- Humana (Harrisburg, PA)
- …of good security practices. **_Key Accountabilities_** **25% - 1. Manage Technology Compliance for TRICARE Contract** + Serve as a trusted advisor and representative ... Team for all activities related to the TRICARE Contract Compliance requirements as well as Contract Changes and requests....Access Management to limit and decrease access to sensitive data . + Contribute to the continuous monitoring of IAM… more
- PNC (Pittsburgh, PA)
- …Update AML and Sanctions policies and procedures as needed. Ensure that Compliance Manuals, Front Office Manuals, policies and procedures accurately reflect current ... (from a leadership position) to the business. Coordinate AML and Sanctions compliance monitoring and oversee preparation of compliance reports. May serve… more
- Wolters Kluwer (Philadelphia, PA)
- …in healthcare, legal, business, tax, accounting, finance, audit, risk and compliance rely on Wolters Kluwer's market-leading information-enabled tools and software ... product capabilities. This role supports our **Financial & Corporate Compliance division** , which provides financial institutions, corporations, small businesses,… more
- UPMC (Pittsburgh, PA)
- …a timely manner in accordance with professional standards as well as lead compliance program initiatives for assigned areas and facilitate the technology needs over ... overall department. Responsible for recruiting, mentoring, and developing auditors and compliance professionals, as well as supporting them in their career… more
- Commonwealth of Pennsylvania (PA)
- …opportunity to gain experience working in the classification, analysis, and reporting of financial data . In this position, you will play a vital role in enduring the ... 2 - WRITTEN COMMUNICATION Prepares written and financial reports that include data such as status of funds, appropriations, budgets, and expenditures. Designs,… more
- Penn Medicine (West Chester, PA)
- …the Laboratory Administrative team to ensure the Clinical Laboratory maintains accreditation compliance with the CAP, TJC, CLIA, AABB, and the Commonwealth of ... to Penn Medicine initiatives . Manages areas of responsibility in compliance with accreditation guidelines . Demonstrates teamwork by displaying a cooperative… more
- Evolent (Harrisburg, PA)
- …Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and ... for the Risk Adjustment coding support team. + Use data to identify areas of improvement for individual employees...claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices maintaining high… more
- Highmark Health (Pittsburgh, PA)
- …documentation accuracy and completeness. Creates a culture focused on Compliance and Core Behaviors. Builds strong partnerships with Highmark cross-functional ... teams including Care Management, STARS, Compliance , clinical leadership of health systems, physicians and vendors to develop programs that deliver measurable,… more
- Endo International (Malvern, PA)
- … compliance with contractual obligations, and reasonableness of claimed data . (5%) Customer Account Management (5%) + Negotiate contractual product deals ... agreements and amendments. + Establish and adhere to internal governance, compliance , authorization levels and approval authority ensuring internal controls, SOX and… more
- Highmark Health (Harrisburg, PA)
- …IT, Legal and other departments, proactively identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their ... operational processes, and implement effective controls and procedures to maintain compliance . This job performs business analysis tasks by supporting stakeholders… more