- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The...performance standards. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- Penn Medicine (Philadelphia, PA)
- …successful development and implementation of data policies, standards, and issues. **Facilitate Policy Development and Oversee Execution:** + Key policy areas ... + Thought Partnership: Stay abreast of industry trends, best practices, and regulatory changes. Recommend initiatives to enhance the organization's data and AI… more
- Medtronic (PA)
- …systems. + Maintain and submit technical records and documentation as per regulatory requirements. + Provide information from experiences in the field to colleagues ... those regular employees who work 20+ hours per week: Health , Dental and vision insurance, Health Savings...commitment to diversity here (http://www.medtronic.com) . It is the policy of Medtronic to provide equal employment opportunity (EEO)… more
- MongoDB (Philadelphia, PA)
- …and technical scoping to execution and delivery-ensuring we meet stringent regulatory requirements like FedRAMP while enabling secure, scalable product experiences ... to bridge the gap between technical and non-technical stakeholders + Balances regulatory requirements with user and business needs to deliver secure, compliant, and… more
- RELX INC (Philadelphia, PA)
- …product portfolio. + Stay informed about industry trends, competitor offerings, and regulatory changes to position our products effectively in the market. + Provide ... These are some of the benefits we are delighted to offer: * Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits* Retirement… more
- UPMC (Pittsburgh, PA)
- …nursing leadership and practice-based management + Deep understanding of ambulatory regulatory compliance and operational workflows + Proficiency with the Epic ... setting, develop standards, best practices, and implement approaches to advance the health of those served. + Develop standard workflows and staffing models for… more
- UPMC (Pittsburgh, PA)
- …care.Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction.Creates a ... and coverage, human resource management, departmental development and education and safety/ regulatory reporting and preparation.Serves as a highly engaged and full… more
- Guthrie (Sayre, PA)
- …college or university. Masters' Degree in Healthcare Administration, Business, Public Health , Organizational Management or related health field highly ... insure operation needs and compliance with established policies and procedures and regulatory agencies. Maintains a high level of employee commitment as measured… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Prioritize and manage workload to meet internal performance metrics, regulatory and contractual requirements. + Analyze data to find suspicious patterns ... applications. + Knowledge of ICD-9/10, CPT/HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. +… more
- RELX INC (Philadelphia, PA)
- …is the leading provider of best-in-class content, exclusive news collections, regulatory insights, and powerful analytical tools for compliance, transactional and ... These are some of the benefits we are delighted to offer: + Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits +… more