• Analyzing scientific and operational data to support the Data Surveillance process • Reviewing project-specific Quality Tolerance Limits • Assisting in developing Data Surveillance Plans (DSPs) • Conducting defined project reviews • Attending internal and external Data Surveillance meetings to present relevant findings • Supporting cross-functional study team with expertise of Data Surveillance Process and supporting technologies • Supporting the development of a robust Data Surveillance Plan, including Key Risk Indicators, Quality Tolerance Limits • Configuring and maintaining Data Surveillance technologies • Reviewing relevant data to identify findings related to trends, outliers, emerging risks, and systemic issues • Documenting findings from Data Surveillance review • Providing feedback and working with Technology teams to identify potential solutions • Performing presentations explaining identified findings to internal cross-functional study team and client team • Applying working knowledge and judgment to identify and evaluate potential data quality trends, outliers, and emergent issues • Determining and implementing appropriate follow-up actions with guidance if applicable • Actively participating in external or internal meetings and audits & regulatory inspections as required • Recognizing impact of study non-compliance/issues/delays/data quality signals and communicating/escalating to FL any site and/or study issues that require immediate action • Maintaining a working knowledge of and ensuring compliance with applicable ICH-GCP Guidelines, international and local regulations, Parexel SOPs, and study • Collaborating with DS Team Members to correlate findings from various sources • Supporting Project Leads with DS Review meetings, driving reviews and decisions as needed and agreeing on actions • Engaging DS Team to compile signals/actions into client ready list • Completing, sharing, and filing Central Monitoring Report • Supporting Data Surveillance close out activities

Biostatistical Analyst I (Remote Capable) Apply locations Danville, PA Work from home (Pennsylvania) time type Full time job requisition id R-94082 Location: Henry Hood Center For Health Research   Shift: Days (United States of America)   Scheduled Weekly Hours: 40   Worker Type: Fixed Term (Fixed Term)   Exemption Status: Yes   Job Summary: The Biostatistics Core at Geisinger collaborates closely with researchers across the health system, providing comprehensive support throughout all stages of the research process—from proposal development to data analysis and interpretation. Core members offer expertise in: • Refining research questions and hypotheses • Designing studies and selecting variables • Estimating sample size and statistical power • Developing analysis plans • Designing data collection methods and randomization schemes • Managing data and conducting biostatistical analyses The Core consists of 10 members with a mix of MS- and PhD level positions. Members collaborate with departments across the health system including Community Medicine, Surgery, Cardiology, Otolaryngology, Pediatrics, Women’s Health, among others and support full-time research faculty on grant related efforts. The Biostatistics Core is seeking a full-time master’s-level biostatistician. Responsibilities include collaborating on the design of clinical research studies, writing biostatistical analysis plans for research proposals and internal grants, calculating sample size and power, managing, analyzing, and interpreting study data and results, contributing to study publications, and educating members of the research team in statistical methods and study design. Experience in logistic regression, time-to-event (survival), and observational data analysis methods are essential as well as the fundamentals of model building. The successful candidate will have a master’s degree in biostatistics or related field with at least 4 years of consulting experience in a healthcare environment. They should possess a solid understanding of clinical research, excellent communication skills, work independently and ability to handle multiple projects to meet deadlines in a multidisciplinary research environment. Experience managing large datasets in a healthcare environment is required. The candidate must have experience in programming for data management and complex data analysis using SAS or R. This position has the potential to be remote, depending on the candidate. This posting reflects an opening for a Biostatistical Analyst I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role to include a Biostatistical Analyst II based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.   Job Duties: - Independently provides statistical consultations or collaborations with clinical principal investigators. - Includes developing the appropriate study design, determining the type of analysis for selected studies and designing appropriate methods of data collection, preparing publication quality graphics, and assisting in manuscript preparation as needed. - Educates residents and staff on statistical techniques and methods of analysis. - Acquires and installs upgrades and effectively uses the most current versions of the major statistical packages. - Participates in research committees. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.   Position Details: COMPETENCIES AND SKILLS: - Advanced skills and knowledge in biostatistics, statistical methods in medical and clinical research, and epidemiology. - Demonstrates excellent written and oral communication skills. - Demonstrates ability to effectively communicate quantitative information to medical personnel and administrative staff. - Independently provides statistical consultations or collaborations with clinical principal investigators. - Strong interpersonal skills and positive attitude to work effectively in a team environment - Possesses the critical thinking skills needed to provide statistical support to clinical investigators. - Experienced SAS or R programmer for both data manipulation and statistical analysis. - Detail-oriented with excellent validation and documentation skills. - Independently uses time management and organizational skills to successfully prioritize concurrent projects. - Demonstrates sound judgment and resourcefulness.   EDUCATION AND/OR EXPERIENCE: - Master's degree in biostatistics or a closely related field, required. - Experience performing statistical analysis in a healthcare environment, 4 years required. - Experience managing large datasets in a healthcare environment, required. - Advanced proficiency with at least one major statistical software package (preferably SAS or R), required.   Education: Master's Degree-Statistics (Required)   Experience:   Certification(s) and License(s):   Skills: Communication, Multitasking, Organizing, Research Regulatory Environment, Teamwork   OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. - KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. - EXCELLENCE: We treasure colleagues who humbly strive for excellence. - LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. - INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. - SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Coding and Cost Analyst I - medical claims coding and edit review, Geisinger Health Plan (Pennsylvania resident) Apply locations Work from Home time type Full time job requisition id R-94671 Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Contributes to the achievement of the strategic and financial goals of the organization by conducting thorough reviews of billed services, authorizations, plan benefit documents, itemized statements, medical records, discharge summaries and detailed data reports. Makes reimbursement or recovery recommendations based on appropriate coding, billed statistics, policies, industry standards and compliance with contractual, state, and federal regulations. Job Duties: - Supports and serves as a resource to other Health Plan departments by providing review and recommendation for correct coding, appropriate billing, and reimbursement. - Completes clinical reviews related to Claims, Claim Edits, Appeals and the Grievance process, assisting in analysis of clinical risk related to Underwriting, Pharmacy, and Finance departments. - Recommends recovery efforts based on current contracts, policies, procedures and accepted industry standards. - Reviews and validates pended and reconsidered claims when edits are applied by the Plan claim editing software from multiple vendors. Reviews are typically based on CPT guidelines, industry standards and CMS guidelines. - Completes reviews on inpatient and outpatient high dollar claims following internal guidelines. Assists in reviews of quality concerns. - Validates claim payments based on Plan contracts, often working with the Pharmacy team and the PNM department. - Creates and maintains various reports to track department data. - Assists in group discussions on challenging medical reviews. - Assists with onboarding new team members as needed. - Participates on selected workgroups and committees on an ad hoc basis as requested. Work is typically performed in a work-from-home office which must be secure and follow HIPAA Privacy standards. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Attend occasional onsite department meetings as needed. #LI-REMOTE Position Details: Minimum ONE Certification required: CPC-Certified Professional Coder through AAPC CCS- Certified Coding Specialist through AHIMA LPN preferred. *Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience). Education: High School Diploma or Equivalent (GED)- (Required), Graduate from Specialty Training Program- (Preferred) Experience: Minimum of 3 years-Relevant experience* (Required), Minimum of 2 years-Clinical (Preferred) Certification(s) and License(s): Certified Professional Coder - American Academy of Professional Coders (AAPC) Skills: Computer Literacy, Critical Thinking, Teamwork, Working Independently OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. - KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. - EXCELLENCE: We treasure colleagues who humbly strive for excellence. - LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. - INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. - SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

• You will answer employee questions, manage escalations, and ensure timely resolution of benefits issues across the employee lifecycle (hire, change, leave, and termination). • Primary responsibilities include eligibility/enrollment reconciliation with vendors, enrollment processing for new hires and employees transferring from international locations, support for audits and regulatory filings, employee communications, compliance-related operational tasks, vendor coordination, and execution of approved benefit program changes. • Support the integration of AI-enabled tools and streamlined ways of working to drive a material reduction in time spent on internal processes while maintaining accuracy, compliance, and a strong employee experience.