- Deloitte (Pittsburgh, PA)
- AML Consultant-Project Delivery Senior Analyst - Regulatory, Risk & Forensic Operate Are you an experienced, passionate pioneer in technology who wants to work in a ... collaborative environment? As an experienced AML Project Delivery Senior Analyst you will have the ability to share new ideas and collaborate on projects as a… more
- UPMC (Pittsburgh, PA)
- …experience, Clinical Documentation Improvement, Fraud & Abuse, Chart Auditing, or Quality Review experience required. + Ability to analyze diagnosis codes, ... opportunities. + Work in collaboration with appropriate Health Plan departments including Quality Assurance, Medicare, and the Fraud , Waste team to facilitate… more
- CVS Health (PA)
- …and directives. + Demonstrates a strong commitment to enhancing and promoting quality ; consistently delivers accurate and thorough work, and supports others in ... opportunities for providers, vendors and peers. + Expertise in medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more
- CVS Health (PA)
- …all with heart, each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team ... + Identifies and recommends opportunities for process improvements so that productivity and quality goals can be met or exceeded and operational efficiency and final… more
- Prime Therapeutics (Harrisburg, PA)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is ... responsible for recovering inappropriate pharmacy payments related billing errors and fraud , waste and abuse (FWA) through various mechanisms, including but not… more
- Lincoln Financial (Radnor, PA)
- …**The Role at a Glance** We are excited to bring on a **Procurement Contracts Analyst ** to join our team in a hybrid environment in Radnor, PA or Greensboro, NC. ... _Background Details:_ As a Procurement Contracts Analyst , you will play a key role in supporting...**What you'll be doing** + **Ensure Data Integrity:** You review monthly data files and collaborate with Procurement Operations… more
- Lincoln Financial (Radnor, PA)
- …at a Glance** We are excited to bring on a **Quantitative Research & Analytics Analyst ** to join our Capital Markets team in Radnor, PA. _Background Details_ As a ... Quantitative Res & Analytics Analyst , you will be responsible for consulting/analyzing and delivering...and organizational initiatives to positively influence the team and quality . In addition, you will participate in and/or contribute… more
- TE Connectivity (PA)
- PRODUCT PRICING ANALYST II **At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, sustainable and ... more connected world.** **Job Overview** The pricing analyst is responsible for determining the price of new...evaluating cost, marketplace, competitor data, economic conditions, volume, and quality of the product, as well as market positioning.… more
- Lincoln Financial (Radnor, PA)
- …at a Glance** We are seeking a dynamic and experienced **Sr Business Systems Analyst ** to serve as a subject matter expert and provide strategic direction on complex ... assigned area(s). **What you'll be doing** * Serving as a Business Systems Analyst , coordinating and supporting the enhancements to our business partners * Analyzes… more
- Lincoln Financial (Radnor, PA)
- …a Glance** We are excited to bring on an **Application Development Analyst ** within Lincoln's retail solutions organization. This position will consult/assist in the ... increasingly complex programs and procedures. + Conduct code and infrastructure review to align with architectural standards. + Partners with internal stakeholders… more