- St. Luke's University Health Network (Orwigsburg, PA)
- …Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk Management (CPHRM) or appropriate alternative within 2 years ... and Patient Safety is responsible for all aspects of Quality , Clinical Risk Management and...and near vision. EDUCATION: Bachelor's degree in nursing or healthcare related field is required. Master's Degree preferred or… more
- Highmark Health (Camp Hill, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross ... performance guarantees / service level agreements, and (f) employee performance quality . **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to… more
- Highmark Health (Pittsburgh, PA)
- …**Required** + 7 - 10 years in the Healthcare Industry + 5 - 7 years in Management + 5 - 7 years in Risk Revenue **Preferred** + 3 - 5 years in Consulting ... record documentation and coding. Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support provider… more
- Highmark Health (Blue Bell, PA)
- …on providing optimal financial returns in a fully compliant manner. Develop a Risk Management governance strategy for the Enterprise to appropriately manage CMS ... Description :** **GENERAL OVERVIEW:** This position is responsible for risk revenue management for all government program...Lead a team that develops and oversees analysis of risk adjustment programs including ROI, productivity, quality ,… more
- Highmark Health (Pittsburgh, PA)
- …to define the development, implementation and maintenance of an effective compliance and risk management program for the supported entities. This includes, but ... related field **EXPERIENCE** **Required** + 7 years in Compliance, Privacy, Government Affairs, Healthcare Operations, Risk , Audit, or legal functions + 5 years… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Reporting to the Senior Manager, Corporate Risk Management , the role involves systematically managing...and developing corrective action plans in conjunction with appropriate management and staff. Conduct high quality in-depth… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst Senior - Remote **Job Description** The Senior Enterprise ... Risk Management (ERM) Analyst is responsible for...and devising and recommending solutions **Preferred Qualifications** + Managed healthcare , health insurance, or other highly regulated industry +… more
- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst - Remote **Job Description** The Enterprise Risk ... and developing strategies to mitigate and manage risks. The role supports implements risk management policies and procedures, conducts risk assessments,… more
- Sumitomo Pharma (Harrisburg, PA)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more
- Datavant (Harrisburg, PA)
- …**Required** + 8+ years of product management experience in healthcare , including ownership of clinical, risk adjustment, or provider-facing solutions. ... multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and… more