- St. Luke's University Health Network (Orwigsburg, PA)
- …The Director, Quality and Patient Safety is responsible for all aspects of Quality, Clinical Risk Management and Patient Safety for their assigned entity. ... Patient Safety Hotline. + Analyzes actual and potential adverse clinical events at assigned entity for risk ...in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk Management (CPHRM) or appropriate alternative within… more
- St. Luke's University Health Network (Sellersville, PA)
- …staff competency, and initiates remedial actions, when appropriate + Acts as liaison with Clinical Risk Management and participates in event reviews, action ... standards for professional nursing practice. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates clinical expertise and serves as clinical resource to staff +… more
- Public Consulting Group (Harrisburg, PA)
- …experience in Medicaid billing, Medicaid programs, incident investigation, quality assurance, and/or clinical risk management **Working Conditions** + Office ... desk and routine reviews of assigned providers to determine compliance with clinical policies, licensing rules, state and federal regulations. + Conduct thorough… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent and ... medical record review. + Consistent and effective use of Compliant Documentation Management Program (CDMP) Risk Adjustment strategies. + Recognize opportunities… more
- UPMC (Pittsburgh, PA)
- …to BU including, but not limited to, professional licensure, registration and/or certification; risk management ; clinical operations and clinical ... to BU including, but not limited to, professional licensure, registration and/or certification; risk management ; clinical operations and clinical … more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Reporting to the Senior Manager, Corporate Risk Management , the role involves systematically managing...developing specific programs to address the needs of the clinical and management staff. Establish a working… more
- Sumitomo Pharma (Harrisburg, PA)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more
- Highmark Health (Blue Bell, PA)
- …on providing optimal financial returns in a fully compliant manner. Develop a Risk Management governance strategy for the Enterprise to appropriately manage CMS ... Inc. **Job Description :** **GENERAL OVERVIEW:** This position is responsible for risk revenue management for all government program products (commercial ACA,… more
- Highmark Health (Harrisburg, PA)
- …address clinical , information security, privacy, and other areas of risk .Prepare draft reports and other management reporting deliverables.Review all work ... riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance...Compliance, and other teams across the Enterprise to align risk management objectives, practices and procedures. +… more
- Datavant (Harrisburg, PA)
- …of product management experience in healthcare, including ownership of clinical , risk adjustment, or provider-facing solutions. + Proven leadership ... of service. This is a leadership role that combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be… more