- AmeriHealth Caritas (Newtown Square, PA)
- …Assessment (ORSA) reporting and the use of the Governance, Risk, and Compliance technology platform. **Responsibilities:;** + Lead and develop staff and coordinating ... ERM, the ERM Committee, or the Audit, Risk & Compliance Committee. As needed, provide results and reporting to...experience is a plus. + Risk management certifications-such as Certified Public Accountant (CPA), Certified Internal Auditor… 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 ... **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk...following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding… more
- Highmark Health (Harrisburg, PA)
- …and enforce proper training in regards to security issues. + Ensure compliance to Corporate and Information Security policies, standards and procedures. + ... ISSA, etc.) **LICENSES AND CERTIFICATIONS** **Required** + None **Preferred** + Certified Information Systems Security Professional (CISSP) **OR** + Certified … more
- Intermountain Health (Harrisburg, PA)
- …maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will ... and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits and… more
- NTT DATA North America (Pittsburgh, PA)
- …Catalog configurations, and SLA definitions. + Enforce HIPAA/HITECH security and compliance standards for PHI/PII data protection. Required Skills & Experience + ... upgrades, patches, cloning, and CMDB/catalog management. + Security & Compliance (57 years): Implementing HIPAA/HITECH standards, PHI/PII encryption, and secure… more
- CVS Health (Harrisburg, PA)
- …setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify clinically active ... with project deadlines and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from… more
- SAP (Newtown Square, PA)
- …engagements strictly comply with contractual obligations and governance frameworks. + Compliance & Risk Management: Proactively manage operational security risks by ... ensuring that maintenance activities are executed promptly and compliance reports are transparently communicated. Mitigate potential risks through timely escalation… more
- HNTB (Philadelphia, PA)
- …with routine contractor activities in order to monitor individual contractor compliance with specifications, plans, and other contract provisions. **What You'll ... specifications and reviews contractor's shop drawings and submittals for contract compliance , as applicable. + Maintains as-built record drawings, project files, and… more
- JGM Fabricators & Conductors (Coatesville, PA)
- …of welding experience in the structural steel industry, preferably within an AISC- certified environment. Proficiency in FCAW is required, along with the ability to ... safety and quality. Responsibilities + Execute welding tasks in compliance with shop drawings and industry specifications. + Operate...SAW, GTAW) is a plus. + Experience in an AISC- certified shop environment is highly preferred. + Strong ability… more
- Geisinger (Danville, PA)
- …order to meet and maintain enterprise, goals and objectives, regulatory compliance , quality initiatives, policy and procedures, and personnel management. Create ... required CDI certification in order to be considered for this position. Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement… more