecticut for over 40 years. We're seeking compassionate SLPs and CFs who are excited to make an impact on students’ communication and academic success. Why join Nyman? As a well-established partner to many schools in the region, we offer: A variety of placement opportunities...

The Data & Reporting Specialist is responsible for supporting critical data operations within the Provider Data Management department. This role focuses on analyzing provider data, validating data accuracy, and ensuring the integrity of information used across internal systems and external provider directories, including the Provider Directory, PHO Support and BCBSA directory. This position plays a pivotal role in identifying and resolving provider data discrepancies and supporting department-wide initiatives such as the PIE project. Key Responsibilities Data Analysis & Reporting Analyze recurring and ad‑hoc provider data reports to identify trends, discrepancies, or gaps. Validate data across multiple sources to ensure accuracy, completeness, and consistency. Develop, maintain, and enhance reporting tools or dashboards as needed. Provide data-driven insights to support operational improvements. Provider Data Management Review...

The Provider Network Services  Lead Provider Partnership Associate  supports Integrated Delivery Health Systems (IDS) and community providers including but not limited to primary care physicians, specialists, ancillary, behavioral health, and institutional providers in Pennsylvania and Delaware.  Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes.  Proactively educates providers on new initiatives and policy changes that impact their claims payments, including outreach for UM Vendor Management Programs.  Establishes and maintains professional and effective relationships between IBC and network providers to continually improve provider satisfaction.  Ensures the resolution of issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy.  Maintains and updates the appropriate tracking issues database with current...

Job Summary The Sr. Claims Examiner is responsible for analyzing, validating, and processing claims to ensure compliance with plan provisions, regulatory requirements, and internal policies. This role focuses on identifying discrepancies, improving accuracy, and supporting operational efficiency through data-driven insights.   Key Responsibilities ·          Review and analyze claims for accuracy, eligibility, and compliance with benefit provisions ·          Investigate and resolve discrepancies related to coding, billing, and authorization requirements ·          Prepare detailed reports on claims trends and performance metrics ·          Collaborate with internal teams to improve claims processes and reduce errors ·          Respond to inquiries from providers and members regarding claim status and payment rationale ·          Support audits and regulatory reporting as needed

Job Summary To gain exposure to all aspects of the Sales Representative position, contribute to efforts to grow clinical product programs in a designated territory. Assist sales partners in project management and lead efforts in executing clinical trials and product conversions. Job Description MAJOR RESPONSIBILITIES Ensure project implementation and completion while gaining hands-on exposure to all aspects of the Sales Representative position Lead, prioritize, and manage the workflow of product trials, conversions, and/or PV implementations. Ensure overall goals and objectives of the customer are met by managing expectations and aligning appropriate resources. Establish and maintain customer relationships to include conducting weekly team meetings with the state of business with both the customer and the sales reps. Monitor project progress; communicate project status to sales teams, product teams and customers. Ensure follow up and resolution of issues is...

JOB DESCRIPTION Join a dynamic team at Chubb where your analytical skills will directly impact regulatory compliance and financial operations! As a Financial Analyst, you'll play a key role in ensuring accuracy, timeliness, and excellence in all aspects of financial reporting and assessment processes-making a real difference in a collaborative, fast-paced environment. Main Responsibilities: Prepare and file policy level and company level reports as required by various states and ensure compliance with all reporting requirements and deadlines. Prepare disbursement requests for various state and other statutory assessments or filing fees, ensuring requests are completed accurately and within established deadlines. Ensure that all payments and reports submitted are accurate and properly documented for future reference. Ensure that procedures are updated for any necessary changes as required. Respond promptly and within requested due dates to any questions or inquiries...

JOB DESCRIPTION Job Summary: Chubb Global Credit Management is primarily responsible for the assessment and mitigation of direct and indirect credit risk to the Chubb organization across a broad range of credit counterparties within various industries and geographies which involve contractual payment or reimbursement obligations to Chubb, namely - Insureds with Large Deductibles/Retained Risk, Captive Reinsurers, Brokers, Agents, Managing General Agents, Vendors, Third-Party Administrators (TPAs), Network Partners, and Collateral-Issuing Providers. The Director - Global Credit Management will broadly support the primary objectives of the Global Credit Management function, including but not limited to direct management of a portfolio of counterparty credit exposures as well as oversight of select staff portfolios of counterparty credit exposures. Critical attributes to succeed include excellent communication and interpersonal skills, with the ability to work effectively both...

H&K does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability, veterans' status, or any other characteristic protected by law. We are always looking for the best, most qualified people to join our team. Pre-employment drug testing (EOE) Great Benefits offered! Site Superintendent US-PA-Philadelphia Job ID: 2025-2605 Type: Regular Full-Time Category: Contracting Haines & Kibblehouse, Inc. Overview Haines and Kibblehouse is looking for a Site Superintendent to direct activities of workers concerned with construction of highways, pipelines, or other construction projects. The ideal candidate is safety focused, an effective communicator, understands the technical aspects of the job, and experienced in leading and building teams.   Why work for H&K Group, Inc.? Competitive salary commensurate with experience 100% Company-paid Health Benefits 401(k) Savings...

H&K does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability, veterans' status, or any other characteristic protected by law. We are always looking for the best, most qualified people to join our team. Pre-employment drug testing (EOE) Great Benefits offered! Project Manager, Greater Philadelphia Region US-PA-Philadelphia Job ID: 2025-2668 Type: Regular Full-Time Category: Engineering Haines & Kibblehouse, Inc. Overview H&K Group, Inc. , is looking for an experienced Project Manager to support public and private projects in the Greater Philadelphia Region! The Project Manager plans, directs, and coordinates project activities to ensure goals of project are accomplished within the prescribed time frame and funding parameters. The ideal candidate is detail oriented, a team player, and a creative problem solver.   Why work for H&K Group, Inc.?...

H&K does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability, veterans' status, or any other characteristic protected by law. We are always looking for the best, most qualified people to join our team. Pre-employment drug testing (EOE) Great Benefits offered! Senior Heavy Civil Estimator/Project Manager US-PA-Philadelphia Job ID: 2025-2674 Type: Regular Full-Time Category: Engineering Haines & Kibblehouse, Inc. Overview H&K Group, Inc. , is looking for an experienced Senior Heavy Civil Estimator/Project Manager to support public and private projects throughout the Greater Philadelphia Region! The Estimator plans, directs, and coordinates project activities to ensure goals of project are accomplished within the prescribed time frame and funding parameters. The ideal candidate is detail oriented, a team player, and a creative problem solver.   Why work for...

The Refund Analyst is responsible for reviewing, validating, processing, and reconciling customer or provider refund requests with a high degree of accuracy and compliance. This role ensures that all refund activities adhere to internal policies, regulatory requirements, audit guidelines, and service-level standards. The ideal candidate is detail‑oriented, analytical, and experienced in financial or claim-related workflows. Responsibilities :   Process system credits on refund/returned checks for TPA claim  Create refund request letters to advise providers of overpayments to initiate group credits Work together with team members on complex issues to ensure outstanding receivables are satisfied Create manual check requests to reimburse providers when overpayments were previously satisfied Collaborate with Accounting and Disbursements to ensure proper GL Coding is used when issuing payments Respond to our recovery vendors timely to approve fees for overpayment recoveries...

Seeking a detail-oriented and analytical Claims Payment Adjuster to join our team. In this role, you will be responsible for reviewing, processing, analyzing and adjusting medical claims to ensure accuracy, compliance, and efficiency. You will work closely with other team members and cross functional teams such as configuration and Account Management to resolve discrepancies and improve claims processing workflows.   Key Responsibilities: Process and analyze medical claims in accordance with company policies within all client service level agreements.  Consistently meet department quality and production standards. Review claims for accuracy, completeness, and compliance with Medical Policy and client unique set up Identify and investigate claim discrepancies, denials, and errors, and take action to report issues internally. Communicate with other plans via the BlueSquared BCBSA Application Maintain up-to-date knowledge of processing and...

Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you. This role manages ID Cards, Member Correspondence/Fulfillment.

Bring your drive for excellence, team orientation, and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. The Corporate Communications Manager is a well-rounded, experienced communications professional who works strategically to position, protect, and promote the Independence brand to key external stakeholders. In this role, he/she will work with department leadership on all facets of communications, including media relations, content development, crisis communications, reputation management, thought leadership, and more – to advance the goals of the organization. This role is part of the External Communications team and reports to the Director of Corporate Communications. As this role will work closely with our Government Affairs team, the ideal candidate will have experience working in advocacy and/or public affairs communications at the state or federal level. Key Responsibilities: ·...