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* Location: Mastery Charter Schools - Philadelphia, PA * Service Settings: School-based * Schedule: 7:45am to 3:15pm * Grades: K-12 * Caseload: Within agency guidelines, includes travel time * HR/Clearance Requirements: * TB Test * PA State Police Clearance (Act 34) * FBI Fingerprint Clearance (Act 114) * Child Abuse Clearance (Act 151) * Mandated Reporter Training School districts vary with respect to requiring SLPs to complete speech and related evaluations: • SLPs must collaborate with teachers, parents, and other professionals to gain an understanding of students’ strengths, interests, and needs with respect to speech and language services., • Depending upon the school district, SLPs should be able to utilize a variety of evaluation tools to assess students’ speech or language needs and help determine if they are eligible for special education services., • SLPs will propose relevant IEP goals to students’ interdisciplinary teams and work throughout the year to help students achieve their goals., • SLPs will need to collect and summarize data on students’ progress, and draft progress reports as per district schedules., • In addition to collaborating with teachers and parents, SLPs will need to work closely with other professionals such as school psychologists, behavior analysts, and mental health therapists., • SLPs will often need to support students’ use of high, and low-tech AAC systems., • Relatedly, experience with the SETT framework is desirable, as SLPs will often serve as a primary resource for SETT evaluators., • Experience with RTI and MTSS is desirable, as schools place high value on the insights SLPs can offer child study teams., • Experience with or the ability to develop and coordinate therapy schedules to ensure students receive all services identified in their IEPs is essential., • Review/discuss caseload with Aveanna’s Clinical Director at least once a month., • Assists and guide teachers in observing, describing, and referring suspected and identified speech and language impairments., • Provide screenings to identify students who require speech and/or language interventions and/or referral for formal assessment., • Provides information and support to parents and families when appropriate., • Provide a written evaluation defining Speech Therapy needs, goals and expected outcomes., • Masters’ Degree from accredited university or program in Speech Language Pathology., • Current and unrestricted SLP license to practice in the state of practice (not under investigation for anything that may jeopardize one’s license)., • Additional requirements vary by state and district (e.g., First Aid, CPR certification, mandated reporter training, child abuse clearances, criminal history background checks)., • Continuing Education as required by state and/or licensing/regulatory bodies. Other Skills/Abilities • Ability to adhere to confidentiality standards and professional boundaries at all times., • Effective problem-solving and conflict resolution., • Must be able to speak, write, read and understand English., • Must be able to travel., • Must be able to lift 50 pounds., • Prolonged walking, standing, bending, kneeling, reaching, and twisting., • Must be able to appropriately respond physically and mentally to emergency situations.

Children's Hospital of Philadelphia is seeking a travel Registered Respiratory Therapist for a travel job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Registered Respiratory Therapist, • Discipline: Allied Health Professional, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours, nights, • Employment Type: Travel Night Shift: (7pm-7am), every 3rd weekend is required, holiday commitment required. Weekdays and every 3rd weekend required. .9 posting-36 hours a week, 3x12 shifts per week Department did note that they have multiple needs 7 days a week so there maybe reasonably flexible scheduling during Monday through Friday, aside from the every 3rd weekend. -13 week assignment Job Summary: -The Registered Respiratory Therapist (RRT) practices at the level of a clinically competent to proficient practitioner of respiratory care. -The RRT at this level demonstrates competence in caring for patients with emergency, acute, and intensive care needs with minimal guidance. -The RRT demonstrates clinical leadership skills through contribution to standards of care and department goals. -The RRT works under the direction of ordering physician/clinician, established organizational policies and procedures, and the American Association of Respiratory Care Clinical Practices Guidelines. -They serve as a role model for other staff, a preceptor for new employees and participates in endeavors to increase respiratory care knowledge. Required Skills & Experience: -Two (2) years of respiratory care experience. -Ability to use MS Office Suite. Preferred Skills & Experience: -N/A Required Education: -Associate’s degree. -Certificate of completion in respiratory care from a respiratory care program. -According to the CMS (Centers for Medicaid and Medicare Services) a copy of diploma or transcript is required as proof of academic achievement for all non-laboratory personnel performing non-waived POC testing. Preferred Education: -Bachelor’s degree. Required Certifications & Licensure: -Certified Respiratory Therapist (CRT). -A valid license to practice respiratory care in the state of Pennsylvania. -BLS. Preferred Certifications & Licensure: -Current Pediatric Advanced Life Support, Neonatal Resuscitation Program or Advanced Cardiac Life Support certification. -Neonatal/Pediatric Specialist (NPS) certification within 2 years of date of placement into position. RightSourcing (a part of Magnit) expected pay package may vary and/or include certain benefits like: Stipends (for clinical traveler workers only), Medical, Dental, Vision, 401K QUALIFICATION/LICENSURE Work Authorization : US Citizen Preferred years of experience : 2 years Travel required : No travel required Shift timings : NIGHTS Children's Hospital of Philadelphia Job ID #37051836. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Resp Therapist

PharmPro Staffing Inc is seeking a local contract Registered Respiratory Therapist for a local contract job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Registered Respiratory Therapist, • Discipline: Allied Health Professional, • Start Date: 04/20/2026, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours, nights PharmPro Staffing Inc Job ID #37051836. About PharmPro Staffing Inc PharmPro Staffing Inc. is a trusted partner for pharmacy and healthcare professionals nationwide. We connect talented professionals with opportunities that align with their skills, goals, and ideal workplace culture. With a strong national network — including opportunities in rural and underserved areas — we’re committed to helping you grow, contribute, and feel valued wherever you are. Let PharmPro help you take the next step in your career with confidence. Benefits • 401k retirement plan, • Dental benefits, • Life insurance, • Health Care FSA, • Holiday Pay, • Mileage reimbursement, • Medical benefits, • Vision benefits, • Referral bonus

Huddle Up Care is seeking a School Services Speech Language Pathologist for a job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Speech Language Pathologist, • Discipline: School Services, • Start Date: 08/03/2026, • Duration: Ongoing, • 37.5 hours per week, • Shift: 7 hours, days, • Employment Type: Staff Huddle Up is a provider-founded and provider-led company that delivers high-quality, consistent care to school districts nationwide through team-based virtual and onsite IEP therapy and support. We have delivered over 1 million therapy sessions across speech, occupational, mental health, and school psychology, with 94% of our clients reporting high levels of student engagement under our providers' care. We believe in the importance of supporting the whole child, and supporting the whole provider, with connection and collaboration. We have a variety of tools and resources available to you that allows providers to communicate with fellow Huddle Up professionals and clinical managers. All of our clinical managers have vast experience in delivering school based teletherapy services, and they are available when needed. At Huddle Up, you’re part of a team that ensures students receive the best care possible. We are currently hiring virtual Speech Language Pathologists (SLP) in Pennsylvania for the 26/27 school year! What We Offer: • Compensation for direct and indirect time, • Up to a $250 monthly incentive (up to $3,000 per year), • Access to Company Sponsored Health insurance, Dental Insurance, Short-Term Disability Insurance, Long-Term Disability Insurance, and Life Insurance, • Access to wellness programs including- Peloton, EAP Support, Headspace, and Carrot Fertility, • Access to participate in our 401k after 6 months of employment, • Accrued sick time- one hour for every 30 hours, Caps at 48 hours, • Reimbursement for cross licensing, • Access to our proprietary platform, • Access to online assessments and tools, • Access to clinical and technical staff to ensure you are fully supported Grow and invest in your skills, capabilities, and career, by delivering Speech Language Pathology services to school-based children across the nation, leveraging technology that includes proprietary tools to support and enable clinical care, in an environment that is flexible to your needs. • Huddle up with school instructors and experienced clinical mentors to deliver outstanding Speech Language Pathology services to children in need, • Develop your skills, career, and expertise within a supportive team-based environment, • Provide telehealth services to a diverse population of school aged children, • Able to commit to 15 or more hours per week, • Hold an active, unrestricted, and valid SLP license in your state of residence and Pennsylvania, in good standing, • An Education Certificate, PEL in good standing, • Hold CCCs: Current ASHA Certificate of Clinical Competency, • Full-time resident of the United States, • School experience or experience working with school aged pediatric population, • Experience and comfortability with the use of various types of technology, • Follow Huddle Up documentation guidelines for evaluation reports and daily SOAP notes, • Participate in IEP and team meetings, serve as a case manager or process coordinator This is a W2 employment opportunity. The exact compensation band is based on where the provider resides. Compensation for providers living in CA, HI, and NY is $44-$54 an hour; AK, CO, CT, DC, DE, IL, IN, MA, MD, NJ, NM, OH, PA, RI, TX, VA, and WA is $44-$54 an hour; AR, AZ, FL, GA, IA, KS, KY, MI, MN, MT, NC, NH, NV, OK, OR, SC, UT, WI, and WY is $44-$49 an hour; AL, ID, LA, ME, MO, MS, ND, NE, SD, TN, VT, and WV is $44-$47 an hour. This position also includes an opportunity to earn up to a $250 (up to $3,000 per year) monthly incentive for providers who work 60 hours or more in a pay period (approximately every 2 weeks) and meet other eligibility criteria. Exact hourly rate will ultimately depend on multiple factors, which may include the successful candidate’s skills, geographical location, and other qualifications. Applications are typically reviewed within 48 business hours after application submission; information about our interview process and application status updates will be sent to you via email, please be sure to check your spam and junk folders to ensure emails do not get lost. This is a W2, Virtual, remote, employment opportunity with flexibility to work part-time or full-time for the upcoming 2026-2027 school year. Must hold ASHA CCC About Huddle Up CareHuddle Up is a provider-founded and provider-led company that delivers high-quality, consistent care to school districts nationwide through team-based virtual and onsite IEP therapy and support. We have delivered over 1 million therapy sessions across speech, occupational, mental health, and school psychology, resulting in an 84% increase in student academic performance. \nWe believe in the importance of supporting the whole child, and supporting the whole provider, with connection and collaboration. We have a variety of tools and resources available to you that allow our providers to communicate with fellow Huddle Up professionals and clinical managers. All of our clinical managers have vast experience in delivering school based teletherapy services, and they are available when needed.\nAt Huddle Up, you’re part of a team that ensures students receive the best care possible. \n\nBenefits • Employee assistance programs, • Medical benefits, • 401k retirement plan, • Wellness and fitness programs, • Life insurance, • Dental benefits, • Vision benefits, • Referral bonus

Job Description About the Role: Infinity Love Home Care Agency is seeking a highly organized, mission-aligned Case Manager to oversee patient care coordination and caregiver management. The ideal candidate is a proactive professional with a deep understanding of the home care landscape and a commitment to maintaining the highest standards of clinical and administrative compliance. Preferred Qualifications: • Experience: Minimum of 2 years of direct experience in Home Care Case Management., • Technical Skills: Proficiency in HHA Exchange is strictly required., • Knowledge: Deep understanding of home care regulations, Medicaid waivers, and EVV (Electronic Visit Verification) requirements., • Credentialing: Must be fully credentialed and able to pass a rigorous background check and child abuse clearance., • Caseload Management: Oversee a dedicated caseload of patients, ensuring all care plans are followed and updated in accordance with state regulations., • HHA Exchange Oversight: Manage daily scheduling, authorization tracking, and compliance documentation within the HHA Exchange platform., • Caregiver Coordination: Act as the primary point of contact for Home Health Aides (HHAs); manage caregiver schedules, performance, and credentialing updates., • Compliance & Quality Assurance: Ensure all patient files and caregiver credentials are fully "audit-ready" and compliant with PA Department of Health standards. Strong communication, empathy, and advocacy to connect with clients, plus sharp organizational, time management, and problem-solving skills to coordinate care, resources, and documentation effectively, all while showing cultural competence and resourcefulness to tailor support to individual needs. Key skills include building trust, assessing needs, creating care plans, coordinating services (like personal care, errands), and managing complex client situations with sensitivity.

Job Description The PEACE program is designed to help people in the early stages of psychosis learn how to manage their symptoms and meet their life goals. PEACE provides multidisciplinary evidence-based services to individuals aged 15 to 30, with Medicaid or who are Medicaid eligible and who have been experiencing psychosis for the first time within the last 18 months. With the right tools and support, individuals can learn to feel better, manage personal challenges, connect with peers, and move toward success in all areas of their lives, including work, school, and relationships. Purpose: · To ensure that all individuals receive the services they need to live, learn, work and socialize in the local community. · To identify, provide and maintain regular supports to the clients and to assure continuity of care. · To provide a continuous flow of services, in compliance with contract and Agency regulations. Supervision Received: · Receives direct supervision from the PEACE Manager or designee. Supervision Exercised: · N\A Qualifications: • B.A/B.S. degree in Human Services/Social Science, Healthcare or a related field and 3 years of MH direct care experience; or any combination of experience, education or training that would provide the level of knowledge. Skill and ability required., • Very good communication skills., • Detail oriented., • Ability to work independently and as part of a focused team., • Knowledgeable of computers, Microsoft Outlook, Word and the Internet required., • Knowledge of electronic health record systems preferred., • Possess a valid Driver's license with an acceptable driving record., • Frequent talking and listening, • Requires the ability to lift, carry, fold, kneel, reach, stack, stoop and bend which may include direct intervention with clients., • Must be available for local travel., • Possess manual dexterity and fine motor skills., • May require crisis intervention to emergency situations.

💼 AR Supervisor 📍 Onsite | Philadelphia, PA 19154 🕘 Monday–Friday | 8:00 AM – 5:00 PM 💰 $56,000 – $75,000 annually 📄 Contract-to-Hire Opportunity Are you a revenue cycle leader who thrives on improving cash flow, reducing denials, and building high-performing AR teams? We’re seeking a Patient Accounting Supervisor – Accounts Receivable (AR) to oversee daily AR operations and drive reimbursement performance. This is a hands-on leadership role where you’ll combine strategy, analytics, and team development to optimize revenue outcomes. 🚀 What You’ll Lead & Own • Oversee daily AR operations including insurance follow-up, denial resolution, and collections, • Monitor aging reports and ensure timely follow-up on outstanding claims, • Analyze denial and underpayment trends and implement improvement strategies, • Ensure compliance with payer guidelines, regulatory requirements, and internal policies, • Coach, mentor, and evaluate team productivity and quality metrics, • Collaborate with Patient Access, Coding, and Billing teams to resolve upstream revenue cycle issues, • Escalate complex payer challenges and partner with leadership on resolution, • Develop and refine SOPs to improve workflows and reduce AR days, • Support month-end reporting and AR performance analysis 🎯 What You Bring • 3–5+ years of healthcare revenue cycle experience with strong AR focus, • 1–2+ years of supervisory or team lead experience preferred, • Expertise in denial management, insurance follow-up, and payer guidelines (Medicare, Medicaid, Commercial), • Experience with EMR/Practice Management systems such as Epic, Cerner, or Meditech, • Strong Excel and reporting skills, • Analytical mindset with excellent problem-solving abilities, • Confident communicator and team-focused leader 🌟 Why This Role? • Competitive annual salary: $56K–$75K, • Clear path to permanent hire, • Opportunity to make measurable financial impact, • Collaborative leadership environment, • Stable Monday–Friday schedule

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai products, including through communication with healthcare professionals about insurance coverage and reimbursement for Eisai products and Eisai's patient support programs. In the event of an access or reimbursement issue, this role will quickly identify and triage, as needed, the situation to appropriate internal or external Eisai partners and manage the communication until appropriate resolution. This role will have a keen understanding of payer coverage at the customer and regional level and strong communication skills to appropriately educate on payer policies. This role will support the Neurology business unit, providing compliant access and reimbursement education to support an Eisai Alzheimer's product that will necessitate an understanding of buy-and-bill, miscellaneous J Code billing and specialty distribution procurement. The ARM role will be a field-based individual contributor reporting into the Eisai Access and Reimbursement team under Patient Services/Market Access. Working closely with and reporting to the Associate Director, Access and Reimbursement, the ARM, will be the functional lead for Access and Reimbursement activities across HCP offices, alternate sites of infusion care, State Societies, and Health Systems/institutions. Key External Stakeholders: Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues. These stakeholders include, but are not limited to the following: Practice Mangers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, C and D Suite Health System personnel, and revenue cycle/integrity stakeholders.Responsibilities: • Act as the point of contact for assigned customers with patient access and reimbursement needs/challenges to provide relevant education and support., • Identify, triage, and escalate customer issues to relevant internal/vendor teams as required, and drive resolution., • Develop strategies to address access and reimbursement needs across assigned customer group/region., • Create and deliver high-level training programs to the sales force (e.g., general information on patient access issues, Eisai patient support programs, separation between sales and access/reimbursement)., • Proactively track payer trends; develop, coordinate, and execute plans to create and maintain treatment access for patients. based on analyses of trends and information., • Communicate current and pertinent field access/reimbursement information (e.g., customer feedback, payer coverage -medical/pharmacy benefit, access to product procurement, payer updates) to relevant internal/external stakeholders., • Bachelor's degree in related field (Master's preferred) with 8+ years of relevant experience in pharma/biotech industry., • Previous patient access or reimbursement experience strongly preferred., • Experience related to distribution, patient support programs, financial assistance, and patient assistance programs., • Market Access payer and/or patient access support programs experience., • Experience of the US healthcare system across one or more major payer segments (Medicare, Medicaid, Federal, and Commercial)., • Experience working with medical and pharmacy benefits, coverage policies, and reimbursement., • Proven performance in earlier role. As a condition of employment and an essential function of this field-based position, applicants must be able to engage in person with HCPs and other third parties at their offices, institutions and other appropriate locations on a regular basis. In order to gain in-person access, applicants selected for the position may be required to complete third parties' credentialing and/or entry requirements, which often include an attestation to and/or providing proof of having received certain vaccinations. To the extent you are unable to meet certain requirements for qualifying medical (including pregnancy-related) or religious reasons, applicants must request a reasonable accommodation by contacting the Human Resources Department.Skills:Communication & Cross-functional Influence, Critical Thinking & Business Agility, Industry & Regulatory (Market Access), Mentoring/ People Development, Project Management, Reimbursement Knowledge Eisai Salary Transparency Language: The annual base salary range for the Sr. Manager, Access & Reimbursement Manager - (Philadelphia, PA) (field based) is from :$158,900-$208,500 Under current guidelines, this position is eligible to participate in : Eisai Inc. Annual Incentive Plan & Eisai Inc. Long Term Incentive Plan. Final pay determinations will depend on various factors including but not limited to experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information on Company employee benefits programs, visit ___. Certain other benefits may be available for this position, please discuss any questions with your recruiter. Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status. Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information:

Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States, IBSRELA (tenapanor) and XPHOZAH (tenapanor). Ardelyx has agreements for the development and commercialization of tenapanor outside of the U.S. Kyowa Kirin commercializes PHOZEVEL (tenapanor) for hyperphosphatemia in Japan. A New Drug Application for tenapanor for hyperphosphatemia has been approved in China with Fosun Pharma. Knight Therapeutics commercializes IBSRELA in Canada.Position Summary:The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage his/her account management, data analytics, and reimbursement expertise and demonstrated experience to support and facilitate timely access to Ardelyx's products! This role involves supporting products by executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies. If you'd like to help establish Ardelyx as a leading company in the biopharma industry, one that advances patient care with novel therapies that meet important clinical needs, come join us!Responsibilities: • Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access, • Aid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denials, • Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriate, • Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriers, • Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed, • Monitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges, • Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needs, • Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial), • Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staffQualifications:, • B.A/B.S. degree with 6 - 9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry or equivalent experience, • 3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experience, • Extensive knowledge of medication access channels preferred, • Strong functional knowledge of specialty pharmacy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs, • Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferred, • Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally, • Ability to evaluate data and identify trends, barriers, and translate into actionable stepsWork Environment:, • This position reports to an Associate Director/Director, Field Access and Reimbursement, • Travel will vary by territory and business need, • Up to 75% of time spent in the field requiredThe anticipated annualized base pay range for this full-time position is $145,000-$190,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays.Ardelyx is an equal opportunity employer.

Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States, IBSRELA (tenapanor) and XPHOZAH (tenapanor). Ardelyx has agreements for the development and commercialization of tenapanor outside of the U.S. Kyowa Kirin commercializes PHOZEVEL (tenapanor) for hyperphosphatemia in Japan. A New Drug Application for tenapanor for hyperphosphatemia has been approved in China with Fosun Pharma. Knight Therapeutics commercializes IBSRELA in Canada.Position Summary:The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage his/her account management, data analytics, and reimbursement expertise and demonstrated experience to support and facilitate timely access to Ardelyx's products! This role involves supporting products by executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies. If you'd like to help establish Ardelyx as a leading company in the biopharma industry, one that advances patient care with novel therapies that meet important clinical needs, come join us!Responsibilities: • Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access, • Aid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denials, • Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriate, • Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriers, • Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed, • Monitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges, • Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needs, • Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial), • Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staffQualifications:, • B.A/B.S. degree with 6 - 9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry or equivalent experience, • 3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experience, • Extensive knowledge of medication access channels preferred, • Strong functional knowledge of specialty pharmacy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs, • Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferred, • Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally, • Ability to evaluate data and identify trends, barriers, and translate into actionable stepsWork Environment:, • This position reports to an Associate Director/Director, Field Access and Reimbursement, • Travel will vary by territory and business need, • Up to 75% of time spent in the field requiredThe anticipated annualized base pay range for this full-time position is $145,000-$190,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays.Ardelyx is an equal opportunity employer.

Job Summary: The Special Investigations Unit (SIU) Investigator Lead is the face of the SIU with external federal and state regulatory agencies and is responsible for regulatory communications to ensure timeliness with these oversight agencies. This role is also responsible for the identification and monitoring of emerging FWA trends and conducting research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing fraud investigations. Utilizes a variety of data analytics platforms to mine large volumes of data to identify and mitigate fraudulent claim activity, discover patterns and anomalies in billing behavior. This is a high case load volume, fast paced environment. Essential Functions: • Identify risks and guard against fraud, waste, and abuse by interacting with internal and external business partners through development and monitoring of the Annual Program Integrity Fraud, Waste and Abuse Plan, • Develop and implement innovative best practices to align with future growth and ongoing regulatory oversight, • Act as the Program Integrity liaison and ensure collaboration with state and federal agencies and facilitate accurate deployment and ongoing monitoring of state-specific regulations and ongoing partnership with state regulators in managing Medicaid and Medicare programs, • Engage in external fraud associations, forming relationships with industry leads, (i.e. other MCEs, NHCAA, etc.), • Predict emerging fraud, waste and abuse trends and communicate strategy to monitor and identify risk to CareSource, • Identify opportunities for cost avoidance through prepayment review, provider education, or other preventative measures, • Responsible for regulatory reporting accuracy and other ad hoc regulatory inquiries, • Ensure that the team is submitting a consistent high volume of quality FWA referrals to our state partners, • Lead investigation on-sites and serve as a mentor for the team, • Conduct and assist investigators with complex investigations, • Collaborate with data analytics team and utilize RAT STATS on Statistically Valid Random Sampling, • Manage case turn-around times to promote efficiency in investigations and to mitigate risk to CareSource, • Meet quality standards of case documentation, • Generate leads in our fraud detection system to result in investigations that will prevent risk to CareSource. Trend data to identify potential opportunities (e.g., variances, significant outliers, percentile ranked groups) for quality improvement or focused investigations, • Identify trends and patterns using standard corporate processes, tools, reports, and databases, as well as leveraging other processes and data sources such as policies, coding guidelines, and regulations that would support the hypothesis being developed, • Manage and decision claims pended for investigative purposes, • Maintain a working knowledge of all state and federal laws, rules, and billing guidelines for various provider specialty types, • Prepare and conduct in-depth complex interviews relevant to investigative plan, • Execute and manage provider formal corrective action plans, • Participate in meetings with operational departments, business partners, and regulatory partners to facilitate investigative case development, • Participate in meetings with Legal General Counsel to drive case legal actions, formal corrective actions, negotiations with recovery efforts, settlement agreements, and preparation of evidentiary documents for litigation, • Aid in design data analysis strategies to identify potential areas for quality improvement or focused investigation, • Monitor various media, state and federal press releases to identify emerging schemes and any potential impact and/or exposure, • Lead and participate in all information sharing activities and produce actionable data analyses from information obtained, • Manage and maintain sensitive confidential investigative information, • Maintain compliance with state and federal laws and regulations and contracts, • Adhere to the CareSource Corporate Compliance Plan and the Anti-Fraud Plan, • Assist in Federal and State regulatory audits, as needed, • Perform any other job-related instructions, as requested Education and Experience: • Bachelor's Degree or equivalent years of relevant work experience in Fraud & Abuse Investigations required, • Master's Degree (e.g., Criminal Justice, public health, mathematics, statistics, experimental psychology, epidemiology, health economics, nursing) preferred, • Minimum of 10 (ten) years of experience in Healthcare Fraud, Healthcare data analysis, or Compliance required, • Previous Law Enforcement experience preferred Competencies, Knowledge and Skills: • Proven analytic skills in solving multi-dimensional problems, • Advanced level experience in Microsoft Applications, including Excel, Access, Word and PowerPoint, • SAS and SQL skills and experience for analytics projects, including database queries preferred, • OIG/ FBI/MFCU knowledge and experience, • Knowledge of inferential statistics, • Working knowledge of descriptive statistical application and techniques, • Critical listening, thinking skills, and verbal and written communication skills, • Decision making/problem solving skills, • Ability to work independently and within a team environment, • Knowledge of multiple Medicaid, Medicare and managed care plans, • Strong Knowledge of inpatient and outpatient coding standards, billing rules and regulations and knowledge of procedure and diagnosis codes (CPT, ICD10 coding, HCPCS, APC and DRGs), • Knowledge of value-based reimbursement methodology, • Ability to lead analytic efforts, • Customer Service Oriented Licensure and Certification: • Two of the following are required: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), or Certified Professional Coder (CPC) or 6 years of coding experience Working Conditions: • General office environment; may be required to sit or stand for extended periods of time Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SD1

Job Description " " Licensed Clinical Psychologist Wage: Between $95-$180 an hour Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Psychologist at a Master’s level or above with PSY, PSYP, or PsyD licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance : Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. " "

Job Description " Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance : Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education : Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Patient Continuity and Needs Advocate (PCNA) is responsible for supporting eligible patients and their families receive Medicaid and Federal resources that are adherent to State and Federal Policies. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: • Supports Medicaid enrollment; collects demographic documentation and financial data and initiates follow-up procedures when necessary., • Identifies and shares, with patient and/or family member(s), opportunities to maximize medical benefits and, when necessary, arranges follow-up appointments to ensure appropriate guidance to health services and application timelines., • Utilizes an Electronic Medical Records (EMR) system to gather and store patient information, respond to questions on behalf of the patient and appropriately and timely document patient issues and resolutions. Maintains assigned work queue of patient accounts., • Completes relevant patient documentation in compliance with all regulatory agencies, including HIPAA., • Performs other duties as assigned and modified at manager’s discretion., • Fundamental knowledge and understanding of local, state and federal healthcare benefit services and plans, • Ability to build and maintain exceptional customer service relationships with healthcare services agencies, patients, providers and peers, • Dependable and time conscience, • Flexibility, agility, self-starter, comfortable with frequent changes and innovations, • Competent level business acuity, • In-depth knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods, • Understanding of member attribution, eligibility and the disenrollment process, • Demonstrated skill in customer service and service recovery, • Knowledge of and experience in working with insurance brokers or agents preferred, • Detail-oriented with proficiency in Salesforce, • Strong written and verbal communication skills, • Positive attitude and the ability to build trust with internal and external partners, • Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software, • Spoken and written fluency in English, • High School diploma or GED equivalent required;, • BA/BS degree preferred OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis. EMPLOYEE BENEFITS We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day. Current employees, if you want to apply to our internal career site, please click ___ Current Contingent Worker please see job aid ___ to apply #LI-Onsite

Job Description The Psychiatric Mental Health Nurse Practitioner will play a vital role in providing psychiatric consultations and services to patients within JEVS Outpatient Clinic. This position offers the opportunity to work collaboratively with multidisciplinary teams to address the mental health needs of patients with co-occurring disorders. This position is part time: 20 hours per week. Responsibilities: • Conduct clinical assessments and order diagnostic tests to identify patient conditions and goals. Develop and implement individualized treatment plans, including medication prescriptions, monitor patient progress and provide behavioral and talk therapy * Prescribe medications and adjust dosages as needed, ensuring appropriate patient care. * Provide patients and families with health education, promoting health maintenance and disease prevention. * Work closely with our collaborating psychiatrist within an interdisciplinary team including other therapists, collaboratively with physicians, specialists, and team members. Participate in staff meetings, clinical meetings and monthly department meetings. * Complete patient notes, assessment and treatment plans in our Electronic Health Records system. * May participate in research and quality improvement initiatives to enhance patient outcomes. Qualifications: * Master's degree in Nursing with a focus on psychiatric/mental health care. * Minimum of 2 years of experience working as a psychiatric mental health Nurse Practitioner in a clinical setting, with specific experience required. * Current licensure as a Psychiatric Mental Health Nurse Practitioner (PMHNP) in Pennsylvania. • Board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) required., • PA DEA Certification, • PA NP License, • Liability Insurance, • Able to become credentialed with Medicare and Medicaid., • Demonstrated ability to work on a computer using the Internet, Microsoft Outlook, Microsoft excel, video conferencing systems and Electronic Health Record system The base salary for this position ranges from $75.00 up to $100.00 hourly. Base pay is one part of the Total Compensation that JEVS Human Services provides to recognize employees for their work. JEVS provides competitive Benefits; we believe that benefits should support you at work and at home. Please visit the benefits page of our careers site for more details. At JEVS, we are committed to ensuring all our employees feel included, valued, appreciated and free to be who they are at work. We cultivate a culture where differences are valued, and we are putting resources and attention towards improving employee engagement, retention, and promotion of our talented staff. Diversity, inclusion, and equity are core principles that guide how we cultivate leaders, build our teams, and create an environment that is the right fit for JEVS Human Services’ employees, our community partners, and the individuals we serve. For more information about what it’s like to be a part of the JEVS team, visit our careers page at Qualified individuals with disabilities are encouraged to apply; reasonable accommodations will be provided. Please contact your recruiter if you are in need of an accommodation during the interview process. JEVS Human Services is committed to ensuring equal employment opportunities. The Agency will not engage in or tolerate unlawful discrimination (including any form of unlawful harassment) on account of a person’s gender, gender identity, age, race, color, religion, creed, sexual preference or orientation, marital status, national origin, ancestry, citizenship, military status, veteran status, disability, or membership in any other protected group. Qualified individuals with disabilities are encouraged to apply; reasonable accommodations will be provided.

Job Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in Pennsylvania. Nurse Practitioners will be required to travel the entire state, with travel to additional states based on the needs of the business. NPs will complete an average of 30 assessments per week/6 assessments per day. Extended stays away from home location will likely occur. Providers will be reimbursed for travel, mileage, hotel, and meals. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic. Benefits include: • Competitive compensation and travel reimbursement, • Comprehensive home assessment training, • Dedicated patient scheduling assistance, • Medical, Liability, and 401K benefits, • Additional State Licensure Assistance Qualified Nurse Practitioners interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home. Nurse Practitioner Responsibilities • Travel to and from patients’ homes., • Perform comprehensive, non-invasive physical assessments., • Review medical history and ensure accurate and timely documentation., • Conduct medical reconciliation to ensure patient safety and compliance., • Master’s Degree OR commensurate experience and satisfactory completion of NP license, • Active State NP license, • Active National board certification, • Current BLS certification About Hueman At Hueman, we're dedicated to guiding you toward fulfilling career opportunities. We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position! #Thistle

Job Description Mental Health & Behavior Coaching Full Time Employment Opportunities, Philadelphia PA (Community Based/Youth & Family Serving) About the Role: Bethanna is seeking caring and motivated individuals to join our community-based behavioral health team to work one-on-one with children/youth to provide mental health support and behavior interventions. This rewarding role supports youth in school, home and community settings. These roles involve one-on-one behavioral support, skill building, and caregiver coaching engagement in the home, school, and community settings. What We Offer: • Hourly Rate: $19.00–$21.00, • Schedule: Primarily day shift, with flexibility for some evening hours, • Office Location: Reed Street – South Philadelphia (community-based travel required), • Benefits: Medical, Dental, Vision, 401(k), HSA/FSA, 10 Paid Holidays, Vacation, Sick & Personal Time, and robust voluntary benefits, • Clinical Support: Provided by program supervisors at community locations as well as weekly supervision, and frequent professional development opportunities., • Provide direct behavioral support and 1:1 intervention to children and youth, • Implement evidence-based behavioral strategies in real-world environments, • Support caregivers and foster families through modeling and coaching, • Document progress and contribute to treatment/resiliency planning Candidates must have the following: • Must be 21+ years old, • Clearances: FBI, Child Abuse, and Criminal Background, Medicare/Medicaid Exclusions Checks, • RBT training required prior to hire, • Strong interpersonal, organizational, and communication skills, • BCAT, or BCaBA certification preferred, • 2+ years of behavioral health experience working with children/youth preferred An open and equitable personnel system will be established and maintained. Personnel policies, procedures, and practices will be designed to prohibit discrimination on the basis of race (to include hair type, hair texture, or hair style), color, religious creed (to include all aspects of religious observance and practice, as well as belief), disability, ancestry, national origin, age (40 and over), or sex (to include pregnancy status, childbirth status, breastfeeding status, sex assigned at birth, gender identity or expression, affectional or sexual orientation and differences in sex), and retaliation. Employment opportunities shall be provided for applicants with disabilities and reasonable accommodation(s) shall be made to meet the physical or mental limitations of qualified applicants or employees. Company DescriptionBethanna is a non-profit Christian organization that provides the highest quality system of care for children and families to ensure safety, restore emotional wellness, and build family stability. Bethanna provides adoption, child welfare services and behavioral health services in Philadelphia, Bucks, Montgomery and surrounding counties. Bethanna's Behavioral Health and Crisis Services are highly regarded for the use of evidence-based practices and prioritizing the families voice and vision during service delivery. Bethanna provides robust clinical supervision and training opportunities to support its staff to achieve their career aspirations. Bethanna is an Equal Opportunity Employer as such does not discriminate on the basis of race, color, religious creed, disability, ancestry, national origin, age or sex or any other protected status by federal, state or local laws, regulations and guidelines in regard to nondiscrimination. Equal Opportunity / Smoke Free / Drug Free Workplace Employer.Bethanna is a non-profit Christian organization that provides the highest quality system of care for children and families to ensure safety, restore emotional wellness, and build family stability. Bethanna provides adoption, child welfare services and behavioral health services in Philadelphia, Bucks, Montgomery and surrounding counties. Bethanna's Behavioral Health and Crisis Services are highly regarded for the use of evidence-based practices and prioritizing the families voice and vision during service delivery. \r\nBethanna provides robust clinical supervision and training opportunities to support its staff to achieve their career aspirations.\r\n\r\nBethanna is an Equal Opportunity Employer as such does not discriminate on the basis of race, color, religious creed, disability, ancestry, national origin, age or sex or any other protected status by federal, state or local laws, regulations and guidelines in regard to nondiscrimination.\r\n\r\nEqual Opportunity / Smoke Free / Drug Free Workplace Employer.

Job Title: Business Development Director Location:Philadelphia, Pennsylvania Pay Range:$130,000 - $140,000 POSITION SUMMARY: The Senior Business Development Director will lead the business development efforts of the organization. The Director will collaborate with the Executive Team and other leadership to develop and implement strategy and ensure the achievement of strategic business development goals and successful implementation of related initiatives. The Director will support existing business as well as developing new business. The Director will also oversee fundraising activities and non-Governmental giving and support. EDUCATION & EXPERIENCE: Bachelor's degree (master’s preferred) in a relevant field, plus 10 years of progressive experience in nonprofit social services/healthcare REQUIRED KNOWLEDGE, SKILLS & ABILITIES • Related experience developing strategies and business development plans., • Experience with creating programs and services in a managed care environment., • Evidence of commitment to teamwork, • Ability to network, comfortable meeting new people, • Excellent analytical, communication and presentation skills, • Sense of humor, integrity, personal sense of accountability, • Leads, while partnering with Executive Team Members, the review and exploration of business strategy, resulting in a business strategy informed by current market trends and indicators., • Works closely with program leadership to monitor, advance and promote innovative efforts in programs and provides guidance on outcomes to ensure alignment with funder immediate and long-term requirements., • Leads the development and implementation of a Corporate Business Development Plan, including business development strategies and other collaborations, incorporating a short-term and long-term perspective., • Monitors market and industry data, trends and developments and shares insight with Executive Team to propose business strategy and business development opportunities and inform business development decisions., • Partners with leadership in exploring desirable opportunities of contracting, partnership, affiliations, and collaborative activity with other organizations including, but not limited to government entities, managed care organizations, universities, and other social service organizations., • Promotes and ensures the presence of staff on key committees, policy making bodies, advocacy groups, and ad-hoc groups within which the staff can make substantive contributions to enhance quality service delivery and enhance visibility and appeal with contracting agencies., • Promotes and supports visibility and branding, including coordinating conference opportunities for staff as attendees and presenters; while ensuring that newly learned information is shared and partners with Marketing Department around promotional materials and press releases., • Promotes the advocacy of individuals we serve through management of memberships to advocacy agencies and other industry specific organizations allowing access to current developments, data, and advocacy resources., • Manages budget for Business Development and identifies critical resources needed to achieve Corporate Business Development goals. Business Development Support and Oversight, • Establishes and maintains relationships with Government entities and Managed Care Organizations (MCO) in collaboration with other Executive Team members and business leaders., • Manages government and MCO contracts including overseeing provider and site credentialing required by Medicaid, MCO, or other entities., • Research and monitors payor request for proposals, service requests, and funding opportunities and leads the process for proposal selection and writing., • Monitors and provides reporting on budgeted and projected revenue growth and other strategic business development initiatives., • Leads the creation of marketing materials and social media content to ensure materials and content are positively reflecting the corporation, programs, individuals we serve, our staff, our quality services, and mission., • Leads fundraising efforts including fundraising events. Admissions/Intake Unit Support and Oversight, • Oversee the Admissions and Intake Unit, maximizing census through effective process and collaboration., • Establishes and maintains relationships with referral sources through effective outreach and engagement. About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells. ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands – Manpower, Experis, Talent Solutions, and Jefferson Wells – creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent.

Job Description Position Overview: Provider Network Management Analyst is primarily responsible for supporting the Provider Network Access and Development and the Provider Contracting teams with data analysis to inform provider network adequacy, capacity and disparities and to address need areas to support timely and effective access to behavioral health services and meet network adequacy standards. Essential Functions: • Maintain thorough and complete knowledge of the CBH provider network, including as new initiatives are implemented., • Conduct and create ongoing process for data analysis, reviewing the accuracy and integrity of data; monitoring the provider network against member demographics, utilization and other targeted population indicators., • Create and conduct ongoing processes to monitor member utilization of in-network and out of network (OON) providers, and identify OON providers not being utilized by members, • Lead provider network analyses and create reports to evaluate service utilization, adequacy and accessibility, • Conduct ongoing research in relation to provider network management and offer recommendations to ensure alignment with the PA Department of Human Services’ Healthchoices Behavioral Health Program Standards and Requirements., • Assist with updating annual Provider Network and Member Needs Assessments., • Run reports as requested by regulatory bodies, • Liaise with Information Technology (IT) department and other relevant departments to complete data-oriented tasks., • Gather and interpret data as well as offer recommendations for program/service proposals and need areas identified through Network Adequacy, • Review and prepare analysis for procurements, including relevant demographics, treatment utilization and related gaps for target populations, • Review and prepare analysis of the provider network, including maximum licensed capacity, current network capacity, and member need and access to services offered by CBH’s provider network, • Create protocol (in conjunction with the unit Manager) regarding how data will be obtained, evaluated and incorporated into Provider Network Management projects, • Work with Provider Network Management team members to ensure efficient workflow of procurement process, • Perform other related duties and projects as assigned., • Education: Bachelor’s Degree in Healthcare Management, Public Health, or Analytical Field required. Master’s Degree preferred., • License/Certification: N/A, • Knowledge of the Pennsylvania Medicaid program, • Strong data analytics experience, • Advanced critical thinking and analytical skills to interpret sometimes ambiguous requirements, • Encourage and promote active team process engagement and individual ownership, • Exceptional communication (verbal and written) skills, • Strong attention to detail to ensure quality and accuracy in deliverables, • Comfortable with ambiguity and able to set your own direction, • Must work well under pressure and be able to meet aggressive deadline, • Ability to manage and coordinate multiple projects and deadlines while meeting quality standards, • Intermediate proficiency in Microsoft Outlook, Word, Excel and PowerPoint, • Experience with Network Analysis software and reporting such as GeoAccess, • Experienced user of Microsoft Access and SQL programming, • Must have the ability to quickly learn and use new software tools CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. We proudly offer a robust compensation and benefits package, including: • Family Planning, Fertility, Adoption Benefits, • 403B Retirement Plan, • PTO Days/Sick Days, • Wellness Program, • Employee Assistance Program, • Health, Dental, Vision Insurance, • Medical, Prescription Drug Insurance, • Tuition Reimbursement, • Commuter Benefits, • Flexible Spending Philadelphia Residency Requirement: • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.

Job Description At The Potential In Us, we believe housing is the foundation for independence, health, and community connection. This Medicaid-funded program supports individuals who are homeless, at risk of homelessness, transitioning from institutional settings, or experiencing housing instability. The Housing Supports Specialist provides housing-related case management and tenancy-sustaining services to help members obtain and maintain safe, stable, and affordable housing, while promoting long-term community-based living. Essential Duties & ResponsibilitiesPre-Tenancy Services • Develop and monitor individualized Housing Stabilization Plans and Levels of Need monthly., • Assist members with housing search, applications, tenant screening, and enrollment in Coordinated Entry or McKinney-Vento programs., • Contact landlords/property managers; support lease negotiations, appointments, and lease signings., • Review units for safety and readiness; coordinate and support move-in logistics., • Help secure financial assistance (rental subsidies, security deposits, application fees, moving costs, transportation, essential needs)., • Assist with obtaining required documentation (ID, Social Security card, birth certificate, income verification, rental history, etc.)., • Provide financial education, budgeting support, credit repair guidance, and bank account setup assistance., • Maintain and update individualized housing support plans with measurable short- and long-term goals., • Assist with lease renewals, housing recertifications, and subsidy renewals., • Educate members on tenant and landlord rights and responsibilities., • Support development of independent living skills, including housekeeping, time management, budgeting, fraud prevention, and community integration., • Assist with securing income and benefits (e.g., Social Security, housing vouchers) to maintain housing. Knowledge/Skills: • Knowledge of affordable housing systems, HUD programs, and local/state housing resources, • Understanding of Medicaid-funded services, • Strong communication, organizational, and problem-solving skills, • Ability to manage a caseload independently in community settings Benefits: • Health insurance, • Paid time off, • Retirement plan, • Tuition reimbursement Work Location: On the road Company DescriptionPotential in Us, LLC is a mission-driven organization dedicated to empowering individuals with developmental disabilities and providing housing supports to all community members in need. We offer residential, community, and employment supports while also expanding into food security and community-based initiatives. Our team values compassion, innovation, and professionalism in every aspect of our work.Potential in Us, LLC is a mission-driven organization dedicated to empowering individuals with developmental disabilities and providing housing supports to all community members in need. We offer residential, community, and employment supports while also expanding into food security and community-based initiatives. Our team values compassion, innovation, and professionalism in every aspect of our work.

According to the CMS (Centers for Medicaid and Medicare Services) a copy of diploma or transcript is required as proof of academic achievement for all non-laboratory personnel performing non-waived POC testing. Length: 13 weeks, Week: 36 hours, 3x12's: Every 3rd weekend is required, holiday commitme

Familiarity with Medicaid-funded programs and state/county contract compliance in PA. A well-established Pennsylvania-based behavioral health organization - one of the largest providers of peer support services in the state - is entering an exciting new chapter of growth following a recent acquisiti

Must have at least 2 years of experience.Must be able to see all age groups.Must be able and willing to work 3 (12hr) shifts per week.Client serves Medicaid population.Support staff on site consist of:.Avg patient volume of 50 patients per day.Compensation of $120,000 + benefits.

Job Description Title of Position: Direct Care Worker Title of Immediate Supervisor: Supervisor/Agency Manager Risk of Exposure to Blood borne Pathogens: High Position Responsibilities: Follows the plan of care to help the consumer to maintain good personal hygiene and maintain a healthful, safe environment, is to perform ONLY those functions specified for each individual consumer. Receives written instructions from the supervisor. Knowledge of Agency policies and procedures. Is oriented and trained in all aspects of cares to be provided to consumers. Ability to demonstrate competency in all areas of training for a direct care worker. Direct Care Workers may assist consumers with the following activities: Self-administration of medications for consumers who are competent to direct the care Housekeeping Personal care including grooming and dressing Eating and meal preparation Oral hygiene and denture care Toileting and toilet hygiene ADL assistance Administering emergency first aid Providing or arranging for social interaction Providing transportation Documents observations and services in the individual consumer record. Reports any change in the consumer’s mental or physical condition or in the home situation to his/her immediate supervisor or Agency Manager. Job Conditions: The ability to drive and the ability to access consumers’ homes which may not be routinely wheelchair accessible are required. Hearing, eyesight, and physical dexterity must be sufficient to perform a physical assessment of the consumer’s condition and to perform consumer care/services. On occasion, may be required to bend, stoop, reach and move consumer weight up to 250 pounds; lift and/or carry up to 30 pounds. Must be able to communicate clearly, both verbally and in writing in English. Equipment Operation: Use of BP cuff, thermometer, and stethoscope Hand washing materials. Company Information: Has access to all consumer medical records which may be discussed with the Supervisor. Qualifications: Completion of at least the ninth grade. Preferably a high school diploma or equivalent. Completed one of the following: Obtained a valid nurses license in PA; or Demonstrated competency by passing a competency exam developed by the home care agency which meets PA state regulation; or Completed one of the following: A training program developed by a home care agency, home care registry, or other entity which meets the requirements of PA regulation for training. A home health aide training program meeting the requirements of 42 CFR 484.36 (relating to the conditions of participation; home health aide services). The nurse aide certification and training program sponsored by the PA Department of Education and located at . A training program meeting the training standards imposed on the agency or registry by virtue of the agencies or registry’s participation as a provider in a Medicaid Waiver or other publicly funded program providing home and community-based services to qualifying consumers. Another program identified by the Department by subsequent publication in the Pennsylvania Bulletin or on the Department’s website. 2. Must be free from health problems that may be injuries to consumer, self and coworkers must be present appropriate evidence to substantiate per agency policy 3. Must comprehend the basic of personal care, housekeeping and Moo preparation and successfully complete the competencies. 4. Must understand and respect consumers including ethics and confidentiality of care. 5. Must have a criminal check and other checks as required by PA regulation 6. Must have current CPR certification and First aide Company DescriptionHome and supportive care company. We offer help with all activities instrumental activities of daily living.Home and supportive care company. We offer help with all activities instrumental activities of daily living.

Job DescriptionDescription: Pre-Litigation Case Manager Harrell Law Firm is seeking a dedicated and detail-oriented Pre-Litigation Case Manager to join our team in New Jersey. We are a firm that prides itself on embodying our core values of communication, respect, initiative, service, and professionalism in every aspect of our work. If you are a team player who thrives in a fast-paced environment and is passionate about providing exceptional client service, we encourage you to apply. Key Responsibilities Client Communication & Case Management • Serve as the primary point of contact for clients throughout the pre-litigation phase, providing compassionate and timely updates., • Educate clients on the personal injury process, medical treatment, and case progression to manage expectations effectively., • Assist clients in obtaining necessary medical treatment, ensuring they follow through with provider recommendations., • Review and analyze medical records, bills, and treatment summaries to assess case value and medical necessity., • Coordinate with medical providers to obtain outstanding records, treatment plans, and prognosis reports., • Draft, review, and finalize demand packages, ensuring accuracy and completeness of medical summaries, treatment history, and damages assessment., • Calculate economic and non-economic damages, including medical expenses, lost wages, and pain and suffering., • Initiate negotiations with insurance adjusters, advocating for maximum settlements and countering low offers with well supported arguments., • Identify and verify all medical liens and subrogation claims, ensuring compliance with state and federal regulations., • Negotiate reductions with healthcare providers, hospitals, and lienholders to maximize client recovery., • Communicate with insurance adjusters, medical providers, and other parties to efficiently resolve claims., • Investigate and confirm all available insurance coverage, including liability, UM/UIM, PIP, and MedPay benefits., • Track statute of limitations deadlines and pre-litigation milestones, ensuring cases progress in a timely manner., • Prepare case files for potential litigation, coordinating with attorneys to facilitate a seamless transition., • Education: Associate’s or bachelor’s degree in Paralegal Studies, or a Paralegal Certificate from an accredited program., • Experience: 2+ years of experience in personal injury pre-litigation case management preferred., • Legal & Insurance Knowledge: Familiarity with PIP, UM/UIM claims, insurance coverage disputes, and medical lien resolution., • Communication & Negotiation: Strong written and verbal communication skills, with the ability to effectively negotiate settlements and medical reductions., • Organizational Skills: Ability to multitask, prioritize, and manage time effectively in a fast-paced environment., • Technical Proficiency: Experience with legal case management software and Microsoft Office Suite., • Be part of a team that values integrity, accountability, and proactive problem-solving., • Enjoy a collaborative and supportive work environment.

At least three (3) years experience in health care billing, with strong working knowledge of Medicare and Medicaid billing requirements. Job Summary: The Senior Billing Specialist supports the revenue cycle operations of Project HOME Health Services (PHHS) by overseeing complex medical billing funct

Job DescriptionFinancial Screening Navigator Duration: 6 months Location: Camden NJ 08103 Shift: 7:30-4 Monday-Friday, onsite. Summary: Additional Information Financially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Financial screening process encompasses any or all of the following job functions: • Navigates and completes financial referrals for all uninsured and underinsured patients., • Reviews patient history involving past illnesses, treatment locations, diagnoses and final outcomes., • Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients., • Explains NJ State Presumptive Eligibility and CMS Insurance Marketplace options to patients., • Helps patients with new health coverage to understand their benefits and use them appropriately for primary care and preventive services., • Generates patient liability estimates and provides to patients. #ZRHC #TB_HC Why TalentBurst? At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth. Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options. TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce. Company DescriptionFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CAFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA

Job DescriptionCompany Description IntegriChain is the data and application backbone for market access departments of Life Sciences manufacturers. We deliver the data, the applications, and the business process infrastructure for patient access and therapy commercialization. More than 300 manufacturers rely on our ICyte Platform to orchestrate their commercial and government payer contracting, patient services, and distribution channels. ICyte is the first and only platform that unites the financial, operational, and commercial data sets required to support therapy access in the era of specialty and precision medicine. With ICyte, Life Sciences innovators can digitalize their market access operations, freeing up resources to focus on more data-driven decision support. With ICyte, Life Sciences innovators are digitalizing labor-intensive processes – freeing up their best talent to identify and resolve coverage and availability hurdles and to manage pricing and forecasting complexity. We are headquartered in Philadelphia, PA (USA), with offices in: Ambler, PA (USA); Raleigh, NC (USA); Pune, India; and Medellín, Colombia. For more information, visit , or follow us on Twitter @IntegriChain and LinkedIn. Job Description The Senior Government Pricing Analyst is a key member of IntegriChain’s Access Management Operations organization, which provides managed services and business process outsourcing in support of bio-pharmaceutical clients. What this role entails: • The Senior GP Analyst supports the data preparation, validation, calculation and analysis of price reporting required by the following government programs:, • Medicaid Drug Rebate, • Medicare Part B, • VA Federal Supply Schedule, • PHS 340B Drug Discount, • Prepares and validates underlying data for one or more of the following: Average Manufacturer Price (AMP), Best Price (BP), Average Sales Price (ASP), non-Federal Average Manufacturer Price (nFAMP), Federal Ceiling Price (FCP), Industrial Funding Fee (IFF) and Unit Rebate Amounts (URA)., • Responsible for review and maintenance of key master data utilized within all Government Pricing calculations., • Manages the clients’ class of trade hierarchy and ensures that all incoming transactions are tagged or mapped to the correct designation., • Analyzes calculation results and identify the source of variances that are observed., • Works closely with clients, GP Manager and technical team to resolve system, data and process issues., • Documents all revisions and data manipulations on clients’ data as per financial controls and standard operating procedures., • Ensures timely and accurate calculation of assigned government prices based on the monthly, quarterly and annual schedule. SGPA will review calculations with Manager and obtain approval signoff (and execute any other required SOPs) before communicating prices to clients, the appropriate government agencies (CMS, VA/DOD, etc.) or internal Medicaid Rebates users., • Responsible for maintaining SOPs, SOX/SOC-1 documentation and price calculation evidence of work.Qualifications What you’ll need to thrive in this role: • Motivated self-starter with the ability to think strategically and work independently., • Ability to manage multiple tasks simultaneously and to prioritize and work within strict timelines., • Strong oral and written communication skills., • Knowledge of Microsoft Office software (Excel, Word, PowerPoint, Access etc.), • Knowledge and experience in working in Model N, Revitas, iContracts and SAP/Vistex a plus., • 3-5+ years of direct experience with government contracts and pricing calculations including familiarity with rebate and chargeback processing, • Strong problem solving skills and hands-on ability to manipulate and analyze financial data., • Execute all assigned controls, data manipulations and process steps related to Government Pricing calculations and submissions with a high degree of accuracy on time, • Respond in a timely fashion to pricing questions and pricing requests received from customers and the access management team. #LI-ZG1 Additional Information What does IntegriChain have to offer? • Mission driven: Work with the purpose of helping to improve patients' lives!, • Excellent and affordable medical benefits + non-medical perks including Flexible Paid Time Off, 401(k) Plan with a Company Match to prepare for your future, Parental Leave, Student Loan Reimbursement and much more! Our policy on visa sponsorship for US based positions: Applicants for employment in the US must have valid work authorization that does not now and/or will not in the future require sponsorship of a visa for employment authorization in the US by IntegriChain.

Job Description About Blackbird Health Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across Pennsylvania, Virginia, and New Jersey—and we're growing into new markets in 2026. At Blackbird, we take a whole-child approach, looking at how the brain, body, and behavior interact to address the root causes of challenges, not just the symptoms. Every role matters here, and you'll join a collaborative, supportive, and innovative team that's shaping the future of pediatric mental health care. If you're passionate about helping children and families while growing your career, Blackbird is the place to make an impact. Join us and help change mental health care for children for the better! Position Summary Blackbird Health is looking to hire an Insurance Operations Specialist to join our growing team. This role will expertly manage the complete lifecycle of insurance operations, including verifying patient benefits, securing necessary pre-authorizations, and ensuring strict adherence to all payer guidelines. The specialist serves as the primary liaison for insurance inquiries and is crucial in maintaining a positive patient experience through accurate and timely benefit management. What makes you, you: • Expertise in verifying insurance eligibility, coverage, and benefits for diverse patient populations., • Successfully navigated complex insurance pre-authorization and referral processes to ensure patient access to care., • Deep understanding of CPT and ICD-10 coding relevant to medical billing and claims submission., • Demonstrated ability to resolve complex claims denials and manage accounts receivable effectively., • Thorough comprehension of various insurance plans, including HMO, PPO, EPO, and government programs (Medicare, Medicaid).How you'll make an impact:, • Verify insurance coverage, eligibility, and benefits for new and existing patients., • Call insurance companies to confirm coverage and resolve issues related to pre-authorizations, referrals, and claims., • Serve as a point of contact for patient questions about insurance coverage, copays, and billing., • Manage and track pre-authorizations for clinical services to ensure timely approval and updates., • Support patients and other Blackbird departments to help ensure continuity of care., • 2-4 years of health care billing experience working with insurance companies., • 2-4 years of experience with EHR/PM Systems such as Athena., • 1-3 years of experience in a customer service setting., • Experience with insurance eligibility verification and benefits determination., • Familiarity with securing prior authorizations and referrals for services., • Knowledge of medical billing and insurance terminology., • Ability to maintain confidentiality according to HIPAA regulations., • Reliable high-speed internet access.Why Blackbird is unique:, • Excellent administrative support is provided, • Explore your career advancement potential by receiving opportunities to grow with tenure, • Supportive work culture, • Blackbird Health is made up of intelligent, humble, compassionate and hardworking people. Joining the ranks means you'll have an automatic network to turn to for best practices, professional development, and opportunities to share your expertiseBenefits:, • Medical, Dental & Vision coverage, • 401k (with a company match), • Employer-paid life insurance coverage, • Generous paid time off, • Opportunities for career growth To raise the standard of pediatric mental health care through accurate understanding and precise treatment that reflect how each child's brain, body, and behavior work together. "It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone." Fostering an inclusive environment: Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type. If you need a reasonable accommodation during the application or interview process, please contact us at so we can support you. Our patient support team is busy helping children and families, please do not call or email them about your application — this helps us process your application more efficiently.

Job DescriptionManaged Care & Client Contract SpecialistPosition Summary The Managed Care & Client Contract Specialist is responsible for ensuring compliance and operational readiness across all IDD (Intellectual and Developmental Disabilities) and BHH (Behavioral Health Home) service locations. This role oversees provider enrollment requirements, managed care contracts, Medicaid eligibility, and client financial agreements. The Specialist ensures all regulatory, contractual, and operational requirements are met, while supporting program teams and collaborating with Revenue Cycle Management (RCM) to maintain accurate billing, reduce denials, and ensure continuity of services. Key ResponsibilitiesManaged Care & Contract Management * Manage and maintain all Managed Care Organization (MCO) and private insurance contracts * Review, update, and organize contract repository to ensure accuracy and accessibility * Support communication with state systems (e.g., eMOMED/Incserv) for required reporting documentation * Monitor contract renewals and ensure timely updates Provider Enrollment & Compliance * Maintain ePromise revalidation tracker and ensure timely completion of provider enrollment requirements * Assist with preparation and submission of state business licenses * Ensure all service locations remain compliant with regulatory and payer requirements * Maintain accurate compliance records and tracking reports Medicaid Eligibility & Authorization Support * Conduct ongoing Medicaid eligibility checks for all clients * Monitor eligibility status and notify program teams of changes or issues * Support alignment between eligibility, authorizations, and billing processes Client Contracts & Accounts Coordination * Collaborate with Program leadership to: * Create and maintain Room & Board/client contracts * Update contract terms and rates as needed * Generate monthly invoices and track client accounts receivable (AR) * Act as liaison between Program teams and RCM regarding: * Billing discrepancies * Rep payee coordination * Outstanding balances Reporting & Data Management * Maintain accurate tracking systems for: * Revalidations * Contracts * Eligibility * Client financial agreements * Utilize Excel and other systems to analyze data and generate reports * Ensure data accuracy across systems impacting billing and compliance Training & Process Improvement * Provide training and guidance to program staff on: * Contract processes * Eligibility requirements * Compliance expectations * Identify process gaps and recommend improvements to: * Enhance accuracy * Reduce denials * Improve workflow efficiency Administrative Support * Assist in evaluating and improving workflows related to: * Revalidations * Eligibility checks * Room & Board processes * Contract management * Perform additional duties as assigned by leadership QualificationsEducation & Experience * High School Diploma or GED required * Associate’s degree preferred * Valid Driver's license for a minimum of 3 years * 2+ years of experience in: * IDD, BHH, healthcare billing, or compliance * Medicaid-funded services Technical Skills * Advanced proficiency in Microsoft Excel, including working with large datasets * Experience with: * Medicaid systems (e.g., ePromise) * EHR systems * Billing and reporting tools Core Competencies * Strong attention to detail and accuracy * Excellent organizational and time-management skills * Strong analytical and problem-solving abilities * Effective written and verbal communication skills * Ability to manage multiple priorities and deadlines * Ability to work independently and collaboratively * Solution-oriented mindset with a focus on continuous improvement Working Conditions & Requirements * Work is primarily performed in a professional office environment * Ability to sit for extended periods and use standard office equipment * Occasional lifting, bending, and movement as needed * Must comply with: * HIPAA regulations * OSHA and safety standards * Organizational policies and procedures About Company:Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment. Apis Services, Inc. and affiliate’s provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.

Job DescriptionCompany Description IntegriChain is the data and application backbone for market access departments of Life Sciences manufacturers. We deliver the data, the applications, and the business process infrastructure for patient access and therapy commercialization. More than 250 manufacturers rely on our ICyte Platform to orchestrate their commercial and government payer contracting, patient services, and distribution channels. ICyte is the first and only platform that unites the financial, operational, and commercial data sets required to support therapy access in the era of specialty and precision medicine. With ICyte, Life Sciences innovators can digitalize their market access operations, freeing up resources to focus on more data-driven decision support. With ICyte, Life Sciences innovators are digitalizing labor-intensive processes – freeing up their best talent to identify and resolve coverage and availability hurdles and to manage pricing and forecasting complexity. We are headquartered in Philadelphia, PA (USA), with offices in: Ambler, PA (USA); Pune, India; and Medellín, Colombia. For more information, visit , or follow us on Twitter @IntegriChain and LinkedIn. We are excited to offer a hybrid working environment for our employees. To be successful in this role, there are some requirements to visit our office locations from quarterly to a few times a quarter for workshops, team meetings and collaboration between teams. There may be potential for international travel annually or as needed based on business needs. Job Description IntegriChain’s Advisory Services team partners with life sciences companies to navigate the complex landscape of government pricing, contracting, and compliance. As a Senior Consultant, you will contribute to engagements that help manufacturers, especially pre-commercial and emerging companies, build and optimize government pricing frameworks, ensure compliance, and prepare for product launches. This role offers hands-on experience in advisory work, cross-functional collaboration, and frequent participation in client-facing interactions. You’ll support key accounts, contribute to deliverables, and gain mentorship from senior team members while developing expertise in the government pricing and broader pricing, contracting and reimbursement arena. Core delivery responsibilities include: • Assist in advising clients on government pricing strategy and compliance across Medicaid, FSS, 340B, and Medicare programs., • Support analysis and documentation of calculation methodologies (AMP, BP, URA, ASP, Non-FAMP, FCP) and contract requirements., • Help pre-commercial clients establish compliant frameworks and execute GP-related pre-launch activities., • Support a variety of pricing and contracting projects spanning data analysis, forecasting, and market research., • Contribute to presentations and recommendations for senior stakeholders, translating regulatory concepts into actionable insights., • Support strategic initiatives aligned to the Advisory mission and growth priorities., • Model IntegriChain’s values in all client and team interactions., • Adopt internal tools, templates, and knowledge repositories to drive consistency., • Participate in recruiting efforts by sourcing candidates, interviewing, and supporting onboarding., • Set and achieve quarterly SMART goals tied to practice objectives, and report progress., • Support new hires through onboarding and day‑to‑day coaching that is appropriate to your role level., • Seek and apply feedback from team members and managers to continuously improve performance., • Set personal development goals and pursue training opportunities to grow expertise., • Actively participate in goal setting, check‑ins, and performance review processes to support your growth., • Contribute to a positive, collaborative team environment., • Support pursuit efforts within existing accounts and assist in identifying follow‑on opportunities., • Contribute to developing proposals, statements of work, and pricing with clear value stories., • Build relationships with client stakeholders through reliable execution and professional communication., • Execute tasks according to workplans, budgets, and timelines to meet scope and quality standards., • Contribute to client satisfaction by delivering quality work and promptly escalating risks or issues., • Maintain clear communication with project team members to support stakeholder alignment., • Collaborate with project leaders to ensure efficient, high‑quality delivery of your work., • Deliver analyses, models, and insights that translate data into meaningful client decisions., • Synthesize complex concepts into clear narratives and well-structured materials., • Contribute to solutions leveraging best practices, benchmarks, and firm intellectual property., • Collaborate with cross‑functional teams to integrate clinical, commercial, and access perspectives., • Support presentations of recommendations and deliverables that meet high standards of quality., • Contribute to articles, blogs, webinars, or research with fresh perspectives., • Assist in internal and external forums and represent the firm professionally., • Participate in industry events and support relationship-building with partners, analysts, and associations to extend the firm’s reach., • Share insights on themes that align with practice strategy and client needs., • Support the visibility of our intellectual property through social media, conferences, and publications., • Begin building a professional network that can support recruiting, business development, and insight generation.Qualifications, • 7 - 10 years GTN government pricing contracts and compliance experience., • Three or more years of experience in consulting or life sciences with a focus on government pricing, contracts, and compliance. Prior consulting experience preferred., • Proven track record advising on Medicaid, 340B, FSS, and Medicare programs, including calculation methodologies and contract management., • Experience leading client-facing projects., • Strong analytical skills and proficiency with Excel and PowerPoint; ability to communicate complex concepts clearly., • Strong written and verbal communication skills, • Bachelor’s degree required Additional Information What does IntegriChain have to offer? • Influence the government pricing strategies of innovative biotech and pharma companies., • Work at the nexus of compliance, strategy, and launch readiness, leveraging proprietary data and insights., • Excellent and affordable medical benefits + non-medical perks including Student Loan Reimbursement, Flexible Paid Time Off, and Paid Parental Leave, • 401(k) Plan with a Company Match to prepare for your future, • Robust Learning & Development opportunitie,s including over 700+ development courses, free to all employees #LI-ZG1 IntegriChain is committed to equal treatment and opportunity in all aspects of recruitment, selection, and employment without regard to race, color, religion, national origin, ethnicity, age, sex, marital status, physical or mental disability, gender identity, sexual orientation, veteran or military status, or any other category protected under the law. IntegriChain is an equal opportunity employer; committed to creating a community of inclusion, and an environment free from discrimination, harassment, and retaliation. Our policy on visa sponsorship for US based positions: Applicants for employment in the US must have valid work authorization that does not now and/or will not in the future require sponsorship of a visa for employment authorization in the US by IntegriChain.

Job DescriptionManager of Credentialing (Healthcare) Location: Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of Provider Operations (or similar) Comp: Competitive base + equity + benefits About the Company Our client is a venture-backed healthcare startup building a modern platform that makes it easier for patients to access high-quality care and for clinicians to practice at the top of their license. The team is scaling quickly, operating in multiple states, and credentialing is core to the ability to grow safely and compliantly. The Role Our client is hiring a Manager of Credentialing to own and scale the credentialing function. You’ll lead day-to-day credentialing operations, build repeatable systems, and partner cross-functionally with Operations, Clinical, Legal/Compliance, and Product to reduce time-to-credential while maintaining rigorous quality standards. This is a high-ownership role for someone who can execute in the details and improve the system. What You’ll Do * Own end-to-end credentialing for clinicians/providers across multiple states and payers (as applicable), including new credentialing, recredentialing, and ongoing maintenance. * Manage a small team and/or vendors (CVOs) and drive clear KPIs (time-to-credential, first-pass yield, aging, rework rate). * Create and maintain SOPs, checklists, and QA processes to ensure accuracy, completeness, and audit readiness. * Partner with Provider Operations to forecast pipeline needs and proactively manage throughput/capacity. * Serve as escalation point for complex cases (sanctions queries, gaps in work history, adverse actions, board issues, expiring coverage, etc.). * Build strong relationships with hospitals/health systems, payers, state boards, CAQH, and third-party credentialing partners. * Maintain credentialing files and documentation standards (primary source verification, attestations, NPDB queries where applicable, licensure, DEA, malpractice, education, references). * Collaborate with Compliance/Legal to ensure adherence to NCQA/URAC standards where required and internal policies. * Work with Product/Engineering to improve tooling: workflow automation, document collection, status transparency, integrations (CAQH, NPPES, PECOS, etc.), and reporting. * Lead continuous improvement initiatives that reduce cycle time and increase reliability as we scale. What We’re Looking For * 5+ years in provider credentialing and/or provider enrollment operations, including 1–3+ years in a lead/manager capacity. * Deep familiarity with credentialing best practices (primary source verification, file auditing, recredentialing cadence, documentation standards). * Experience working with CAQH and common verification sources (state boards, OIG/SAM exclusions, NPDB where applicable, malpractice carriers, education verification). * Track record building processes in a fast-moving environment (startup, high-growth healthcare org, or building a new function). * Strong operational rigor: you can manage multiple queues, deadlines, and stakeholders without dropping details. * Comfort with ambiguity and ownership—able to diagnose problems, propose fixes, and implement improvements. * Excellent written and verbal communication; able to work cross-functionally and manage escalations calmly. * Proficiency with tools like Google Workspace/Excel; experience with credentialing platforms (e.g., Modio, symplr, VeraSuite, Medallion, or similar) is a plus. Nice to Have * Experience credentialing across multiple specialties and state footprints. * Familiarity with NCQA/URAC standards and audits. * Experience with payer enrollment (commercial, Medicare/Medicaid) or delegated credentialing. * Prior experience managing a CVO relationship and negotiating SLAs. * Product-minded operator who’s helped implement or improve credentialing software/workflows. Why Join * Meaningful mission with direct impact on patient access and provider experience. * Opportunity to build and own a critical function at a high-growth, venture-backed company. * Competitive compensation, equity upside, and benefits. * High-trust environment with autonomy and room to grow.

Job Description Make a difference every day by joining CCRES as a Board Certified Behavior Analyst / BCBA in Delaware County, PA! $5,000 - BCBA sign on bonus: • Eligible to BCBA *hired for a minimum of 25 billable hours. The Board Certified Behavior Analyst / BCBA will participate in the intake process, case management, selection, orientation, training, and clinical supervision of program staff. Additionally, guide and assist individuals in gaining access to services, monitor service delivery, evaluate outcomes and the continued need for services. • Board Certified Behavior Analyst / BCBA will support families throughout Delaware County, PA, • May work school, after-school or early evening hours depending on program needs, • Provide assessment, program design, monitoring and supervision., • Facilitate services to meet the individualized needs of clients by working in a cross-collaborative effort with multiple service entities., • Act as clinical leader and develop a treatment plan at ITMs., • Will provide direct supervision to staff, monitor staff performance, provide direct clinical feedback and determine staff development needs., • Monitor and revise plans and packets to ensure compliance with, but not limited to State, Federal, and local regulations., • Review clinical notes to monitor the on-going progress of clients., • Conduct service intakes for clients to gain a clinical understanding of their educational, behavioral, and medical needs to assist in identifying the appropriate staff and eligibility for services., • Coordinate resources to enhance the well-being of the child and overall family functioning., • Assist in problem solving when conflicts arise over behavioral paradigms in other involved systems., • Troubleshoot with the team when behavior interventions are seen as ineffective for the child or family., • Develop a 24-hour crisis plan., • Monitor billing system for accuracy to ensure payment from school districts, Medicaid, and/or private insurers for services provided to clients., • Collaborate with the mobile therapist and/or behavior health technicians to monitor implementation and effectiveness of treatment plans. EDUCATION / EXPERIENCE: • Master's Degree in Applied Behavior Analysis or related field, • Board Certified Behavior Analyst (BCBA) - active, • Demonstrated work experience with children with ASD (Clearances current within 12 months) • PA Child Abuse (Act 151) Clearance, • PA Criminal (Act 34) Clearance, • PA Department of Human Services FBI – Use code 1KG738, • TB Screening (current within 3 months), • Education Documentation - Diploma OR Official Transcripts, • BCBA certification Benefits The Board Certified Behavior Analyst / BCBA position is an independent contractor / 1099 position. No benefits are associated with this role. ABOUT CCRES CCRES is a 501(c)(3) non-profit industry leader providing educational and behavioral health HR/staffing services within Southeastern PA. We work in partnership with the Home & Community Services (H&CS) -- Intensive Behavioral Health Services (IBHS) -- program of the CCIU to provide the highest quality behavioral health services to individuals with special needs. MISSION STATEMENT Connecting schools and communities with caring professionals and resources that make a difference where it matters most. APPLY TODAY FOR IMMEDIATE CONSIDERATION! For a complete listing of available positions with CCRES please click here: CCRES is an equal opportunity employer. We value diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information. (Posted 3/27/26, MA)

Job Description The Policy Analyst assists the Community Behavioral Health (CBH) Manager of Compliance with the development, implementation, and maintenance of organizational policies to ensure adherence to legal, regulatory, and internal standards. This position will analyze risks, conduct audits, update policies and procedures based on new requirements, and train employees to foster a culture of compliance. Essential Functions: Ensure CBH implements and maintains a compliance program comprised of the seven elements of an effective compliance program. Policy Development: • Create, update, and maintain comprehensive company policies and procedures to meet legal, regulatory and ethical standards., • Perform audits and risk assessments to identify, minimize, and manage potential compliance liabilities. Position Requirements: Education: • Understanding of managed care and behavioral healthcare delivery systems and services, • Excellent administrative and organizational skills with high attention to detail., • Excellent research, analytical, critical thinking, and problem-solving skills, • Ability to handle multiple assignments while meeting deadlines as well as quality expectations, • Proficiency in the use of Microsoft Excel and Word, and Smartsheet, • Excellent oral and written communication skills, • Ability to prepare and summarize reports in a comprehensive and concise manner, • Ability to work independently and as part of a team, • Compliant with HIPAA regulations CBH offers a robust compensation and benefits package, including: • Family Planning, Fertility, Adoption Benefits, • 403B Retirement Plan, • PTO Days/Sick Days, • Wellness Program, • Employee Assistance Program, • Health, Dental, Vision Insurance, • Medical, Prescription Drug Insurance, • Tuition Reimbursement, • Commuter Benefits, • Flexible Spending Core Competencies: • Teamwork and Collaboration: Build and sustain relationships with co-workers and stakeholders and support efforts and deliverables. Encourage unity and help remove barriers to productivity and success., • Respect: Treat each other and our members and stakeholders with respect and sensitivity, recognizing the importance of diversity., • Member Centric: Focus on the needs of our members by providing value-added services, promoting strong relationships and going beyond basic expectations to achieve the best possible outcomes., • Honesty and Integrity: Be open and honest in all we do. Maintain the highest level of integrity at all times., • Commitment to Service Excellence: Challenge ourselves to be forward-thinking and committed to providing total member and stakeholder satisfaction, first-in-class service and high quality, innovative programs., • Compassion and Empathy: Demonstrate a deep appreciation for another’s situation and point of view. Pay attention to emotional cues, listen effectively and show an exceptional level of caring about each person’s perspectives and circumstances., • Problem Solving: Build and implement logical solutions to resolving challenges/issues by using individual knowledge and experience while taking resources, constraints and CBH values into consideration., • Initiative and Self-Directed: Proactively manage time and resources in a way that ensures that all work is done in the most efficient manner while identifying and implementing initiatives without interventions from co-workers, supervisors or stakeholders., • Flexibility and Adaptability: Adjust approaches and behaviors in order to meet the constantly changing environment head-on and accomplish CBH and individual goals. Strive to adapt to, accept and embrace change within areas of responsibility., • Strategic Thinking: Understand and integrate the long-term vision of CBH and focus current activities on what is critical to achieve future success including formulating objectives/priorities and developing and implementing breakthrough ideas., • Leadership: Effectively manage and guide efforts to address challenges and drive continuous improvement for CBH’s programs, services and processes. Develop and implement effective strategies and appropriate interpersonal styles to influence and guide others., • Employee Development: Recognize and promote the necessity to hire, assess, develop and retain high quality talent. Acknowledge strengths and weaknesses in team members through an ongoing performance management process that provides timely feedback in order to help them develop and enhance performance. Philadelphia Residency Requirement: • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.

Job DescriptionAbout Care & Help Choosing home care services in Philadelphia can be a difficult and uncertain decision. Care & Help Home Care, LLC is a trusted home health care provider within the Philadelphia area that is committed to providing home care services that are transparent, professional, and excellent. Our large staff of caregivers and home health aides are experienced and screened to be able to provide non-skilled and non-medical services for seniors. Job Summary: The Sales Case Manager drives business growth and revenue by building and maintaining relationships with healthcare professionals, referral sources, and potential clients. This position promotes the company’s services, conducts assessments, and guides clients through the enrollment process. The Sales Case Manager acts as a liaison between the agency and clients, ensuring a smooth transition to home health care services and fostering long-term partnerships with healthcare providers. Essential Duties and Responsibilities: • Identify and develop new business opportunities through targeted marketing, networking, and prospecting activities., • Conduct thorough assessments of potential clients to determine their home health care needs and eligibility for agency services., • Deliver persuasive sales presentations to healthcare professionals, community organizations, and potential clients, highlighting the agency's services and benefits., • Build and maintain relationships with physicians, hospitals, skilled nursing facilities, and other healthcare organizations to generate referrals., • Guide clients and their families through the enrollment process, ensuring all necessary paperwork and documentation are completed accurately and efficiently., • Maintain regular communication with clients, their families, and healthcare professionals to address inquiries, provide updates, and address concerns., • Conduct market research and analysis to identify trends, competitors, and potential growth areas for the agency's services., • Collaborate with the care management team to ensure a smooth transition of clients from referrals to receiving home health care services., • Track and report on sales activities, client interactions, and business development progress to management., • Set and achieve sales targets, revenue goals, and performance objectives aligned with the agency's strategic plan., • Stay updated on industry trends and attend sales training to enhance selling skills and product knowledge., • Ensure compliance with all relevant regulations and ethical standards in sales and marketing activities., • Bachelor's degree in marketing, healthcare administration, or a related field. Relevant experience in sales and marketing in the healthcare or home health care industry is preferred., • Proven record of accomplishment of successful sales and business development in a competitive market., • Strong interpersonal and communication skills to build relationships and engage effectively with clients and healthcare professionals., • Empathy and sensitivity to understand clients' needs and concerns and provide appropriate solutions., • Knowledge of home health care services, regulations, and payer sources (e.g., Medicare, Medicaid, private insurance)., • Persuasive presentation skills to effectively display the agency's services to potential clients and referral sources., • Self-motivated and results-driven, with the ability to work independently and meet sales targets., • Familiarity with sales software, customer relationship management (CRM) systems, and Microsoft Office applications., • Prolonged periods sitting at a desk and working on a computer., • Primarily field-based, engaging healthcare professionals, referral sources, and clients. Some office work for administrative tasks and reporting. Flexible schedule may include evenings or weekends. Travel within the sales territory required to drive business growth.Benefits:, • 401k, • Medical, Vision & Dental Insurance ABOUT CARE AND HELP HOME CARE, LLC CARE AND HELP HOME CARE, LLC (“Company”) provides non-skilled services to individuals in their homes or other independent living environments. These services include (but are not limited to) assistance with self-administration of medications, personal care such as assistance with personal hygiene, dressing, and feeding, homemaking such as assistance with household tasks housekeeping, shopping, meal planning and preparation, and transportation, companionship, respite care such as assistance and support provided to the family; and other non-skilled services. We conduct criminal background checks when required on all staff. We also conduct physicals and tuberculosis screenings for all direct care workers and office staff with direct consumer contact upon hiring and on a yearly basis. The direct care workers of the Company are required to complete a minimum of forty (40) hours of experience or practical training and a competency evaluation, or a state certification program. This training includes information regarding personal hygiene, safe transfer techniques, infection control, and basic nutrition. All direct care workers of our company also receive supervised practical training before having direct contact with a consumer or verification of prior experience. CARE AND HELP HOME CARE, LLC (“Company”) does not discriminate on the basis of race, color, national origin, ancestry, religious creed, non-job related handicap or disability, sex (which includes: sex assigned at birth, sexual orientation, gender identity, gender expression, gender transition, or transgender identity), age, use of a guide or support animal because of: blindness, deafness, or physical handicap, or any other characteristic protected by law (each, a “Protected Characteristic”). Further, the Company complies with the provisions of the Federal Civil Rights Act of 1964, the Pennsylvania Human Relations Act and all other applicable laws related to discrimination and fair employment practices. Accordingly, no person shall, on the grounds of any Protected Characteristic, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination in the provision of any care service provided by our agency. DISCLAIMERS The company, in considering your application for employment, may verify the information set forth on this application and obtain additional information related to your background. We offer reasonable accommodations in the hiring and employment process for individuals with disabilities. If you need assistance to accommodate a disability, you may request an accommodation at any time. All caregivers providing Medicaid-funded personal care and home health services are required to enroll in and comply with Electronic Visit Verification (EVV), as mandated by the 21st Century CURES Act. All employees must be fully compliant with EVV requirements from their date of hire and maintain a minimum 85% compliance rate for all visits. Powered by JazzHR MqD91IbEcF

Job DescriptionFinancial Screening Navigator Duration: 6+ months Location: Camden NJ 08103 Shift: 7:30-4 Monday-Friday, onsite. Summary: Financially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Financial screening process encompasses any or all of the following job functions: • Navigates and completes financial referrals for all uninsured and underinsured patients., • Reviews patient history involving past illnesses, treatment locations, diagnoses and final outcomes., • Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients., • Explains NJ State Presumptive Eligibility and CMS Insurance Marketplace options to patients., • Helps patients with new health coverage to understand their benefits and use them appropriately for primary care and preventive services., • Generates patient liability estimates and provides to patients. #TB_HC #ZRHC Why TalentBurst? At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth. Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options. TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce. Company DescriptionFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CAFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA

Job DescriptionDescription: Job Title: Medical Biller- On Site Department: Billing Report To: Billing Manager Schedule: Monday-Friday: 8 AM-4:30 PM or 8:30 AM- 5PM Job Summary Example: The Medical Biller supports PATHS’ mission by assisting patients and families in securing appropriate health coverage, resolving billing issues, and advocating for financial resources. This role ensures accurate documentation, compliance with HIPAA and healthcare regulations, and contributes to timely revenue recovery for PATHS’ provider clients across multiple states. Company Information Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide the best possible environment for maximum development and goal achievement for all employees. Our practice is to treat each employee as an individual. We seek to develop a spirit of teamwork; individuals working together to attain a common goal. In order to maintain an atmosphere where these goals can be accomplished, PATHS provides a comfortable and progressive workplace. We take into account individual circumstances and the individual employee. Founded in 2000, PATHS offers a broad range of account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE are home to 450 employees and that serve over 100 clients. Our team has built flourishing long-term partnerships with clients and staff by cultivating a great experience. Essential Duties & Responsibilities · Exporting, importing and submitting claims from one system to another system · Medical Billing collections and follow up · Resolving insurance denials and underpayments · Review of medical claims · Identify and resolve outstanding issues preventing claim resolution · Documentation and data entry · Other duties as assigned Requirements: Supervisory Responsibilities This position has no supervisory responsibilities. Required Skills & Abilities • Working knowledge of Medicaid, • Understanding of EOB and insurances, • Understanding of CPT, ICD-10, and UB-04 claim forms, • Excellent interpersonal skills both written and verbal, • Working knowledge of Microsoft applications: Outlook, Word and Excel, • Detail oriented, strong problem solving, and research skills, • Ability to meet productivity goals Education & Experience • High school diploma or GED required, • Minimum 6 months of medical billing experience, • Experience working with an EMR system required, • Navinet, PEAR, Availity and/or EPIC experience preferred Physical & Environmental Requirements • Prolonged periods sitting at a desk and working on a computer., • Frequent movement in hospital or office settings, including walking between patient rooms and departments., • Occasional lifting of up to 15 pounds., • Must have reliable transportation and valid driver’s license., • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Pre-Employment Requirements Offers of employment are contingent upon successful completion of applicable screenings consistent with federal, state, and local laws. Screenings may include: criminal background check, drug screen, physical exam, PPD screening, and verification of immunization records (role-specific). Employment eligibility will be verified through I-9/E-Verify. Because PATHS operates in the healthcare industry, certain screenings (e.g., OIG/GSA exclusion checks, state Medicaid exclusion lists) may be conducted on a recurring basis as required by federal and state law, client contracts, and hospital compliance programs. Compensation & Benefits Compensation: $17.00 – $20.00/hour Benefits include: Paid Time Off, Paid Holidays, Medical, Dental, Life Insurance, Short-Term Disability (STD), Long-Term Disability (LTD), and a 401(k) Plan with company match. EEO & Compliance Statement PATHS is an Equal Opportunity Employer and complies with all applicable federal, state, and local employment laws. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, or any other status protected by applicable law. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Job DescriptionWe are looking to for a locum general dentist for temporary coverage at our PPO/FFS dental practice in Northeast Philadelphia. Practice Location: Mayfair Family Dentistry - 7330 Frankford Ave, Philadelphia, PA 19136 Our current dentist is going on a maternity leave and we are looking for a dentist with a good personality to help us continue patient care at our practice. Coverage Dates: April 6 to July 2, 2026 Schedule: • Mon: 8am-5pm, • PPO/FFS dental practice. No Medicaid., • Consistent schedule with steady stream of existing and new patients., • Modern practice equipped with CEREC, 3D Printer, CBCT, iTero., • DMD/DDS degree from an accredited dental school, • Current dental license for Pennsylvania

Job DescriptionProgram Summary Philadelphia Family Voices is Philadelphia’s first and only family-legacy organization. As a family legacy organization, the mission of Philadelphia Family Voices is families helping families navigate and improve child-serving systems by creating opportunities for education, empowerment, advocacy and support. Position Summary Reports to: ASD Program Supervisor Direct Reports: None Status: Non-Exempt; 35-hour workweek; may include evenings and weekends The ASD Family Navigator is responsible for providing confidential support, mentoring, advocacy, and guidance to families of children and youth with autism spectrum disorder within multiple or complex systems. The Navigator creates an individualized roadmap that spans the array of services, from evaluations and education to treatment and other supports, ensuring that the roadmap and peer services are accurate, specific, and aligns with the families self-determined needs and priorities. Over time, as the family's needs and priorities further develop and change, the goal of the Navigator is to continuously meet the family where they are with flexibility, empathy, and knowledge. Summary: • Utilize experience and partnership skills to help other families and the systems that serve them., • Establish and maintain strong effective relationships with the Program Supervisor and/or Manager, Philadelphia Family Voices staff, management, and key stakeholders., • Establish and maintain strong effective relationships with members of the community that we support:, • Families and youth o General public, • Community agencies and organizations, • The Philadelphia child serving systems [Department of Human Services (DHS), Juvenile Justice (JJ), Early Intervention (EI), Autism related services and programs, • Schools and Education System, • Community Behavioral Health (CBH), • Administrators/ staff of Philadelphia Department of Behavioral Health & Intellectual Disabilities (DBHIDS)., • Promote a positive public image of all PFV programs and serve as a representative in assigned committees, task forces, as well as other meetings., • Promote and model high ethical, professional and respectful behaviors both within Philadelphia Family Voices and externally. Key Duties & Responsibilities: Administrative • Participate in regular 1:1 supervision and team meetings as scheduled., • Participate in all required agency staff meetings., • Attend required trainings., • Attend all required meetings/conference calls in the community in a professional manner., • Gather and provide data as assigned., • Assist families in navigating educational, therapeutic and social services systems; identify and address gaps in insurance and/or waivers; work with families in solving problems related to the care of their child or youth., • Coach families to develop advocacy skills and make informed decisions; serve as an emotional support and positive role model to parents and caregivers., • Provide education, training and resources to parents and caregivers to enhance their capacity to meet their child’s overall wellness needs; link families to other supports and provide “warm hand-offs” to other services including CBH care managers., • Schedule regular meetings with assigned families, virtual and in-person; attend meetings with families; maintain documentation of all provided services through our electronic database., • Along with families, identify needs and develop goal plans and action steps to achieve their goals; review and update plans as needed., • Adhere to the Philadelphia Family Voices family support empowerment and family-driven model and philosophy in providing community-based peer-to-peer support to parents of children and youth with ASD., • Utilize knowledge of service systems and the range of resources available for children, youth and families; share knowledge effectively during family meetings and consultation with professionals., • Enters participant data in the Electronic Healthcare Records/ Program Database system upon intake., • Ensures that all participants’ contacts are documented in EHR/Database according to agency polices., • Document all services and activities (i.e. trainings, system meetings) according to agency policies. Education, Knowledge, Skills & Abilities: Minimum Experience • Individual who self-identifies as parent or primary caregiver of an individual with autism spectrum disorder or relatable self-identifies as a parent or primary caregiver of an individual with behavioral and/or mental health challenges., • Ability to use lived experience to support other families., • At least two years’ experience working to support children, young adults and/or families impacted by autism or behavioral and/or mental health challenges, or other significant experience working with the disability community., • Demonstrated knowledge of the system of services for children/adults with autism including diagnostic process, early intervention, special education/IEP process, and treatment options., • Completion of Family Peer Support training and Autism Family Peer Support training within 3 months of hire., • Child Abuse and Criminal Background Clearances., • Knowledge of or training in Systems of Care and trauma informed care., • Experience with Child and/or Family Advocacy., • Experience in working with families and communities on behalf of children with mental health issues is highly desirable., • Experience working with and understanding of billable service with the Medicaid system., • Philadelphia County Resident. High School Diploma or GED. Preferred Education Requirements Bachelor’s Degree. Required Skills • Demonstrated effective written and verbal communication skills., • Ability to interact with families and other external parties effectively and professionally, including multi-disciplinary teams., • Possess excellent computer skills to perform job duties including desktop computing, email, time sheet management, electronic health records, using Microsoft Office Applications, ADP and other relevant software., • Ability to be flexible, collaborative, and creative., • Dependable with strong time management and organizational skills., • Excellent communication, listening and interpersonal skills including public presentations., • Negotiation and conflict resolution abilities., • Utilizes a strength-based perspective., • Able to sit/work at a computer and perform general office functions., • Able to travel within the community that may not be handicap accessible, including stairs., • Able to use public transportation and/or drive around the city, including in inclement weather., • Able to carry computer equipment to external sites as needed. Work in a variety of settings, including but not limited to: • Philadelphia Family Voices office,, • ZOOM or other approved digital meeting platforms,, • Community settings and schools,, • Family’s homes,, • Treatment programs and Children’s Crisis Response Center (CRC),, • Family Court, The candidate for this position may be subject to any of the following screenings as part of the pre-employment process: Motor Vehicle Report (MVR), PA Criminal Background Check, PA Child Abuse Clearance, FBI fingerprint, and drug/alcohol screen.

Job Description Job Summary: The Benefits Navigator position is responsible for raising awareness of affordable insurance options and providing eligibility and enrollment assistance to uninsured patients of Mazzoni Center. This includes enrolling patients in public benefits, including but not limited to: Medicaid/MAWD/ Emergency Medical Assistance; Medicare Extra Help/Medicare Savings Program; SNAP; LIHEAP; CAP/CRP; PACE/PACENET; Home Waiver IEB; Hospital Financial Assistance/Charity Care; Property Tax/Rent Rebates. Additionally, the Benefits Navigator is responsible for helping patients navigate their financial responsibilities and understand insurance processes. Key Responsibilities: • Assess uninsured patients' potential eligibility for Pennsylvania Medicaid, CHIP and/or affordable insurance coverage, complete Medicaid applications, and complete applications on the affordable insurance exchange (Pennie) where applicable., • Assess patients' potential eligibility for other benefits (LIHEAP, SNAP, etc.) and offer help obtaining them., • Collect necessary documentation for benefit enrollments and update collected insurance information in the EMR., • Assist patients receiving an insurance plan for their specific needs and to receive optimal coverage., • Review explanation of benefits (EOB) with patients to clarify insurance coverage and financial obligations., • Assist patients in understanding medical bills, including out-of-pocket costs, copayments, deductibles, and coinsurance., • Provide guidance on insurance claims, appeals, and reimbursement processes., • Collaborate with healthcare providers and internal departments to resolve financial issues and ensure a seamless patient experience., • Facilitate warm hand-offs to internal and external services, including social workers and community resources., • Maintain accurate and confidential patient records., • Bachelor's degree preferred (candidates without bachelor's degree but who demonstrate experience and expertise in obtaining health insurance benefits for patients may be considered)., • Previous experience in financial counseling, healthcare billing, or patient advocacy preferred., • Pennie Certification and COMPASS enrollment required, • Strong understanding of insurance terminology and billing processes., • Excellent communication skills, with the ability to explain complex financial information clearly., • Empathetic approach to assisting individuals with diverse backgrounds and financial situations., • Proficiency in computer applications and software., • Ability to work independently and collaboratively in a fast-paced environment., • Background checks are required, including Criminal Background Clearance, Child Abuse Clearance, and FBI Clearance., • Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met;, • Kneeling, bending legs at knee to come to a rest on knee or knees Crouching. Bending the body downward and forward by bending leg and spine;, • Reaching. Extending hand(s) and arm(s) in any direction;, • Walking. Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another, • Talking. Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly;, • Hearing. Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound;, • Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers.

Job DescriptionPosition: Market Physician Executive (MPE) - New Jersey South Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk-based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population health outcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment. Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making. Roles and Responsibilities Clinical Guidelines Execution – 25% • Know, understand, and deliver on Monogram Health’s proprietary evidenced based clinical pathways., • Ensure adherence to established clinical guidelines and Monogram Model of Care., • Review and approve APP, RN, SW and PharmD plans of care., • Overall accountability for reducing total cost of care and Medical Loss Ratio., • Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure., • Actively lead daily high risk and concurrent review rounds., • Direct supervision of front line clinical and operations team members., • Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management., • Provide direct and indirect patient care (including diagnosis and treatment of disease)., • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways., • Conduct Peer to Peers with community, facility, and health plan partners., • Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete quality post hospital discharge visits, and improving the quality of visits., • Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes., • Present and guide population health strategies in clinical and operational meetings., • Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter., • Provide coverage for other MPEs, during PTO or vacancy, as needed.Position Requirements, • Must be willing and able to obtain hospital privileges at required facilities., • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel., • Demonstrated experience applying evidence based clinical criteria., • Experience in renal care and geriatrics., • Strong management and communication skills., • Active, unrestricted state medical license required in each state within the market., • Experience with high need Medicare Advantage and managed Medicaid populations., • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment., • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states., • MD (Medical Doctor) or DO degree from an accredited medical school., • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics., • This role offers a competitive base salary starting at $250,000, with additional compensation opportunities based on experience, performance, and market factors. Benefits • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts, • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources, • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave, • Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. #LI-BG1 #LI-Remote

Job Description Registered Resp Therapist Philadelphia PA 13 week assignment Night Shift: (7pm-7am), every 3rd weekend is required, holiday commitment required. Weekdays and every 3rd weekend required. .9 posting-36 hours a week, 3x12 shifts per week Department did note that they have multiple needs 7 days a week so there maybe reasonably flexible scheduling during Monday through Friday, aside from the every 3rd weekend. Job Summary: -The Registered Respiratory Therapist (RRT) practices at the level of a clinically competent to proficient practitioner of respiratory care. -The RRT at this level demonstrates competence in caring for patients with emergency, acute, and intensive care needs with minimal guidance. -The RRT demonstrates clinical leadership skills through contribution to standards of care and department goals. -The RRT works under the direction of ordering physician/clinician, established organizational policies and procedures, and the American Association of Respiratory Care Clinical Practices Guidelines. -They serve as a role model for other staff, a preceptor for new employees and participates in endeavors to increase respiratory care knowledge. Required Skills & Experience: -Two (2) years of respiratory care experience. -Ability to use MS Office Suite. Preferred Skills & Experience: -N/A Education: Required Education: -Associate's degree. -Certificate of completion in respiratory care from a respiratory care program. -According to the CMS (Centers for Medicaid and Medicare Services) a copy of diploma or transcript is required as proof of academic achievement for all non-laboratory personnel performing non-waived POC testing. Preferred Education: -Bachelor's degree. Required Certifications & Licensure: -Certified Respiratory Therapist (CRT). -A valid license to practice respiratory care in the state of Pennsylvania. -BLS. Preferred Certifications & Licensure: -Current Pediatric Advanced Life Support, Neonatal Resuscitation Program or Advanced Cardiac Life Support certification. -Neonatal/Pediatric Specialist (NPS) certification within 2 years of date of placement into position. Languages: English Read Write Speak Certifications & Licenses: A valid license to practice respiratory care in the state of Pennsylvania ACLS BLS Certified Respiratory Therapist (CRT) through the National Board of Respiratory Care (NBRC) NRP PALS Registered Respiratory Therapist (RRT) through the National Board of Respiratory Care (NBRC) Registered Respiratory Therapist-Neonatal Pediatric Specialty (RRT-NPS) through the National Board of Respiratory Care (NBRC) #TB_HC #ZRHC Why TalentBurst? At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth. Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options. TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce. Company DescriptionFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CAFounded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA

Job DescriptionDescription: We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organizational requirements. The Credentialing Specialist will oversee documentation collection, verification of licenses and certifications, tracking of expiration dates, and ongoing file maintenance. The ideal candidate is proactive, efficient, and thrives in a fast-paced environment where accuracy and communication are key. Full-Time | Available In the Philadelphia, PA 19133 Area Salary: $22.00/HR Scheduled: Monday-Friday 8:30am-5:00pm Job Summary The Credentialing Specialist is responsible for ensuring that COMHAR, Inc.’s employees, contractors, and service providers meet all credentialing, re-credentialing, and privileging requirements in accordance with Community Behavioral Health (CBH) standards, Pennsylvania Code, Medicaid and Medicare regulations, and other applicable managed care and funding source requirements. This position supports CBH delegated credentialing compliance by developing, implementing, and maintaining effective credentialing processes that ensure audit readiness and regulatory compliance. Essential Duties and Responsibilities • Develops, implements, and maintains credentialing and re-credentialing processes in compliance with delegated credentialing requirements, contractual obligations, and regulatory standards., • Coordinates and monitors initial credentialing, re-credentialing, and ongoing monitoring for all employees, contractors, and licensed behavioral health professionals., • Conducts primary source verification of professional licenses, certifications, education, training, and work history in accordance with COMHAR, CBH standards, state, federal, payer, and accreditation requirements., • Reviews internal behavioral health practitioner applications and supporting documentation to determine eligibility, completeness, and compliance., • Initiates and manages provider credentialing and privilege for licensed behavioral health professionals based on funding source requirements., • Tracks credential expiration dates and ensure timely renewal to prevent lapses in compliance or service delivery., • Identifies credentialing discrepancies, compliance risks, or missing documentation and ensures timely investigation, resolution, and documentation., • Prepares and maintains up-to-date credentialing files for CBH site reviews, delegated credentialing audits, and regulatory inspections., • Conducts routine internal credentialing file audits and supports the development and implementation of corrective action plans when needed., • Responds to credential inquiries from internal departments, managed care organizations, and regulatory entities., • Assists with verification of pre-employment credentials, including licensure, certifications, education, degrees, background checks, and required clearances., • Maintains strict confidentiality of credentialing records in accordance with HIPAA regulations., • Establishes and maintains a credentialing audit schedule for all programs to ensure continuous compliance., • Manages accurate timely data and document entry in credentialing and HRIS systems., • Generates monthly credentialing compliance reports for leadership review and regulatory oversight., • Travels to COMHAR locations as needed to support credentialing activities and audit preparation., • Performs other related duties as assigned to support organizational compliance and quality assurance efforts. Employees are eligible for generous benefit options including but not limited to: Full-time and Part-time employees enjoy a comprehensive benefits package including medical, vision, and dental insurance, life and disability coverage, a 403(b) retirement plan, paid time off, tuition reimbursement, an employee assistance program, and additional voluntary options such as disability, accident, and pet insurance. Requirements: Credentialing Specialist Job Requirements: • A minimum of a High School diploma or GED., • At least 2 years of related credentialing experience in health care or human services., • Knowledge and understanding of full cycle credentialing and re-credentialing procedures., • Knowledge of Medicaid, Medicare and Managed Care organizations., • Working knowledge of clinical operations and procedures., • Database management skills including querying, reporting, and document generation. About COMHAR: COMHAR is a nonprofit human-services organization dedicated to empowering individuals, families, and communities to live healthier, self-determined lives. Our mission is: “To provide health and human services that empower individuals, families and communities to live healthier, self-determined lives.” Serving the Philadelphia region since 1975, COMHAR provides a wide continuum of behavioral health, intellectual and developmental disability, substance use, and social support services. With programs that include outpatient treatment, residential services, community-based recovery centers, supportive housing, and specialized services for children, families, and diverse populations, COMHAR delivers person-centered care rooted in dignity, respect, and community integration. Today, COMHAR’s team supports more than 5,500 people each month, helping individuals build stability, independence, and meaningful connections in their communities. COMHAR strictly follows a zero-tolerance policy for abuse. COMHAR is proud to be an Equal Opportunity Employer. We maintain a drug-free workplace. COMHAR, Inc. is a not-for-profit community-based health and human service organization founded in 1975. We do not discriminate in services or employment on the basis of race, color, religion, ancestry, national origin, sex, sexual orientation, gender identity, age, disability, past or present receipt of disability-related services or supports, marital status, veteran status, or any other class of persons protected by federal, state or local law.

Job Description Financial Screening Navigator Location: Camden, NJ Type: contract, 40 hours per week, on site Job description • Financially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Financial screening process encompasses any or all of the following job functions:, • Navigates and completes financial referrals for all uninsured and underinsured patients., • Reviews patient history involving past illnesses, treatment locations, diagnoses and final outcomes., • Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients., • Explains NJ State Presumptive Eligibility and CMS Insurance Marketplace options to patients., • Helps patients with new health coverage to understand their benefits and use them appropriately for primary care and preventive services., • Generates patient liability estimates and provides to patients., • Collects patient liability payments and/or establishes payment arrangements., • Provides clear and concise documentation in systems., • Communicates daily with internal customers, providers and patients. Qualifications High School Diploma required. 2 years experience in healthcare revenue cycle billing and reimbursement, working specifically with health insurance plans and products, NJ Charity Care and Medicaid preferred. Experience with EPIC, IDX Flow cast and Health quest systems preferred. Basic knowledge of medical terminology, continuity of care protocols and coding principles. Proven ability to effectively interact with and provide service excellence to patients, clinicians, physicians and administrators.

Job Description Required Skills & Experience • 1+ year of healthcare billing/AR follow up/ or back-end hospital follow up experience, • High School Diploma or equivalent required, • Working knowledge of medical billing and insurance follow up processes, • Epic experience required (must pass EPIC training), • Proficiency in Microsoft Office (Excel, Word), • Experience with common payers such as Medicare, AmeriHealth/IBX, Horizon, Aetna, and local plans Nice to Have Skills & Experience • FinThrive experience preferred Job Description The Patient Account Follow Up Representative is responsible for post billing insurance follow up to ensure accurate and timely reimbursement. This role works claims after they have been received by the payer and focuses on resolving underpayments, denials, and coordination of benefits issues. Representatives communicate directly with insurance carriers and patients regarding co pays, deductibles, denials, and coverage discrepancies while delivering excellent customer service. The representative verifies insurance eligibility and benefits as needed, navigates Epic to review registration details, claim history, and account activity, and uses FinThrive for claims clearing and follow up workflows. This role requires timely and accurate account resolution, clear documentation, and consistent interaction with payers, patients, and internal teams to meet productivity and quality standards. The team is fast paced, so candidates should be prepared to resolve approximately 49 claims/denials per day. There are three open roles in the below focus areas: • AmeriHealth / IBX (Commercial Payers): Follow up on commercial insurance claims, including AmeriHealth, IBX, Horizon, Aetna, and regional plans., • Medicaid: Follow up on Medicaid claims with an emphasis on eligibility, coverage, and payer specific requirements., • Denials & Underpayments: Research and resolve denied and underpaid claims across multiple payer types, including root cause analysis. Main Job Duties: • Verify eligibility with insurance companies., • Communicate with patients and insurance companies regarding co-pays, deductibles, denials, and Cost of Benefit (COB) issues., • Resolve accounts timely and effectively.

Job Description Associate Dentist ASSOCIATE GENERAL DENTIST | $175K–$350K+ EARNING POTENTIAL | MODERN DIGITAL PRACTICE | 4-DAY WORKWEEK Sign-on bonus Relocation bonus Retention bonus What We Offer Annual earning potential of $225,000–$400,000+, commensurate with clinical skill and procedure mix Compensation based on 42.5% of adjusted production minus lab fees (open to discussion) Daily minimum of $1700 guaranteed during the first 3 months for onboarding support Full clinical autonomy in treatment planning and execution 4-day workweek (Monday–Thursday) with three-day weekends every week Calm, well-supported work environment with experienced clinical and administrative staff A very systematized office for smooth and efficient work environments and low- stress for both patients and staff No weekend hours, no Medicaid, and no HMOs Dental vision insurance (optional) 401k (optional) Qualifications DDS or DMD from an accredited dental school Active dental license Minimum of 3 years of clinical experience preferred Proficient in general procedures and committed to high-quality, patient-centered care Team-oriented, dependable, and motivated to grow clinically and financially Schedule Full-Time: Monday–Thursday, 8:00am to 6:00pm (with a 1-hour lunch break) o Part-Time: Open to 2 or 3 days per week, with flexible scheduling options o Ideal for: Those seeking a balanced work-life schedule, with 3-day weekends every week Technology Our practice is fully digital and equipped with: CEREC same-day crown technology Intraoral scanners for efficient and accurate diagnostics KaVo implant system for advanced surgical and restorative procedures Laser dentistry for soft tissue procedures and improved patient comfort We continually invest in modern equipment to support high-quality, efficient, and patient- centered care. Daily Guarantee Yes What procedures will the associate be doing? Preventive and comprehensive care in all aspects of general dentistry Bread-and-butter procedures including: o Crown and bridge (including implant restorations) o Composite restorations o Surgical extractions and bone grafting o Dentures and removable prosthodontics o Endodontics for anterior and premolars Optional procedures such as molar endo, implant placement, clear aligners, and cosmetic cases (not required but strongly supported and highly compensated)

Job Description Program Summary Philadelphia Family Voices (PFV) is Philadelphia’s first and only family-legacy organization. Our mission is families helping families navigate and improve child-serving systems by creating opportunities for education, empowerment, advocacy, and support. The At-Risk Family Peer Navigator provides peer-to-peer support to families experiencing complex system involvement and heightened vulnerability, including homelessness, juvenile justice involvement, residential treatment placements, and child welfare engagement. This role centers lived experience, trauma-informed practice, and family-driven care to stabilize families, strengthen protective factors, and promote long-term wellness. Position Summary Reports to: Program Supervisor Direct Reports: None Status: Non-Exempt; 35-hour workweek; may include evenings and weekends The At-Risk Family Peer Navigator provides confidential support, mentoring, advocacy, and guidance to caregivers and youth navigating multiple systems such as child welfare, juvenile justice, behavioral health, housing instability, substance abuse, and residential treatment. The Navigator works collaboratively with families to develop individualized roadmaps that address immediate needs, remove barriers to care, and connect families to coordinated supports. The Navigator meets families where they are, using empathy, lived experience, and systems knowledge to promote stabilization, engagement, and empowerment. This role supports caregivers and youth impacted by behavioral health challenges, substance use disorders, housing instability, justice involvement, and child welfare systems. The Navigator uses lived experience and trauma-informed practice to help families stabilize, access treatment and recovery supports, and navigate multiple systems of care. Summary: • Utilize experience and partnership skills to help other families and the systems that serve them., • Utilize lived experience and partnership skills to support families impacted by high-risk circumstances., • Establish and maintain strong effective relationships with the Program Supervisor and/or Manager, Philadelphia Family Voices staff, management, and key stakeholders., • Establish and maintain strong effective relationships with members of the community that we support:, • Families and youth, • General public, • Community agencies and organizations, • The Philadelphia child serving systems [Department of Human Services (DHS), Juvenile Justice (JJ), Early Intervention (EI), Autism related services and programs, • Schools and Education System, • Community Behavioral Health (CBH), • Administrators/ staff of Philadelphia Department of Behavioral Health & Intellectual Disabilities (DBHIDS)., • Child welfare, juvenile justice, behavioral health, housing, and education systems, • Promote a positive public image of all PFV programs and serve as a representative in assigned committees, task forces, as well as other meetings., • Promote and model high ethical, professional and respectful behaviors both within Philadelphia Family Voices and externally. Key Duties & Responsibilities: Administrative • Participate in regular 1:1 supervision and team meetings as scheduled., • Participate in all required agency staff meetings., • Attend required trainings and conferences., • Attend all required meetings/conference calls in the community in a professional manner., • Gather and provide data as assigned., • Assist families in navigating educational, therapeutic and social services systems; identify and address gaps in insurance and/or waivers; work with families in solving problems related to the care of their child or youth., • Provide peer support to families involved in child welfare, juvenile justice, residential treatment, homelessness, and behavioral health systems, • Assist families in navigating housing resources, educational supports, court-related systems, treatment programs, and community services, • Follow PFV’s family-driven, strength-based, and empowerment model, • Support caregivers in crisis stabilization, safety planning, and system engagement, • Coach families to develop advocacy skills and make informed decisions; serve as an emotional support and positive role model to parents and caregivers., • Provide education, training and resources to parents and caregivers to enhance their capacity to meet their child’s overall wellness needs; link families to other supports and provide “warm hand-offs” to other services including CBH care managers., • Schedule regular meetings with assigned families, virtual and in-person; attend meetings with families; maintain documentation of all provided services through our electronic database., • Along with families, identify needs and develop goal plans and action steps to achieve their goals; review and update plans as needed., • Adhere to the Philadelphia Family Voices family support empowerment and family-driven model and philosophy in providing community-based peer-to-peer support to parents of children and youth with behavioral and/or mental health or autism., • Utilize knowledge of service systems and the range of resources available for children, youth and families; share knowledge effectively during family meetings and consultation with professionals., • Facilitate support groups, workgroups, trainings and presentations; represent Philadelphia Family Voices at resource fairs and other community events., • Follow all company policies related to the Fleet Manager/Drivers Standards Operating Procedures., • Other duties as assigned. Electronic Health Record (EHR) Data Base • Enters participant data in the Electronic Healthcare Records/ Program Database system upon intake., • Ensures that all participants’ contacts are documented in EHR/Database according to agency polices., • Document all services and activities (i.e. trainings, system meetings) according to agency policies. Education, Knowledge, Skills & Abilities: Minimum Experience • Individual who self-identifies as parent or primary caregiver of an individual with of an individual with behavioral and/or mental health challenges and/or autism spectrum disorder., • Ability to use lived experience to support other families., • At least two years’ experience working to support children, young adults and/or families impacted by autism or behavioral and/or mental health challenges, or other significant experience working with the disability community., • Demonstrated knowledge of the system of services for children/adults with behavioral/mental health and/or autism including diagnostic process, early intervention, special education/IEP process, and treatment options., • Completion of Family Peer Support training within 60 days of hire., • FBI, Child Abuse, and Criminal Background Clearances., • Knowledge of or training in Systems of Care and trauma informed care., • Experience with Child and/or Family Advocacy., • Experience in working with families and communities on behalf of children with mental health issues is highly desirable., • Experience working with and understanding of billable service with the Medicaid system., • Philadelphia County Resident. High School Diploma or GED. Preferred Education Requirements Bachelor’s Degree. Required Skills • Demonstrated effective written and verbal communication skills., • Ability to interact with families and other external parties effectively and professionally, including multi-disciplinary teams., • Possess excellent computer skills to perform job duties including desktop computing, email, time sheet management, electronic health records, using Microsoft Office Applications, ADP and other relevant software., • Ability to be flexible, collaborative, and creative., • Dependable with strong time management and organizational skills., • Excellent communication, listening and interpersonal skills including public presentations., • Negotiation and conflict resolution abilities., • Utilizes a strength-based perspective., • Ability to maintain regular and punctual attendance; available for flexible work schedule including evenings and weekends as needed. Physical Requirements • Able to sit/work at a computer and perform general office functions., • Able to travel within the community that may not be handicap accessible, including stairs., • Able to use public transportation and/or drive around the city, including in inclement weather., • Able to carry computer equipment to external sites as needed., • Able to communicate clearly with others; possible exposure to vulgar or inappropriate language or gestures. Working Environment Work in a variety of settings, including but not limited to: • Philadelphia Family Voices office,, • ZOOM or other approved digital meeting platforms,, • Community settings and schools,, • Family’s homes,, • Treatment programs and Crisis Centers, • Family Court,

Job Description Position Summary: The Forensic Behavioral Health Navigator (Court Clinic) supports Philadelphians with First Judicial District (FJD) involvement who are identified for, evaluated by, or recipients of evaluations by the Court Evaluation Clinic. Navigators help individuals with a Serious Mental Illness (SMI) or behavioral health needs "navigate" the maze of the court system, treatment programs, and community supports to empower them to lead successful lives in the community. Navigators also work to reduce the barriers that keep individuals with mental health needs from remaining in the community, getting timely access to treatment, and diversion from incarceration when appropriate. Navigators practice cultural humility and are mindful of racial disparities across the legal system. The Navigator will work as part of the Court Evaluation Clinic to: 1) Triage individuals referred to or identified within the Court Evaluation Clinic, who qualify for diversion, from further penetration in to the criminal justice system; 2) Connect individuals to services, including Social Determinates of Health (SDOH) support, to facilitate wellness and self determination; 3) Assist with assessing individuals to determine the least restrictive level of behavioral health care they need; 4) Coordinate efforts across several criminal justice partnerships including the Court Evaluation Clinic, FJD, Defender Association of Philadelphia (PD), Office of the District Attorney (DA), Adult Probation and Parole (APPD), the Philadelphia Department of Prisons (PDP), and Norristown State Hospital (NSH) to ensure the individuals successful navigation through the justice system. The Forensic Behavioral Health Navigator may serve all programs offered by the Behavioral Health and Justice Division of the Philadelphia Department of Behavioral Health and Intellectual disAbility Services (DBHIDS) at the intersection of behavioral health and criminal justice. Navigators will further specialize in one intercept point of the Sequential Intercept Model (i.e., police, pre-trial, jail reentry, probation and parole), while working across all intercepts in response to the individual’s needs. Duties and Responsibilities: General Duties • Learn and observe all standard operating procedures developed for the Court Evaluation Clinic, BHJD, and DBHIDS that pertain to Navigation work, • Participate in Navigator training, development, and team building, • Achieve and maintain Key Performance Indicators identified by BHJD’s Continuous Quality Improvement framework, • Maintain a working knowledge of the Sequential Intercept Model and behavioral health treatment, • Support the identification of individuals who could potentially qualify for diversion from the competency restoration track, • Perform behavioral health and criminal history reviews, screenings, and assessments to determine an individual’s treatment needs, • Facilitate connection to behavioral health treatment and support, • Activate maximum benefits (e.g., Medicaid, SSI) for individuals, • Assist with referrals to case management, • Arrange medical appointments and other care services as needed, • Collaborate on a weekly basis with the staff of the Court Evaluation Clinic to effectively triage individuals who are referred to or are being considered for referral to the Court Evaluation Clinic., • Develop and maintain relationships with the First Judicial District Criminal District, Court Evaluation Clinic, Defender Association of Philadelphia, Office of the District Attorney, Adult Probation and Parole (APPD), the Philadelphia Department of Prisons, and NSH., • Create, update, and report the status of discharge planning, service connection, and other supports to the appropriate criminal justice collaborators to facilitate a continuity of care, • Network with area community providers and provide resource coordination, • Assist with training legal partners on how access and utilize the Court Evaluation Clinic and BHJD’s Resource Hub This position requires strong clinical skills, case management skills, and an ability to navigate systems of care, the criminal justice system, and community resources. • Strong clinical and case management skills, • Demonstrated understanding of and ability to navigate the behavioral health and criminal justice systems in Philadelphia, • Knowledge of mental health disorders (especially SMIs), substance use disorders, and co-occurring challenges, • Knowledge of how behavioral health issues intersect with the criminal justice system in the City of Philadelphia., • Cross-cultural skills and experience with culturally diverse populations. Recovery experience preferred., • Knowledge of benefits, benefits activation, and how to utilize benefits to access treatment and resources., • Demonstrated excellence in written and oral communication skills. Knowledge of multiple languages a plus., • Demonstrated ability to establish and maintain effective working relationships., • Recognizing signs and symptoms of mental illness, • Understanding medications, • Understanding special populations, • Connecting with families and consumers, • Employing de-escalation techniques to improve and manage behavior Bachelor’s or Master’s degree preferred in the field of social work, psychology or a related clinical field with at least 2 years of experience working with individuals with serious mental illness. Candidates must have a working knowledge of the Philadelphia Behavioral Health and Criminal Justice systems. Equal Opportunity Employment: PMHCC, Inc. is committed to equal opportunity. It is our policy to support equal employment for all employees and applicants without regard to race, religion, color, sex, sexual preferences, age, national origin, disability, behavioral health status, military status or any other characteristic protected by law. Americans with Disabilities Act: Employees as well as applicants who are currently, or become disabled, must be able to perform the functions of the job with either reasonable accommodation or unaided. PMHCC, Inc. will examine reasonable accommodations on a case-by-case basis in accordance with the law.