- Highmark Health (Pittsburgh, PA)
- …**JOB SUMMARY** This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of frameworks ... CMS, JCAHO, in order to identify, assess, prioritize, evaluate and address compliance , financial, information security, privacy, and other areas of risk. Prepares… more
- Commonwealth of Pennsylvania (PA)
- Casino Compliance Representative 1 Pgcb Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5178094) Apply Casino Compliance Representative 1 ... Date 12/26/2025 Closing Date 1/4/2026 11:59 PM Eastern Job Code C7084 Position Number 50381250 Union AFSCME Bargaining Unit...Board (PGCB or Board) is looking for a Casino Compliance Representative 1 to join the Rivers Casino in… more
- PPL Corporation (Allentown, PA)
- …effective relationships with local union management. + Responsible for ensuring compliance with PPUC Regulations, Chapter 56 Standards and Billing Practices and ... + If applicable, in-person supervision of employees to ensure compliance with FLSA wage and hour issues as well...function of the job, regardless of if the job code is marked safety sensitive or not, will also… more
- Commonwealth of Pennsylvania (PA)
- Casino Compliance Representative 1 PGCB Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5179556) Apply Casino Compliance Representative 1 ... CC Mohegan Sun Opening Date 12/24/2025 Closing Date 1/4/2026 11:59 PM Eastern Job Code C7084 Position Number 50338138 Union AFSCME Bargaining Unit 64 Pay Group ST06… more
- US Bank (Horsham, PA)
- …discover what you excel at-all from Day One. **Job Description** The Network Compliance Manager is responsible for maintaining a high degree of knowledge of Payment ... Network (Visa, Mastercard, American Express) operations, products, and services. Ensures compliance with Network Operating Rules and Regulations for all Payment… more
- Geisinger (Danville, PA)
- …external strategies. Job Duties Minimum one certification required: + Certified Professional Coder CPC through AAPC + Certified Professional Biller through AAPC + ... and development of prospective claim edits and partnerships. + Determines payment compliance with clinical and reimbursement policies. + Researches CPT codes to… more
- Highmark Health (Harrisburg, PA)
- …Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance , partners at Enterprise and leadership to identify and deliver high ... CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC)...standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a… more
- WTW (Philadelphia, PA)
- **Description** **The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you ... practices to ensure use of cutting-edge tools and language. ** Compliance :** Ensure all plan documents comply with ERISA regulations...governing pension plans including ERISA and the Internal Revenue Code are a must have. + Expertise with Microsoft… more
- Highmark Health (Pittsburgh, PA)
- …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... 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 (Harrisburg, PA)
- …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... 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