- Geisinger (Danville, PA)
- …with human research protocols and provides procedural guidance for regulatory and compliance issues. Provides technical support for Institutional Review Board ... amendments, continuing reviews, determining the level of risk and appropriate review process to ensure compliance with regulatory requirements, institutional… more
- CVS Health (Harrisburg, PA)
- …in coding practices and medical record reviews. + Conduct regular audits of team performance to ensure compliance with CPT/HCPCS coding and documentation ... rework projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to… more
- Deloitte (Philadelphia, PA)
- …standardized processes and documentation to support reviews; leads the end-to-end review process including claims intake, team member assignment, analysis, ... local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption,… 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 ... and authority. + Provides daily direction and oversight to management and team leads regarding case investigation activities including the development of detailed… more
- Huntington National Bank (Pittsburgh, PA)
- …+ Report to SBA Operations Manager in charge of Eligibility. + Manage a team of Eligibility Review Officers to ensure acceptable levels of production, quality ... Description The SBA Eligibility Review Section Manager manages the Servicing ERO's and...and an adherence to SBA SOP and HNB risk, compliance and audit policy and procedures. + Act as… more
- Highmark Health (Harrisburg, PA)
- …privacy, and other areas of risk.Prepare draft reports and other management reporting deliverables. Review all work prepared by less experienced team members to ... Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization… more
- UGI Corporation (King Of Prussia, PA)
- …key report testing and SOC1 review . Work closely with the SOX Compliance team to ensure that all controls are effectively implemented and maintained. ... + Assist in the execution/ review of internal controls,...collaboration skills to work closely with other departments and team members on SOX compliance activities. +… more
- UMB Bank (Harrisburg, PA)
- UMB's Corporate Trust Compliance team supports the Corporate Trust group by performing account review , monitoring and ensuring compliance with ... Trust team . Working in the Corporate Trust Compliance team can be exciting, challenging, collaborative,...and therefore each specialist works independently to meet individual review goals. However the team meets regularly… more
- UMB Bank (Harrisburg, PA)
- …under normal and stressed scenarios. Within Credit Administration, the **Appraisal Review ** team supports Commercial, Small Business and Consumer Lending. ... The **Credit Administration** team is responsible for company-wide credit oversight, including...As a Senior Commercial Review Appraiser, you will ensure compliance with… more
- WellSpan Health (York, PA)
- …guidelines to optimize reimbursement for the system while ensuring compliance with applicable laws and regulations. **Duties and Responsibilities** **Essential ... action steps and works collaboratively with the department when coding and/or compliance issues are found. + Identifies denial trends, billing errors, and determines… more