Geisinger

Revenue Operations

• Centralized management for all Clinical Enterprise revenue cycle functions within Geisinger
• Direct and implement programs for operational efficiency in revenue management
• Manage patient access, coding, billing and accounts receivable resolution
• Provide strategic direction to revenue cycle functions and inter-relate them to other functions
• Communicate with senior management about cash flow and profitability
• Ensure continuous monitoring and improvements in revenue cycle process
• Manage departmental budget and operational efficiencies
• Lead identification and implementation of revenue management technology innovations
• Develop new business and for-profit opportunities

Vice President – Chief Revenue Officer

Marketing

• Responsible for all related aspects of strategic marketing; planning, strategizing, directing and executing for assigned specific areas and initiatives.
• Supports and collaborates with the entire Marketing and Communications team.
• Plans, develops and implements innovative strategies and solutions, budgets and programs.
• Gathers and interprets primary data accumulated through campaigns, surveys and other intelligence collection.
• Analyzes and prepares reports for use in the internal communications planning process.
• Ensures campaigns, plans and messaging are designed to increase awareness and understanding.

Marketing Manager

Call Center Representative

• Provide patient/provider/customer care.
• Use the pharmacy computer system to facilitate patient care.
• Participate in patient/provider/customer care activities that do not require the expertise of a pharmacist.
• Prepare and label medications appropriately for distribution.
• Retrieve, review, and perform inventory management for medications and supplies in the pharmacy.
• Maintain pharmacy records.
• Perform housekeeping duties in the pharmacy in compliance with hospital and accreditation policies.
• Participate in the onboarding and training of new pharmacy personnel.
• Work is typically performed in a clinical environment.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Pharmacy Technician – Call Center

Product Specialist

• Provides supporting oversight for one more key product within the digital marketing and experience portfolio.
• Utilizes digital analytics to coordinate strategies and tactics with internal peers and stakeholders to build product requirements and drive successful launch of digital products.
• Supports relationship with third party product vendor or with IT team that developed and supports the product.
• Defines requirements/user stories; partners with stakeholders and third-party vendors to answer questions and prioritization regarding feature and functionality details.
• Coordinates user acceptance testing externally and internally to ensure product meets or exceeds expectations of users.

Digital Product Specialist

Recruitment

• Accountable for the strategies and programs related to acquisition, selection, joining and retention of provider talent for assigned customers and/or positions.
• Plays a strong role in executing defined talent acquisition strategies.
• Achieves staffing objectives by recruiting and evaluating provider candidates.
• Establishes recruiting requirements by studying organization plans and objectives and meeting with managers to discuss needs.
• Determines applicant requirements by studying job description and job qualifications.
• Determines applicant qualifications by interviewing applicants, analyzing responses, verifying references, and comparing qualifications to job requirements.
• Evaluates applicants by discussing job requirements and applicant qualifications with managers and interviewing applicants on a consistent set of qualifications.
• Arranges management interviews by coordinating schedules; arranging travel, lodging, and meals; escorting applicant to interviews; and arranging campus or community tours as applicable.
• Evaluates and makes offers for compensation based on candidate experience and qualifications, while also considering internal equity, collaborating with Compensation Partners as needed.
• Avoids legal challenges by understanding current legislation, enforcing regulations with managers, recommending new procedures, and conducting training.

Provider Recruiter

Director

• Responsible for overseeing all aspects of credentialing, re-credentialing, payer enrollment, and facility enrollment activities for the health system.
• Drive the development and execution of efficient, compliant, and scalable processes that support timely provider onboarding, maintain payer compliance, and enable accelerated revenue capture across the academic medical center and its affiliated entities.
• Lead a cross-functional team and collaborate closely with Human Resources, Medical Staff Services, Revenue Management, Legal/Compliance, and Clinical Operations to ensure a streamlined provider lifecycle from hire to billing readiness.
• Lead the design, implementation, and ongoing refinement of a centralized provider and facility credentialing and enrollment model across the enterprise.
• Serve as the system's subject matter expert on credentialing and payer/facility enrollment NCQA/JCAHO regulations, delegated agreements, and payer requirements.
• Ensure alignment of credentialing and enrollment workflows with provider onboarding, privileging, HR, and revenue cycle systems (e.g., Epic, Workday, Symplr, VerityStream CredentialStream, MD-Staff, CAQH, PECOS, NPPES).
• Manage relationships and negotiations with third-party payers for delegated credentialing and facility enrollment.
• Partner with key stakeholders to set and monitor KPIs and service level expectations for provider readiness and enrollment turnaround times.
• Establish communication channels and reporting tools to provide visibility into provider enrollment status across the organization.
• Supervise credentialing and enrollment teams responsible for provider applications, CAQH maintenance, NPPES updates, PECOS submissions, and commercial payer enrollments.
• Monitor work queues (manual or electronic) for urgent enrollment items and escalations.
• Ensure timely and accurate submission of provider data to all applicable payers, including Medicare, Medicaid, and commercial plans.
• Coordinate with billing and denial management teams to resolve enrollment-related rejections or delays.
• Provide routine status updates to department chairs, finance leaders, and operational managers regarding pending credentialing/enrollment activity.
• Review and approve reports summarizing time-to-enroll, first billable date, clean submission rates, and enrollment aging.
• Oversee delegated credentialing audits and compliance with payer expectations.
• Evaluate process performance and implement continuous improvement initiatives to reduce delays or administrative burden.
• Lead cross-functional meetings with HR, Medical Staff Office, Revenue Management, and IT to ensure coordination and address systemic issues.
• Support organizational growth initiatives by forecasting credentialing/enrollment resource needs and readiness timelines.

Senior Director – Provider Credentialing and Enrollment

Financial Planning and Analysis

• This position is in a Call Center setting answering in bound phone calls and making outbound phone calls
• Engaging conversations with patients
• Anticipate questions
• Actively share information in patient friendly language
• Build a positive rapport and handle problematic interactions
• Provide one-stop service for Geisinger patients
• In-depth knowledge as well as being an advocate for any issues or concerns related to processes and functions
• Perform accounts receivable functions
• Collection of cash, resolution of accounts, application of discounts
• Setup and management of monthly installment plans, communication of and assistance with financial assistance programs
• Validation of self-pay account status and insurance billing
• Management of undeliverable patient statements while ensuring compliance with departmental policies
• Work in conjunction with other areas within Revenue Management and Geisinger

Customer Financial Specialist Associate

Analyst

• Review provider contracts to ensure accurate coding and proper setup of payment terms within the claims processing module
• Contribute to special projects focused on implementing industry-standard or government-mandated coding changes that impact provider payments
• Assist with ongoing configuration, management and oversight in Facets or other systems related to Benefits, Finance, Pricing, Billing and Dunning, Consumer Driven, Provider set up, Claims and Workflow
• Configure and manage specified programs, products and services in one or more major configuration areas; ensure continued operational functionality and accuracy of Facets and supporting systems
• Review and interpret benefit documents to configure benefits at all levels of detail; design, configure and test benefits and resolve issues
• Manage creation of member ID cards and member benefit documents
• Responsible for all aspects of Finance Configuration including vendor capitation, group set up, premium billing invoices, and managing the dunning process
• Initiate proper financial terms and accurate setup of contractual arrangements in the pricing module
• Interface with Provider Network Management and Contract Administration for contract interpretation and pricing agreements
• Develop communication methods and standards for dissemination of pricing configuration information
• Create and support processes for correct provider set up and maintenance; design, create, manage and issue resolution of Workflow rules for claims automation
• Configure eligibility process, configuration migration utility process, letter generation and configuration support for consumer driven products
• Partner with other teams to resolve configuration needs; train team members and maintain documentation; assist in configuration audits

Systems Configuration Analyst

• Responsible for development, implementation, and evaluation of provider and member communication plans and activities for product lines and services.
• Develops and oversees tracking and accountability methods for all projects.
• Prepares information for internal communications vehicles as appropriate.
• Coordinates projects with external printers, graphic artists, photographers, etc.
• Works collaboratively and appropriately communicates with management and staff.
• Works with management to develop annual budgets and meet those budgets.
• Maintains and updates appropriate sections of internal and external Web sites and assists in development of Web.
• Coordinates market research as necessary to develop plans and evaluate completed programs.
• Implements plans by preparing and distributing regulated materials for members and providers including, educational materials, brochures, newsletters, letters, electronic communications, etc.
• Responsible for Provider List production across all LOBs.
• Participates in project implementation and quality workgroups.
• Serves as a resource for regulatory audits.
• Serves as a liaison with external agencies, printers, mail houses, and computer training.

Senior Marketing Coordinator

Customer Support

• Manages a Health Plan Customer Service Team.
• Performs oversight of achieving metrics, resource allocation, process improvement, coordinating training and ensuring policy development/updates related to claim and enrollment functions.
• Assists administration in developing the team's annual operating budget, participating in and/or leading interdepartmental workgroups involved in strategic planning, developing and reviewing policies and procedures.
• Participates in development of performance standards for Customer Service teams, evaluates actual performance against standards, and implements action plans for improvement.
• Manages resource allocation in order to realize efficient production.
• Acts as a liaison between all customer service teams and other departments.
• Develops training and policy development goals and provides oversight to ensure the goals and program are aligned with Customer Service operation goals.
• Maintains decision making authority with regard to clients, employers, vendors, regulators, providers and occasional legislators.
• Works closely with the Customer Service Support Team to continually assess the effectiveness of the Quality Assurance program, and makes recommendations for revisions as needed.
• Performs supervisory functions of departmental recruiting, hiring, training, discipline and counseling.
• Performs performance appraisals on direct reports.
• Assists in preparation of annual department budgets.
• Work is typically performed in an office environment.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Customer Service Operations Manager

• Responsible for comprehensive oversight, strategy, planning, development and implementation for all pharmacy services for assigned areas.
• Provides operational and clinical oversight and accountability for all assigned pharmacy areas and services, including human resources, budgeting, and ongoing growth and development.
• Serves as department liaison and program steward across the organization and with strategic partners including pharmaceutical industry partners, legislative groups, other health systems, and professional pharmacy organizations.
• Oversee the development, revision, and auditing of pharmacy and related policies and operational procedures, compliance with regulatory requirements, accreditation, and other standards of practice.
• Leads and chairs system-level initiatives and workstreams and develops, communicates, and participates in research to enhance pharmacists' role.
• Provides direction and guidance for development and implementation of clinical and operational pharmacy practice, medication therapy disease management, medication management processes and prescription capture.
• Provides input and oversight for continuous performance improvement and quality initiatives and works with other departments regarding medication management.
• Serves in oversight capacity for strategic, tactical, and business plans (budgets, facilities and capital analyses, growth plans, operational contingency plans).
• Responsible for financial performance and planning in collaboration with the VP and utilizes financial/benchmarking reports to monitor revenue and expenses.
• Provides oversight and guidance for credentialing and continuing professional development of staff; recruits, retains, and facilitates development of high performing staff.
• Responsible for ensuring development and implementation of operational contingency and disaster plans and other duties as assigned.

System Director, Pharmacy Services

ServiceNow

• Designs and develops technical architecture to meet business requirements that comply with enterprise and platform level architecture and standards.
• Develops proof of concepts and business cases to present solution options to senior leadership and business stakeholders.
• Develops advanced system documentation including architectural best practices, technology capabilities, coding standards, process flows, design documents, architecture diagrams, and platform roadmaps.
• Leads the design and implementation of platform applications, services, modules, and integrations.
• Responsible for regularly conducting and evaluating platform health, security and performance reports and creating plans to mitigate any findings.
• Ensures the scalability, reliability, and performance of platform.
• Troubleshoots and assists in the resolution of advanced technical issues.
• Participates in requirements gathering, story writing, user acceptance testing, release management and training.
• Proactively evaluates and assesses current processes, procedures, capabilities and executes continuous improvement activities.
• Responsible for assigned ITSM and ITIL processes and practices within the service management ecosystem.
• Owns Service Catalog Design and Management.

Service Management Platform Architect, ServiceNow

Risk

• Reviews the content of the medical record for hospital and professional inpatient and outpatient records to identify diagnosis codes.
• Carefully details review of documents such as various scan reports, history and physical, consultations, progress notes and office visit records needed to ensure all pertinent diagnoses are recorded.
• Translates all diagnostic phrases utilized by healthcare providers into coded form.
• Using the Encoder software program, determines the codes for all risk adjustable diagnoses.
• Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
• Updates and corrects historical file data by completing and submitting possible deletes.
• Work is typically performed in a home office environment.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
• The specific statements in this profile are not intended to be all-inclusive.

Coder I – Risk Adjustment

Business Intelligence Developer

• Lead BI Developer enables organization to make data-driven decisions by converting data into dashboards and reports
• Subject matter expert in assigned business areas and reporting tools; provides guidance and strategic vision
• Mentor junior BI developers; participate in code reviews and training
• Independently consult with stakeholders to gather project requirements and define scope
• Collaborate to design and develop reporting solutions and analytic studies
• Plan projects, provide time/effort estimates, manage multiple projects
• Develop, validate, and execute complex queries; design and build complex reports/dashboards
• Perform routine data analysis, interpret results, and present recommendations to stakeholders
• Design intuitive self-service reports/dashboards and offer visualization recommendations
• Report and help troubleshoot data quality issues; participate in industry/user groups
• Work typically performed in an office or remote environment; accountable for job obligations and policies

Lead Business Intelligence Developer

• Assists with the administration of retirement and health and welfare employee benefit programs.
• Assures compliance with all applicable state and federal regulation.
• Explains benefits and assists in the business development and planning processes with service providers.
• Compiles, analyzes and reports data including employee, plan financials for strategic benefits planning and evaluation.
• Provides benefit plan interpretation, guidance and counsel to employees, HRIS representatives, and managers.
• Serves as a liaison with service providers in business planning and benefit program interpretation.
• Drafts legal compliance documentation (SPDs, SARs).
• Prepares bid specifications analyze proposals and renewal information and interprets insurance carrier contracts.
• Responsible for data necessary to complete government compliance activities (5500s, audits, etc.), employee mailings, vendor billings, coordinating data collection and updating numerous reports for management.
• Oversees and directs the administration of COBRA compliance.
• Researches current benefit trends and regulatory and legislated requirements and recommends programs and changes to the Director, Employee Benefits.

Benefits Analyst

• Independently consults with stakeholders to gather project requirements and define scope on small to medium sized projects.
• Collaborates with internal partners and organizations in the design and development of reporting solutions and routine analytic studies to support business needs.
• Plans projects and request completion tasks. Provides time and effort estimates based on requirements gathering.
• Experience independently managing projects with minimal supervision is also required.
• Demonstrates working knowledge of relevant source systems needed to support primary stakeholders and proficiency with related databases/data marts within first year in role.
• Develops, validates, and executes low to moderately complex queries.
• Designs and builds reports/dashboards.
• Performs routine data analysis that answers business questions for internal customers.
• Interprets results and makes recommendations to business areas based on findings.
• Presents analysis and reports to internal customers and stakeholders.
• Designs intuitive self-service reports/dashboards, makes modifications to more complex dashboards developed by more senior analysts, and offers visualization recommendations to stakeholders based on business goals, requirements, and the intended audience.
• Reports and helps troubleshoot data quality issues when performing data profiling, testing, or validation.

Business Intelligence Developer, Intermediate

• The pharmacy technician works as an entry-level position focused on medication delivery and inventory management.
• Basic patient/provider service responsibilities through communication and message retrieval.
• Provide patient/provider/customer care
• Use the pharmacy computer system to facilitate patient care
• Participate in patient/provider/customer care activities that do not require the expertise of a pharmacist
• Prepare and label medications appropriately for distribution.
• Retrieve, review, and perform inventory management for medications and supplies in the pharmacy.
• Maintain pharmacy records.
• Perform housekeeping duties in the pharmacy in compliance with hospital and accreditation policies.
• Participate in the onboarding and training of new pharmacy personnel.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Pharmacy Technician, Call Center

Bilingual

Completes all appointment scheduling, cancellation and confirmation requests by matching patient preferences with documented, physician or diagnostic specific scheduling guidelines.
Respond to non-scheduling inquiries and route calls appropriately.
Coordinates and completes accurate basic registration, demographic and insurance information.
Provides one-call resolution whenever possible.
Processes multi-channel messages related to patient and physician requests such as appointments, referrals, prescriptions and complaints.
Achieves and maintains quality and service goals related to contact center metrics.
Functions as a team member to organize and prioritize responsibilities to complete daily work assignments.
Assists with training initiatives for new hires.
Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Patient Contact Specialist, Bilingual, English/Spanish

Operations

• Leads the operational rollout of AI tools, including coordination of timelines, stakeholders, and resources across departments.
• Drives user onboarding, training, and change management strategies to support long-term adoption.
• Develops and manages internal knowledge resources such as playbooks, training materials, FAQs, and self-service guides.
• Coordinates across IT, compliance, legal, and vendor partners to ensure secure, compliant, and effective deployments.
• Supports the intake and triage of new AI use case requests, including documentation collection and feasibility screening.
• Partners with communication teams to design internal marketing campaigns that raise awareness and foster engagement.
• Works with governance leaders to enforce lifecycle processes and ensure adherence to ethical and responsible AI use.
• Monitors usage patterns and user feedback to identify barriers and enable iterative improvements.
• Supports post-deployment success by managing support workflows, coordinating cross-team responses to issues, and ensuring continued usability, safety, and performance of deployed AI solutions.
• Promotes standardization and reuse of successful tools and practices across departments to drive enterprise-wide adoption.
• Serves as an operational liaison between product teams, end users, and external vendors

AI Operations Manager

QA Engineer

• Lead quality assurance and improvement initiatives to support departmental quality and education program.
• Combines clinical expertise with quality monitoring and data analytics to ensure compliance with HIPAA, customer service standards, and clinical best practices.
• Conduct audits, analyze trends, and supports performance improvement efforts to enhance patient access, scheduling, and care delivery.
• This is a full-time, 40 hours weekly, work-from-home position, hours typically 8:00 a.m.- 4:30 p.m.
• Develop data collection tools and support performance measurement initiatives.
• Form and maintain quality assurance monitoring tools and employee audit logs.
• Conduct audit of incoming/outgoing calls and follow-up work to ensure compliance with HIPAA and departmental standards.
• Perform quality reviews of scheduled appointments and call documentation.
• Collect, analyze, and report on quality data to identify trends and opportunities for improvement.
• Assess clinical workflows and recommend redesigns to improve access and efficiency.
• Partner with interdisciplinary teams to identify and implement process improvements.
• Function as a subject matter expert in data analysis and reporting for quality improvement.
• Assist in the development and implementation of quality assurance policies and procedures.
• Promote innovative quality improvement initiatives and continuous learning.
• Design instructional content and conduct training for clinical and administrative staff.
• Plan and deliver training sessions on quality improvement methodologies and tools.
• Lead and facilitate improvement programs to enhance care delivery and operational efficiency.