- Highmark Health (Jefferson Hills, PA)
- …tracking and trending, reporting and identification of opportunities for improvement in compliance with CMS, Pa DOH, OCR and TJC regulatory requirements. This role ... including details of the complaint, investigation, and resolution. Ensure compliance with all relevant policies and procedures regarding grievance management.… more
- Highmark Health (Pittsburgh, PA)
- …patient access to necessary services. (30%) + Data Management & Compliance : Responsible for all preauthorization entries into applicable databases (ie, internal ... medication lists and prevent potential drug interactions. Maintains regulatory compliance and resolves all cases within predetermined timeframes. Assists patients… more
- Ross Stores, Inc. (York, PA)
- …for payroll administration including daily punch edits, Associate scheduling compliance , Sunday payroll transmission, and Payroll reporting as needed\. ... written warnings, progressive discipline and termination when needed\. * Ensures compliance with Ross personnel policies and procedures\. * Manages Associate… more
- Highmark Health (Pittsburgh, PA)
- …overall network re-contracting. Accountable for monitoring recruitment to ensure compliance with program contractual network adequacy standards and coordinates with ... plan members. Oversees development of provider contracts to ensure compliance with state specific requirements. **ESSENTIAL RESPONSIBILITIES** + Performs management… more
- Highmark Health (Harrisburg, PA)
- …+ Function in accordance with applicable state, federal laws and regulatory compliance . + Implement all care management reviews according to accepted and established ... field **SKILLS** + Working knowledge of pertinent regulatory and compliance guidelines and medical policies + Ability to multi...standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a… more
- University of Pennsylvania (Philadelphia, PA)
- …processing/handling. The CRC will demonstrate vigilance in patient safety, protocol compliance , and data quality, and will participate in data organization for ... and ensure adherence to protocol. Show vigilance in patient safety, protocol compliance and data quality. + Communicate clinical trial patient activity to the… more
- Highmark Health (Fox Chapel, PA)
- …factors and imaging parameters. Implements safety standards, ensures regulatory compliance , including performing appropriate quality control procedures on equipment ... and/or reports equipment malfunctions as necessary. Participates in ensuring compliance with the Mammography Quality Standards Act (MQSA) regulations. (15%)… more
- Highmark Health (Pittsburgh, PA)
- …an accredited college or university baccalaureate program in Governance, Risk and Compliance or background in a more technical cyber security discipline **PREFERRED ... learn and grow. + Background in Governance, Risk and Compliance or background in a more technical cyber security...standards and behavioral expectations as set forth in the code of business conduct and company policies_ As a… more
- Highmark Health (Pittsburgh, PA)
- …of all statistical reporting and data analysis to ensure regulatory compliance and KPIs are met. **ESSENTIAL RESPONSIBILITIES** + Coordinates activities and ... + Responsible for training staff. Ensures staff competency and compliance with all technical and clerical components of the...standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a… more
- Highmark Health (Pittsburgh, PA)
- …purchases. Assures that all controlled substances are stored and dispensed in compliance with Federal, State and departmental regulations. (20%) + Work Environment: ... environment. (20%) + Safety: Participates in performance improvement and regulatory compliance efforts. Maintains an attitude that promotes and fosters an… more
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