- Humana (Harrisburg, PA)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , ... an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Evolent (Harrisburg, PA)
- …coding of claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices maintaining high standards and ... Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and… more
- Globus Medical, Inc. (Audubon, PA)
- …we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the ... of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and… more
- Globus Medical, Inc. (Audubon, PA)
- …we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the ... of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and… more
- Banner Health (PA)
- …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation...coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and… more
- Highmark Health (Pittsburgh, PA)
- …deliver the highest quality of care to Highmark members and improve clinical documentation accuracy and completeness. Creates a culture focused on Compliance ... strong partnerships with Highmark cross-functional teams including Care Management, STARS, Compliance , clinical leadership of health systems, physicians and… more
- Public Consulting Group (Harrisburg, PA)
- …and conduct desk and routine reviews of assigned providers to determine compliance with clinical policies, licensing rules, state and federal regulations. ... 2 years' experience in Medicaid billing, Medicaid programs, incident investigation, quality assurance, and/or clinical risk management **Working Conditions** +… more
- Teva Pharmaceuticals (West Chester, PA)
- …projects driven by Lean Sigma methodology * Experience in a pharmaceutical GMP Quality Assurance, Compliance , or Manufacturing Operations role **Enjoy a more ... Senior Compliance Associate Date: Aug 20, 2025 Location: West...deviation investigations and continuous improvement projects. They support a clinical GMP biologics manufacturing facility that produces both bulk… more
- Catalent Pharma Solutions (Philadelphia, PA)
- …is hiring a Supplier Quality Assurance Senior Specialist. The Supplier Quality Assurance Senior Specialist will assure compliance to national and ... tasks that support the Global Comparator and Depot Supplier Quality Management and Clinical Packaging Network site...committed to a Patient First culture through excellence in quality and compliance , and to the safety… more
- Charles River Laboratories (Wayne, PA)
- …well as corporate policies to avoid any business interruptions. Communicate all identified compliance and quality risks to supervisor. + Perform data audits to ... and regulatory inspection find.ings. + Provide recommendations to Regulatory Affairs and Compliance management for improvements in auditing of Quality Systems… more