Geisinger

Assist in resolving customer concerns, process enrollment and eligibility, and support claims resolution within a healthcare customer service environment. | High school diploma or GED, minimum 1 year of customer service experience, strong communication skills, and ability to interpret policies and regulations. | Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service in only one of the Primary Functions (enrollment, claims or phones). Actively participates in cross training, improving processes within the Customer Service team. Job Duties: • Resolves and reconciles enrollment reports and all related eligibility issues by following policy and procedure as well as any state legislated coverage and eligibility guidelines. • Initiates communication and literature to the newly enrolled Health Plan member, dependents and employer groups. • Interprets and appropriately applies rules and regulations in contractual agreements and with employer groups and vendors. • Performs membership data extract reports and supplies them to employer groups as an audit tool for accuracy and compliance with performance risk guarantee commitments. • Updates, approves and interprets membership data and workflow produced by online software capabilities in employer group modules. • Determines the eligibility of most members as well as processing terminations and disenrollments. • Prepares, generates and appropriately disseminates letter communications to subscribers and members with regard to enrollment activity. • Determines if services received are covered benefits as applicable by line of business and product design. • Reviews suspended claims for resolution by applying current policies, procedures and benefits applicable to specific products. • Provides team building resources to assist in directing peers to proper claims resolution policies and procedures in order to assist members and providers. • Provides daily support and advice to member and provider services staff regarding claims issues. • Researches claim issues from participating providers and identifies specific criteria for reconsideration for payment. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 1 year-Customer Service (Required) Certification(s) and License(s): Skills: Communication, Customer Retentions, Customer Service OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. • EXCELLENCE: We treasure colleagues who humbly strive for excellence. • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. • SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Coordinate candidate visits, manage travel and logistics, and analyze feedback data to support recruitment efforts. | Requires experience in recruitment coordination or HR, strong organizational skills, and a bachelor's degree in HR or related field, with at least 1 year of relevant experience. | Job Description: • Collaborates with Provider Recruiters to develop candidate visit itineraries • Coordinates travel, lodging, community tours, and meals for candidates • Assists with sending interview feedback requests to hiring managers • Partners with HR for programs to retain and engage talent • Distributes and analyzes data from post-interview feedback surveys Requirements: • Experience in recruitment coordination, HR, or healthcare administration • Strong organizational and communication skills • Ability to manage multiple priorities and stakeholders with professionalism and care • A proactive mindset and a passion for delivering outstanding service • Bachelor's Degree in Human Resources Management (Required) • Minimum of 1 year related work experience (Required) Benefits: • Health insurance from day one • Vision and dental benefits • Flexible work arrangements • Opportunities for growth and development • Collaboration and collegiality

Lead and manage all credentialing, re-credentialing, payer and facility enrollment activities, ensuring compliance and efficient provider onboarding across the health system. | Requires a healthcare-related bachelor's degree, 7+ years of related experience, and certifications like CPCS and CPMSM preferred. | Description: • Responsible for overseeing all aspects of credentialing, re-credentialing, payer enrollment, and facility enrollment activities for the health system. • Drive the development and execution of efficient, compliant, and scalable processes that support timely provider onboarding, maintain payer compliance, and enable accelerated revenue capture across the academic medical center and its affiliated entities. • Lead a cross-functional team and collaborate closely with Human Resources, Medical Staff Services, Revenue Management, Legal/Compliance, and Clinical Operations to ensure a streamlined provider lifecycle from hire to billing readiness. • Lead the design, implementation, and ongoing refinement of a centralized provider and facility credentialing and enrollment model across the enterprise. • Serve as the system's subject matter expert on credentialing and payer/facility enrollment NCQA/JCAHO regulations, delegated agreements, and payer requirements. • Ensure alignment of credentialing and enrollment workflows with provider onboarding, privileging, HR, and revenue cycle systems (e.g., Epic, Workday, Symplr, VerityStream CredentialStream, MD-Staff, CAQH, PECOS, NPPES). • Manage relationships and negotiations with third-party payers for delegated credentialing and facility enrollment. • Partner with key stakeholders to set and monitor KPIs and service level expectations for provider readiness and enrollment turnaround times. • Establish communication channels and reporting tools to provide visibility into provider enrollment status across the organization. • Supervise credentialing and enrollment teams responsible for provider applications, CAQH maintenance, NPPES updates, PECOS submissions, and commercial payer enrollments. • Monitor work queues (manual or electronic) for urgent enrollment items and escalations. • Ensure timely and accurate submission of provider data to all applicable payers, including Medicare, Medicaid, and commercial plans. • Coordinate with billing and denial management teams to resolve enrollment-related rejections or delays. • Provide routine status updates to department chairs, finance leaders, and operational managers regarding pending credentialing/enrollment activity. • Review and approve reports summarizing time-to-enroll, first billable date, clean submission rates, and enrollment aging. • Oversee delegated credentialing audits and compliance with payer expectations. • Evaluate process performance and implement continuous improvement initiatives to reduce delays or administrative burden. • Lead cross-functional meetings with HR, Medical Staff Office, Revenue Management, and IT to ensure coordination and address systemic issues. • Support organizational growth initiatives by forecasting credentialing/enrollment resource needs and readiness timelines. Requirements: • Certified Provider Credentialing Specialist (CPCS) – NAMSS preferred. • Certified Professional in Medical Services Management (CPMSM) – NAMSS preferred. • AAPC or HFMA credential with broader revenue cycle exposure preferred. • Bachelor's Degree-Healthcare Related Degree (Required) • Minimum of 7 years-Related work experience (Required) Benefits: • We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. • We encourage an atmosphere of collaboration, cooperation and collegiality.

Supervise clinical support staff, coordinate training, manage scheduling and resources, ensure regulatory compliance, and provide clinical support services. | High school diploma or GED, minimum 2 years related clinical experience, Certified Medical Assistant certification, and Basic Life Support certification. | Job Summary Directs and supervises support staff of Geisinger. Assures that patients are treated with concern and that providers are provided with prompt and courteous service. Graduate of an accredited 1-year certificate or 2-year diploma Medical Assistant program preferred. Certified Medical Assistant (CMA) or Registered Medical Assist (RMA) required. Certified by one of the listed governing associations required: NHA, AMT, AAMA, NAHP, NCCT, AAH, or AMCA. Job Duties • Performs all duties of a certified medical assistant. • Supervises all support staff. • Participates in recruitment, interview and selection process of nurses and support staff. • Coordinates training and orientation programs for the nursing and other clinical staff. • Assesses ongoing training needs. • Schedules employees and manages resources on a daily basis. • Serves as a resource to answer questions and resolve problems. • Plans and conducts in-service and other informational meetings with employees. • Encourages and coordinates continuing education for self and staff. • Monitors performance and provides feedback. • Conducts performance appraisals. • Evaluates job competencies. • Addresses performance problems, initiating the discipline process if required. • Intercedes on behalf of assigned personnel when problems are encountered with physicians, patients, or other clinic personnel. • Develops and maintains policies and procedures for assigned area. • Assures adherence to regulatory agency requirements, safety standards, and infection control procedures. • Evaluates operations and recommends and implements changes to improve efficiency and effectiveness. • Responsible for staffing plans. • Monitors, evaluates, and revises as appropriate. • Coordinates purchasing activity, including but not limited to, monitoring inventory and supervising the ordering of items as needed. • Coordinates activities with other sections and departments. • Acts as a liaison with other groups, both internal and external entities. • Prepares and monitors all required monthly reports. • Provides clerical, clinical or diagnostic support services to patients or providers. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Position Details Education High School Diploma or Equivalent (GED)- (Required) Experience Minimum of 2 years-Related work experience (Required) Certification(s) and License(s) Certified Medical Assistant AMCA - American Medical Certification Association (AMCA); Basic Life Support Certification - Default Issuing Body OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

The Biostatistical Analyst II will collaborate on the design of clinical research studies, write biostatistical analysis plans, and manage, analyze, and interpret study data. They will also contribute to study publications and educate team members on statistical methods. | Candidates must have a master's degree in biostatistics or a related field and at least 4 years of consulting experience in a healthcare environment. Proficiency in SAS or R for data management and analysis is required. | Location: Henry Hood Center For Health Research Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Fixed Term (Fixed Term) Exemption Status: Yes Job Summary: The Biostatistics Core at Geisinger collaborates closely with researchers across the health system, providing comprehensive support throughout all stages of the research process—from proposal development to data analysis and interpretation. Core members offer expertise in: • Refining research questions and hypotheses • Designing studies and selecting variables • Estimating sample size and statistical power • Developing analysis plans • Designing data collection methods and randomization schemes • Managing data and conducting biostatistical analyses The Core consists of 10 members with a mix of MS- and PhD level positions. Members collaborate with departments across the health system including Community Medicine, Surgery, Cardiology, Otolaryngology, Pediatrics, Women’s Health, among others and support full-time research faculty on grant related efforts. The Biostatistics Core is seeking a full-time master’s-level biostatistician. Responsibilities include collaborating on the design of clinical research studies, writing biostatistical analysis plans for research proposals and internal grants, calculating sample size and power, managing, analyzing, and interpreting study data and results, contributing to study publications, and educating members of the research team in statistical methods and study design. Experience in logistic regression, time-to-event (survival), and observational data analysis methods are essential as well as the fundamentals of model building. The successful candidate will have a master’s degree in biostatistics or related field with at least 4 years of consulting experience in a healthcare environment. They should possess a solid understanding of clinical research, excellent communication skills, work independently and ability to handle multiple projects to meet deadlines in a multidisciplinary research environment. Experience managing large datasets in a healthcare environment is required. The candidate must have experience in programming for data management and complex data analysis using SAS or R. This position has the potential to be remote, depending on the candidate. Job Duties: Independently provides statistical consultations or collaborations with clinical principal investigators. Includes developing the appropriate study design, determining the type of analysis for selected studies and designing appropriate methods of data collection, preparing publication quality graphics, and assisting in manuscript preparation as needed. Educates residents and staff on statistical techniques and methods of analysis. Acquires and installs upgrades and effectively uses the most current versions of the major statistical packages. Participates in research committees. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details: COMPETENCIES AND SKILLS: Advanced skills and knowledge in biostatistics, statistical methods in medical and clinical research, and epidemiology. Demonstrates excellent written and oral communication skills. Demonstrates ability to effectively communicate quantitative information to medical personnel and administrative staff. Independently provides statistical consultations or collaborations with clinical principal investigators. Strong interpersonal skills and positive attitude to work effectively in a team environment Possesses the critical thinking skills needed to provide statistical support to clinical investigators. Experienced SAS or R programmer for both data manipulation and statistical analysis. Detail-oriented with excellent validation and documentation skills. Independently uses time management and organizational skills to successfully prioritize concurrent projects. Demonstrates sound judgment and resourcefulness. EDUCATION AND/OR EXPERIENCE: Master's degree in biostatistics or a closely related field, required. Experience performing statistical analysis in a healthcare environment, 4 years required. Experience managing large datasets in a healthcare environment, required. Advanced proficiency with at least one major statistical software package (preferably SAS or R), required. Education: Master's Degree-Statistics (Required) Experience: Minimum of 4 years-Related work experience (Required) Certification(s) and License(s): Skills: Communication, Multitasking, Organizing, Research Regulatory Environment, Teamwork OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. Geisinger is committed to making better health easier for the more than 1 million people it serves. Founded more than 100 years ago by Abigail Geisinger, the system now includes nine hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,600 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and benefits for domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter. * Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer. Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

Coordinate and prepare financial analyses to support business processes and identify revenue or expense management opportunities while collaborating with finance and operational partners. | Requires 5+ years of related experience, a bachelor's degree, strong Excel skills, and preferably healthcare experience with tools like Epic and StrataJazz. | Job Summary Coordinates, oversees, and prepares financial analysis in support of business processes, accounting, identification of revenue or expense management opportunities, and understanding and resolution of issues. Establishes relationships with finance partners, operational teams, and other departments to create efficient and effective processes. Job Duties • Identifies opportunities for revenue enhancement, expense management, and process improvements. • Develops financial tools and templates to support business processes, analytical capabilities, and activity tracking. • Maintains appropriate documentation of analytical processes and targets. • Ensures that all work is performed in an auditable fashion. • Reviews, refines, and automates department procedures to improve workflow efficiency. • Develops strong finance and business partner relationships to understand needs and provide actionable analysis. Work is typically performed in an office environment. Travel may be required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details • Prefer Healthcare experience in a hospital environment • Analyze productivity, clinical throughput, and operational efficiency across hospital and clinic settings. • Develop and maintain dashboards, scorecards, and reports to track KPIs such as patient volumes, cost per encounter, and contribution margins. • Utilize Vizient benchmarking tools to assess performance against peers and identify opportunities for improvement. • Collaborate with clinical, operational, and executive leadership to interpret data • Conduct variance analysis and root cause investigations related to performance and service line profitability. • Present findings in a clear, concise manner to both financial and non-financial stakeholders. • Strong analytical, communication, and presentation skills. • Extract and analyze data from Epic (Clarity/Caboodle) and StrataJazz to support budgeting, forecasting, and productivity modeling. • Strong excel skills, Pivot tables and intermediate to advance formulas. Education Bachelor's Degree- (Required) Experience Minimum of 5 years-Related work experience (Required) Certification(s) and License(s) OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Manage a health plan customer service team overseeing performance metrics, resource allocation, training, policy updates, and budget preparation. | Minimum 9 years relevant experience, high school diploma or equivalent, bilingual preferred, skills in relationship building and conflict management. | Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: Manages a Health Plan Customer Service Team. Performs oversight of achieving metrics, resource allocation, process improvement, coordinating training and ensuring policy development/updates related to claim and enrollment functions. Assists administration in developing the team's annual operating budget, participating in and/or leading interdepartmental workgroups involved in strategic planning, developing and reviewing policies and procedures. Job Duties: • Participates in development of performance standards for Customer Service teams, evaluates actual performance against standards, and implements action plans for improvement. • Manages resource allocation in order to realize efficient production. • Acts as a liaison between all customer service teams and other departments. • Develops training and policy development goals and provides oversight to ensure the goals and program are aligned with Customer Service operation goals. • Maintains decision making authority with regard to clients, employers, vendors, regulators, providers and occasional legislators. • Works closely with the Customer Service Support Team to continually assess the effectiveness of the Quality Assurance program, and makes recommendations for revisions as needed. • Performs supervisory functions of departmental recruiting, hiring, training, discipline and counseling. • Performs performance appraisals on direct reports. • Assists in preparation of annual department budgets. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years). Position Details: Bilingual preferred ( English / Spanish ) Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 9 years-Relevant experience* (Required) Certification(s) and License(s): Skills: Bilingual, Builds Relationships, Manages Conflict And Crisis OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. • EXCELLENCE: We treasure colleagues who humbly strive for excellence. • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. • SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Review clinical documentation for accurate coding, provide education to physicians and staff, improve processes related to risk adjustment, and deliver training and presentations. | Requires coding diploma/degree and certifications such as Certified Professional Coder and Certified Risk Adjustment Coder, plus at least 1 year of related experience. | Job Summary Provides training and process improvement efforts across the clinical practices for the development of consistent and comprehensive clinical practices supported by the the Health Plan. Identifies process improvement opportunities associated with the management of risk adjustment initiatives. Investigates current processes, assessing efficiency and accuracy and provides solutions for problems, process improvement, development of training programs, and documentation strategies that support ICD-10 complex terminology for clinical practice operations and management. Job Duties • Reviews the content of the medical record professional outpatient records to identify all diagnosis codes applicable to the documentation. • Carefully reviews details of documents such as laboratory findings, radiology reports, various scanned reports, discharge summaries, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses are recorded. • Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form correct procedure codes as required. • Using the Encoder software program, determines the codes for all diagnoses Reviews and understands annual mapping of ICD-9 and ICD-10 crosswalk. • Provides education material to the team to educate physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding. • Assists in decision making relevant to physician coding education and HCC targeting purposes. • Works one-on-one with physicians as needed to clarify documentation within the patient’s record as appropriate accurate and complete coding. • Assumes a supporting co-educating role with regard to Risk Adjustment Education and other opportunities for internal education team and external identified opportunities. • Presents with full understanding of reports, presentations, maps and graphs, reflecting the collaboration of external and internal parties, summary and translation of data into actionable information. • Delivers presentations to clinicians and administrators. • Shares condition-specific training modules as requested. • Works with provider sites to define solutions to needs or problem areas, and determines scope of investigation required to obtain solution. • Solutions may include installation of alternate methods and procedures, changes in methods and practices, or redesign of products or services. • Interprets and recommends actionable plans using financial and analytical data prepared by risk adjustment analysts. • Provides consultative support to clinical areas on a daily basis and recommends operational strategies to achieve optimal documentation and coding processes. • Assists in proactive risk adjustment communication, support and education at all levels within the organization. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. This posting reflects an opening for Quality Coding and Documentation Educator I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role based on their skills, qualifications, and experience. We encourage all qualified individuals to apply. Position Details Minimum Diploma And Certification Requirements Level I Coding Diploma/Degree Level II Certified Professional Coder (AAPC) Level III and IV Certified Professional Coder (AAPC) and Certified Risk Adjustment Coder (AAPC) Education Graduate from Specialty Training Program- (Required), High School Diploma or Equivalent (GED)- (Required) Experience Minimum of 1 year-Related work experience (Required) Certification(s) and License(s) Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Certified Professional Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Develop and implement community wellness programs including screenings, education, and health coaching, while managing reporting and stakeholder communication. | Bachelor's degree in healthcare-related field, minimum 1 year related experience, ability to travel and work varied hours including weekends and evenings. | Job Summary Our successful candidate will provide screening and education services throughout our community focusing on our senior and commercial population. (Montour County and surrounding counties in Pennsylvania) Job Duties Serves community or practice/facility-based population management initiatives including on site programs, screening services, fitness classes, evidence based program facilitation and program development for the wellness team and partners. Responsible for the development and oversight, as well as implementation of health and wellness programs at the facility as well as surrounding community initiatives. • Develops and designs programs in conjunction with their assigned facility ensuring competencies, training requirements, reporting and documentation requirements are being meet. • Supports regional teams, operations, new program design and implementation of new products and services. • Develops and implements tools to evaluate the effectiveness of the wellness program to manage outcomes. • Reports program participation and outcomes quarterly to stakeholders. • Prepares and presents educational information consistent with the mission and objectives of the wellness program and the facility. • Provides on site screening support and education as needed. • Supports team on site with programs, biometric screenings and phlebotomy support as needed and as appropriate, based on skill set and educational background. • Represents the facility at various business and community events as needed or coordinates events at the facility. • Serves as a wellness resource and oversees member communication and outreach initiatives within the wellness program. • Supports regionally based teams and employers throughout our coverage area, as well strategic opportunities as needed. • Monitors changes in employee wellness research, new developments and standards. • Researches and creates new program to meet the population needs, as appropriate. • Supports reporting needs, data management and outcomes. • Assists with other policies which have wellness components. • Learns new software applications and maintains databases. • Coordinates ongoing record keeping and prepares reports as requested. • Works closely with internal departments including, but not limited to Health Services, Marketing, IT, Sales and wellness. • Responsible for calendar management, promotion of activities in conjunction with marketing and coordination of all onsite activities. • Participates on committees, as assigned, to represent and provide expertise related to the Wellness Program. • Provides telephonic and on site health coaching for lifestyle management programs, as needed. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details This position will travel throughout the community. Work hours vary including early mornings, occasional weekends, and occasional evenings. Education Bachelor's Degree-Healthcare Related Degree (Required) Experience Minimum of 1 year-Related work experience (Required) Certification(s) and License(s) OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Coordinate patient care within the Hospital at Home program, develop care plans, monitor progress, and collaborate with healthcare teams. | Current RN license with 3+ years clinical experience, knowledge of case management, strong communication, and EMR proficiency. | Job Title: Case Manager Company Overview: Geisinger is a leading healthcare organization dedicated to improving the health and well-being of the communities it serves. With a commitment to innovation and patient-centered care, Geisinger offers comprehensive medical services across Pennsylvania and beyond. Role Overview: As a Case Manager at Geisinger, you will play a vital role in coordinating patient care within the Hospital at Home program. Your focus will be on ensuring seamless care transitions, optimizing patient outcomes, and collaborating with multidisciplinary teams to deliver high-quality healthcare services. What You'll Do: - You will assess patient needs and develop individualized care plans. - You will coordinate with healthcare providers, patients, and families to facilitate effective communication. - You will monitor patient progress and adjust care plans as necessary. - You will ensure compliance with healthcare regulations and organizational policies. - You will provide education and support to patients and their families. - You will document all case management activities accurately and timely. - You will participate in quality improvement initiatives to enhance patient care. - You will collaborate with community resources to support patient needs post-discharge. What You Bring: - You bring a current RN license with at least 3 years of clinical nursing experience. - You bring strong knowledge of case management principles and healthcare regulations. - You bring excellent communication and interpersonal skills. - You bring proficiency in electronic medical records (EMR) systems. - You bring the ability to work independently and as part of a multidisciplinary team. Bonus Points If You Have: - Experience in hospital at home or home health care settings. - Certification in Case Management (CCM) or related credentials. - Familiarity with quality improvement methodologies. - Bilingual skills to support diverse patient populations. What We Offer: - We offer competitive salary and comprehensive benefits including health, dental, and vision insurance. - We offer opportunities for professional development and continuing education. - We offer a supportive and collaborative work environment. - We offer flexible scheduling to promote work-life balance. - We offer employee wellness programs and resources. Ready to Apply? Please submit your application through the Geisinger careers portal with your updated resume and cover letter. We look forward to welcoming you to our team!