- Humana (Harrisburg, PA)
- …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
- Highmark Health (Pittsburgh, PA)
- …Education programs or equivalent experience in related field such as accreditation, compliance , healthcare , quality improvement, and/or Risk Management + 3 years ... they are responsible for program oversight, by identifying issues of non- compliance with the ACCME. Responsible for all logistical and financial aspects… more
- Community Health Systems (Wilkes Barre, PA)
- …collaboratively within a multidisciplinary healthcare team. + Knowledge of healthcare regulations, HIPAA compliance , and ethical standards in speech therapy ... collaborates with interdisciplinary teams, including physicians, caregivers, and other healthcare professionals, to ensure comprehensive patient care. **Essential Functions**… more
- RELX INC (Philadelphia, PA)
- …to enhance our healthcare solutions while ensuring their safety, reliability, and compliance with healthcare standards. About the Role We are seeking a ... solutions? About our Team Elsevier is singularly focused on helping healthcare professionals improve clinical outcomes through evidence-based care. Our generative AI… more
- Adams and Associates (Lopez, PA)
- …accurate and up-to-date health records for all students. Ensure confidentiality and compliance with healthcare regulations. + Emergency Response:Be prepared to ... lead to national industry-recognized credentials. Are you a dedicated healthcare professional with a passion for making a positive...and skilled Licensed Practical Nurse (LPN) to join our healthcare team. If you are ready to provide exceptional… more
- Cook Medical (Pittsburgh, PA)
- …up to 3 hours at a time. Employee that does not interact with Healthcare Professionals Compliance with all policies of the company including without ... a comparable background Minimum of 6+ years' experience in biopharmaceutical or healthcare industry A Senior Equipment Engineer should have a strong mechanical… more
- Oracle (Harrisburg, PA)
- …improvements in patient care and operational efficiency. + Strong understanding of healthcare regulations and compliance standards, including HIPAA, ONC, and CMS ... Health products. + 6-10+ years of direct clinical experience working in a healthcare setting, understanding patient care workflows, and addressing the needs of … more
- Datavant (Harrisburg, PA)
- …preferred and contracted providers + Provide proper identification of eligibility and healthcare plans + Maintain compliance in turnaround time requirements as ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring… more
- Highmark Health (Monroeville, PA)
- …and budget. Assures timely and accurate reports and records for patient care and healthcare operations in compliance with bylaws, policies, JC, DOH, and CMS ... a timely, accurate manner and are readily accessible for patient care and healthcare operations. (20%) + Assures that medical records are current, complete, readily… more
- CenterWell (Harrisburg, PA)
- …with a focus on execution and outcomes. + An understanding of telehealth and healthcare regulations, with a compliance mindset + A clear communicator who builds ... collaborative, and unafraid to challenge the status quo in healthcare . About the Role We're seeking a Clinical Operations...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more