- Highmark Health (Harrisburg, PA)
- …+ Monitor contract performance to determine necessity for amendments, extensions and compliance by both the Business Partner and Clients. Serves as primary liaison ... with contracting principals to ensure compliance with specifications and works to resolve issues related...standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a… more
- WSP USA (Philadelphia, PA)
- …and functionality. Responsible for SME innovation and administration, ensuring corporate compliance with all Local, State, and Federal engineering, construction, and ... - and accountable for planning, development and management of projects in compliance with all applicable City/State/Federal codes and regulations, and in accordance… more
- Highmark Health (Erie, PA)
- …and procedure development and establishing and monitoring laboratory QA and compliance with ICAEL and other regulatory agencies. **ESSENTIAL RESPONSIBILITIES:** + ... and holding staff to high standards of performance. (10%) + Ensures compliance with departmental and regulatory policies and procedures. Establishes and monitors… more
- Highmark Health (Harrisburg, PA)
- …+ Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation ... disease processes + 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
- Highmark Health (Harrisburg, PA)
- …and improve processes within the underwriting lifecycle, ensuring efficiency, compliance , and alignment with financial objectives. While primarily focused on ... materials specific to underwriting functions, ensuring clarity for audit and compliance . + Collaborate closely with underwriters to analyze existing processes and… more
- Highmark Health (Monroeville, PA)
- …and accurate reports and records for patient care and healthcare operations in compliance with bylaws, policies, JC, DOH, and CMS regulations. Oversees the release ... is timely and accordance to regulations, policies and procedures and assures compliance with vital Statistics regulations. (20%) + Designs, implements and maintains… more
- Oracle (Harrisburg, PA)
- …Proficiency in cloud security best practices, including IAM, encryption, and compliance frameworks. + Hands-on experience with Infrastructure-as- Code (IaC) tools ... new engagements and solutions that grow Oracle Cloud adoption. **Cloud Security & Compliance :** + Ensure that all cloud solutions are secure, meet compliance … more
- Highmark Health (Harrisburg, PA)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- Highmark Health (Pittsburgh, PA)
- …in areas like activation, engagement, quality, health, and cost. + **Maintain compliance :** Implement and oversee a comprehensive compliance program for clinical ... standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a...is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not… more
- Highmark Health (Pittsburgh, PA)
- …such as supplier relationship management, spend performance management, demand and compliance management, internal spend and external market analysis, and category ... Perform ethical procurement practices of contracted goods and services which includes compliance with corporate and departmental policies and procedures as well as… more