- Humana (Harrisburg, PA)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
- Highmark Health (Pittsburgh, PA)
- …(CIPP) + Certified Information Systems Security Professional (CISSP) + Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) **SKILLS** + ... + 3 years in a leadership role, preferably in an Audit or Compliance discipline in a Healthcare or Healthcare related industry + 3 years overseeing privacy,… more
- Highmark Health (Harrisburg, PA)
- …healthcare operations, risk, audit, or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None ... Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance and Ethics Professional (CCEP)… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... + 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including… more
- Prime Therapeutics (Harrisburg, PA)
- …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... + 8 years of progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly… more
- Prime Therapeutics (Harrisburg, PA)
- …experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of ... + 8 years of progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly… more
- Cardinal Health (Harrisburg, PA)
- …E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS ... normative data, CMS and CCI initiatives, OIG work plans and advisories and healthcare industry best-practices. + Develops and implements compliance training to… more
- Globus Medical, Inc. (Audubon, PA)
- …_functions._ **Qualifications** **:** + Bachelor's degree combined with 0-2 years of healthcare compliance experience preferably with a medical device or ... the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture...lives as quickly as possible. **Position Summary** **:** The Compliance Associate contributes to strengthening the Globus Medical … more
- Globus Medical, Inc. (Audubon, PA)
- …**:** + Bachelor's degree combined with at least 2-3 years of healthcare compliance experience with a medical device or pharmaceutical company. ... the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture...lives as quickly as possible. **Position Summary** **:** The Compliance Specialist contributes to strengthening the Globus Medical … more
- UPMC (Pittsburgh, PA)
- …of a team that values your expertise and dedication to making a difference in healthcare compliance . **Apply today and take the next step in your career with ... Compliance Auditor!** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing? Do you thrive in a dynamic… more