61 jobs found in philadelphia

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The  Quality Nurse Auditor is responsible for receiving, extracting, reviewing, and documenting clinical information from a Member’s medical record that supports the Quality Improvement/ HEDIS/Stars Division measures and goals. The Auditor utilizes clinical knowledge and technical specifications review documentation and files from medical records that align with CMS, and other governing agency, clinical quality metrics. The staff nurse is responsibility for ensuring and maintaining the mission of Peoples Health as outlined in the Mission Statement. You’ll enjoy the flexibility to telecommute* from within the state of Louisiana as you...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Actively participate in walk-through, inspection, reviews, and user group meetings for quality assurance Develop test cases and prioritize testing activities Execute all the test case and report defects, define severity and priority for each defect Carry out...

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) This role will provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported.  Will review provider’s documentation to identify query opportunities. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assists with execution of the daily activities of the Enterprise Quality Assurance program Performs first level quality...

Our office is located at 115 West Wausau Ave,  Wausau, WI 55401. Employees will be required to work 3 days onsite and 2 days from home. It’s that time, isn’t it? You’re ready for the next step forward and an opportunity to build on your skills. And it just so happens that there’s never been a better time to become a part of the team at UnitedHealth Group . Today, more and more people are turning to our global health care services organization because we’re leading the way in innovative ideas and quality. Here’s where you come in. As part of our fast-paced operations team, you’ll help ensure that we bring on new members comprehensively and accurately. You bring your energy; we’ll provide the training, resources and opportunities you’d expect from a Fortune 10 leader. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   The Payment Prospect System (PPS) Quality Engineering team is seeking applicants who believes in “Quality is the primary objective of the work delivered”. This role will cover all primary quality activity across all technology functions that ensure to deliver high quality products and services.  This role includes, but are not limited to, strategy, planning, standards, process, policy, tools, engineering, assurance, management, metrics, research and development, automation, data preparation, maintenance, new development, operations,...

      At Dietz & Watson, our employees’ talent and dedication to world-class sales and customer service are key contributors to our success. You will find that our company’s energetic environment and fast-paced work ethic are vital pieces that continue the growth and development of Dietz & Watson. We are looking for these talented and dedicated individuals to join our family.   Daily duties: Clean Warehouse (Cold environment see below) Cleans outside Dock doors picking up wood, etc. Empty trash in Lunch Room Clean and mop Lunch Room Empty trash in Outside Break Area Pick up trash in Outside Break Area Mop all hallway floors and shipping office Clean and mop all locker rooms Clean and mop all Bathrooms Empty trash in Main Office Loads grill for breaks and lunch Rotate out of code product from Lunch pallet   General Working Conditions/Environment Due to the refrigeration that is required...

At Dietz & Watson , our employees’ talent and dedication to world-class sales and customer service are key contributors to our success. You will find that our company’s energetic environment and fast-paced work ethic are vital pieces that continue the growth and development of Dietz & Watson . We are looking for these talented and dedicated individuals to join our family. Our team is currently looking for an experienced Tig Welder and MIG Welderto keep up our level of commitment to safety and customer service. This is a fabulous opportunity for a knowledgeable, hardworking welder to apply his or her skills in our production facility located in Northeast Philadelphia. In this role, the successful candidate will work in coordination with the shop supervisor and other senior management to ensure that all manufacturing equipment is fit and welded to the specifications of each job and meets outlined requirements.   He/She will work closely with other team members...

If you wish to further develop your career with one of the most successful logistics organizations we are looking for a new Customer Care Specialist. This is an excellent opportunity to join our Sea Logistics team in Media, PA. Your Role Responsibilities include but are not limited to the coordination of Sea Export shipments such as, opening export files, production of internal documentation, updating export statuses, assisting and advising customers of Arrival, arranging deliveries, processing invoices (including price conversions and verifying shipment weight and volume), dealing with e-mail queries from Kuehne+Nagel Overseas offices as well as ensuring that excellent standard of data accuracy Your Responsibilities Operational duties to include coordination with shippers, truckers, steamship lines and Kuehne+Nagel offices for the export of shipments, able to negotiate cost-effective rates with service providers to ensure maximum profitability, and Resolve issues respective...

We are looking to add a Air Logistics Customer Care Specialist to our growing team in Media, PA! Your Role The Customer Care Specialist is responsible for ensuring that our customers experience is a positive one each and every time they engage with Kuehne + Nagel. Specifically, the Customer Care Specialist is part of a team within our CCL’s – Customer Care Locations, who are responsible for direct interaction with our customers, proactive customer service, problem solving, customer follow up, interaction with our sales colleagues and equally as important, ensuring that our Operational Care Centers (OCC’s) have all of the necessary information (including systematic information) to be able to execute on our customer behalf. Your Responsibilities Maintain Real Time Visibility of our Customers’ Transactions in AirLOG by Updating Route Maps and following the Airfreight 2.0 Tag methodology. Drive all elements of the customer into our core operating systems and tools by...

Our Team in Media, PA is looking for a new Sea Logistics Customer Care Specialist Your Role Sea Logistics Reefer Customer Care Specialist Your Responsibilities Processing all documents for reefer shipments in compliance with USCBP and Import regulations.  Handling shipments from the time we receive a pre-advise from KN origin station, making payments to carriers and vendors, working with internal or external brokers and arranging last mile delivery and POD.  Monitoring of shipments, creating reports and quotes. Direct communication with customers, overseas offices, steamship lines and truckers. Create Pharma GXP/GDP SOP's. Excellent pro-active customer service support and great communication skills are key factors to success in this fast paced position.   Obtaining and maintaining a high level of data quality and meeting monthly financial targets are expected. Your Skills and Experiences The perfect candidate has a college education and 2 years experience in the sea freight...

Description Job Description: Currently, we have an opportunity for Lead D istribution Engineer for electric utility design engineering. This is a fully remote position. The successful candidate must have experience in developing the work packages for OH, UG, URD, Make Ready and Street Light projects, using customer GIS and WMS systems such as GE Smallworld, Bentley Expert Designer and Maximo. The candidate will be comfortable in both a field and office setting, and will trained in customer engineering and construction standards. Successful candidates will have experience structural analysis, guying calcs, cable pulling calcs, coordination of protective devices, calculations of electric demand and fault currents. Candidates will gain experience in coordination of conflicting utilities, and other field engineering design requirements, the assessment and development of design big packages for complex cable/conduit projects in dense urban environments, work permit...

About this role: Wells Fargo is seeking a Systems Quality Assurance Associate/Analyst in Business Initiatives & Testing Team as part of Enterprise Wires Services. The successful candidate will partner with the Line of Business, Risk/Compliance, and technology partners across Operations to create and execute scripts that align with business goals including driving continuous process improvements that increase the efficiency and effectiveness of our operation. Learn more about the career areas and lines of business at wellsfargojobs.com . In this role, you will: Develop a variety of system quality assurance testing initiatives for projects on software systems Complete systems testing and create systems quality assurance testing strategies Execute complex test plans and scripts to facilitate testing activities Document and verify resolution of software and specification defects Develop standards and procedures to determine release readiness and streamline testing...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:         Accountable for test automation code delivery and implementation Serve as the technical subject matter expert for the onshore development team and work closely with the offshore technical lead enhance and maintain OPEX Quality code Identify and implement improvements to test automation framework and CI/CD pipelines Participate in scrum meetings and ensure that...

Are you an experienced Sr Technical Sourcing Recruiter who strives for a challenge and is a top performer? Would you like to partner with some of the best clients in the business? Here's some background: We are looking to add top talent to join our strong team of Technical Recruiters, where our focus is providing RPO workforce solutions to our Fortune 500 telecommunications client. The area of responsibility will focus on sourcing and recruiting various Technical roles such as Software engineers, program managers, cyber security, developers, web developers, etc. This full-time permanent position will work virtually from your home office. As a Sr Technical Sourcing Recruiter, you will be responsible for driving all aspects of the talent relationship management process for exempt and non-exempt candidates. If you are interested in a fast-paced environment and enjoy the challenge of leading a business to success, then this is your career opportunity! What you need * 3+ years of...

Job Description Position Purpose: Associates in Freight/Receiving positions ensure the store is stocked and ready for business every day. They load and unload trucks, move material from the receiving area throughout the store, may operate forklifts and may perform critical functions for maintaining proper on-hands and pricing for our customers. Direct customer interaction is frequently required for some positions and excellent customer service skills are required. The Freight/Receiving positions may include Freight Team Associate, Freight Team Lead, Receiving Associate and Receiving Support. Pay Rate: -

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   The Director of 340B Business Development, Specialty Distribution in Optum Frontier Therapies (OFT) will be responsible for identifying, developing and executing upon new business opportunities within the 340B marketplace.  The successful candidate will be responsible for developing and setting the strategy for growth within the current 340B portion of our business.  This exciting opportunity will require the candidate to foster new business relationships with Pharmaceutical Manufactures, Covered Entities, Contract Pharmacies and Third Party Administrators. As a new Optum business, we are building on our strengths but also challenging the status quo....

Duties: Under the direct supervision of the Supervisor, Manager and/or Director of Operations Quality Auditing, responsible for the timely and accurate review of various tasks performed by the Enterprise Operations Contact Center. Reviews member and provider calls to evaluate for compliance and accuracy. Provides credible accuracy results and recommendations based on call components and business requirements. Works along with the business to improve overall contact center experience for members and providers. Meets all required auditing metrics including production and quality to assist in the overall completion of audit inventory. Skills: Minimum of two (3) years minimum in Contact Center or a similar role for health care/Insurance related environment. Claim processing knowledge preferred; Facets system; Proficient use of Microsoft programs, including Outlook, Microsoft Excel, Word, etc.; medical terminology; related Medicaid/Health Care experience Keywords: Education: HS Diploma...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   This role is responsible for effective delivery of training related to HEDIS and Star programs across the organization.  The Quality Trainer assists in designing, planning, coordinating, delivering, and evaluating training and actively ensures all training materials are up to date and accurate. This role keeps abreast of various training delivery techniques, platforms, business processes, products and systems to prepare high quality and highly competent staff for meaningful contributions in the workplace.  This position may do Quality...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) The Clinical Quality Consultant Nurse Practitioner (NP) or Physician Assistant (PA) will apply clinical expertise and knowledge of documentation guidelines to ensure the accuracy of clinical documentation for Optum Home & Community and Care Delivery programs. The Clinical Quality Consultant will collaborate with a multidisciplinary team of physicians, advanced practice clinicians and coding professionals as a member of the Clinical Documentation Review team in Optum Clinical Performance. This position will provide support to Optum...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Director of Quality Systems role will own and drive successful efforts to ensure that appropriate quality processes, systems and technologies are developed and deployed to capture and translate business requirements and customer needs - Voice of the Customer (VOC) into product and process design.  They will serve as an integral member of the Total Experience and Quality team, acting as the strategic leader to help achieve program objectives and measures of success. The role is accountable for ensuring strategies, implementation plans and outcome measurements are developed and deployed. You'll enjoy the flexibility to telecommute* from...