- Sanofi Group (Pittsburgh, PA)
- …and assisting in patient pull though efforts. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, ... of Sanofi T1D products by health care providers and/or healthcare facilities. + Act as the main point of...through efforts and problem solve escalated issues as a HIPAA compliant contact. + Work compliantly to reduce cycle… more
- Humana (Harrisburg, PA)
- …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the ... Our goal is to create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our rapidly expanding team of… more
- Highmark Health (Pittsburgh, PA)
- …members to develop and implement patient care plans, contributing to a collaborative healthcare approach. (10%) + **Ensure compliance and safety:** Adhere to ... care of treatment and clinic patients. Working closely with healthcare teams, this job will ensure the safe and..._both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices… more
- Robert Half Accountemps (Mars, PA)
- …compliance with service agreements, insurance policies, and applicable healthcare regulations. Address billing discrepancies by coordinating with internal ... Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA ), and organizational policies. Document… more
- Highmark Health (Pittsburgh, PA)
- …managers, team leaders and staff have a thorough understanding of audit, compliance and strategies imperative for department success. Ensures a culture of continuous ... or requested. **EDUCATION** **Required** + Bachelor's Degree in Business, Finance, Healthcare Administration **Substitutions** + 6 years experience in healthcare… more
- Highmark Health (Pittsburgh, PA)
- …a high-performing team to deliver innovative, high-quality, and cost-effective healthcare solutions to Medicaid members, while maintaining strong relationships with ... needs of Medicaid members. Negotiate contracts with hospitals, physicians, and other healthcare providers to ensure competitive rates and access to care. Foster… more
- Humana (Harrisburg, PA)
- …on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. ... Experience (ME) and Medicaid Module (MED) requirements, advising stakeholders on compliance . + Works closely with operational areas to prepare documentation and… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- … Compliance Programs, including but not limited to SOC1, SOC2, PCI, and HIPAA . Maintain strict compliance with company and client policies regarding business ... in business, marketing, or related discipline. Experience: Two years in a healthcare setting, including experience in a claims processing or high-volume call center.… more
- Walmart (Hazle Township, PA)
- … execution by others Ensures appropriate operational execution of billing procedures HIPAA compliance adherence and standard operating procedures SOP Utilizes ... ** It's time to see optometry through a new lens. Walmart is revolutionizing healthcare and this your chance to be part of it. A Walmart Associate Optometrist… more
- Sumitomo Pharma (Harrisburg, PA)
- …brand strategy and market access goals. + Collaborate closely with **legal, compliance , privacy and regulatory teams** to ensure program design and execution adheres ... + Partner with Access Marketing, Brand, Data & Analytics, Legal, Compliance , Medical Affairs, IT, and other cross-functional teams to ensure alignment… more