- Lumen (Harrisburg, PA)
- …and employees, customers, vendors, and suppliers to ensure understanding of and compliance with security requirements + Review vulnerability and compliance ... team supporting Lumen Government Services and is responsible for performing cybersecurity compliance actives in support of government contracts as well as Lumen… more
- Evolent (Harrisburg, PA)
- …accurate and timely ICD-10 coding of claims via progress note clinical documentation review . + Ensure compliance and quality for all coding practices maintaining ... Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and… more
- Johnson, Mirmiran, and Thompson Inc. (Philadelphia, PA)
- …reports, work authorizations, work orders and estimates. + Notify contractor of non- compliance and corrective action. + Review , analyze and evaluate contractor ... + Coordinate and supervise project inspection activities to ensure contractor compliance of plans, contract documents, specifications and standards. + Assign,… more
- Johnson, Mirmiran, and Thompson Inc. (Pittsburgh, PA)
- …reports, work authorizations, work orders and estimates + Notify contractor of non- compliance and corrective action + Review , analyze and evaluate contractor ... + Coordinate and supervise project inspection activities to ensure contractor compliance of plans, contract documents, specifications and standards + Assign,… more
- City of Pittsburgh (Pittsburgh, PA)
- …codes and referenced standards. Identifies plan discrepancies and areas of non- compliance . Prepares appropriate plan review records/correction lists, and ... including submitted construction/building plans, specifications, reports and related documents for compliance with the City Code and all applicable construction… more
- Penn Medicine (Philadelphia, PA)
- … with regulations, financial stability, and reputation. 4. Contract Management and Compliance : Oversee the negotiation, review , and management of contracts, ... risk assessments of third-party relationships to identify potential security, compliance , and operational risks. Develop risk mitigation strategies and controls… more
- CVS Health (Harrisburg, PA)
- …medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, ... guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting… more
- Highmark Health (Pittsburgh, PA)
- …execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The strategic plan focuses on the detection and investigation ... scope of activities and ensures adherence to all requirements. Provides executive review and sign-off for cases involving fraud, waste and abuse (FWA) at… more
- CBRE (Swiftwater, PA)
- …a positive and proactive culture to influence team members, and to ensure compliance . + Develop, implement, and review playbooks, and procedures. Ensure Health, ... consistency and efficiency. + Manage initiatives to meet regulatory, legal, and compliance requirements. + Track operational and safety risks. Develop and manage… more
- Highmark Health (Harrisburg, PA)
- …Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization ... management activities to ensure compliance with internal policies, state, CMS, and federal regulations....The Analyst also administers inter-rater reliability tests and communicates review results to business leads both verbally and in… more