- Humana (Harrisburg, PA)
- …relationships with corporate and market teams, including IT, Quality Operations and Compliance , and Risk Adjustment, as well as vended partners. The Senior Data ... processes, and schedules + Support clinical quality improvement by developing code , creating reports, and improving data/analytic capabilities for the broader Health… more
- Walmart (State College, PA)
- …member complaints and issues are resolved according to company guidelines; ensuring compliance with company policies and procedures; supporting the Open Door Policy; ... merchandise. Monitors food and merchandise quality by ensuring product rotation, code dating, product recalls, and sanitation standards are followed according to… more
- Datavant (Harrisburg, PA)
- …Security investments. You'll partner closely with Security Engineering, Infrastructure, and Compliance teams to drive delivery of critical initiatives. These include ... visible, aligned, and delivering impact. This is not a compliance coordination role or a check-the-box PMO role. We're...are technically fluent.** You can get close to the code with engineers to understand architecture, systems behavior, and… more
- J&J Family of Companies (West Chester, PA)
- …and Johnson's business activities and Policies and Procedures of the Health Care Compliance Program and Johnson and Johnson Business Code of Conduct. ... drive collaboration toward innovative solutions. + Diligently participate in our compliance program-related activities. Promote and nurture the highest standards of… more
- SCI Shared Resources, LLC (Paoli, PA)
- …Embalming responsibilities. As the licensed Funeral Director, responsible for the compliance with all mortuary, health, and vital statistics regulation compliance ... or manager for assistance and guidance. Exhibits accountability for behaviors. Ensures compliance with local, state, and federal regulations. + Takes the initiative… more
- System One (Pittsburgh, PA)
- …and architects to meet application requirements and performance goals, participate in code reviews, inform the technical architect and project manager of any issues ... problems encountered. * Ensures quality of project deliverables while maintaining compliance with relevant standards and processes. Must Have Technical Skills: +… more
- Zurich NA (Harrisburg, PA)
- …Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity ... the best interests of the insured. + Ensure legal compliance by following state and federal laws and regulations...an insurance company, Zurich is subject to 18 US Code | 1033. A future with Zurich. What can… more
- AmeriHealth Caritas (Harrisburg, PA)
- …such as Credentialing, Clinical, Member Services, and Provider Maintenance, ensuring compliance with state regulations and internal standards. A strong understanding ... + Maintain expert knowledge of Medical Assistance enrollment types and CPT code requirements by provider specialty. + Assist providers in completing supplemental… more
- Sharecare (Harrisburg, PA)
- …the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. As an ... Maintains a neat, clean, and professional personal appearance and observes the dress code established. + Maintains a clean and orderly work area, insures that… more
- Penn Medicine (Philadelphia, PA)
- …the facility and providers are legally entitled according to appropriate coding and compliance guidelines. Reviews and acts as a gatekeeper for the provider query ... the Radiology provider community. Works with the Coding and Compliance Manager to review reports to ensure quality and...records are coded daily. + Possess the ability to code all facilities while maintaining the accuracy and productivity… more