- PNC (Pittsburgh, PA)
- …validator you will perform rigorous independent reviews of PNC's models including fraud models, anti-money laundering models, as well as various types of ... options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and… more
- PNC (Pittsburgh, PA)
- …options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and ... protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care ; adoption, surrogacy, and… more
- CSL Behring (King Of Prussia, PA)
- …familiarity with global clinical development laws and regulations (including GCP/ICH), and health care regulations (including fraud and abuse, anti-kickback, ... 8 years practicing law, with 5 years of experience in a health care environment, preferably pharmaceutical or other organization engaged in clinical research. +… more
- Highmark Health (Harrisburg, PA)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training...1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
- PNC (Pittsburgh, PA)
- …in STEM OPT for this position** As a Portfolio Analyst & Strategy Specialist ( Fraud Incident Management Specialist), you will be a part of the Enterprise Fraud ... Incident Specialist will be responsible for leading a team that analyzes fraud incidents, supporting the containment and prevention of fraud incidents,… more
- Vanguard (Malvern, PA)
- …collaborative long-term relationships and enjoy a suite of benefits that includes comprehensive health and wellness care , work-life balance, and an investment in ... faster, stronger, risk-informed decisions. Within GR&S, the Enterprise Security and Fraud (ES&F) sub-division is responsible for the global protection of Vanguard… more
- Highmark Health (Harrisburg, PA)
- …This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The ... such as claims, customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert Investigators of the need for...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- CVS Health (Harrisburg, PA)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...transform complex healthcare data into actionable insights to support fraud , waste, and abuse (FWA) detection and Medicaid regulatory… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision ... Health (OPH) is the next step in our evolution. We are a...do our part to fix some of the fragmentation in care delivery. The time is now. **What you will do (Job… more
- AmeriHealth Caritas (Newtown Square, PA)
- …of healthcare leaders. At AmeriHealth Caritas, we're passionate about helping people get care , stay well, and build healthy communities. As one of the nation's ... organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care… more